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ADHD Medication – What You Need to Know The number of people taking ADHD medication in England has soared – with the diagnosis of the condition reaching record levels. GPs prescribe medication to help those with the condition. These medications boost concentration and decrease hyperactivity. The Department asks practices Department to identify patients affected by the supply issue and to include an alert in their clinical records. Patient information leaflets and an easy read leaflet are provided to facilitate conversations with patients. What is ADHD? ADHD is a mental disorder that affects many people. It can cause issues with learning, organization, and staying focused on tasks that require working memory. People who suffer from ADHD also have trouble paying attention in conversations or following instructions at school or at work. They are prone to making costly mistakes if they are not careful. They struggle to wait for their turn and may blurt out answers before the person who is speaking has finished speaking. The symptoms begin in childhood. To be diagnosed with ADHD, one must exhibit at least six symptoms that are evident and get in the way of daily functioning in more than one setting (for example, school, home, or work, etc.). People who suffer from ADHD can be very accomplished as adults, however many struggle as they take on more complex jobs, managing relationships, and household chores. It is not uncommon for this condition to go undiagnosed throughout childhood, particularly for women and girls. The symptoms are more subtle than in boys and men which is why they are less likely to be reported to a doctor by parents or teachers. If a child has been diagnosed with this condition, they could be prescribed medication. Many of the medications used to treat ADHD help by increasing levels of certain neurotransmitters that are present in the brain. These chemicals help regulate the way we behave and pay attention. Methylphenidate is among the most frequently prescribed ADHD medication. It is thought to improve concentration by reducing impulsivity and hyperactivity. People suffering from ADHD are more likely to suffer from other disorders, including depression or anxiety. They are also more prone to addictions. Additionally, if they don't receive treatment, ADHD can lead to financial issues due to ineffective time management, missing appointments or payments that are late and impulsive spending. If you suspect that you have ADHD then you should talk to your GP. They aren't able to officially diagnose you, but they can refer you to an expert. Alternatively, you can ask to be examined at an individual clinic that provides assessments and prescriptions for ADHD medications. These are dispensed to the pharmacy in your area for you to pick up, just like other prescriptions. Symptoms The signs of ADHD appear early, for children between the ages of 3 and 6 years old, and can persist into adulthood. For adults, they may cause problems in education as well as relationships at work. dealing with adhd without medication is not uncommon for the condition to be undiagnosed. Some people may end up being misdiagnosed and mistakenly labeled as a slacker, dreamer or troublemaker. In adolescence and adulthood people may be more difficult to compensate for their symptoms and this can lead to problems with their education or career as well as financial issues and difficulties maintaining friendships and romantic relationships. The signs include trouble being seated or waiting or not completing tasks, as well as being easily distracted. People with the ADHD type that is mostly inattention are also more prone to becoming bored and looking for new experiences. They are unable to focus on tasks that do not seem exciting or rewarding. They also tend to forget instructions and commit mistakes. People with the predominantly hyperactive/impulsive type of ADHD might talk out loud while they are listening to other people, interrupt or intrude on others' conversations and games, or start or stop activities without permission. They are unable to wait for their turn and have difficulty playing or doing leisure activities quietly. They are easily annoyed and often rush into things without taking into account the consequences. The brains of people suffering from ADHD are affected by both environmental and genetic factors. Certain genes are associated with the disorder. It is also believed that low birth weight, smoking during pregnancy, and exposure to harmful substances during pregnancy increase the risk of having a child who has ADHD. There is evidence to suggest that certain diets could influence the behavior of a person who suffers from ADHD, but it is essential to consult with a physician prior to cutting out any food. The three primary medications that are used to treat ADHD include dexamphetamine, atomoxetine and methylphenidate. Other medications are available, and many can switch between different medications, depending on the way they react and their tolerance to these medications. The Royal College of GPs has warned that if the current shortages aren't addressed, the issue will grow and patients could end up being unable access treatment. GPs should contact their local ADHD service and discuss alternative treatment options. Some GPs and ADHD services are providing information on substitutes for methylphenidate such as clonidine or guanfacine. It is safe to take a break from the use of atomoxetine or methylphenidate, such as over the weekend. However, it's best to consult your GP first. Diagnosis A psychiatrist will determine ADHD following a thorough examination. This includes a detailed description of the symptoms provided by the patient and family members, scales and questionnaires that are completed by the person as well as their family members and teachers along with a psychiatric background and information about the person's childhood, education, and environment. In many countries, a psychiatrist or other mental health professional is required to determine ADHD in adults. If you decide to visit a private psychiatrist to start your treatment, it is important to inquire about the degree of training and expertise they have in dealing with adult ADHD. Refusal to provide this information should be taken with suspicion, and you should think about seeking an alternative specialist. A psychiatrist or another mental health professional will be required to determine whether the symptoms were present since the early years of your life. Your symptoms must have affected your life for a prolonged period and caused issues in a variety of situations to warrant an adult diagnosis. A psychiatrist may look over your school records and ask you to write about how your symptoms have affected your life. If you decide to start taking medication, your doctor will discuss the appropriate dose and schedule with you. Stimulants, which are the most commonly used treatment for ADHD, are stimulants. They affect the levels of neurotransmitters in your brain. This improves your attention and decreases hyperactivity, impulsivity and. These medications typically take between 45 and 60 minutes to start working and are rapidly absorbed into your bloodstream. Some people are only capable of taking certain types ADHD medication. These include methylphenidate, amphetamines (including methylphenidate “immediate release” and methylphenidate “extended release”), atomoxetine, and dexamphetamine. Most people can take breaks from these drugs on weekends and during school holidays but you should only stop taking them with the advice of a physician. You should only take ADHD medication under the supervision of medical professionals. You should never share your prescription or get it from someone else. National Health Service GPs must evaluate all new patients for ADHD before prescribing medication. The waiting list for ADHD medications is long. The NHS England has created an ADHD taskforce to cut the wait times. Treatment Treatment options for ADHD include medication and behavioural therapy. These two therapies can be very efficient for a lot of people. The medication is safe and effective and can help reduce symptoms. It is important to remember that medication isn't a cure. It only works if taken regularly. The most popular treatment for ADHD is stimulant medication. This applies to both children and adults. They work by increasing the amount of neurotransmitters in the brain which allow nerve cells to communicate. The medications are available in two types that are short-acting and long-acting. Psychologists carefully adjust the dosage of medications to ensure that the proper dosage is prescribed and that the side effects are appropriately managed. This is known as “dosage optimization.”. A number of different medications are available to treat ADHD including methylphenidate (methylphenidate immediate release, and methylphenidate 'extended release') as well as atomoxetine, dexamphetamine and modafinil. ADHD is sometimes treated with drugs like clonidine or guanfacine. Currently, there are no shortages of either of these drugs in the UK. Co-morbidities are frequently present in people suffering from ADHD which includes anxiety, depression and bipolar disorder. For this reason, it is suggested that all people with a comorbidity are provided with an integrated treatment plan and that all relevant healthcare professionals are involved in the person's care. The NHS is working to create an innovative model for the treatment of people with neurodiversity. It recognizes that not all individuals have the same needs and that there could be connections between mental and physical health problems. There will be a shift to more individualised services, with patients having access to multidisciplinary teams that can assist them and address their needs in partnership. For patients who are receiving primary care maintenance on ADHD medicines and who have a current prescription, GPs are urged to contact their local specialist for advice on dosage adjustments or to agree with the patient to refer them for an intervention break. GPs are also advised not to issue any additional 30 day supplies of these medications as this will exacerbate the supply issue.