Careful warning and ADD treatment for best treatment
The best drug ADHD being ignored (ADHD-PI) or Inattentive ADD is probably not Ritalin. There are some psychiatrists who believe that Inattentive ADD or ADHD-PI can not be ADHD at all, and that in this subtype of ADHD patients may respond completely differently to other subtypes of stimulant medications. The most important authority of ADHD, Russell Barkley, wrote about treating ADHD's inattentive subtype: "These children are not responding to nearby stimulants, just as AD / HD is overactive, impulsive children, only about one fifth child will have enough therapeutic response to medication treatment after initial titration time .. Oh, it will find that about two-thirds show slight improvement, but these developments are not sufficient to demonstrate that clinical responders, therapeutic respondents Nine percent of AD / HD children respond to stimulants, 20% of children respond to stimulants and other AD / HD children are generally better at moderate and high doses, they respond at all, are very light doses, small doses. "
However, many people with ADHD-PI- the stimulating treatment is successfully applied. For some people, even slight improvement is enough to keep the medicine. The best drug is each individualized, but there are data that Ritalin is less effective than ADHD-PI than the Adderall drug family. It would be good to think that it would be easy and quick to provide reference to the treatment of ADHD that causes primary inattention. To better understand the available treatments, it is very useful in ADHD biology.
All types of ADHD are likely to be caused by the brain's neurotransmitters. Two neurotransmitters that cause severe symptoms of ADHD are dopamine and epinephrine (norepinephrine). It is very simple to say that a small amount of dopamine in our brain causes hyperactivity and impulsiveness. The low amount of epinephrine causes a lack of focus, lethargy and mental fatigue. Serotonin, another neurotransmitter, dopamine and epinephrine are secreted and exhausted. Low levels of serotonin are irritant, tired and depressed. Circulatory serotonin levels are linked to the levels of the other two neurotransmitters, and vice versa
All treatments for ADHD optimize the neurotransmitter function in the brain. The Ritalin (Methylphenidate) family is associated with an increase in brain dopamine and epinephrine. The Adderall (Amphetamine) family increases brain epinephrine and dopamine, but this is only about half as much as methylphenidate. Strattera (atomoxetine) is associated with an increase in brain norepinephrine. Guanfacine (Intuitive) regulates the flow and effectiveness of neurotransmitter receptors in the brain by reducing hyperactivity, improving working memory, and reducing impulsiveness and detachment.
So what is the best drug for ADHD-PI? Some doctors believe that the Adderall family works better than the Ritalin family because of the drug's effect on norepinephrine is greater than the effect of dopamine. Each stimulant may attract attention, but ADHD-PI patients are more tolerant of amphetamines than the Ritalin family.
It seems that this very simple understanding of ADHD's biology for Stratter should be the best ADHD-PI. The reality is that Strattera works only in some ADHD-PI patients. We are not sure why this is the case. Intuitive seems to work poorly in ADHD-PIs because hyperactivity is the main factor. The reality is that some doctors have found that the Intuniver works well for ADHD-PI patients. Because people with ADHD also struggle with depression and anxiety, antidepressants such as tricyclic (Elavil, Norpramin, Tofranil) and serotonin are sometimes prescribed. Many patients reported being relieved by their inattentive symptoms when treating tricyclics. SSRIs, selective serotonin reuptake inhibitors (Prozac, Paxil, Celexa) are only on serotonin and sometimes used with SST-PI-treated stimulants to treat depression but may also help in inadvertence.
have side effects. Stimulants may cause weight loss, anxiety and sleep disturbances. Intranas may cause drops of blood pressure and drowsiness, Strattera may cause sexual dysfunction, and similarly to SSRIs, psychiatric patients are alert to the increased risk of agitation, irritability and suicidal thought. In general, medication side effects are mild or rare, but if not, they unfortunately dictate the treatment.
Some researchers believe that after we have mapped the genetic problems with ADHD, we are able to make individual treatments for everyone with ADHD. This is a high order because cerebral neurotransmitter actions are complex and none of the neurotransmitters work independently. The variety of ADHD symptoms is also related and complex.
In view of the unique and unique symptoms of ADHD and the incidence and tolerance differences in drug side effects, treatment of ADHD-PI is always a measure of individual effort and defect
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