ADHD Medication Non-Stimulant

Attention deficit hyperactivity disorder [ADHD] is generally treated by stimulant medications. But at times when the stimulants are not effective other medications are tried that are not stimulants. Let us have some discussion about the no stimulants here.

Antidepressant Medications and ADHD: Anti-depressant medication is often recommended for patients with ADHD who cannot tolerate or doesn’t show signs of improvement when they are under stimulants.

The anti depressant medications are prescribed for those who have mood sequealae. Dosage levels in spite of the availability of specific guidelines, should be decided on a case to case basis.

ADHD persons are mostly bad self observers. It is beneficial to take the help of a person with whom the ADHD person is close in order to observe the improvement or deterioration of the symptoms or behavior.

We should always keep in mind that treatment of ADHD with
anti-depressants does not mean that the patient is depressed.

Antidepressants are often used to improve the control of the patient's symptoms, rather than as treatment of primary depression.

Few physicians believe that the SSRI's have more benefits, especially with children, for the mood aspects of ADHD. This is because SSRI'S cause less side-effects than old anti-depressants such as the tricyclics [Imipramine, Nortriptyline,and Amitryptyline] .

Of late Desipramine is not much prescribed due to some unexplained sudden deaths which appeared to be related to heart function.Zoloft, Paxil, and Prozac, are the three most popular SSRI

Bupropion HCL (Wellbutrin) can also be a good second-line
treatment.Busiprone (BuSpar) is a new anti-anxiety medication which shows some promise in treating ADHD when psycho stimulant medications are not effective .

The side-effects of Busoprone are better tolerated OR controlled than those of other medications used for ADHD. It should always kept in mind that , every individual responds differently and uniquely to a specific medication.

The effective administration of a specific medication for any psycho-neurological condition will still be an art, than a science in the times to come.

In order to assess the effectiveness of medication [ stimulant or non stimulant] it is important to note whether an improvement has happened in the following symptoms.

The symptoms to be noted are Inattentiveness, academic underachievement,Fidgeting ,hyperactivity,Behavioral or verbal impulsivity,difficulty falling asleep at night,

Trouble waking up in the morning ,Excessive irritability with-out cause, easy frustration Bedwetting,Dyslexia with spatial reversals , Episodic explosiveness, emotional outbursts,Unexplained and persistent emotional negativity .

If in case ther medication does not improve positively with any or all of these symptoms then either an increased dosage or change of medicine is required.


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