Mental Health

ADHD medication and treatment online

Learn if ADHD medications can help inattentiveness and more with a consultation from one of our board-certified doctors online. Get started with an evaluation or refill an existing prescription for non-stimulant ADHD medication. Prescriptions are provided at the doctor’s discretion. PlushCare cannot write prescriptions for ADHD medications that are controlled substances, such as Adderall, Ritalin, Concerta, or Vyvanse.* Please note that some patients may require further evaluation by a psychiatrist to accurately diagnose or manage ADHD.

Effective, non-habit-forming ADHD medications Consult with a primary care ADHD doctor online, anytime ADHD treatment with referrals to licensed therapists

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*Please note that currently, PlushCare does not have psychiatrists. However, our primary care physicians can assist patients with mental health conditions and refill certain mental health medications after a qualifying evaluation. Learn more about our controlled substances policy. Treatment of ADHD will depend on the individual's symptoms, age, and the severity of impact. Prescription medication is a common form of treatment for ADHD. Treatment is most effective when medication therapy is combined with behavioral strategies.

How to treat ADHD

ADHD symptoms usually begin during childhood and sometimes continue into adulthood (adult ADHD). Common symptoms of ADHD include:

Difficulty paying attention (inattention): This refers to having difficulty staying organized and sustaining focus to finish specific tasks.
Being overactive (hyperactivity): This is characterized by constantly moving about, excessively fidgeting, or talking. In adults, hyperactivity may present as extreme restlessness or excessive talking.
Acting without thinking (impulsivity): This refers to having difficulty with self-control.

If you experience these symptoms, speak with a doctor to learn more about ADHD. Note that many other conditions can present with similar symptoms to ADHD, including anxiety and other mood disorders, bipolar disorder, autism spectrum disorder, and learning disabilities including dyslexia. An accurate diagnosis is the first step to getting appropriate care.

Attention-deficit/hyperactivity disorder (ADHD) treatment depends on factors such as a person's age, symptoms, and severity of impact. For young children with ADHD, behavior therapy is typically recommended before considering medications. At this age, behavior therapy involves skills training for both the child and the parents or guardians. Both children and adults with ADHD can experience difficulties in social interactions and can benefit from undergoing social skills training with trained therapists.

ADHD medications aim to increase the concentration of brain chemicals that reduce ADHD symptoms. They’re often prescribed to help treat ADHD, but they’re used for other conditions as well. While medications are useful, they are often combined with other ADHD treatment options, such as behavior therapy, to provide the best results. There are two main classes of ADHD medications: stimulants and non-stimulants. Please note that we are only able to prescribe non-stimulant ADHD medications through PlushCare.

ADHD medication

There are two main classes of prescription ADHD medications.

Stimulant ADHD medication*

Stimulant drugs are used to reduce hyperactivity, restlessness, and other symptoms of ADHD. They work by activating the central nervous system and increasing dopamine levels in the brain.

*Stimulant ADHD medication falls under the category of controlled substances, which we cannot prescribe online.

Adderall

Dexedrine (dextroamphetamine)

Vyvanse (lisdexamfetamine)

Concerta

Focalin (dexmethylphenidate)

Daytrana

Metadate

Ritalin

Methylin

Quillivant XR (methylphenidate)

While stimulants are highly effective for ADHD symptoms, they can have significant side effects and may not be safe for people who have other health conditions. People taking stimulants for long periods of time often develop tolerance to the medications, which means higher doses are needed to achieve the same effects. Some people also develop physical dependence and even addiction to stimulants. Because stimulants are controlled substances, they are more highly regulated and sometimes more difficult to get consistently than non-stimulant medications.

Non-stimulant ADHD medication

Non-stimulant ADHD drugs are most often used to treat ADHD when a stimulant is not the right choice. Strattera and Qelbree are the most commonly used non-stimulant medications for ADHD and both work by increasing levels of norepinephrine in the brain. This has a stimulating effect without directly activating the central nervous system. Strattera and Qelbree are the only FDA-approved non-stimulant medications specifically made for ADHD.

Several other non-stimulant medications may be prescribed “off-label” for ADHD as well, meaning that they were approved for other uses but can also improve ADHD symptoms. These include Wellbutrin (bupropion) and Intuniv (guanfacine). Wellbutrin increases dopamine and norepinephrine levels in the brain which helps with focus, attention, and motivation. It is also used to treat anxiety and depression, seasonal affective disorder, and to help patients quit smoking. Guanfacine and clonidine both belong to a class of blood pressure medications known as “alpha-2 adrenergic receptor agonists.” While they were initially developed to treat blood pressure, they also exert calming effects and can be especially helpful for people with both ADHD and anxiety.

Strattera Intuniv Wellbutrin Qelbree

Stimulants are highly effective at reducing these symptoms due to their effect on the central nervous system. Stimulant medications treat ADHD by creating a stimulating effect on the central nervous system, but also through an increase in the release of dopamine that is available in the brain. These are some of the more potent options when it comes to the treatment of ADHD, especially when you look at drugs that are classified as amphetamines.

The major problem with stimulants, however, is the fact that the body can quickly accumulate resistance to the effects of these drugs. This is yet another reason why some people may turn to non-stimulant medications instead.

Side effects of ADHD medication

When taken as prescribed, ADHD medications are generally well tolerated. However, they can still cause side effects, especially if a stimulant is prescribed. Side effects may include:

Sleep disturbances (insomnia)

Nausea and vomiting

Pain in the upper abdomen

Agitation or irritability

Anxiety or nervousness

Constipation

Dizziness

Changes in sexual function and libido

Some men report the development of erectile dysfunction shortly after they start using amphetamines or other stimulant drugs for ADHD. This is usually a temporary side-effect that improves over time.

In rare cases, ADHD medication may cause serious side effects. These can include:

-Drug abuse: There is a serious risk for abuse among people who use stimulants for ADHD, especially in adult patients. If someone has a history of drug or alcohol abuse, their doctor may recommend a non-stimulant. This can help to reduce the risk of medication abuse and addiction.

-Overdose: If a patient takes too much of the drug, even by accident, serious adverse effects can occur including aggression and anger. The person will seem restless, and they may see or hear things that are not present in the surrounding area (hallucinations). Fainting, fast breathing, and rapid heartbeat are also common symptoms of stimulant overdose.

-Allergic reactions: It is possible to experience hypersensitivity and allergic reactions to these medications. In very rare cases, allergic reactions can lead to a condition called anaphylaxis. This is a serious reaction that can cause unconsciousness and even death if it is not treated promptly.

ADHD medication risks

Before you take a prescribed ADHD medication, be sure to tell your doctor if you have any of the following conditions or issues:

-Cardiovascular issues like high blood pressure or irregular heartbeats

-Heart disease, heart failure, or have ever had a heart attack

-Chest pain or breathing problems

-Overactive thyroid

-Insomnia or other sleep problems

-You have a history of using stimulants, medications, or alcohol in an abusive manner

-If you easily feel agitated

When you begin a new medication, make sure to tell your doctor about any other medications, supplements, or herbs you’re taking. Several supplements and herbs can interact with ADHD medications or increase or decrease the effects of the medications. Additional prescribed medications that can interact with ADHD medications may include those listed below. Your doctor can help you develop a safe treatment plan based on your specific situation.

Cymbalta Lexapro (escitalopram) Prozac Wellbutrin

ADHD medication and treatment FAQs

How should I take ADHD medication?

Follow the instructions on your prescription carefully. Some ADHD medications should only be taken in the morning, while others can be taken more than once a day or later in the day. They do not need to be taken with food unless specified.

Who shouldn’t take ADHD medication?

People with heart problems and those who are easily agitated may experience more serious side effects if they use stimulants to treat ADHD. Those who are already being treated for depression should discuss which ADHD medications may be safest to take with their current medications. It is important to share your complete medical history with your doctor to ensure they can look for any potential interactions or risks.

How long does it take for ADHD medication to work?

Different medications take different amounts of time to work. Stimulants often work the same day, sometimes within an hour or two. Non-stimulant medications build up in the body over time and often start working within 1-2 weeks.

What should I avoid with ADHD medication?

Do not take ADHD with other stimulants, as this increases the risk of side effects. You should also not combine ADHD medications with other drugs that affect the nervous system.

Which medication is the first choice for ADHD?

Each patient is different so different medications may be the best choice for different individuals. It’s important to discuss with your physician what makes the most sense for your specific situation.

Can telehealth doctors prescribe ADHD medication?

Telehealth doctors can prescribe some, but not all, medications for ADHD. It is best to work directly with both a mental health provider, such as a therapist or psychologist, as well as a medical doctor to ensure the best treatment. Many patients seek out the expertise of licensed psychiatrists, either in person or through telehealth.

Can I get ADHD meds prescribed online?

We cannot prescribe controlled substances online, but we can prescribe non-controlled ADHD medications online.

Can an online doctor treat ADHD?

While our online doctors cannot prescribe controlled substances that are often used to treat ADHD, there are some non-controlled substances used to treat ADHD, such as Strattera, its generic version atomoxetine, Qelbree (viloxazine), guanfacine, and bupropion, which can all be prescribed online if a patient qualifies after a medication consultation.

Which ADHD medications are controlled substances?

Commonly prescribed medications that are controlled substances include Adderall, Vyvanse, Concerta, Ritalin, Focalin, Quillivant, Metadate, methylphenidate, and related drugs. PlushCare is unable to prescribe controlled substances.

Step 1

Book an ADHD treatment appointment.

Book a same day appointment from anywhere.

Step 2

Talk to your doctor about ADHD.

Visit with a doctor on your smartphone or computer.

Step 3

Pick up a prescription to treat ADHD, if prescribed.

We can send prescriptions to any local pharmacy. Prescriptions are provided at the doctor’s discretion after a full evaluation. Please note that we do not prescribe controlled substances.

How to talk to your doctor about ADHD treatment: helpful questions to ask

Whether you choose one of our doctors or see a local provider, it’s important to feel comfortable that you understand the scope of your treatment plan, any potential side effects, and key milestones. Here are some topics that you may find helpful to discuss with your doctor about your ADHD treatment:

What are the common symptoms of ADHD?
What is the best treatment for ADHD?
Can you treat ADHD without medication?
How does medication work?
When is the best time to take my medication?
Do you recommend therapy alongside medication?
What are the results I can expect from taking ADHD medication?
Are there any groups or resources you would recommend for people with ADHD?
How will we track how the treatment is working?

Related conditions to ADHD

Some of the conditions related to ADHD include coexisting conditions. These may include:

Anxiety

A person suffering from ADHD can also be suffering from anxiety disorder. According to the Anxiety and Depression Association of America, around half of adults with ADHD also have anxiety disorder. People with anxiety disorder feel intense anxiety or fear persistently in their daily lives, which impedes their daily normal functioning.

Mood disorders

According to CHADD (Children and Adults with Attention-Deficit/Hyperactivity Disorder), approximately 38% of adult ADHD patients also suffer from mood disorder. Mood disorders are characterized by extreme mood swings, and can include depression and bipolar disorder.

Other mental health conditions

ADHD often coexists with other mental disorders. These include:

Autism spectrum disorder
Eating disorders
Oppositional defiant disorder
Sleep disorders
Tourette's syndrome

Learning disabilities

According to CHADD (Children and Adults with Attention-Deficit/Hyperactivity Disorder), children with an ADHD diagnosis tend to have a higher probability of developing learning disorders than children without ADHD. Specifically, approximately half of the children with ADHD have learning disorders, and about 5% of children without ADHD have learning disorders. Common learning disorders are dyslexia and dyscalculia.

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