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evidence based treatment for adhd in adults For online adhd treatment

The most effective treatment options for add are medications and psychosocial therapy (psychotherapy). The medications can include stimulants such as amphetamine and methylphenidate, and non-stimulants like atomoxetine and viloxazine, guanfacine, clonidine and gu.

Patients with active substance abuse issues should not take stimulant medications. However, those who are in stable remission can look into them. Combination therapy with antidepressants (particularly SSRIs) is also an option.

Stimulants

Stimulants increase dopamine and norepinephrine levels between the brain's synapses. This improves concentration and decreases the intensity of impulses and hyperactivity. Most doctors that treat adhd in adults prescribe medication from the stimulant class to treat ADHD. They might prescribe methylphenidate (Concerta, Ritalin) or amphetamines, which are very similar medications. The type of medicine prescribed will depend on a individual's biochemistry and how well they respond to the medicine. It may take up to seven days for full effects of a medication to be apparent. The medication will be effective if you notice improvements in concentration, memory sleep, and impulsivity.

Some of the adverse effects include a decrease in appetite, trouble sleeping, and an increase in blood pressure and heart rate. People with medical conditions, like heart disease or high blood pressure, should not take them. They are highly prone for abuse and are tightly controlled drugs. Only paediatricians or psychiatrists or, in some instances general practitioners, may prescribe stimulants. They are available in the form of tablets or pills or patches that go on the skin, or in liquids.

Children and adolescents who are dependent on stimulants are often affected by weight loss and appetite problems. When the dose is too high, they can also develop tics. If this happens, the doctor may reduce the dosage to avoid the drug from causing a worsening of symptoms.

About 70% to 80% children and adults with ADHD are treated with stimulant drugs. The majority of adolescents and children find that their symptoms improve after being treated. This is particularly relevant for children who have parents, teachers or carers who report improvement.

Early use of stimulants could lower the risk of developing addiction disorders later in life. Wilens and colleagues79,80 Katusic as well as colleagues81,82 and Biederman and colleagues83 have found that treatment with stimulants decreases the risk for substance use disorders during adolescence, however the protective effect diminishes as we enter early adulthood.