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ADHD in Children
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ADHD in children with high IQ
Undiagnosed ADHD in Children
ADHD Statistics: United States
ADHD Medication Meta-analysis
ADHD Medication and Anxiety
Strattera in Children with Anxiety
How anxiety and behavior affect ADHD treatment
Treating Anxiety in ADHD with Strattera and Ritalin
Psychosis with Methylphenidate or Amphetamine in Patients with ADHD
ADHD: Anxiety and Stimulant Response
Modafinil vs Ritalin for ADHD in Children
Effect of Anxiety on ADHD Treatment
Risk of Irritability With Psychostimulant Treatment in Children With ADHD: A Meta-Analysis
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Venlafaxine in children and adolescents with attention deficit hyperactivity disorder
Clinical Trial: Vyvanse vs Adderall in Children
Long-term Effectiveness of Guanfacine for ADHD
A Small Trial of Guanfacine for ADHD
Guanfacine and Stimulants for ADHD
Modafinil in Children with ADHD
Modafinil for ADHD in Children
The Benefits of Exercise in ADHD
Effects of physical activity on executive function and motor performance in children with ADHD
Exercise, cognition, and behavior in ADHD
Physical Activity, Affect, and Cognition in Children With Symptoms of ADHD
Physical Activity and Executive Function in ADHD
Social Skills Training For ADHD
CBT for Anxiety and ADHD in adolescents
Socioeconomic status and genetics
Does ADHD get better over time?
When does ADHD start?
Parents might be better at estimating ADHD rates
Hyperactive children as young adults
ADHD and estimated life expectancy
ADHD, self-esteem, and test anxiety
Ritalin vs. Adderall: Driving Performance
Executive function impairments in high IQ children and adolescents with ADHD
Learning Disabilities and Self-Worth
Driving with ADHD in young adults
The Link Between ADHD, Substance Use, and Risky Sexual Behavior in Teens
Self-Awareness of Executive Functioning Deficits in Adolescents With ADHD
Characteristics of Children With ADHD and Comorbid Anxiety
Anxiety in young people with ADHD: clinical and self-report outcomes
Anxiety can interfere with response to Ritalin
Anxiety and depression in children with ADHD and their parents
Adderall for Children with Bipolar Disorder and ADHD
ADHD: Hyperactive boys as adults
ADHD and Driving Stats
ADHD: Education and employment as young adults.
ADHD's Long-term Effects on Teen Brain Skills
ADHD Genetics, IQ, and Executive Function
Genetics of ADHD, IQ, and Reading
Effects of ADHD on Cognition and Emotion
Rewards and Delays in ADHD
ADHD and Delayed Gratification
How Motivation Affects Inhibition in ADHD
Memory and ADHD in Children
Training of Working Memory in Children With ADHD
Brain Training and Working Memory in ADHD
ADHD and Empathy in Boys
How boys with ADHD see themselves
Effects of Positive Feedback in Boys with ADHD
Self-esteem in Children with ADHD
Self-esteem and ADHD in School Children
Effects of IQ on executive function measures in children with ADHD
IQs of Children with ADHD
High intelligence and the risk of ADHD and other psychopathology
Co-occurrence of ADHD and low IQ has genetic origins
ADHD and creativity in gifted students
ADHD and Emotional Intelligence in Children
ADHD and IQ in Cognitive Testing
High IQ ADHD Children as Teenagers
ADHD Inattention and Intelligence
The Social Risk of Positivity in ADHD
Empathy and Social Skills in ADHD
Perceptions of academic skills of children diagnosed with ADHD
Are the performance overestimates given by boys with ADHD self-protective?
ADHD and Response Time
ADHD and Reaction Time Distribution
ADHD: Reaction Time and Incentives
ADHD and Response Time Variability

Visual Abstract

Anxiety reduction on atomoxetine and methylphenidate medication in children with ADHD

Treating Anxiety in ADHD with Strattera and Ritalin

Eva Snircova , Veronika Marcincakova-Husarova , Igor Hrtanek , Tomas Kulhan , Igor Ondrejka , Gabriela Nosalova
Summarized by:
Charles Li, MD
April 23, 2023
study source
Pediatr Int
Jun 2016
🔎
What they studied
Researchers in the study wanted to see the effectiveness of Ritalin and Strattera in reducing anxiety in children with ADHD.
👨‍🔬
What they found
Over eight weeks, children assigned to take Strattera experienced significantly greater anxiety improvements than those assigned to take Ritalin.
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What this means
For children with ADHD and anxiety, Strattera may be a good treatment option to consider.

Treating Anxiety in ADHD with Strattera and Ritalin
Anxiety reduction on atomoxetine and methylphenidate medication in children with ADHD

Objectives

While difficulties with attention and hyperactivity define ADHD, many with ADHD also struggle with anxiety.

Strattera and Ritalin are both commonly used to treat ADHD in children. Previous studies have established their effectiveness in reducing ADHD symptoms.

This study wanted to compare the effectiveness of Strattera and Ritalin over time in reducing anxiety symptoms as well.

Study Quote
Snircova et al. 2016

Atomoxetine and methylphenidate are widely used to treat attention-deficit-hyperactivity disorder (ADHD) with similar effectiveness after 8 weeks of treatment, when atomoxetine has reached its a full effect. Both drugs have also been shown to have an effect on comorbid anxiety. To the be...

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Methods

Researchers conducted a small clinical trial, randomly assigning children to take either Strattera or Ritalin. They measured their anxiety symptoms and ADHD symptoms every two weeks during the eight weeks of the study.

Study Quote
Snircova et al. 2016

Sixty-nine patients participated in the study: 36 patients were taking atomoxetine and 33 patients, methylphenidate. Therapeutic effect on core symptoms of ADHD was measured on the ADHD-rating scale IV, and symptoms of anxiety were measured using the Conners Parent Rating Scale (CPRS). S...

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Results

Both Ritalin and Strattera were linked with reductions in anxiety. The reduction in both groups was highly statistically significant compared to their starting point. However, we cannot confirm that the medication caused this effect because the study did not have a placebo control group.

The data does show that those taking Strattera experienced a greater reduction in their ADHD symptoms compared to those taking Ritalin.

Strattera was superior to Ritalin in reducing anxiety in a eight week trial.

As expected, children in both groups experienced improvements in their ADHD symptoms, consistent with previous studies.

Both Ritalin and Strattera were effective in reducing ADHD symptoms in a small 8 weeks
Study Quote
Snircova et al. 2016

There was a significant decrease in CPRS anxiety subscale score in both medication groups. Anxiety subscale score was significantly lower in the atomoxetine group in the fourth week, and lasted through to 8 weeks of medication.

Conclusions

This study provides valuable information comparing Ritalin and Strattera's ability to reduce anxiety symptoms. The data shows that Strattera may be more effective than Ritalin for anxiety in children with ADHD.

This is useful in helping parents and clinicians decide on which medication to start their children on. This study suggests that Strattera may be a good option if a patient has significant anxiety.

Because of the lack of a control group, we cannot confirm the effectiveness of the medication based on the data above. However, previous studies have shown that both medications can reduce ADHD symptoms.

Study Quote
Snircova et al. 2016

There was a significant decrease in CPRS anxiety subscale score in both medication groups. Anxiety subscale score was significantly lower in the atomoxetine group in the fourth week, and lasted through to 8 weeks of medication.