ADHD Medication UK
The drugs aren't a cure, but they aid people in concentrating better, feel calmer, and be less impatient. These drugs are stimulants and they increase certain brain neurotransmitters.
Contact GPs/primary care to provide advice on dose adjustments (if required) for patients who are on maintenance treatment. Prioritise patients who need regular breaks during treatment according to expert clinical judgement.
What is ADHD?
ADHD is a mental health disorder that affects the ability to focus and control impulses. People suffering from this disorder have trouble staying focused and following directions, which can cause problems at school and work. A few adults with this disorder also experience difficulties with their relationships and emotions. There are a myriad of methods for treating ADHD that can make life easier for those suffering from ADHD. Certain medications can aid in managing symptoms however other treatments may also be effective.
Scientists don't know exactly what causes ADHD but they do believe that genetics play an important role. They also believe that the brain chemicals are different in people with the disorder. Neurotransmitters that control the flow of signals in the brain, are less common in people suffering from ADHD. This may explain why the symptoms of the disorder are more common in children than in adults, and why some sufferers have more severe symptoms than others.
The most frequently prescribed drugs to treat ADHD are stimulants. These are drugs such as methylphenidate (often identified under the brand name Ritalin) and dextroamphetamine, which boost activity in the areas of the brain that control attention and impulsiveness. Non-stimulants can also be used to treat ADHD however, these medications take longer to work and can have more adverse effects. Some adults who have the condition find it helpful to receive therapy which can assist them to find ways to manage their symptoms.
The symptoms of the disorder start in childhood, and they continue to manifest until the adolescent years or into adulthood. It isn't easy to identify the condition in adults since many of its symptoms are also observed in other conditions like mood disorders and anxiety. Symptoms of the disorder are also on a spectrum, with some people having more of the classic hyperactive/impulsive symptoms than others.
People who experience any of the ADHD symptoms should consult their doctor. Doctors can evaluate a person using a checklist or rating scale and conduct a physical examination. Family members or teachers may be asked to provide feedback on how symptoms impact daily life. They may recommend either therapy or medication, or both, to alleviate the symptoms of the disorder.
Medication
Stimulants like methylphenidate or dexamfetamine, sold under the brand names Ritalin (Vyvanse) and Concerta (Ritalin) are the mainstays in ADHD medication. They increase the level of certain neurotransmitters within the brain and aid in improving concentration. Non-stimulants, such as atomoxetine or guanfacine can also be found. They are different from stimulants and do not trigger the nervous system, so they are less likely to cause side reactions such as jitters and heart palpitations.
Many parents rely on these drugs to aid their children in completing the school day. The government recently issued a safety alert that states that there are supply issues with the medications used to treat ADHD. This is due to the combination of manufacturing issues and excessive 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 supply of medication. Some families have been forced to purchase their medication online or from private healthcare providers. This has sparked some controversy because the drugs are expensive and critics say they can lead to addiction.
Thankfully, the supply issue seems to have passed and most families affected by the shortage are being able to continue taking their prescriptions. Some of the most well-tolerated methylphenidate products are still in short supplies. If you are taking a medicine that is not in stock, it is recommended to look for an alternative that is equally effective and, if possible, the same strength. Always adjust the dose of the medication you are taking to ensure you are taking the right dose for your specific symptoms.
adhd medications for adults is also worth checking with the pharmacy in your area to see the availability of the medication you require. If they are unable supply the medication you require, it may be possible to contact other branches in your region that have stock and transfer the prescription to them, or request that they hold your supply until they have more.
Diagnosis
If you suspect you are suffering from symptoms of ADHD or your child has them, obtaining an diagnosis is the first step to controlling these symptoms. Your doctor will examine your child's or you're own behavior, and the length of time the symptoms have been present. They will also check to make sure other things aren't the cause like thyroid disorders, depression or anxiety.
It is crucial to talk with an experienced health professional who is knowledgeable about the evaluation and treatment of ADHD for both children and adults. Some pediatricians have an expert on staff, and you may also ask for referrals from family members, friends or others who know you well. A specialist will employ ADHD symptoms checklists and standardized rating scales to assess the symptoms of your child or yourself. They will also ask for the medical history of your child, including any problems that your child or you experienced at school. They may also ask for an analysis of blood to determine whether you or your child have low iron. This could cause symptoms similar to those of ADHD.
Your doctor will also be looking to discuss your or your child's lifestyle and how the symptoms impact you or them. If they suspect that you or your child might have ADHD they'll discuss with you, your spouse, to your other family members, and to teachers about the symptoms. They could also suggest sessions for behavioral therapy.
People who suffer from ADHD are less likely to experience psychotic symptoms such as hallucinations or delusions. If not treated, ADHD can trigger mood swings, relationship problems, and issues with work performance. They might also suffer from issues with gambling, substance abuse issues and eating disorders.
The NHS is struggling to cope with the number of people waiting to be diagnosed with ADHD. The Covid-19 pandemic saw the number of people requesting appointments increase and there is an estimated wait of two years for those wanting to start medication using methylphenidate Hydrochloride, the dimesylate of lisdexamfetamine or atomoxe. The government has created an taskforce to improve the system and reduce waiting times.
Treatment
The use of medication can improve the ability to pay attention and control emotions, as well as calm. However, they do not solve ADHD. It's a complex and often confusing condition, but medications can make it easier to manage day-to-day. adhd and medication helps to reduce the amount of people suffering from symptoms that can be a major obstacle to getting on with life and achieving their goals.
On the NHS there are two main types medications for ADHD which are stimulants and non-stimulants. Stimulants increase the quantity of neurotransmitters in your brain to improve concentration, decrease the amount of impulsivity and reduce hyperactivity. They are usually the first type of medication offered to adults. They are available in a variety of forms, from the family of methylphenidates (like Ritalin) to the amphetamine salts found in Adderall. They are either short-acting or long-acting. The methylphenidate family are generally preferred and can be administered as immediate-release or modified-release tablets.
Non-stimulants operate in a different manner. They don't work directly on the brain but instead, they increase the levels of noradrenaline, which is a sort of messenger chemical that transfers information between brain cells. They are usually only available when a person hasn't responded to a six-week trial of one of the stimulants. Strattera, also known as atomoxetine, is the most frequently prescribed drug.
A psychiatrist will typically adjust the dosage to get the most effective results for every patient. They will continue to evaluate the drug's effects until they have found the optimal dose. They may prescribe a combination.
The NHS is currently experiencing disruptions in the supply of certain ADHD medications. This is due to a manufacturer's problem that has impacted the production of several brands.
It has led to patients not being able to get their prescriptions filled and a waiting list for new prescriptions. Patients are advised to review their medical records and speak with their doctor as soon as possible if they take one of the affected drugs. Patients are advised to only request prescriptions for 28 or 30 days to avoid causing further shortages.