ADHD Medication UK
The use of medication is not a cure for ADHD, but they can help people concentrate better and be less impulsive. They also help people feel calmer. These medications are stimulants, and they increase certain neurotransmitters in the brain.
Talk to your primary care provider to determine whether dose adjustments are required for patients receiving maintenance treatment. Ensure patients who require frequent treatment breaks are prioritised, based on specialist clinical judgement.
What is ADHD?
ADHD is a mental health condition that affects attention and impulse control. People suffering from this condition struggle to stay focused and following directions, which could cause problems at school and work. Some adults with this disorder also have difficulties with their emotions and relationships. There are a myriad of ways to treat ADHD that can help people with ADHD. Medications may assist in managing symptoms however other treatments may be equally effective.
Scientists aren't sure the causes of ADHD. However they believe that genetics play a significant role. They also believe that the chemicals in the brains of people with ADHD are different. People suffering from ADHD have less neurotransmitters that control the movement of signals between nerves in their brains. This may explain why symptoms of ADHD are more common in children than adults, and why some people experience more severe symptoms.
Stimulants are the most frequently prescribed medication for ADHD. These medications, like dextroamphetamine and methylphenidate (often marketed under the brand name Ritalin) are able to increase brain activity in areas that regulate attention and impulses. Non-stimulants can also help treat ADHD however, these medications take longer to work and can have more adverse effects. Some adults who have ADHD find it beneficial to receive therapy, which can help them learn ways to cope with their symptoms.
The symptoms of the disorder begin in childhood and continue into the adolescent years or into adulthood. The disorder can be difficult to recognize in adults because many of the symptoms are seen in other conditions, such as anxiety or mood disorders. Symptoms of the disorder are also on a spectrum, with some people having more of the classic hyperactive/impulsive symptoms than others.
If you experience any of the ADHD symptoms should speak to their doctor. Doctors can assess a person with checklists, rating scales, and a physical examination. They may also request feedback from family members or teachers about how the symptoms interfere with daily activities. They may recommend therapy or medication, or both, to help alleviate symptoms of the disorder.
Medication
The mainstays of medication for ADHD are stimulants such as methylphenidate (brand names Ritalin and Concerta) and dexamfetamine (branded Vyvanse). They increase the levels certain neurotransmitters in the brain, which helps increase concentration. Non-stimulants like atomoxetine and guanfacine can also be prescribed. They are different from stimulants, and since they do not stimulate the nervous system they are less likely than stimulants to trigger adverse effects such as jitters and palpitations.
Many parents depend on these medications to get their children through school. The government recently issued a safety alert, stating that there are supply issues with the drugs used to treat ADHD. This is due to the combination of manufacturing issues and a high demand.
This has caused an inordinate delay in patients being able to get their prescriptions renewed or refilled. Many families have been waiting for months to receive their next dose of medication. Some families have been forced to purchase their medications via the internet or from private healthcare providers. The drugs are expensive and some say they could lead to addiction.
Thankfully, the problem of supply seems to have passed and most families affected by the shortage are being able to continue taking their prescriptions. Certain of the more well-tolerated brands of methylphenidate are in short supply. If you are taking a medicine that is not in stock it is advised to try and find an alternative that is as effective, and, if possible, the same strength. Always titrate the medication you're taking to make sure you are taking the right dose for your specific symptoms.
It is also worth checking with the pharmacy in your area to see what their availability is of the medication you require. If they cannot provide the medication, you might be able to contact other branches within the region that have stocks, and ask them to transfer your prescription to them, or at a minimum, keep your supply.
Diagnosis
If you suspect you are suffering from symptoms of ADHD or your child is suffering from them, getting an assessment is the first step towards gaining control over these symptoms. Your doctor will evaluate your child's or your own behavior and determine how long the symptoms have been present for. They will also check to ensure that other conditions aren't the cause for example, thyroid disorders, depression or anxiety.
It is important to consult an experienced health professional who is skilled in the assessment and treatment of ADHD in both adults and children. You may ask family members, close friends, or other people you know for recommendations. A specialist will utilize ADHD symptoms checklists and standardized rating scales to evaluate the symptoms of your child or you. They will also inquire about your medical history, which will include any problems that you or your child might have had at school. They might also request a blood test to determine whether you or your child has an iron deficiency. medication for adhd and anxiety could cause symptoms similar to those associated with ADHD.
Your specialist will also be looking to discuss your or your child's lifestyle and how the symptoms impact you or them. If they believe that you or your child may have ADHD, they'll want to talk to you, your spouse, to other family members, as well as to teachers about the signs. They might recommend a few therapy sessions.
Unlike many other mental health issues those with ADHD are not likely to experience psychotic symptoms, like hallucinations and delusions. Untreated ADHD can lead to mood swings, relationship issues and issues with work performance. They can also suffer from substance abuse, gambling problems and eating disorders.
The NHS is grappling with the large number of patients waiting to be diagnosed as having ADHD. The Covid-19 epidemic saw the number of people seeking appointments increase and there is now a two-year waiting list for those who want to begin treatment with methylphenidate hydrochloride the dimesylate of lisdexamfetamine or atomoxe. The government has established an taskforce to improve the system and reduce waiting times.
Treatment
The medication can enhance the ability of ADHD patients to concentrate, manage their emotions, and relax. They are not able to solve ADHD. It's a complex and often difficult to understand condition, but medication does make it easier to manage day-to-day. It also helps to reduce the number of people whose symptoms are a major barrier to getting on with life and realizing their goals.
There are two kinds of drugs available on the NHS for ADHD including stimulants and non-stimulants. The stimulants increase the amount of neurotransmitters in your brain to improve your concentration, reduce the impulsivity of children and reduce hyperactivity. Adults are usually prescribed stimulants first. They are available in various forms, ranging from the family of methylphenidates (like Ritalin) to the amphetamine salts found in Adderall. They can be short-acting or long-acting. The methylphenidate family are generally preferred, and they can be given as tablets with immediate release or modified-release.
Non-stimulants are a little different. They do not directly work on the mind, but instead increase levels of noradrenaline. Noradrenaline is a messenger chemical that transmits information between brain cells. They are only prescribed if a six-week test of one of the stimulants has failed to produce any results. Strattera is also known as atomoxetine, is the most commonly prescribed drug.
A psychiatrist will typically adjust dosages to ensure the best results for every patient. They will continue to test the effects of the medication until they find the right dose. They can also prescribe an array of drugs.
The NHS is currently experiencing a disruption in the supply of certain ADHD medications. This is due to a manufacturing issue that is affecting the production of several brands.
It has led to patients being unable to get their prescriptions filled, and also a waiting list for new prescriptions. It is suggested that patients check their clinical records to see whether they are taking one of the affected medications and to consult their doctor at the earliest opportunity. It is also advised that patients only get 28 or 30 days' prescriptions in order to avoid aggravating the shortages.