3 Reasons You're Not Getting ADHD Sleep Medication Isn't Working (And How To Fix It)
How Sleep Medication Can Help People With ADHD
It can be difficult to sleep for people suffering from ADHD due to racing thoughts and a surge of energy at night. If they do get to sleep it's usually tense and not reviving.
But what many don't realize is that the stimulant medication they take for their ADHD symptoms during the day may also aid them in sleeping better at night.
Medicines
Many adults with ADHD struggle to shut off their minds at night, leading to insomnia and sleeplessness. Certain stimulant medicines used to treat ADHD can cause sleep problems for certain people. The medical community recommends that patients discuss these issues with their doctor before trying any new sleep medication. The majority of people will discover that the best approach to manage their sleep is to use the correct medication and adhere to good habits of sleep hygiene.
The majority of scientific research on the effects of ADHD medications on sleep does not mention insomnia as a side effect, but it is common for people with ADHD to have difficulty falling asleep and waking throughout the night. Many people with ADHD have trouble falling asleep and staying asleep, even when they are not taking stimulant drugs. About two-thirds (or more) of my patients who struggle with sleeping do so by taking their ADHD medication prior to the time they go to bed.
The most commonly prescribed drug for ADHD is methylphenidate. It is also known as ADD or MPH. MPH oral has been proven to reduce the time required for people to fall asleep and increase their duration of deep sleep (Radcliffe et al. 2008). The efficacy of oral MPH for promoting sleep is greater than that of the transdermal distribution system, or OROS, formulation.
Some individuals with ADHD have trouble falling asleep due to the tingling sensations that are associated with restless leg syndrome, or RLS. RLS can make it difficult for some people to sleep and can lead to a lower quality of sleep.

MPH reduces the frequency of insomnia in children with ADHD. It does this by reducing the amount of time awake, increasing slow wave sleep, and decreasing rapid eye movement sleep. It has also been found to reduce sleep disturbances resulting from comorbid disorders such as obstructive sleep apnea or oppositional defiant disorder. anxiety in children with ADHD and RLS (Gruber and Sadeh 2004; Breslau et al. 2008; Hvolby et al. (2008)).
Clonidine is a central nerve system depressant that is often prescribed for high blood pressure, can be utilized to help sufferers of ADHD fall asleep by producing a sedative that lasts for four hours. Some practitioners recommend antidepressants such as trazodone (Desyrel) or mirtazapine, (Remeron) both of which have mild effects of sedation.
Behavioral Therapy
Behavioral therapy can improve sleep for people suffering from ADHD. This kind of therapy focuses on teaching teens and children new skills to promote better sleeping habits. Behavioral therapy is often combined with other treatments for ADHD, such as classes and parent training. This type of therapy helps kids and teens to reinforce positive behavior rather than punishing them. It also helps teach youngsters how to relax and take a more active role in their own sleep routine.
A number of studies indicate that the majority of children with ADHD suffer from sleep issues that are often related to daytime impairments. Many of these kids have chronically poor sleep that contributes to "sleep deficiency" and makes it more difficult for them to wake up in the morning. They also lack sustained vigilance throughout the day. Insufficient sleep can lead to the condition known as narcolepsy. This sleep disorder is correlated with lower concentration and vigilance as well as academic performance.
Adults with ADHD are also prone to having trouble falling asleep and staying asleep. This can have a huge impact on their functioning during the daytime. In addition, the majority of adults say they are more agitated and unable to put their bodies and minds down at night than other people who do not have ADHD do. Often, their restless minds can cause them to awake at night.
The relationship between ADHD, and sleep disorders, is a complicated. Both disorders influence each other in various ways. Numerous research studies have shown that ADHD is an important risk factor for sleep disorders and, in some instances the two disorders might even overlap and mirror one another (Cortese and co., 2006a). Additionally sleep disorders, like apnea and limb movements that occur periodically in sleep (PLMS), are related to the hyperactivity of ADHD.
While some studies suggest that ADHD medication can affect sleep, other studies contradict this finding. Many factors can influence the effects of medications on sleep, including the age of the patient when starting pharmacotherapy, the duration of exposure to the drug, and the dose of the stimulant.
Supplements
People suffering from ADHD are frequently plagued by sleep issues like insomnia and trouble getting to sleep. This makes it difficult to sleep soundly which can affect their ability to focus during the day. Sleep issues can affect school and work performance. Some people with ADHD also have sleep disorders like snoring or sleeping apnea. These disorders can be treated by medication and lifestyle modifications.
Diet and exercise can help, especially in terms of increasing protein intake that promotes peaceful sleep. A relaxing bedtime routine can also be helpful. It's important to avoid caffeine as it is a stimulant that can cause headaches and trouble sleeping.
Melatonin supplementation can help with sleep issues caused by methylphenidate. It is a popular stimulant used to treat ADHD in adults and children. Several studies have shown that melatonin can help with sleep problems and drowsiness in people who are taking methylphenidate. However, it doesn't seem to reduce the underlying ADHD symptoms. Melatonin has also proven to be effective in helping to improve sleeping in people who do not take methylphenidate.
Omega-3 fatty acids have been found to reduce ADHD symptoms in a few studies, however more research is required. Fish as well as walnuts and salmon are some good sources of omega-3s. Vitamin C is also used by some people with ADHD, but not less than a half hour prior to or after taking ADHD medication. It stops the meds from getting into the bloodstream.
There isn't enough evidence that suggests that other nutritional supplements, such as zinc and iron, may reduce ADHD symptoms. However an extract standardized from pine bark called Pycnogenol has been proven to improve ADHD symptoms in some people, however, more research is needed.
Psychoeducation is a psychological treatment that is designed to educate teens, children and adults about ADHD and its effects. It can assist people with ADHD improve their confidence and manage their symptoms. Psychoeducation can also include the treatment of behavioural issues, which helps people control their social behavior. The treatments can be provided individually or in groups. Psychoeducation may also include family therapy and group support groups that can assist families cope with the stress of living with ADHD.
Other Options
Many people suffering from ADHD have the best mood at the night, when the house is quiet and distractions are low. However racing thoughts and issues falling asleep can make it difficult to get a restful night's sleep. A lack of sleep can affect memory function making it difficult to concentrate.
Researchers have found that stimulants can improve sleep in adults and children with ADHD. However they can also cause adverse effects and misuse. So many doctors prefer non-stimulants, particularly long-acting drugs like methylphenidate (Ritalin) and dextroamphetamine (Adderall). Both methylphenidate (Ritalin) and dextroamphetamine (Adderall) function by boosting the levels of dopamine in your brain. They do this by different mechanisms. Nonstimulants might take longer to take effect however, they typically have less adverse consequences.
Some doctors recommend melatonin as a light therapy for those suffering from ADHD who have sleep problems. Melatonin is a natural hormone that regulates the circadian rhythm and encourages sleep. It may be particularly helpful for those suffering from delayed-sleep syndrome, which is a sleep disorder characterized by a delay of at least two hours between the time you normally go to bed and when you are asleep.
Light therapy is a viable alternative to medication for sleep disorders. It involves the body being exposed to bright daylight throughout the day in order to synchronize the internal clock and promote better sleeping at night. It is not widely available and doctors do not endorse it, but it has proved to be beneficial for people with ADHD.
adhd otc medication include cognitive behavior therapy (CBT) is a form of talk therapy which can teach a child or you how to change certain thoughts and behaviors. These patterns can be changed to improve self-control, attention and working memory.
It's important that you speak with your doctor about what the most effective treatment plan is for you and your children. Every situation is different, and a personalized strategy will be the most effective. Both ADHD and sleep disorders can be treated with good sleep hygiene and medications, but you'll need to talk about your specific situation.