ADHD Medications

ADHD Medications for Adults: ADD Treatment Q&A on Types, Side Effects

Is ADD medication safe? Does it work? What are the side effects? After an ADHD diagnosis, most patients have lots of questions about the best way to manage symptoms with a prescription. Our expert has answers.

Doctor writing prescription for patient with ADHD
Doctor writing prescription for patient with ADHD

ADHD Medication: Does it Work for Adults?

When adults ask me questions about why they should try medication to manage their ADHD, my answer always comes down to two words: Medication works. When you find the right medicine, you can experience substantial improvements in your ADD symptoms.

Adults diagnosed with attention deficit disorder (ADHD or ADD) later in life have many questions about stimulant medications, just as parents do about giving drugs to their child. After all, adults may be taking ADHD medication for the rest of their life. Here are seven common queries, and my answers to them.

Will ADHD stimulant medication make me antsy?

The term “stimulant” is misleading. Stimulant medications, like methylphenidate…

…and amphetamine…

…do make people without ADHD more alert and awake; they stimulate activity in the frontal regions of the brain. The reason they don’t make hyperactive adults more restless is that these parts of the brain are underactive in people with ADHD. There is not enough norepinephrine and dopamine to send signals between neurons to stimulate the mind to pay attention or sit still.

[Get This Free Resource: The Ultimate Guide to ADHD Medication]

Does ADHD stimulant medication have any long-term negative effects?

As far as we know, you can take ADHD medication for as many years as you may need to manage your symptoms and reduce related impairments.

Is there any evidence that Ritalin or other stimulant ADHD medications are safe or unsafe for expectant mothers?

There is no evidence concerning the effects of any ADHD medications on expectant mothers or their babies. At this time, manufacturers of such medications recommend that women discontinue taking ADHD medications after they conceive.

Are generic versions as effective as brand-name ADHD stimulants?

Generic medications appear not to be manufactured with the same degree of precision as brand-name medications. The generics have had numerous reports of greater variability in controlling symptoms on a day-to-day basis and less success overall in managing symptoms.

Is it possible to build tolerance to ADHD stimulant medications? If so, how do I avoid this, or how do I handle it once I’m experiencing it?

Actual physical tolerance seems unlikely with the current ADHD medications, but some individuals report that their medication seems less effective about three to six months after starting their treatment. This usually requires an adjustment of the dose, or, sometimes, changing to a different delivery system or medication. Clinically, we sometimes see people complaining that their medicine isn’t working as well as before, but these people are usually going through an unusually stressful or demanding period in their lives that may exacerbate ADHD symptoms. They may need to temporarily change their dose or address the source of the stress at these times.

[Click to Read: 10 Things Your Doctor May Not Tell You About ADHD Medication]

I’ve heard that ADHD stimulants can make people more irritable or angry or increase muscle tension. Is this true?

In rare cases, a side effect of stimulants is that they make people with ADD more irritable or angry. This may depend on your personality, what other disorders you may have, and which executive functions have been most affected by ADHD. Some people do experience increased muscle tension — your body may feel tense, or you may experience a clenched jaw — especially if you are taking higher-than-typical doses.

Can I drink alcohol or take other drugs when I am taking a stimulant?

Yes, but do so in moderation. The only drugs you should avoid are other stimulants. Caffeine and alcohol do not interact adversely with ADHD meds. Nicotine, though, can act as a stimulant, compounding the effects of ADHD medication on your heart rate and blood pressure. If you are a smoker, discuss it with your doctor.

Excerpted from Taking Charge of Adult ADHD (#CommissionsEarned), by RUSSELL A. BARKLEY, Ph.D., with Christine M. Benton. The Guilford Press, Copyright 2010.

Russell Barkley, Ph.D., is a member of ADDitude’s ADHD Medical Review Panel.

#CommissionsEarned As an Amazon Associate, ADDitude earns a commission from qualifying purchases made by ADDitude readers on the affiliate links we share. However, all products linked in the ADDitude Store have been independently selected by our editors and/or recommended by our readers. Prices are accurate and items in stock as of time of publication

2 Comments & Reviews

  1. I am 35 and have been testing out different medications and most of them make me very irritable and feel like I want to cry. Vyvanse was the worst and now I am taking ritalin and although it isn’t as bad, I still feel irritable all day. Also, my jas is super tense, sometimes to a point that it causes migraines. I’m worried that all ADHD medications I try will give me these effects.

  2. I felt that way as well on Ritalin and STILL had the racing mind, to the point of not being able to communicate clearly because my mouth couldn’t keep up with my brain (thoughts). It was VERY frustrating! My doctor changed my meds to Adderall and guanfacine and that made a HUGE difference! I can manage my thoughts as well as tasks most days. I found using lists to at least clear my mind is very helpful. Also, I gave myself permission to do “some” OR all of the tasks and not beat myself up IF I don’t accomplish all of them. Let’s be real…some days we can climb Mount Everest, while other days it seems that a gentle incline on a grassy rolling hill takes the same effort. The point is…being and feeling and KNOWING each day I/we can be effective and productive by simply accomplishing SOMETHING rather than feeling useless by doing nothing because of expectations we have for ourselves. If you’re like me, those expectations CHANGE by the minute.

    It’s so important to realize that doing more doesn’t mean you are more USEFUL than on the days you do less. It’s VERY easy to judge our overall worth on an hourly basis by measuring our “accomplishments”. Don’t do that to yourself… Because EVERY HOUR brings new changes for us. And— yes, sometimes every minute for some of us…

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