ADHD Medication in the UK
Medications for ADHD assist in reducing symptoms by increasing activity in certain areas of the brain. They also increase neurotransmitters that are deficient in people suffering from ADHD.
In the UK stimulant medications are the most frequently prescribed treatment for adults with ADHD. They increase activity in parts of the brain that are involved in attention and impulse control.
Stimulants
In the UK, there are two types of medication that are approved for adult ADHD treatment including stimulants and nonstimulant drugs. https://sovren.media/u/fiberafrica8/ are typically offered as the first option because they boost activity in areas of the brain that help regulate attention and behaviour. These include methylphenidate also known as Ritalin, and lisdexamfetamine. They can be given often throughout the day in a tablet with a short-acting mechanism or taken once a day in a long-acting tablet that is released into the bloodstream throughout the course of a single day. The dose of the medication might need to be changed regularly in the beginning as it is monitored and adjusted (titrated) to determine the dose that is most effective for you.
Stimulants have a long-standing history of use both medically and as recreational drugs. In the 1930s truck drivers, students and athletes used amphetamines to boost their energy. Amphetamines can be extremely dangerous and have a high potential for abuse. They are often abused because they can make people feel good and can stimulate the mind in ways that lead to addiction.
The most frequent side effects of stimulants are loss of appetite, difficulty sleeping and issues with digestion or stomach. Modifications in the dosage or frequency of the medication often can alleviate these problems. The majority of adults are tolerant. However, children may experience more significant side-effects, such as tics, weight loss and crankiness.
Non-stimulant ADHD medication works differently from stimulants and can take some time to see them begin to work. Clonidine and Guanfacine, also called Catapres and Intuniv are alpha agonists. They stimulate receptors in the brain to increase concentration and decrease hyperactivity, impulsivity and behavioral issues such as aggression and tics. They can be taken alone or as a complementary treatment in conjunction with ADHD stimulant medications in children aged 6-17.
Atomoxetine (brand name Strattera) is another non-stimulant medication for ADHD that increases levels of the neurotransmitter noradrenaline to enhance impulse control and increase concentration. It can be prescribed as 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, yet they can cause a variety of symptoms, including headaches and trouble sleeping.
Atomoxetine
Some children are not responsive to stimulant medications like Adderall and Ritalin. For these children medications known as nonstimulants can be utilized. They increase the signaling between nerves, brain regions and areas of the brain. This helps children manage their impulsivity and improve their concentration. Non-stimulant ADHD medicines use different active ingredients from stimulants, and do not have the potential for abuse as they aren't controlled substances.
Atomoxetine (Strattera) is one of the newest non-stimulant medications used to treat ADHD in adults, children and teens. It is an antidepressant which has been proven to reduce ADHD symptoms by increasing the quantity of a chemical called noradrenaline within the brain. Noradrenaline sends messages between brain cells and is involved in impulsivity, attention, and motivation.
Due to its unique mechanism of action, atomoxetine isn't able to have the same side effects that other antidepressants do, such as Wellbutrin and Effexor. It is a prescription drug for children as young as five and is taken orally, once or twice a day in tablet form. Atomoxetine produces stable 24-hour control of ADHD symptoms, and may help reduce problems in the evening, as the effects of some stimulants fade.
The FDA has also approved guanfacineXR and Clonidine XR both of which are also available as non-stimulant ADHD medication. They are typically prescribed to children who haven't reacted to stimulant medications or who have issues with their side effects. They can be used alone or in combination with stimulants like Adderall XR (amphetamine salts), for an effective treatment of ADHD.
If you or your child is being treated with a non-stimulant ADHD medication, ensure you follow your GP's instructions carefully. They will likely suggest starting with a low dose and gradually increasing the dosage over time. They'll also want to be aware of any other medications you or your child are taking, so that they can ensure that there aren't any interactions. You'll need to schedule regular appointments with your GP and inform them if you experience any side effects or concerns. They will be able to modify your dosage or provide advice on alternative treatments such as talk therapy.
Unlicensed Medication
Adult ADHD is treated with a variety of stimulant and anti-stimulant medications. The psychiatric physician may prescribe medications which are 'off-label' for the condition (these are substances that are licensed for other conditions, but are showing evidence of their effectiveness in adults with ADHD). These medications are typically antidepressants like bupropion or Venflaxine. They have demonstrated some benefit in the condition, and are well tolerated at smaller doses.
Sometimes, unlicensed medicines are prescribed to patients when there is a medical need that is unique to the patient and the prescription cannot be fulfilled with an alternative licensed medicine. Patients whose regular medication was temporarily cut off due to a disruption of supply, or those who require a liquid version of a licensed capsule or tablet for reasons like allergies or intolerances can be affected in a variety of ways.
Unlicensed medications are often described as "specials". This term is also used to describe drugs that are "off-label" or are prepared or supplied in a manner not covered by the license. For instance, some examples include crushing tablets in order to make them easier for patients to swallow. Others may include adding liquid to tablets or capsules licensed by the FDA to make a mixture that is administered via injection.
In general healthcare professionals will employ unlicensed drugs as a last resort when they feel that no licensed alternative is available. They will carefully weigh a variety of options to meet the specific requirements of each patient. They will also review treatment and outcomes regularly, in light of their clinical experience and the availability of new licensed treatments.
It is essential that any unlicensed medicine used to treat a patient is safe and effective, and the reason for prescribing it is documented in the patient's record. If a patient experiences adverse reactions from an off-label treatment they must be reported to the MHRA's Yellow Card scheme. This information will be used to amend the medicine's MHRA marketing authorisation, and so to ensure that future prescriptions for the drug are safe and effective.
Talk Therapy
A talk therapist works with you to assist you identify your issues and find ways to manage. They can also give you advice and support about how to change your way of thinking and acting in order to feel more positive. It is essential to complete the recommended number of sessions as this will help you feel better.
The amount of neurotransmitters within your brain can help reduce ADHD symptoms. These chemicals enable your neurons to pass on messages, helping you focus your mind and stay clear of distractions. There are two major kinds of medications used to treat ADHD: stimulants and non-stimulants. They function in different ways, but they all improve the supply of neurotransmitters in your brain.
There are a variety of medications licensed in the UK to treat ADHD. The most popular is methylphenidate. It is available in immediate-release tablets (small doses taken 2 to 3 times a day) and modified-release tablets (taken once a day but released throughout the day). These medications are not an answer, but they can assist you control your the impulsive behavior and focus. They are usually well-tolerated but your specialist will monitor you closely to ensure that you are receiving the right dosage and do not suffer from any adverse consequences. It can take several weeks to reach your optimal dosage and could need to be titrated (changed frequently) to determine the most effective dosage for you.
Non-stimulant medications like atomoxetine (available only with a prescription) can be more efficient and have less of a chance of addiction than stimulants. They are more effective but not as well tolerated. Some people may have issues with appetite, memory, or sleep. Your doctor will track your progress and decide whether or not you should continue with the atomoxetine drug or switch to a different treatment.
People suffering from ADHD can't find permanent solutions through medication or therapy. They can help you cope with your symptoms and live a fulfilling lifestyle. Combining medications with regular therapy sessions will help you gain the most from your treatment. You'll learn strategies for coping and identify unhelpful patterns of behavior and thinking. For some, their improved confidence and mood may last beyond the end of their treatment.