From the FDA Drug Label
Atomoxetine capsules are indicated as an integral part of a total treatment program for ADHD that may include other measures (psychological, educational, social) for patients with this syndrome. Anxiety in patients with ADHD and comorbid Anxiety Disorders - In two postmarketing, double-blind, placebo-controlled trials, it has been demonstrated that treating patients with ADHD and comorbid anxiety disorders with atomoxetine does not worsen their anxiety
The optimal pharmacological treatment for an adult with Attention Deficit Hyperactivity Disorder (ADHD) and anxiety disorder is atomoxetine, as it has been shown not to worsen anxiety in patients with ADHD and comorbid anxiety disorders 1 1.
- The recommended dose is 40 mg/day, with an increase to a target dose of 80 mg/day, and a maximum dose of 100 mg/day if symptoms fail to improve after 2 to 4 additional weeks.
- Atomoxetine can be taken with or without food and can be discontinued without being tapered.
From the Research
The optimal pharmacological treatment for an adult with Attention Deficit Hyperactivity Disorder (ADHD) and anxiety disorder is atomoxetine (Strattera 40-100mg daily), as it can address both conditions effectively, according to the most recent and highest quality study available 2. When considering treatment options, it's essential to evaluate the individual's specific symptoms, medical history, and potential medication interactions.
- The treatment approach typically involves starting with one medication at a low dose, gradually increasing while monitoring for effectiveness and side effects, before potentially adding a second medication.
- Non-stimulant options like atomoxetine are particularly useful in patients who are at risk for substance abuse or who do not wish to take a controlled substance, as it is not associated with abuse or diversion 3.
- Stimulants, such as methylphenidate or amphetamine-based medications, may also be effective, but they can have side effects like insomnia, decreased appetite, or increased heart rate, and may not be suitable for all patients 4.
- Selective serotonin reuptake inhibitors (SSRIs) like sertraline or escitalopram can be used to address anxiety symptoms, but they may not be as effective in addressing ADHD symptoms on their own 5.
- Regular follow-up appointments are crucial to assess medication effectiveness, adjust dosages, and manage any side effects that may arise.
- It's also important to note that the treatment of ADHD and anxiety disorders in adults can be complex, and a comprehensive treatment plan should be developed in consultation with a healthcare provider, taking into account the individual's unique needs and circumstances.