ADHD Medication UK
Medications are not a cure for ADHD but they can help people focus better and less impulsive, and feel more calm. These medications are known as stimulants. They boost certain neurotransmitters within the brain.
Consult with primary care providers to determine whether dose adjustments are required for patients who receive maintenance treatment. Make sure that patients who require regular treatment breaks are given priority in accordance with specialist clinical judgement.
What is ADHD?
ADHD is mental health issue that affects the ability to focus and control impulses. This condition can cause issues at school and at work as people suffering from this condition find it difficult to stay focused and follow instructions. A few adults with this disorder also have difficulties with their relationships and emotions. The use of medication can ease the symptoms of the disorder, however there are other treatment options that can improve life for people with ADHD.
Scientists do not know what causes ADHD. However, they believe genetics play a significant role. They also believe that the chemicals in the brains of those with ADHD are different. People with ADHD are less likely to have neurotransmitters responsible for controlling the flow of nerve signals in their brains. This could explain why the symptoms of ADHD are more prevalent in children than adults, and also why some suffer more severe symptoms.
Stimulants are the most commonly prescribed medications to treat ADHD. These drugs, such as dextroamphetamine or methylphenidate (often sold under the brand name Ritalin), stimulate brain activity in the areas that regulate attention and impulses. Non-stimulants can also be used to treat ADHD, but these medicines take longer to work and may have more adverse effects. Adults suffering from ADHD may find therapy helpful in figuring out how to manage.
The disorder's symptoms begin in childhood and last until the adolescent or adulthood. It isn't easy to identify the disorder in adults because the symptoms are also present in other conditions, such as 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.
It is crucial for people who have any of the symptoms of ADHD to talk with their doctor. Doctors can evaluate a patient by using checklists or rating scales and do a physical exam. Teachers or family members can be asked to give feedback on how symptoms affect daily life. They might suggest therapy or medication, or both, to alleviate symptoms of the disorder.
Medication
Stimulants such as methylphenidate and dexamfetamine that are sold under the brand names Ritalin (Vyvanse) and Concerta (Ritalin), are the primary ingredients in ADHD medication. They increase the levels certain neurotransmitters that are found in the brain, helping to increase concentration. Non-stimulants like atomoxetine and guanfacine can also be prescribed. They are different from stimulants, and since they don't stimulate the nervous system, they are less likely than stimulants to trigger side effects like jitters and palpitations.
Many parents depend on these medications to help their children get through the school day. The government has recently issued a health alert stating that there are supply issues with the drugs used to treat ADHD. This is due to a mix of manufacturing issues and excess demand.
This has caused an inordinate delay in patients being in a position to get their prescriptions renewed or refills. Many families have waited months for their next prescription. Some families are forced to purchase their medications on the internet or through private healthcare providers. This has sparked some controversy because the drugs are expensive and critics claim they could lead to addiction.
Thankfully, the issue of supply has passed and the majority of families affected by the shortage are being able to continue taking their prescriptions. Some of the more well-tolerated methylphenidate brands are in short supply. If you are taking a medication that is not in stock, it is recommended to try and find an alternative product that is equally effective, and if you can, at least the same strength. Always adjust the dose of the medication you are taking to ensure that you are taking the right dose for your symptoms.
It is also a good idea to check with your local pharmacy to see what their availability is of the medication you need. If they cannot provide the medication, you may be in a position to contact other branches within the region that have stock and request that they transfer your prescription to them or at least hold onto your supply.
Diagnosis
If you feel you have symptoms of ADHD or your child has them, obtaining an assessment is the first step to controlling them. Your doctor will examine your child's or your own behavior, and how long the symptoms have been evident for. They will also check to ensure that other conditions aren't the cause like a thyroid disorder, depression or anxiety.
It is crucial to visit a health care professional who specializes in the evaluation and treatment of ADHD in adults and children. Some pediatricians have an expert on staff and you can request recommendations from family members, friends or anyone else who know you well. A specialist will use ADHD symptoms checklists and standard rating scales to assess the symptoms of your child or yourself. They will also request an medical history, which includes any issues that your child or you experienced at school. They may also request an analysis of blood to determine whether your child has low iron, which can cause similar symptoms to those associated with ADHD.
Your specialist will also want to talk about your or your child's life style and how the symptoms affect you or them. If they suspect that you or your child could have ADHD they'll discuss with you, your spouse, to your other family members, and to teachers about the symptoms. They may recommend a few therapy sessions.
Contrary to many other mental health conditions that affect people with ADHD are unlikely to develop psychotic symptoms, such as hallucinations and delusions. However, someone who is not treated for ADHD can have mood swings, difficulties in relationships and work performance issues. They could also be suffering from problems with substance abuse, gambling issues, or eating disorders.
The NHS is grappling with the large number of patients waiting to be diagnosed as ADHD. The Covid-19 pandemic has seen the number of people who requested appointments rise dramatically. There is now a two-year waiting list for those wanting to start medication with methylphenidate hydrochloride, lisdexamfetamine dimesylate, or atomoxetine. The government has created an taskforce to improve the system and shorten waiting times.
Treatment
The medication can improve the ability of people suffering from ADHD to focus, control their emotions and remain calm. However, they don't cure ADHD. It's a complex and often confusing condition, but medications can make it easier to manage day-to-day. It can also dramatically reduce the number of people whose symptoms can be a major obstacle to living a normal life and reaching their goals.
There are two main types of medications available on the NHS for ADHD such as stimulants and non-stimulants. Stimulants increase the amount of neurotransmitters in your brain to improve concentration, decrease the amount of impulsivity and reduce hyperactivity. They are usually the first kind of medication available to adults. They are available in many forms, ranging from methylphenidate (like Ritalin), to amphetamine salts from Adderall. They can either be long-acting or short-acting. They can be taken as immediate-release or delayed-release tablets.
how does medication for adhd work -stimulants operate in a different manner. They do not work directly on the mind, but instead increase 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 been able to respond to a six-week test of one of the stimulants. The most commonly prescribed is atomoxetine, which is known as Strattera.
A psychiatrist will usually adjust the dosage to get the best results for every patient. They will continue to test the effects of the medication until they have found the optimal dose. They may prescribe a mixture.
treating adhd without medication is currently experiencing a disruption in the supply of certain ADHD medications. A manufacturing issue is affecting the production of multiple brands.
It has led to patients having difficulty getting their prescriptions filled and are placed on a waiting list for new prescriptions. Patients are advised to review their clinical records and speak with their doctor as soon as possible if they take one of the affected medications. Patients are advised to only request prescriptions for a period of 28 or 30 days to prevent further escalating the shortage.