Are You Getting The Most Value Of Your ADHD Sleep Medication?
ADHD and Sleep Despite popular belief, most ADHD medications do not cause sleep problems. In fact, methylphenidate or long-acting Atomoxetine could help you sleep better. But adults with ADHD can still have trouble getting a good night's sleep. They often toss and turn, waking often. Even when they do get to sleep, their minds are still active. The effects of medication A significant number of people suffering from ADHD have sleep issues. Although the scientific literature does not usually address these problems however, they are believed to be widespread. Clinicians, patients and parents frequently report difficulty falling asleep or staying asleep, waking up at night or nocturnal activity as well as fatigue during the daytime. Measures that are objective like polysomnography, actigraphy, and diaries or self-rated questionnaires have demonstrated statistically higher sleep problems among those with ADHD as compared to controls. The most commonly prescribed drug for ADHD is stimulant-class drugs that can help enhance focus and concentration, but may interfere with sleep in some patients. It is important to determine the cause of the sleep disorder like narcolepsy before taking these medications (Spruyt and Gozal 2011). Stimulant-class medicines can cause an abrupt rise in wakefulness and an increase in the efficiency of sleep. Sleep disturbances could be caused by a decline in melatonin production or a direct effect on the nervous system. Certain stimulants may also cause paradoxical agitation in some individuals, and a result of a sedative effect. A controlled, randomized study of the drug ramelteon which activates the melatonin receptor and is believed to influence circadian rhythms, found that insomnia was reduced in people with ADHD treated with this drug compared to placebo. This was a tiny, preliminary study with little power and a only a few controls, but it could inspire future studies to further explore the dosage, timing, and studying the sleep patterns and the levels of blood ramelteon during the daytime and its metabolites. Clonidine, mirtazapine and Trazodone are other drugs which have been used in the treatment of insomnia among some people with ADHD. These drugs aren't as extensively studied and many doctors are hesitant to prescribe them to patients with ADHD because of their potential for sedation next day. If someone with ADHD is having trouble with insomnia the first thing to do is to try practicing good sleep hygiene and take a dose of their normal ADHD medication 45 minutes prior to the time they go to bed. This approach has been successful in my experience for a majority of people with sleep issues and ADHD. If this approach doesn't work, you can try a melatonin product. Diet The types of foods that a person eats can have an immediate impact on how they feel. A diet that is rich in nutrients and balanced can help improve ADHD symptoms including sleep problems. Foods that are low in sugar, processed fat and rich in nutrients, such as fruits, vegetables and lean proteins should be consumed. Whole grains and healthy fats such as omega-3 fatty acids, should be a part of the diet. It is essential to cook at home in order to ensure that your meals contain all the essential ingredients needed to be healthy. However, many people with ADHD struggle with planning and cooking their meals. In these instances it is possible that people rely heavily on takeout and restaurant meals that are loaded with sodium artificial ingredients, as well as sugar. People suffering from ADHD have difficulty falling asleep at the end of the night. In fact, sleep issues are among the most frequent complaints that people with ADHD report. These sleep problems can cause a decrease in quality of life as well as increased anxiety, depression and stress. There are a variety of causes of sleep problems for those suffering from ADHD, which can be related to the symptoms of the disorder, or to other factors. It is possible that certain drugs that are prescribed to treat ADHD, such as methylphenidates, could cause sleep issues in certain individuals. Additionally, those with ADHD tend to have a smaller pineal gland, that can affect how the body regulates its circadian rhythm. Doctors typically suggest a combination of treatment option to help people with ADHD sleep better. This includes creating an ongoing sleep routine, optimizing the sleeping environment (such as creating a quiet, dark bedroom), and limiting screen time before the bed. Adults should also prioritize getting enough sleep, which typically is about 7-9 hours each night. In addition to dietary changes exercising can also improve sleep for adults with ADHD. Before going to bed take a few minutes for gentle stretching and deep breathing exercises can to relax the body and mind. This will lead to more restful sleep. Exercise Certain people who suffer from ADHD have difficulty to keep up with a workout routine. A personal trainer can provide the structure and motivation while incorporating the individual's preferred type of exercise into a fitness plan. content can have both mental and physical benefits. In addition, adding strength training and mind-body exercises like yoga, tai-chi, or breathing exercises is an all-encompassing method of managing ADHD symptoms, enhancing cognitive functioning, emotional well-being and self-regulation. In addition to helping people shed weight and build muscle, exercise has other important effects on the brain, such as elevating levels of norepinephrine and dopamine. Norepinephrine, a neurotransmitter, aids in self-control and concentration, and dopamine is a neurotransmitter which increases levels of norepinephrine. Exercise boosts the number of neurons that are growing, and improves their connections. This is particularly evident in the cerebellum, which is an area that contributes to fidgeting in those with ADHD. Research has proven that judo training, as an instance, can raise dopamine and norepinephrine in the cerebellum more than just running on treadmills. The medications used to treat ADHD can have adverse effects, such as a decrease in sleep. This is why it's important to discuss the person's medication with their physician or health care professional and to establish healthy sleeping habits. Many adults with ADHD struggle to fall asleep. Many ADHD sufferers struggle to fall asleep. In my practice, at least 80 percent my adult patients with sleep problems show this pattern. These problems aren't just caused by ADHD and are a major component of the disorder. It is difficult for people with ADHD to keep a precise internal clock, which may be partly responsible for the difficulty falling asleep. They also have trouble assessing the duration of time they've spent in their bed. In actual fact, a sleep study often requires many nights of nightly sleep logs, which is challenging for a person with ADHD to accurately complete. Sleep Environment It is difficult to get a good night's sleep for all, but it's even more difficult for people who suffer from ADHD. It can be difficult to fall asleep or relax because of the agitation and racing thoughts associated with ADD. A lot of the drugs prescribed to treat ADHD have side effects that can disrupt sleep, like insomnia. It is therefore important that those suffering from ADHD practice good sleep hygiene and establish a regular schedule. They should also set up a calm, relaxing bedroom. Sleep disorders can also interfere with the ability of people with ADD to get enough restful sleep. Sleep apnea, a condition in which breathing stops intermittently throughout the night and depression, anxiety and menopausal-related problems such as night sweats are all included. Sleep issues for those with ADHD must be examined by a doctor to determine the reason. Research has revealed that those with ADHD have lower quality sleep than other people and are more likely to report being tired and slow throughout the day. This is due in part to the erratic nature of their sleep which can be aggravated by their inability to regulate their internal circadian clock. It is possible that sleep problems can be caused by side effects of medications or concomitant conditions. People suffering from ADD particularly those who are treated with stimulants often have difficulty falling asleep and awakening often at night. In fact, sleep onset latency and sleep efficiency have been reported to be significantly worse in those taking stimulants when compared to people who take placebos in some studies. Some people find that taking their ADHD medications prior to bedtime can improve sleep. This should only be done under the guidance of a doctor as certain medications can trigger sleep disorders. Other methods to promote sleep, such as progressive muscle relaxation, where you tensen and then release your muscles – and deep, slow breathing can be beneficial for adults suffering from ADHD. It's also a good idea not to make use of your bed for anything other than sex or sleeping.