What medications do you recommend for a patient with ADHD and anxiety who becomes more anxious on a stimulant?

Consider non-stimulant ADHD medications such as atomoxetine and viloxazine. Although these are not as effective for nearly as many patients as the stimulants, they are a reasonable alternative and generally well tolerated.

Despite the potential for bupropion to also cause a patient to feel more anx...

I often use beta-blockers such as low-dose propranolol (assuming blood pressure is not low) to block the anxiety from stimulants if needed. First options, though, would be to reevaluate the dose of the stimulant (is it too high?), the class of stimulant (switching from a short acting agent to an ext...

Anxiety and ADHD go hand in hand. I have always considered ADHD to be a symptom of a larger disorder, e.g, PTSD.

The problem in treating ADHD with non-stimulants is if the patient has at any time prior taken Adderall or Methylphenidate. If that is the case, Atomoxetine does not seem to work since th...

I use atomoxetine when ADHD is comorbid with an anxiety disorder after ascertaining that anxiety symptoms are not due to ADHD.

Atomoxetine ES for anxiety is 0.5, the same as SSRI/SNRI, and 0.6 for ADHD.

Viloxazine is better for ADHD with comorbid depression.

I'm 62 years old and have yet to see a patient respond to buproprion either on or off label. You can combine an SSRI with a stimulant. Non-stimulants, especially viloxidone (Qelbree), work great for ADHD. Viloxidone actually had indications for depression, anxiety, OCD, and ADD in Europe 40 years ag...

Important to discern if ADHD is driving anxiety or if anxiety is a primary/co-morbid condition (by the way, anxiety disorders are one of the most common co-morbid issues with ADHD). Agree about starting non-stimulant ADHD options or guanfacine ER (Intuniv) for anxiety secondary to ADHD. If anxiety i...