ADHD Medication UK
The use of medication is not an effective treatment for ADHD, but they can help people concentrate better and less impulsive, and feel more calm. These medications are stimulants and they boost certain neurotransmitters in the brain.
Contact GPs/primary care to provide advice on dose adjustments (if required) for patients who are on maintenance treatment. Make sure that patients who require regular breaks from treatment are given priority, based on specialist clinical judgment.
What is ADHD?
ADHD is a mental health disorder that affects the ability to focus and control impulses. This condition can cause problems at school and at work because people with this condition are unable to focus and follow directions. A few adults with this disorder also have difficulty with their emotions and relationships. Medications can help manage symptoms of the disorder, however there are other treatments that can improve life for those with ADHD.
Scientists don't know exactly what causes ADHD, but they believe that genetics play an important role. Additionally, the brain chemicals are different in people with the disorder. Neurotransmitters that control the flow of information in the brain, are not as common in those suffering from ADHD. This may explain why symptoms of ADHD are more prevalent among children than adults, and also why some suffer more severe symptoms.
Stimulants are the most frequently prescribed medication to treat ADHD. These medications, like dextroamphetamine or methylphenidate (often marketed under the brand name Ritalin) can increase brain activity in areas that regulate attention and impulses. Non-stimulants are also used to treat ADHD However, these drugs are more difficult to use and can have more side negative effects. Certain adults who suffer from the condition find it helpful to get therapy that can help them discover ways to manage their symptoms.
Symptoms of the disorder are present in childhood and continue through adolescence and adulthood. The disorder can be difficult to identify in adults, because many of the same 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.
It is essential for those who exhibit any of the symptoms of ADHD to talk with their doctor. Doctors can examine a patient by using checklists, rating scales, and physical examination. They may also request feedback from teachers or family members about how the symptoms interfere with daily activities. They might suggest therapy or medication or both to improve symptoms of the disorder.
Medication
The mainstays of medication for ADHD are stimulants like methylphenidate (brand names Ritalin and Concerta) and dexamfetamine (branded Vyvanse). They boost the amount of certain neurotransmitters within the brain and help improve concentration. Non-stimulants like atomoxetine and guanfacine can also be prescribed. They act differently to stimulants and do not trigger the nervous system, making them less likely to cause adverse effects like jitters or heart palpitations.
Many parents rely on these drugs to get their children through school. However, the government recently issued a national patient safety alert saying there are supply issues affecting the medication used to treat ADHD. This is due to an array of manufacturing issues and a high demand.
This has led to a delay for people to renew or refill their prescriptions. Many families have waited for months to be given their next supply of the medication. Others have had to buy their medication on the internet or from private health providers. This has caused some controversy because the cost of these drugs is very high and critics say they can lead to addiction.
Thankfully, the supply issues appear to have moved on and the majority of families affected by the shortage were in a position to resume their prescriptions. Some of the better-tolerated methylphenidate products are still in short supply. If you are taking a medicine that is out of stock it is recommended to try and find an alternative that is equally effective, and, if possible, the same strength. It is recommended to adjust your medication on a continuous basis, to ensure that it is the correct dosage to help with symptoms.
It is also advisable to inquire with your local pharmacy if they have the medication you require. If they are unable to supply the medication, you might be able to contact other branches in the area that have stocks, and ask them to transfer your prescription to them or at a minimum, keep your supply.
Diagnosis
If you or your child is showing symptoms of ADHD, a diagnosis will assist you in gaining control. Your doctor will evaluate your child's or your own behavior and determine how long the symptoms have been present for. They will also determine if other things, such as thyroid disorders, depression, or anxiety, are the cause of the symptoms.
It is crucial to visit a health care professional who specializes in the evaluation and treatment of ADHD in adults and children. Certain pediatricians have an expert on staff, and you can also seek recommendations from family members, friends or others who know you well. A specialist will use ADHD symptoms checklists and standardized rating scales to determine the symptoms of your child or you. They will also ask for the medical history of your child, including any issues that your child or you experienced at school. They may also request a blood test to determine if you or your child suffer from low iron. This can cause symptoms similar to those of ADHD.
Your specialist will want be aware of your child's or your own life style, and how it affects you or them. If they believe that you or your child could have ADHD, they'll want to speak to you, to your spouse, to your other family members, and even to teachers about the symptoms. They might also suggest a few behavioral therapy sessions.
People suffering from ADHD are less likely to experience psychotic symptoms such as hallucinations and delusions. Untreated ADHD can cause mood swings, relationship problems and issues with working performance. They might also suffer from substance abuse problems, gambling issues and eating disorders.
The NHS is struggling to cope with the volume of people who are waiting to be diagnosed with ADHD. The Covid-19 pandemic has seen the number of people requesting appointments increase and there is an estimated wait of two years for those who want to begin treatment with methylphenidate hydrochloride lisdexamfetamine dimesylate, or atomoxetine. The government is creating an task force to improve the system and shorten waiting times.
Treatment
The medication helps enhance the ability of people suffering from ADHD to focus, control their emotions, and relax. However, they don't cure ADHD. It is a complex and confusing condition that is manageable by taking medication. It can also dramatically reduce the number of people who suffer from symptoms that can be a major obstacle to getting on with life and reaching their goals.
On the NHS there are two types of medications for ADHD that are stimulants and nonstimulants. Stimulants increase the amount of neurotransmitters in your brain to improve concentration, reduce the amount of impulsivity and reduce hyperactivity. Adults are usually prescribed stimulants first. They are available in a variety of forms, ranging from methylphenidate (like Ritalin), to amphetamine salts from Adderall. They are either short-acting or lengthy-acting. They can be used as delayed-release or immediate-release tablets.
Non-stimulants are a little different. They don't directly act on the brain and instead increase the levels of noradrenaline. Noradrenaline acts as a messenger chemical that relays information between brain cells. They are typically only given if the person has not had a positive response to a trial of six weeks of one of the stimulants. adhd without medication , also known as atomoxetine is the most commonly prescribed drug.
A psychiatrist will typically adjust dosages to ensure the most effective results for each patient. This means that they examine the effects of the medication on an ongoing basis until they have found the dose that is effective. They may prescribe a combination.
The NHS is currently experiencing interruptions in the supply chain of certain ADHD medication. A manufacturing issue has affected the production of several brands.
This has led to some patients not being able to get their prescriptions filled, and also a waiting list for new prescriptions. It is suggested that patients look over their clinical records to determine if they are on one of the affected medications and contact their physician immediately. It is also advised that patients only get 28 days or 30 days' prescriptions to avoid aggravating the shortages.