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ADHD Medication in the UK Medications for ADHD help to reduce symptoms by boosting activity in certain areas of the brain. They also increase neurotransmitters that are absent in people with ADHD. In the UK stimulant medications are the most frequently prescribed medication for adults with ADHD. They work by increasing activity in parts of the brain involved with concentration and impulse control. Stimulants In the UK there are two kinds of medications that are approved for adult ADHD treatment: stimulants and nonstimulant medications. Stimulants, which increase brain activity in areas that regulate behavior and attention, are often the first option. They include methylphenidate (often called Ritalin) and Lisdexamfetamine (brand names including Vyvanse). These tablets can be taken several times a day as a short-acting tablet or every week as an extended-acting pill that is released into the bloodstream throughout the day. At first, the dose of the medication might need to be adjusted and monitored (titrated), to find the dose that is effective for you. Stimulants have a long history of use, both medically and as recreational drugs. In the 1930s, amphetamines was often employed by truck drivers, students, and athletes for their energy boosters. Amphetamines can be dangerous and be abused. They are often abused because they make people feel great and can stimulate the mind in ways that can lead to addiction. The most frequently reported side-effects of stimulants are loss of appetite, difficulty sleeping and issues with stomach or digestive system. Modifications in the dosage or frequency of the medication usually reduce these problems. Most adults tolerate them well. However, children can experience more significant side-effects, like tics, weight loss and irritability. Non-stimulant ADHD medication functions in a different manner in comparison to stimulants and can take a while to start working. Clonidine and Guanfacine (brand names Catapres and Intuniv) are alpha agonists, both of which work by stimulating certain receptors in the brain to increase concentration, reduce hyperactivity and impulsivity, as well as reduce behavioural issues like tics and aggression. They can be used as a supplement to ADHD stimulant medication or taken on their own by children aged between 6 and 17. Atomoxetine (brand name Strattera) is a different non-stimulant medication for ADHD that increases levels of the neurotransmitter noradrenaline to improve impulse control and concentration. It is a medication that can be prescribed on by itself, but it is most often combined with guanfacine in children. These medications are less likely to cause the same adverse effects as stimulants, however they may still trigger a variety of symptoms, including headaches and difficulty sleeping. Atomoxetine Some children are not responsive to stimulant medications like Adderall and Ritalin. There are alternatives to stimulants for these children. They enhance the communication between nerves, brain regions and brain regions. This helps kids control their impulsivity and improve their concentration. Nonstimulant ADHD medicines use different active ingredients from stimulants and don't have the potential for abuse as they aren't controlled substances. Atomoxetine (Strattera) is one of the newest non-stimulant medicines that treat ADHD in children, adults and teens. It is an antidepressant which has been shown to reduce ADHD symptoms by increasing the amount a chemical called noradrenaline within the brain. Noradrenaline transmits messages between brain cells and is involved in impulsivity, attention, and motivation. Due to its unique mechanism of action, atomoxetine doesn't suffer from the same adverse effects that other antidepressants do, such as Wellbutrin and Effexor. It can be prescribed to children as young as 5 years old. It is taken once or twice daily in tablet form. Atomoxetine gives you a steady, 24-hour control over ADHD symptoms. It can reduce the severity of problems in the evening when the stimulants have worn off. The FDA has also approved guanfacineXR and Clonidine XR both of which are available as non-stimulant ADHD medication. These are given to children who haven't responded to stimulant medication or have trouble with its side effects. They can be paired with stimulants such as Adderall XR, (amphetamines salts), to treat ADHD more effectively. Follow your doctor's instructions Follow your doctor's instructions if your child or you is receiving treatment with a nonstimulant ADHD medication. They may suggest starting with small doses, and then gradually increasing the dosage over time. They will also inquire about any other medications that you or your child are taking to check for interactions. You will need to make regular appointments with your GP and let them know if you experience any adverse reactions or have concerns. They may alter your dosage or suggest alternative treatments, such as talk therapy. Unlicensed Medication The medication used to treat ADHD in adults is a range of stimulant and non-stimulant medications. Psychiatrists can also prescribe medicines that are 'off label' (these are substances that are approved for a different condition but have emerging evidence for their effectiveness in adult ADHD). These are usually antidepressants, such as bupropion and Venflaxine. They have shown some benefit in the condition, and are tolerated at smaller doses. Sometimes, unlicensed drugs are prescribed to patients when there is a genuine medical need that is so specific that the prescription cannot be met by a licensed alternative. Patients whose usual medication has been temporarily interrupted due to a disruption in supply, or patients who require liquid versions of a licensed tablet or capsule for reasons like allergies or intolerances could be affected in a variety of ways. Unlicensed medicines are often described as'specials' however, this can also be applied to medicines that are off-label or that are prepared or supplied in a way which is not covered by the license of the medicine. These might include crushing tablets to make them easier to swallow or adding a liquid to a licensed tablet or capsule to make a mixture suitable for administration by injection, or using a syringe to inject medication subcutaneously (under the skin). In general, healthcare professionals will only make use of unlicensed medications as a last resort when they believe that there is no approved alternative available. They will carefully evaluate several options to meet the unique requirements of each patient. add adhd medication will also periodically review treatments and outcomes, taking into account the clinical experience as well as new approved treatments. It is important that any medicine that is not licensed to treat patients is safe and effective and the reason for prescribing it should be recorded in the patient's medical record. Inform about any adverse effects the patient may experience as a result of an off-label medication by using the MHRA Yellow Card Scheme. This information will be used to update the medicine's MHRA marketing authorisation and also to ensure that future prescriptions for the medication are safe and effective. Talk Therapy A therapist who works with you will help you understand your symptoms and help you find ways to manage them. They can also give you guidance and assistance on how to change your ways of thinking and behavior to feel more positive. It is vital to complete the recommended amount of sessions in order to make you feel better. Medications help to reduce the symptoms of ADHD by increasing the quantity of neurotransmitters in your brain. These are chemicals that allow your brain to pass on messages, and assist you in focusing your mind and avoid distractions. There are two types of ADHD treatment which include stimulants as well as other non-stimulants. They all increase the amount of neurotransmitters in your brain. There are several medications licenced in the UK to treat ADHD. The most common medication is methylphenidate. It is available in immediate-release tablets that are used in small doses, 2 to 3 times daily. Also, as modified-release tablets that are taken every week but released over the course of the day. These medicines are not an effective treatment for ADHD but they can help to control and focus on an impulsive behavior. They are generally well tolerated but your doctor will closely monitor your progress to ensure that you receive the right dose and do not experience any adverse negative effects. The treatment can take a few weeks to reach the optimal level and may have to be adjusted (changed on an ongoing basis) in order to find what works best for you. Non-stimulant medications like atomoxetine, that is available by prescription only, may be more efficient than stimulants and don't have the same potential for addiction. They have a stronger scientific base, but they aren't as well-liked and some have issues with memory, appetite or sleep. Your doctor will be able to monitor your progress and discuss whether you should continue taking Atomoxetine or switch to another treatment. The use of therapy or medication is not permanent solutions for those with ADHD. However, they can enhance your ability to deal with your symptoms and live a happy life. Combining therapy with medication sessions will allow you to get the most from your treatment. You'll learn strategies for coping and recognize unhelpful patterns of behavior and thinking. Some people's improved moods and self-confidence can persist after treatment.