How The 10 Worst ADHD Sleep Medication Mistakes Of All Time Could Have Been Prevented
How Sleep Medication Can Help People With ADHD
It can be difficult to sleep for people with ADHD due to their racing thoughts and energy surges at night. When they do sleep it's usually tense and not reviving.
But what people don't realize is that the same stimulant medication they use to treat their ADHD symptoms during the day can also aid them in sleeping better at night.
Medicines
Restless sleep and insomnia are common among adults suffering from ADHD. Some stimulant medications used to treat ADHD can cause sleep problems for a few people. The medical community suggests that patients discuss these issues with their doctor before trying any new sleep medication. For the majority of patients, the best course is to follow good sleep hygiene practices and take the appropriate medication for their needs.
Sleepiness is not mentioned as a frequent side effect in most scientific literature about the effects of ADHD medication on sleep. However, it is common that people with ADHD are unable to fall asleep or waking up throughout the night. Many people with ADHD have trouble falling asleep and staying asleep, even if they aren't taking stimulant drugs. I've observed that two-thirds of the patients who have trouble sleeping take the dose of their ADHD medication at bedtime to assist them in falling asleep.
The most commonly prescribed drug for ADHD is methylphenidate, which is also called ADD or MPH. Oral MPH was shown to increase the length of sleep and to reduce the time required to fall asleep (Radcliffe, et al. 2008). Oral MPH is more effective than OROS formulation in improving sleep.
Some individuals who suffer from ADHD have trouble falling asleep because of the tingling sensations associated with restless leg syndrome or RLS. RLS can make it difficult for some people to sleep and may lead to less quality sleep.
MPH has been found to reduce the frequency of insomnia-related episodes in children with ADHD by reducing the amount of time awake at night, increasing slow wave sleep and enhancing the rate of rapid eye movement sleep. It has also been found to reduce sleep disturbances caused by other disorders that are comorbid, such as 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, is utilized to help sufferers of ADHD to fall asleep, producing a sedative that lasts for up to four hours. Some doctors recommend antidepressants such as trazodone (Desyrel) or mirtazapine (Remeron) Both have moderate effects on sedation.
Behavioral Therapy
Behavioral therapy can help improve sleep for people with ADHD. This type of therapy focuses on teaching children and teens new skills that will promote better sleep habits. Behavioral therapy is often paired with other types of treatment for ADHD like classes and parent training. This type of therapy helps children and teens to promote positive behavior rather than punishing them. It also teaches young people how to relax and take on a more active part in their own sleep routine.
Numerous studies have shown that children with ADHD are more likely to experience sleep issues. These problems are often caused by daytime issues. Many of these kids suffer from chronically poor sleeping that causes "sleep deficiency" and makes it difficult to get up in the morning. They also lack vigilance and endurance throughout the day. Inadequate duration of sleep also causes the development of a sleep disorder known as narcolepsy, which is linked to a decrease in vigilance and concentration as well as poor academic performance.
Adults with ADHD may also have trouble sleeping and staying asleep. This can have a huge impact on their functioning throughout the day. A majority of adults report feeling more restless at night and are in a position to not be able to shut off their bodies and minds more than those who do not have ADHD. Their restless minds often cause them to awaken at night.
The relationship between ADHD and sleep is complicated and both disorders impact each other in multiple ways. In many research studies, ADHD is reported as a risk factor for sleeping problems. In some instances, these two disorders can overlap and mimic one another (Cortese and co. 2006a). Additionally sleep disorders, such as sleep apnea as well as periodic limb movements in sleep (PLMS), are associated with the hyperactivity of ADHD.
While some studies suggest that ADHD medication may affect sleep, others dispute this finding. Different factors can affect the effects of medication on sleep, including the age of the patient before starting pharmacotherapy, duration of drug exposure and the dose of the stimulant.
Supplements
People with ADHD usually suffer from a range of sleep issues, such as insomnia and difficulty falling asleep. This can make it difficult for them to rest and sleep, which may affect their ability to focus throughout the day. These sleep issues can affect work and school performance. Some people with ADHD may also suffer from sleep disorders like snoring, or obstructive sleep apnea. These conditions can be treated by medication and lifestyle modifications.
Exercise and diet can help especially in terms of increasing the intake of protein which can promote peaceful sleep. A relaxing routine at bedtime is also beneficial. It's important to avoid caffeine which is a stimulant and can cause headaches as well as trouble sleeping.
Melatonin can help with sleep issues caused by methylphenidate. This is a common stimulant that is used to treat ADHD, both in children and adults. Melatonin has been found to reduce drowsiness and sleep problems in people who take methylphenidate. However it doesn't seem to diminish the symptoms of ADHD. Melatonin has also shown promise in helping people sleep even if they do not take methylphenidate.
Omega-3 fats have been proven to reduce ADHD symptoms in a few studies, but more research is required. Fish as well as walnuts and salmon are all excellent sources of omega-3s. Vitamin C is a second supplement that a few people with ADHD utilize however it is not recommended to take it less than an hour prior to or after taking ADHD medication. Vitamin C prevents the medication from being absorbed in the bloodstream.
There is a lack of evidence to show that other dietary supplements like iron and zinc, help reduce ADHD symptoms. However an extract that is standardized from pine bark called Pycnogenol has been proven to reduce ADHD symptoms in a few people, however, more research is needed.
Psychoeducation is a form of therapy that is designed to educate children, teens and adults about ADHD and its consequences. It can help those with ADHD improve their confidence and manage their symptoms. Psychoeducation can also include behavioural therapy, which helps individuals learn to control their behavior in social situations. These therapies can be offered in groups or individually. Psychoeducation may include therapy for families and support groups to help families deal with the stress that comes from ADHD.
Other Options
Many people suffering from ADHD are most productive when they are asleep, especially in a quiet home. It isn't easy to get an adequate sleep due to racing thoughts and difficulties falling asleep. Additionally, a lack of sleep can affect memory and make it harder to concentrate during the daytime.
Studies have proven that stimulants can improve the quality of sleep for some children and adults with ADHD However, they also carry the risk of abuse and rebound symptoms. So, many doctors prefer to use nonstimulants, especially long-acting medications such as methylphenidate (Ritalin) and dextroamphetamine (Adderall). Both methylphenidate as well as dextroamphetamine operate by increasing levels of dopamine in the brain. However, they accomplish this through different mechanisms. Nonstimulants can take longer to work but they usually have fewer side effects.
Some doctors recommend melatonin as a light therapy for patients with ADHD who suffer from sleep disorders. Melatonin is a hormone created naturally by the body, helps regulate the circadian rhythm. It also helps promote sleep. It may be especially helpful for people suffering from delayed sleep phase syndrome which results in a delay of two hours or more between your normal bedtime and when you actually fall asleep.

Light therapy is a non-pharmacological treatment to sleep disorders that involves exposure to bright light during the day to help synchronize your body's internal clock to promote a more peaceful sleep at night. It isn't yet widely accessible or recommended by doctors, however it has been shown to be beneficial for individuals with ADHD.
adult adhd medication uk include psychoeducation and cognitive behavior therapy, or CBT, which is a type of talk therapy that can teach you or your child how to change certain thinking patterns and behavior. These patterns can be changed to reduce problems with self-control, attention and working memory.
It is essential to talk to your healthcare professional about the best treatment plan for you or your child. Each situation is unique and a bespoke plan will be most effective. A good sleep hygiene routine and medication can help improve both ADHD and sleep disorders, but you'll need to discuss the specifics of your case.