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How Sleep Medication Can Help People With ADHD Many people with ADHD experience racing thoughts and energy spikes that make it difficult to sleep. If adhd medication adults uk do get to sleep it's usually tense and not reviving. But what many don't realize is that the same stimulant medication they use to treat their ADHD symptoms during the day can help them sleep better at night. The effects of medication Many adults with ADHD struggle to shut off their brain at bedtime, leading to insomnia and restless sleep. For some, stimulant medication used to treat their ADHD can cause problems with sleep. Medical professionals advise that patients discuss their concerns with their physician prior to trying any new sleep medications. Most people will find that the best approach to manage their sleep is to use the right medication and follow good habits of sleep hygiene. The majority of scientific research on the effects of ADHD medications on sleep does not list insomnia as a side result, but it is common for people with ADHD to have difficulty getting to sleep and then waking throughout the night. In fact, many with ADHD struggle to sleep even when they are not taking stimulant medication. I've observed that two-thirds (or more) of the patients in my practice who struggle to sleep take an dose of their ADHD medication at bedtime to assist them in falling asleep. MPH or methylphenidate is the most frequently prescribed medication for ADHD. Oral MPH has been demonstrated to reduce the time it takes for people to fall asleep, and also increase their duration of deep sleep (Radcliffe and co. 2008). Oral MPH is more effective than OROS formulation in promoting sleep. Certain people who suffer from ADHD are unable to fall asleep due to the tingling sensations caused by restless leg syndrome, or RLS. RLS can cause difficulty for some people to fall asleep and could cause a poorer quality of sleep (Lecendreux and Cortese 2007). MPH helps reduce the frequency of insomnia in children suffering from ADHD. It does this by reducing the time spent awake, increasing slow wave sleep and reducing rapid eye movement sleep. It has also been proven to decrease sleep disturbances due to co-occurring disorders like obstructive sleep apnea and oppositional defiant disorder, as well as anxiety in children with ADHD and RLS (Gruber and Sadeh 2004; Breslau et al. (2008); Hvolby et al. (2008)). Clonidine is a central nervous system depressant often prescribed for high blood pressure, can be used to help people with ADHD to fall asleep, creating a state of sedation lasting up to four hours. Some doctors also suggest antidepressant drugs like trazodone (Desyrel) or mirtazapine (Remeron) both of which have modest effects on sedation. Behavioral Therapy Behavioral therapy can help improve sleep for people suffering from ADHD. This type of therapy focuses on teaching children and adolescents new techniques that promote better sleeping habits. Behavioral therapy is often paired with other types of treatment for ADHD like parent training and classroom interventions. This type of therapy teaches youngsters and teens to promote positive behavior, instead of punishing them. It also teaches young people how to relax and play a more active part in their own sleep routine. A variety of studies show that the majority of children with ADHD suffer from sleep issues, which are frequently caused by daytime issues. Many of these children suffer from chronically poor sleep, leading to a buildup of a “sleep debt,” resulting in a more difficult time getting up the next morning and a lack of sustained vigilance during the daytime. Insufficient sleep can cause Narcolepsy. This sleep disorder is linked to decreased concentration and vigilance. It also affects academic performance. Adults suffering from ADHD may also have trouble sleeping and staying asleep. This can have a huge impact on their functioning during the daytime. A majority of adults feel more agitated at night and are incapable of shutting down their minds and bodies than people without ADHD. Often, their restless minds can cause them to wake up during the night. The relationship between ADHD, and sleep disorders, is a complicated. Both disorders impact each other in different ways. In numerous research studies, ADHD is reported as a risk factor for sleeping issues. In certain instances both disorders may overlap and be similar to one another (Cortese and colleagues. 2006a). Additionally, sleep disorders, including apnea and periodic limb movements in sleep (PLMS) are often associated with the hyperactivity of ADHD. While a variety of studies suggest ADHD medications can impair sleep in certain people, other reports contradict this conclusion. Many factors can influence the effects of medication on sleep, such as the age of the patient at the time of beginning pharmacotherapy, the length of exposure to the drug and the dosage of the stimulant. Supplements People suffering from ADHD typically suffer from a variety of sleep issues, including insomnia and trouble falling asleep. This can make it difficult for them to rest and sleep, which can affect their ability to concentrate during the daytime. These sleep problems can also impact work and school performance. Some people with ADHD have sleep disorders that are comorbid like obstructive sleep apnea or snoring. These disorders can be addressed through medication and lifestyle changes. Exercise and diet can be beneficial, especially when it is about increasing your protein intake because it helps you sleep more soundly. A restful routine at bedtime is also beneficial. It's important to avoid caffeine, which is a stimulant that can cause headaches and trouble sleeping. Taking melatonin may help improve sleep problems caused by methylphenidate, which is a common stimulant used to treat ADHD in children and adults. A number of studies have proven that the melatonin helps with insomnia and sleep issues in people who take methylphenidate, though it doesn't seem to reduce the core ADHD symptoms. Melatonin is also a promising option for helping people sleep even if they do not take methylphenidate. Omega-3 fatty acids have been found to improve ADHD symptoms in a few studies, but more research is needed. Omega-3s are present in fish, walnuts and salmon. Vitamin C is also utilized by some people suffering from ADHD however, not less than an hour prior to or after taking ADHD medication. It prevents the medication from absorbing into the bloodstream. There is no evidence to suggest that other dietary supplements like zinc and iron, reduce ADHD symptoms. Pycnogenol, a standardized pine bark extract, has been reported to reduce ADHD symptoms for some people. However it is necessary to conduct more research. Psychoeducation, a form of psychological treatment that teaches teens, children, and adults about ADHD and its effects, can help people with ADHD feel more at ease and manage their symptoms. Psychoeducation may also involve behavioral therapy, which can help people to manage their social behavior. The treatments can be provided individually or in groups. Psychoeducation can also involve family therapy and group support groups that can assist families deal with the stress of living with ADHD. Other Options Many people suffering from ADHD are most at their best when they sleep, especially in a quiet home. It isn't easy to get a good sleep due to racing thoughts and difficulties falling asleep. In addition, sleep deprivation can impact working memory and make it harder to concentrate throughout the day. Researchers have found that stimulants can improve sleep for adults as well as children with ADHD. However they can also cause problems with rebound and abuse. A lot of doctors prefer non-stimulants, like long-acting drugs such as methylphenidate (Ritalin), and dextroamphetamine, (Adderall). Both methylphenidate and dextroamphetamine function by increasing the levels of dopamine in the brain. However, they accomplish this through different mechanisms. Nonstimulants take longer time to effect, but have fewer side-effects. Some professionals recommend melatonin or light therapy for patients suffering from ADHD who have sleep problems. Melatonin is a hormone created naturally by the body, aids in regulating the circadian rhythm. It also helps promote sleep. It can be particularly beneficial in those with delayed sleep phase syndrome which causes a delay of two hours or more between the time you normally go to bed and the time you actually fall asleep. Light therapy is a non-pharmacological treatment to sleep disorders that involves exposure to bright light throughout the day to synchronize the body's internal clock and encourage an easier sleep at night. It's not widely available and doctors do not endorse it, however it has been proven to be beneficial to people with ADHD. Other options include cognitive behavior therapy (CBT) is a form of talk therapy which can help a child or an adult learn how to change certain patterns of thought and behavior. These patterns can be changed to help improve problems with focus, self-control and working memory. It is essential to talk to your healthcare professional about the best treatment plan is for you and your children. Each situation is unique and a bespoke plan will be most effective. Good sleep hygiene practices and medication can help improve both ADHD and sleep disorders, but you'll need to discuss the specifics of your case.