Attention Deficit Hyper Activity Disorder

This term describes a lifelong developmental disability that can first be detected in infancy, early childhood or even in adolescence, and which involves challenges with attention span, impulse control, and the intensity level of activities at school, home or at work. Typical behavior would include such things as distractibility; difficulty with following instructions or in waiting for turns within groups; a difficulty with staying on task with chores or play activities; a difficulty with sitting or playing quietly; inattention; restlessness; and engaging in physically harmful or dangerous activities, without a concern for the resulting consequences for self or others.

Question: Which is the best medication against Attention deficit hyper activity disorder ? ADHD and ADD? What kind of Dr do I need to visit to be diagnosed with ADHD attention deficit hyper activity disorder or ADD ? What exactly is Attention deficit hyper activity disorder ? ADHD and ADD? What are Symptoms of ADHD ( Attention deficit hyper activity disorder ) diagnosis or diagnose ? Which is the best medication against Attention deficit hyper activity disorder ? ADHD and ADD? What is ADD? Adderall 5mg, 10mg, 15mg, 20mg Retalin HCI 5mg Concerta 27mg Or what other be as detailed as possible

Answer: In order to answer this question, we first must establish that ADHD is not just one disorder, but rather a spectrum of disorders. It's often broken up into 3 separate categories or subtypes: Inattentive (difficulty concentrating, but not bouncing off the walls, blurting out answers or comments impulsively, etc. This type is often more along the lines of what we might associate with as being "lazy" or "space cadets") Hyperactive/Impulsive: As it's name suggests this subtype is more hyper and less likely to "filter" out comments or behaviors for appropriateness. They like to grab and play with things they can get their hands on, engage in more risky behaviors without thinking things through, and are the ones bouncing off the walls. They squirm and fidget when sitting. In general, however, this group is less likely to have learning disabilities, reading problems, etc. than the inattentive subtype. This subtype is relatively uncommon, as many also exhibit inattentive symptoms and fall into the third subtype, the combined subtype. Combined (a combination of the other 2): This is the most common form, and often requires the most medication and other treatments, since both inattentive and hyperactive/impulsive behaviors must be treated. Kids who begin to show defiant or conduct problems along with their ADHD, often fall into this subtype. In addition to this, individuals with ADHD often have comorbid (co-existing) disorders, such as anxiety, depression, Tourette's, tics, conduct or behavioral disorders, etc. The problem with medicating is that some meds improve the ADHD symptoms but may worsen one of the comorbid disorders (and sometimes have dangerous effects, especially at high doses). Here's brief overview of some of the most common meds: Stimulants: The most common stimulants are methylphenidate (which includes Ritalin, Concerta, Metadate and Daytrana), Adderall (mixed amphetamine salts), Focalin (essentially an isolated version of one of the two compounds in methylphenidate, this compound is often the more "active" or "potent" form of the drug, so typically half of the dosage is needed), Dexedrine (dextro amphetamine, which, contains just the more "active" forms of amphetamines in Adderall), and Vyvanse (which is an inactive form of amphetamines like Dexedrine, but needs to be chemically altered by enzymes in your body to release the active drug form. This cuts down on abuse). While the stimulant class of meds has been shown to work with all subtypes of the disorder, typically lower levels of drug are needed for inattention, more for straight up hyperactivity, and more for the combined subtype. Of course, this is just a rule of thumb. Generally, most physicians start with methylphenidate (typically Ritalin first and then Concerta), as it is often a bit less "potent" or hard-hitting of a stimulant than a straight up amphetamine. However, it's often more of a hit-or-miss, especially for more severe symptoms, as some individuals do horrible on Ritalin or Concerta but do great on Adderall (or vice versa). Having said that, Vyvanse often exhibits some of the best effects as a stimulant, at least based on my research, mainly due to it's delivery method and release. Additionally, it often is a bit more "hardy" than the other stimulant meds, in that it can be less affected by food or other medications. Again, take this with a grain of salt, some individuals do horrible on Vyvanse and better on other meds. Additionally, Vyvanse is typically much more expensive. Other downsides to stimulants (especially in higher doses) are greater risks of side effects, such as appetite suppression, insomnia, cardiovascular effects (increased heart rate or blood pressure, although these are typically mild). Also certain comorbid disorders, including anxiety and depression can be even worse when stimulants are taken for ADHD. In general, these disorders often occur more frequently alongside the inattentive types of ADHD (but not always), so non-stimulant meds might be chosen in their place. Non-stimulants: Strattera (atomoxetine) is one of the most common non-stimulants for ADHD. It often works better for the predominantly inattentive (as opposed to hyperactive) forms of the disorder, however, there are certain exceptions. It typically does not have the same pronounced effects on anxiety or depression as the stimulants do. Other methods: If depressive symptoms occur alongside of ADHD, drugs such as Wellbutrin (bupropion) can sometimes work well. Although an anti-depressant, Wellbutrin has a unique mode of action that makes it act almost like a stimulant as well. I personally know individuals who do well with Wellbutrin for this combo. Other non-ADHD meds can sometimes be used for ADHD such as Tofranil (imipramine), which can sometimes work for the inattentive type. This drug is actually used to treat nocturnal enuresis (bedwetting), which, believe it or not, is often

Attention Deficit Hyper Activity Disorder

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