Adult ADHD Medication
Antidepressants are considered a second choice for ADHD treatment of adults. The older antidepressants (tricyclics) are sometimes used because they, like the stimulants, affect norepinephrine and dopamine. Duloxetine (Cymbalta®), venlafaxine (Effexor®, Effexor XR®) and desvenlafaxine (Pristiq™) are newer antidepressants that are also used for their effect on norepinephrine.
Bupropion (Aplenzin™, Budeprion XL®, Budeprion™ SR, Buproban®, Forfivo™ XL, Wellbutrin SR®, Wellbutrin XL®, Wellbutrin®, Zyban®), an antidepressant with an indirect effect on the neurotransmitter dopamine, has been useful in clinical trials of the treatment of ADHD in both children and adults. It has the added attraction of being useful in reducing cigarette smoking.
Physicians do not use adult ADHD medication as frequently as they use medications for children. This is, in part, due to the fact that adults who haven't been diagnosed with ADHD as children often have found ways to cope without medication for years. Sometimes, physicians will prescribe a stimulant as needed for specific tasks.
Also, in prescribing medicine for adult ADHD, special considerations are made. The adult may need less of the medication for his or her weight, and the medication may have a longer "half-life" in an adult. The adult may also take other medications for physical problems such as diabetes or high blood pressure.
Often, the adult is also taking a medication for anxiety or depression. All of these variables must be taken into account before a medication is prescribed.