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How Sleep Medication Can Help People With ADHD Sleeping is a challenge for many people with ADHD due to racing thoughts and a surge of energy at night. If they do manage to sleep it's usually restless and unrefreshing. Many people are unaware that the same stimulant medication that they take to treat their ADHD symptoms can also help them sleep at night. Medicines Many people suffering from ADHD struggle to shut off their brains at night, leading to insomnia and restless sleep. Certain stimulant medications used to treat ADHD can cause issues with sleep. Medical professionals advise that patients discuss their concerns with their doctor prior to trying any new sleeping medications. For most those, the best approach is to practice good practices for sleeping hygiene and take the appropriate medication to meet their needs. Insomnia isn't listed as a common adverse effect in the majority of scientific literature about the effects of ADHD medication on sleep. However it is commonplace that people with ADHD have trouble falling asleep or waking up throughout the night. In fact, many with ADHD have difficulty staying asleep even if they're not taking stimulant medications. I've observed that two-thirds of the patients in my practice who are trouble sleeping take a dose of their ADHD medication at bedtime to assist them in falling asleep. The most commonly prescribed medication for ADHD is methylphenidate, also known as ADD or MPH. Oral MPH has been shown to prolong the time spent in deep sleep and to reduce the time required to fall asleep (Radcliffe, et al. 2008). The effectiveness of oral MPH in promoting sleep is higher than that of the transdermal distribution system OROS, or OROS formulation. Some individuals with ADHD are unable to fall asleep due to the tingling sensations that are associated with restless leg syndrome, or RLS. RLS can make it hard for some people to sleep and could result in an unsatisfactory quality of sleep. MPH reduces the frequency of insomnia in children with ADHD. This is achieved by reducing the amount of time awake and increasing the amount of slow wave sleep, and decreasing rapid eye movement sleep. It has also been shown to decrease sleep disturbances caused by co-morbid disorders like obstructive sleeping apnea, also known as oppositional defiant syndrome in children who suffer from ADHD. Clonidine is a central nervous depressant, which is commonly prescribed to treat high blood pressure. It can aid people with ADHD sleep by causing sedation lasting four hours. Some practitioners recommend antidepressants like trazodone (Desyrel) or mirtazapine, (Remeron) both of which have moderate effects of sedation. Behavioral Therapy Behavioral therapy can help improve sleep in those with ADHD. This type of therapy focuses on teaching children and teens new skills that will help improve their sleeping habits. Behavioral therapy is often integrated with other forms of treatment for ADHD, such as teacher training and classroom interventions. This kind of therapy teaches children and adolescents to use positive reinforcement for behavior instead of punishment. It also teaches young people to relax and play a more active part in their routines of sleep. A number of studies indicate that the majority of children with ADHD have sleep problems that are frequently caused by daytime issues. Many of these children suffer from chronically poor sleeping that contributes to “sleep deficiency” and makes it more difficult for them to wake up in the morning. They also lack vigilance and endurance throughout the day. Insufficient sleep can cause Narcolepsy. This sleep disorder is linked to decreased concentration and vigilance. It also affects academic performance. Adults who suffer from ADHD are also susceptible to having difficulty falling and sleeping, which can be a major influence on their daytime performance. Most adults also report feeling more restless at night and incapable of shutting down their minds and bodies more than those who do not have ADHD. Their anxious minds can cause them to awaken during the night. The relationship between ADHD and sleep is complicated and both disorders impact one another in different ways. In many research studies, ADHD is reported as an important risk factor for sleep issues. In certain instances both disorders may overlap and be similar to one another (Cortese and colleagues. 2006a). Sleep disorders, such as apnea, or periodic limb movements during sleep (PLMS) have also been linked to the hyperactivity of ADHD. Although a number of studies suggest that ADHD medications can affect sleep in some individuals, other reports contradict this assertion. Many factors can influence the effects of medication on sleep, including the age of the patient before starting pharmacotherapy, the duration of exposure to drugs and the dosage of the stimulant. Supplements People suffering from ADHD are frequently plagued by sleep issues such as insomnia and difficulty falling asleep. This makes it difficult to sleep soundly which can affect their ability to focus throughout the day. Sleep issues can affect work and school performance. Some people with ADHD have comorbid sleep disorders like obstructive sleep apnea, or snoring. These disorders can be treated by medication and lifestyle modifications. Exercise and diet can be beneficial especially in terms of increasing the intake of protein that promotes restful sleep. A calming bedtime routine can also be beneficial. Avoid caffeine because it's a stimulant that can cause headaches and difficulty sleeping. Melatonin may help with sleep issues caused by methylphenidate. It is a popular stimulant used to treat ADHD as well as in children as well as adults. Several studies have shown that melatonin can help with insomnia and sleep issues in people who take methylphenidate, but it doesn't appear to help reduce the underlying ADHD symptoms. Melatonin also has shown promise in assisting with sleep for those who don't take methylphenidate. Omega-3 fatty acids have been found to reduce ADHD symptoms in some studies, however more research is needed. Omega-3s are present in fish, walnuts and salmon. Vitamin C is also utilized by some people with ADHD however, not less than an hour prior to or after taking ADHD medication. It stops the medication from being absorbed into the bloodstream. There is no evidence to suggest that dietary supplementation, such as zinc and iron, could reduce ADHD symptoms. However, a standardized extract of pine bark called Pycnogenol has been proven to improve ADHD symptoms in a few people, however, more research is needed. have a peek at this website is a psychological treatment that aims to inform children, teens, and adults on ADHD and its consequences. It can help people with ADHD increase their confidence and manage their symptoms. Psychoeducation may also include the treatment of behavioural issues, which helps people learn to control their behavior in social situations. These therapies can be offered either in a group or on their own. Psychoeducation can also involve therapy for families and group support groups, which can help families cope with the stress of living with ADHD. Other Options Many people with ADHD feel their best at night, when the house is peaceful and distractions are low. However racing thoughts and issues falling asleep can make it difficult to get a restful night's rest. A lack of sleep can affect memory function, making it difficult to focus. Researchers have found that stimulants can improve sleep for adults and children with ADHD. However they can also cause rebound symptoms and misuse. Many doctors favor nonstimulants such as long-acting medicines such as methylphenidate (Ritalin) and dextroamphetamine, (Adderall). Both methylphenidate and dextroamphetamine work by increasing levels of dopamine in the brain. They do this through different mechanisms. Nonstimulants might take longer to work however, they typically have fewer side effects. Some doctors also recommend taking melatonin supplements or using light therapy to aid in sleep problems in patients with ADHD. Melatonin, a hormone that is produced naturally by the body, regulates the circadian rhythm. It also promotes sleep. It can be especially beneficial for people suffering from delayed-sleep syndrome, which is a sleep disorder characterized by a delay of at least two hours between the time you typically go to bed and when you are asleep. Light therapy is a non-pharmacological treatment to sleep disturbances that involves exposure to bright light during the day to help synchronize your body's internal clock and encourage a more peaceful sleep at night. It's not widely accessible and doctors do not endorse it, but it has proven to be beneficial to people suffering from ADHD. Other options include cognitive behavior therapy (CBT), a type of talk therapy that can help a child or an adult learn how to modify certain patterns of thought and behavior. Changing these patterns can reduce problems with self-control, attention, and working memory. It's important that you speak to your healthcare professional about what the most effective treatment plan is for you or your children. Each situation is unique and a customized plan will be most efficient. Sleep hygiene practices that are effective and medication can help improve both ADHD and sleep disorders, but you'll need to discuss the specifics of your situation.