Nootropics-for-kids-adhd

Best Nootropics for ADHD & ADD

David Tomen
Author:
David Tomen
21 minute read

Key Takeaways

  1. B-Vitamins and multivitamins are crucial for brain health and neurotransmitter synthesis.
  2. Acetylcholine’s role in ADHD can be supported with nootropics like ALCAR and CDP-Choline.
  3. Nootropics like Ashwagandha and Bacopa Monnieri help repair damaged neuroreceptors in ADHD.
  4. Noopept enhances cognition, memory, and provides neuroprotection.
  5. Combining specific nootropics with essential vitamins can optimize brain function for managing ADHD symptoms​​.

Depending on the severity of your ADHD symptoms, you may be able to use nootropics as an alternative to prescription stimulants like Adderall, Ritalin, Vyvanse and their variations.

I experimented for a year by using nootropics in place of the 20 mg of Ritalin I had been using 3-times a day for several years. And for the most part, I was successful in taming my Adult ADD symptoms.

Adult ADD Nootropic Stack

The ADD/ADHD stack I use includes:

During my one-year stimulant holiday, the ingredients in Mind Lab Pro along with L-Tyrosine, CDP-Choline,  and ALCAR (included in Performance Lab Energy) kept my dopaminenorepinephrine, and acetylcholine levels high enough to maintain focus, motivation and improve my memory. Vinpocetine kept my brain blood flow at optimal levels. And Aniracetam and Sulbutiamine improved my mood.

But after a year I decided to go back to using 20 mg of Ritalin twice per day. Because my workload had me writing 10 hours per day. And maintaining working relationships with 2 or 3 clients at once.

By adding Ritalin back to my stack I was able to reduce the time it would take to complete a project from 3 days to 1 ½ days. Proof to me that my overall brain health couldn’t make it with nootropics alone.

The beauty of continuing to use L-Tyrosine, CDP-Choline, and ALCAR even after I started using Ritalin again was that I avoided the stimulant “crash” that is so common late afternoon when using stimulants. And I was able to reduce the original 20 mg Ritalin 3-times per day down to only twice per day.

And I have not experienced building up tolerance to Ritalin that is so common when using stimulants to treat ADD or ADHD.

Your situation may be different, or ADHD symptoms not as severe. Only you can decide if nootropics can replace ADHD meds. The  stack I describe on this page is designed to be used with or without stimulant meds.

Whether you use this stack with meds or without, you’ll need to discover for yourself what dosages of each nootropic are ideal for you. Because the amounts that work for me may not work as well for you. You may need less NALT and/or ALCAR.

Experimenting is the key to success with nootropics. And knowing as much as you can about what’s going on in your brain that needs to be fixed. But after many years of recommending this ADHD nootropic stack to people just like us around the world, we know this works.

smart-drugs-vs-nootropics-for-adhd

Prescription “Smart Drugs” vs. Nootropics for ADHD

This post is in response to many emails and questions I’ve been getting about how to treat Attention Deficit/Hyperactivity Disorder (ADHD) or Attention Deficit Disorder (ADD) with nootropics.

So if you are dealing with ADHD, hopefully this post will help. Especially if you are using stimulants like Ritalin, Adderall, Vyvanse, Focalin, or any of the other stimulant prescribed for ADD/ADHD. Or you are trying to deal with ADHD naturally by avoiding prescription stimulants.

This information can also help if you are a student or executive who uses prescription “smart drugs” like Adderall or Modafinil to boost productivity.

Here we’ll dig into the causes of ADHD or ADD in your brain. Symptoms associated with ADHD. And what you can do using nootropics, or nootropics stacked with stimulants to correct ADHD symptoms.

I’ll also include ways to potentiate the effectiveness of prescription stimulants with nootropics so they work better.

If you’ve never ‘officially’ been diagnosed with ADHD, but some of this resonates with you, you could be ADHD or ADD. And this may point you to some answers.

I’ve been ADD all my life. (ADD is ADHD without the hyperactivity). But it wasn’t until about 16 years ago, that a very wise psychiatrist identified what was going on. And why I had been struggling with focus and other problems with behavior. That no amount of self-help books on focus and management could ever correct.

Ritalin turned the lights on for me. And completely changed my life for the better. This was the seed that sprouted my interest in neuroscience and nootropics. And ultimately launching Nootropics Expert®

What is ADHD & ADD?

Attention Deficit/Hyperactivity Disorder (ADHD) or Attention Deficit Disorder (ADD) are associated with attention and executive function in your brain.Nootropics for ADHD Innattentive

Your prefrontal cortex directs behavior, thought and feeling which are all associated with working memory. This fundamental cognitive function is what most “healthy” people take for granted, are what make up executive function.

This executive function and working memory give you the ability to:

  1. Regulate your attention
  2. Inhibit inappropriate behavior and thought
  3. Monitor your actions
  4. Plan and organize your future

If you can’t focus on the task at hand, blurt things out at inappropriate times, have little control over your emotions or actions, and can’t seem to stick to that careful set of goals you wrote down, you may be ADHD.

The Role of Norepinephrine and Dopamine in ADHD

Norepinephrine and dopamine are the primary neurotransmitters involved in ADHD because they play an essential role in attention and thinking.[i]

The “inattentive” type of ADHD is related to issues with the norepinephrine, and the “hyperactive and impulsive” type of ADHD is linked to dopamine dysfunction.

These two neurotransmitters work in concert to maintain alertness, increase focus, sustain thought, effort, and motivation. The only difference between the two is the presence of a hydroxyl group. And dopamine is the precursor to norepinephrine synthesis in your brain.[ii]

Much of what we read about ADHD focuses on dopamine’s function in your brain. But norepinephrine (NE) plays a critical role in activating your reaction to events. And how you respond to the event.[iii] NE is essential for collecting information coming in through your senses. And then modulating your brain’s response.

Any disruption in this NE system can result in ADHD, Post Traumatic Stress Disorder (PTSD), sleep disorders and more.[iv]

For example, NE working with postsynaptic α2-adrenoceptors (α2-AR) in your brain play an essential role in helping you focus and eliminate distractions when you’re paying attention to something.[v]

This is just one example of what goes wrong with ADHD brain function. My point in bringing this all up is not to overwhelm you with neuroscience.

But to make clear that simply suggesting too much or too little of a single neurotransmitter like dopamine cannot explain the complexity of ADHD.

So using a nootropic like L-Tyrosine to amp up dopamine in your brain is often not enough to take care of ADHD symptoms. Or using Adderall with someone who has a problem with alpha2-receptor binding with norepinephrine may not get much benefit.

This is the reason that experimenting with various stimulants and/or nootropics is often the only way to find a long-term solution to keeping ADHD under control. And why some respond better to a drug like Ritalin and not as well to Adderall. Or vice versa.[vi]

And recent research shows serotonin and acetylcholine are involved too. Mostly the “hyperactivity” part of ADHD which includes movement, inattention, and impulsivity.[vii]

Smart Drugs Used to Treat ADHD Symptoms

If you are truly and clinically ADHD or ADD, it is unlikely that optimizing your diet, getting plenty of sleep, using nootropics, and exercising regularly will get the symptoms of ADHD under control.Noopept ADHD

The most severe forms of ADHD often benefit from using prescription medication. Otherwise known as “smart drugs” in some circles, these meds are typically amphetamines or methylphenidate.

The amphetamine-class of ADHD prescription drugs includes Adderall (75% dextroamphetamine salts and 25% levoamphetamine salts), Dextroamphetamine, and Vyvanse (Lisdexamfetamine).

The methylphenidate-class of ADHD medications includes methylphenidate (Ritalin) and its variants like Concerta, and Focalin.

Adderall and Ritalin both work with dopamine and norepinephrine in your brain. But through different mechanisms of action.

Ritalin is a pure uptake inhibitor of dopamine and norepinephrine without any other presynaptic activity.[viii] Adderall on the other hand, has additional presynaptic activity, releasing dopamine and norepinephrine from presynaptic neurons.

The idea for the last 60 years or so, has been if we could boost dopamine and norepinephrine in the brain, ADHD symptoms would go away. As long as we’re taking the medication.

Why Prescription Attention Deficit Hyperactivity Disorder Meds Often Don’t Work

Nootropics for KidsIn an ideal world, taking one pill 2 or 3 times a day to treat ADHD would put your life back on track. And help you function like a ‘normal’ person.

But real-world results often don’t work out as well as theory. For several reasons. For example, what if there’s not enough dopamine or norepinephrine in your brain in the first place? Then stimulants will not work as well as planned because they haven’t the neurotransmitters in place to work with.

You could also have problems with not enough or damaged neuroreceptors. Natural aging processes can slow blood flow or inhibit the production of neurotransmitters. A lack of acetylcholine could prevent your neurotransmitters from doing what they were designed to do.

This is where nootropics can help save the day in treating the symptoms of ADHD.

Optimizing Dopamine & Norepinephrine

Nootropics for ADHD redditOne of main culprits contributing to ADHD symptoms is a lack of dopamine (DA) and norepinephrine (NE) in your brain. Or your brain is not using the available DA and NE effectively.

Stimulants like Adderall and Ritalin work to boost levels and use of these two critical neurotransmitters.

Production of dopamine and norepinephrine in your body and brain follows this metabolic pathway:

Phenylalanine → Tyrosine → L-DOPA → Dopamine → Norepinephrine

Dopamine is converted to norepinephrine by the enzyme dopamine β-monooxygenase, with O2 and ascorbic acid (Vitamin C) as cofactors.

Norepinephrine can be further converted into epinephrine by the enzyme phenylethanolamine N-methyltransferase with SAM-e as cofactor.

Nootropics to boost dopamine and norepinephrine include:

  • L-TyrosineL-Tyrosine is the precursor to the synthesis of dopamine in your brain. L-Tyrosine enhances working memory, executive function, creative flow states, reduces stress, improves mood and is anti-anxiety.Suggested dosage of L-Tyrosine or NALT for ADHD is 350- 500 mg twice per day. I successfully stack 500 mg of NALT or L-Tyrosine 3-times per day. Once each time I dose with Ritalin, and a last dose mid-afternoon to prevent a stimulant crash later in the day.
  • Mucuna Pruriens (L-Dopa) – Mucuna works as an antioxidant and heavy metal chelator, improves memory & cognition, reduces depression and boosts libido.L-Dopa is also the direct precursor to dopamine. Suggested dosage of Mucuna Pruriens is 250 – 500 mg per day. But if you’re just starting out with nootropics, I highly recommend using L-Tyrosine or NALT instead of Mucuna Pruriens. Because Mucuna can be more difficult to dose since it directly stimulates the production of dopamine. L-Tyrosine and NALT are more ‘forgiving’ when it comes to dosage.
  • N-Acetyl L-Cysteine (NAC)NAC is an amino acid that regulates the amount of glutamate and dopamine in your brain.NAC can be used to address the symptoms of ADHD. And may even help eliminate some of the negative side effects associated with prescription ADHD stimulants. Suggested dosage of NAC is 600 mg 3-times per day.
  • Phosphatidylserine (PS)PS can help improve alertness, attention, cognition, memory, recall and mood, and lower anxiety. All issues associated with ADHD.Phosphatidylserine is a phospholipid component of the membrane encasing every one of your brain cells. PS helps maintain the fluidity and permeability of brain cells. Improving the flow of dopamine and acetylcholine. Suggested dosage of PS is 100 mg 3-times per day.
  • Pine Bark Extract – Pine Bark extract helps prevent decreases in dopamine and norepinephrine. And the glutathione (GSH) and GSH-disulphide reductase (GSSG-R) ratio. Neurotransmitter problems which contribute to hyperactivity in ADHD.Pine Bark extract also helps boost blood flow in the brain by increasing nitric oxide which helps dilate blood vessels. And it helps reduce oxidative stress, membrane damage, DNA damage, inflammation, and glycation.I’ve found one of the most potent forms of Pine Bark extract comes in both Mind Lab Pro® and Performance Lab® Mind.

A word of caution here in boosting the catecholamines dopamine and norepinephrine. Too much of either is not a good thing. In fact, excess levels of either will throw your neurotransmitter levels out of balance. And can cause anxiety, insomnia and panic attacks.

Taming Hyperactivity with Nootropic Supplements

The “H” in ADHD stands for hyperactivity. Boosting levels of dopamine and norepinephrine can help balance out hyperactivity. And help calm and focus your mind. But often simply boosting or balancing these neurotransmitters is not enough.

Recent studies show that serotonin and dopamine interaction also play a role in ADHD.[ix] Serotonin is involved in the uptake, synthesis and breakdown of dopamine in your brain. Problems with serotonin seem to contribute to behavior and impulse control.

Much more research needs to be done in this area of ADHD. But we can help control and balance serotonin with nootropics.

  • 5-HTP – This amino acid is synthesized from the amino acid tryptophan. And 5-HTP is the immediate precursor to serotonin in your brain.5-HTP can help relieve anxiety and depression, fibromyalgia, insomnia, migraines and likely the hyperactivity, depression and anxiety associated with ADHD. Suggested dosage of 5-HTP is 50 mg up to 3-times per day. Please see my dosage notes and warnings before you try supplementing with 5-HTP.
  • GinsengGinseng helps calm anxiety, and boost attention, concentration and memory. Ginseng provides neuro-protective effects on the dopaminergic-pathway which can help with ADHD. And ginseng is a serotonin and norepinephrine reuptake inhibitor (SNRI).Suggested dosage of Ginseng is 100 – 400 mg per day.
  • L-TheanineL-Theanine commonly found in green tea helps boost alpha and theta brain waves, is anti-anxiety, boosts cognition and memory and reduces insomnia.L-Theanine also helps boost GABA, serotonin and dopamine levels in your brain. Suggested dosage of L-Theanine is 150 mg 2 – 3-times per day.
  • Rhodiola RoseaRhodiola Rosea helps improve alertness, energy, memory and mood, is anti-anxiety and antidepressant, reduces fatigue and boosts memory and concentration.Rhodiola influences serotonin and norepinephrine levels in your brain. Suggested dosage of Rhodiola Rosea extract is 150 – 200 mg per day.
  • SaffronSaffron acts as a dopamine and norepinephrine reuptake inhibitor. Similar to how Ritalin works.  A randomized double-blind study was conducted with 54 children 6-17 years old who were given 20 – 30 mg methylphenidate or 20 – 30 mg Saffron per day for 6 weeks. At the end of the study researchers concluded, “Short-term therapy with a saffron capsule showed the same efficacy compared with methylphenidate.”Suggested dosage of Saffron is 30 mg per day.
  • Vitamin B6 (Pyridoxine)Vitamin B6 helps your brain make serotonin, norepinephrine and melatonin. Suggested dosage of B6 is up to 100 mg per day.
  • Vitamin B9 (Folate)Folate (NOT folic acid) as a nootropic helps your brain make dopamine, epinephrine, norepinephrine and serotonin. Suggested dosage of Folate is 400 mcg per day.
  • Vitamin B12 (methylcobalamin) – is a cofactor in the synthesis of neurotransmitters acetylcholine, dopamineGABAnorepinephrine, and serotonin. Suggest dosage of B12 is 100 mcg per day.

B-Vitamins are Critical in Controlling ADHD

Take note that several of the B-Vitamin group are involved in the production of the neurotransmitters involved in ADHD. I recommend adding a good B-Vitamin Complex that include methylfolate (not folic acid) and methylcobalamin (not cyanocobalamin) to your stack. Both in a pure nootropic stack as well as when using any of the ADHD prescription stimulants.

But it’s not only the B-Vitamins that are required for a healthy, fully functioning brain. We also need each of the 13 vitamins and 13 minerals needed for everything from blood flow, neurotransmitter synthesis and release, brain signaling, and neuroprotection.

I’ve found the easiest way to make sure my ADD brain gets all the vitamins and minerals it needs every day is to also use a multivitamin/mineral supplement.

The best I’ve found so far is the multivitamin called Performance Lab® NutriGenesis Multi. It’s better than the “raw-food” multi I was using for years. And makes a difference I can actually feel.

But please note that this multi is in addition to a B-Vitamin Complex because the ADHD brain needs more of these critical nutrients than what is normally in any good multivitamin.

The Role of Acetylcholine in ADHD

Researchers at Vanderbilt University Medical Center discovered that there are three types of ADHD.

We’ve already covered the “inattentive” type that is related to issues with the norepinephrine transporter gene. And the link to the dopamine transporter gene in the “hyperactive and impulsive” type.

But the research team now report that a variation in the choline transporter gene is associated with a “combined” type of ADHD. Symptoms include both inattention and hyperactivity/impulsivity.

Choline is required to synthesize acetylcholine (ACh) which is needed for memory, motor-control, focus, learning, concentration, and cognition.

If you have the “combined” type of ADHD it’s likely due to a mutation in this choline transporter gene variation.

Nootropics to boost acetylcholine include:

  • ALCAR (Acetyl-L-Carnitine)ALCAR donates a methyl group in the presence of Coenzyme-A for the synthesis of acetylcholine. And it’s also a shuttle transport for fatty acids through brain cell membranes. It shuttles fatty acids into mitochondria for ATP synthesis, and shuttles toxic byproducts out.

Research from the Linus Pauling Institute shows ALCAR will restore mitochondrial function, replenish age-related changes to mitochondrial structure, and helps replenish acetylcholine levels to your brain and body.

And other studies show that ALCAR stimulates nerve growth factor. Helping support survival and growth of neurons. Which is particularly important for the ADHD brain and especially when using prescription stimulants that may be tough on neurons.

  • Alpha Lipoic Acid (R-LA)Alpha Lipoic Acid increases acetylcholine production by activation of choline acetyltransferase and increases glucose uptake. This process supplies more Acetyl-CoA for the production of acetylcholine.

Alpha Lipoic Acid enhances insulin-stimulated glucose transport and metabolism for better brain cell performance. And R-Lipoic Acid provides strong antioxidant support because it helps regenerate and recycle existing antioxidants in your brain including Vitamins C & E, glutathione, and CoQ10.

I’ve since switched the ALCAR supplement in my ADD stack to Performance Lab® Energy because this pre-formulated energy stack contains my preferred dose of ALCAR. But note that I also take another 500 mg of ALCAR with L-Tyrosine late afternoon to prevent a stimulant crash.

Performance Lab® Energy also contains Alpha Lipoic Acid and ALCAR which helps my ADD brain produce acetylcholine.

  • CDP-Choline (Citicoline)Citicoline helps synthesize phosphatidylcholine (PC), a major phospholipid found in brain cell membranes. And provides choline for the synthesis of acetylcholine while providing antioxidant activity.

The CDP-Choline (Citicoline) in my ADD stack is supplied by Mind Lab Pro® which is the base of my nootropic stack.

But a suitable alternative to MLP is Performance Lab® Mind which contains the branded form of citicoline called Cognizin®.

Performance Lab® Mind and Mind Lab Pro® also contain L-Tyrosine, Phosphatidylserine (PS), and Maritime Pine Bark extract.

Repairing Neuroreceptors Needed to Control ADHD

One of the issues with neurotransmitters and ADHD are damaged or non-existent receptors. Dopamine, norepinephrine and serotonin have less receptors to bind to for cognition and mood control.Best nootropics for ADD

Once again, nootropics come to the rescue in helping control ADHD. You can add one of these nootropics to your stack to help boost neuron and receptor health.

  • Ashwagandha – This adaptogen, Ashwagandha helps reduce anxiety and depression. And helps reconstruct axons, dendrites and synapses involved in neurotransmitter signaling in your brain.Suggested dosage of Ashwagandha extract is 250 – 500 mg per day.
  • Bacopa MonnieriBacopa helps boost memory and cognition, improves mood, and reduces stress. This adaptogen affects brain levels of acetylcholine needed for neurotransmitter signaling.And the two active components of Bacopa Monnieri called bacosides A and B not only improves signaling of electrical impulses between neurons in your brain. Bacosides also help rebuild damaged neurons. Suggested dosage of Bacopa is up to 450 mg per day.
  • Lion’s ManeLion’s Mane Mushroom is known for stimulating Nerve Growth Factor, improving cognition and memory, and relieving depression.Lion’s Mane stimulates the repair and creation of neurons in your brain. Neurons needed for dopamine and norepinephrine to control ADHD. Suggested dosage of Lion’s Mane Mushroom starts at 500 mg per day. Note: that there’s an effective 500 mg dose of Lion’s Mane full-spectrum fruiting body in each dose of Mind Lab Pro®
  • NoopeptNoopept helps boost cognition, memory, learning, perception, logical thinking and mood. Noopept increases Nerve Growth Factor, and Brain-Derived Neurotrophic Factor (BDNF) critical for neuroplasticity and Long-Term Potentiation critical for long-term memory.Noopept also prevents the release of excess glutamate in your brain. Providing potent neuroprotection for neurons and reducing damage. Suggested dosage of Noopept is 10 – 30 mg per day.

Please note that I haven’t linked through to supporting clinical studies for each of the nootropics I listed above. But you can click through to my full review of each nootropic for extensive research supporting each supplement.

Nootropics for Kids

ADHD and ADD is most often diagnosed in children. The latest statistics (2011) from the CDC in the USA shows about 11% of children 4 – 17 years of age (6.4 million) have been diagnosed ADHD.[x] And that’s just for the USA.Nootropics-for-kids-adhd

Although ADHD is usually first diagnosed in children, it often lasts into adulthood. I sometime wonder how my life would have been different if I had been declared ADD when I was a kid.

But it wasn’t until the late 1960’s that the American Psychiatric Association formally recognized ADHD as a mental health disorder. I wasn’t declared Adult ADD until much later.

The thing is many parents are wary about putting their children on powerful, prescription ADHD meds. Kids’ brains continue to develop until your early 20’s. So is it a problem messing with brain chemistry at such a young age? Only time will tell and if the benefits outweigh any potential risk.

Hence the reason why parents are looking for ‘natural’ alternatives like nootropics to treat ADHD in children. But are nootropic supplements any safer than prescription stimulants?

Common sense tells me that using L-Tyrosine could be safer than Ritalin for boosting dopamine. And Rhodiola Rosea could be safer than stimulants or antidepressants for taming hyperactivity.

But many children with ADHD, natural supplements may not be enough. I’m not a doctor, and don’t even play one on TV. I’m an ordinary biohacker who has learned as much as I can to help myself. And fix my own cognitive performance issues. Including Adult ADD.

So I highly recommend you find and work with an open-minded psychiatrist with your child. You may be pleasantly surprised to find you may be able to reduce or eliminate prescription ADHD meds altogether to enhance cognitive functions. And maybe not. But the long-term health of your child could be worth the time investment to find out.

In Summary

I’ve been wanting to write this post since I started Nootropics Expert®. If you are ADHD or ADD, I hope you found this useful. And I’d appreciate your feedback, and share your experience with treating ADHD with nootropics in the comments section of this post below.

Please share this post with anyone you think would benefit. Including discussions about nootropics for ADHD on reddit or Longecity.

One final note. Neurotransmitter balance is key to taming ADHD. I strongly caution you to take it slow if you’re just starting out with nootropics. Carefully read each of the extended articles in the List of Nootropics you are considering trying.

You need to be careful about side effects, prescription drug interactions, dosages and how your body reacts to each supplement to ensure healthy brain function.

But I’m confident that with careful planning and a long-term commitment, your cognitive enhancement will be just as successful as I have been in living and thriving with my Adult ADD.

As an Amazon Associate I earn from qualifying purchases. This post may also contain other affiliate links and I will be compensated if you make a purchase after clicking on my links.

[i] Arnsten A.F., Li B.M. “Neurobiology of executive functions: catecholamine influences on prefrontal cortical functions.” Biological Psychiatry. 2005 Jun 1;57(11):1377-84. (source)

[ii] Pliszka S.R., McCracken J.T., Maas J.W. “Catecholamines in attention-deficit hyperactivity disorder: current perspectives.” Journal of the American Academy of Child and Adolescent Psychiatry. 1996 Mar;35(3):264-72. (source)

[iii] Aston-Jones G., Rajkowski J., Cohen J. “Role of locus coeruleus in attention and behavioral flexibility.” Biological Psychiatry. 1999 Nov 1;46(9):1309-20. (source)

[iv] Berridge C.W., Waterhouse B.D., “The locus coeruleus–noradrenergic system: modulation of behavioral state and state-dependent cognitive processes” Brain Research Reviews Volume 42, Issue 1, April 2003, Pages 33–84 (source)

[v] Franowicz J.S., Kessler L.E., Borja C.M., Kobilka B.K., Limbird L.E., Arnsten A.F. “Mutation of the alpha2A-adrenoceptor impairs working memory performance and annuls cognitive enhancement by guanfacine.” Journal of Neuroscience. 2002 Oct 1;22(19):8771-7. (source)

[vi] Zametkin A.J., Karoum F., Linnoila M., Rapoport J.L., Brown G.L., Chuang L.W., Wyatt R.J. “Stimulants, urinary catecholamines, and indoleamines in hyperactivity. A comparison of methylphenidate and dextroamphetamine.” Archives of General Psychiatry. 1985 Mar;42(3):251-5. (source)

[vii] Oades R.D. “Role of the serotonin system in ADHD: treatment implications.” Expert Review of Neurotherapeutics. 2007 Oct;7(10):1357-74. (source)

[viii] Wilens T.E. “Effects of methylphenidate on the catecholaminergic system in attention-deficit/hyperactivity disorder.” Journal of Clinical Psychopharmacology. 2008 Jun;28(3 Suppl 2):S46-53 (source)

[ix] Oades R.D. “Dopamine-serotonin interactions in attention-deficit hyperactivity disorder (ADHD).” Progress in Brain Research. 2008;172:543-65 (source)

[x] “Key Findings: Trends in the Parent-Report of Health Care Provider-Diagnosis and Medication Treatment for ADHD: United States, 2003—2011” Centers for Disease and Prevention cdc.gov (source)

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Join The Discussion - 844 comments

Jason
August 10, 2021

Hello David, just curious…..what makes you choose Ritalin over adderall?

    David Tomen
    August 10, 2021

    Jason, I tried Adderall and it did not work for me. The mechanism of action is different for each of them. My brain reacts best to Ritalin.

Adam Smith
July 29, 2021

I would like to book a consult, but don’t have Skype. No matter how many times I email about this, I don’t get a response.

I am in the UK and really need a consult as soon as is possible.

Please let me know if this is possible.

    David Tomen
    July 29, 2021

    Adam, my email inbox is completely overwhelmed so if there is an email from you in there it’s buried under 11,000 unread messages. My apologies.

    We can use WhatsApp instead of Skype. Here is a link to my calendar: https://calendly.com/davidtomen/60min. When you schedule just indicate in the signup that you’d like to use WhatsApp instead of Skype and I’ll send you my number.

Ed
July 25, 2021

Hi David,

Is it safe to add the following to your ADHD stack in this article?:

Ginkgo Biloba, 60mg x2 daily
Cordyceps, 1mg-3mg daily
Grapeseed extract, 250-400mg daily
Piracetam, 3.2-6g daily
Noopept, 10-30mg daily
Magnesium Glycenate, 400mg daily
Vitamin C, 500mg daily
NAC, 600mg x3 daily
L-Lysine, 1-2g daily
ZzQuil Pure Zzzs (Melatonin, Chamomile, Lavender)
Green Tea Extract, 1000mg daily
Coffee – 1-4 cups/day (400mg caffeine)

Thank you!

    David Tomen
    July 25, 2021

    Ed, it is safe to use that stack with my ADHD stack. But are you sure you need that much Piracetam daily? The usual dose is 1,600 mg 3-times per day WITH a choline supplement each time. Either Alpha GPC or CDP-Choline. Which may already be in your ADHD stack.

      Ed
      July 27, 2021

      Hi David,

      Thank you so much for clarifying the safety of this combination!

      Regarding the piracetam: My typing made that a bit unclear – I take 3.2g up to 6g per day, divided in 1200mg dosages (I try to average 4.8g per day, and compensate on days where I took less the previous day). My biggest frustration is combining piracetam with coffee. Even with a half a cup of coffee early in the morning, the piracetam makes it very difficult to fall asleep and stay asleep. I wish there was a way to speed the metabolism of the caffeine, so that I could drink 4 cups (400mg caffeine) in the morning, and have it out of my system by the time I go to bed. So far, my research has led me to one risky supplement, rutaecarpine. It effectively speeds up caffeine metabolism by 50%, but has serious liver implications and is well understudied.

      Also yes, I do take 300mg to 600mg per day of alpha-GPC.

      On the topic of interaction safety, do you have any posts that discuss the safety of taking Nootropics during the COVID-19 vaccination process? I am holding out for Novavax, and I am planning on taking it in the next few months when it comes out.

      However, I am worried about whether or not many of the supplements I am taking will somehow interact negatively with the ingredients in the vaccine. Should I stop any specific supplements during the vaccination process? For how long before/during/after should I abstain? Similarly, are there any supplements that I SHOULD be taking to assist either the efficacy of the vaccine and/or reduce vaccine side effects?

      If there is already a discussion on this, would you mind pointing me to it? (And if not, I would love to start one! 🙂

        David Tomen
        July 28, 2021

        Ed, great question and the only supplement I know of that may be contraindicated with the COVID-19 vaccine is Quercetin (https://nootropicsexpert.com/quercetin/).

        I have no proof of this but Quercetin can inactivate the COVID virus. So my theory is that it may also inactivate the vaccine before it gets a chance to build up antibodies in your system. So best to stop using Quercetin a couple of weeks before the vaccine. And don’t re-start it until 2 weeks after the vaccine.

Ed
July 23, 2021

Hi David, I am worried about the combination of racetams and Ritalin. While it seems that most agree that amphetamines + racetams = excitotoxicity, there seems to be equal and opposite opinions on whether or not the same is true for Ritalin + racetams (For Ritalin + racetams, I find arguments for/against not just excitotoxicity, but also other forms of neurotoxicity). As someone with ADD who responds extremely well to both Piracetam and Ritalin, I would love to combine both. I would also like to try adding Noopept and Aniracetam – using one or the other to stack with Ritalin and Piracetam.

All this to ask – how can you say with confidence that you can recommend taking Aniracetam with Ritalin? Would you mind posting links to any studies that prove this combination to be safe? (Also, any studies demonstrating the safety of Ritalin with Noopept and/or Piracetam would also be greatly appreciated – I can’t find anything.) Thank you so much!

    David Tomen
    July 25, 2021

    Ed, I cannot recommend combining any of the Racetams with Ritalin because we have no studies demonstrating their safety. The only one that exists is this with 4 case reports: https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC4756795/

    I’ve been using Ritalin and Aniracetam for many years with success and no unwanted side effects. But that is only how my system reacts to these two compounds. This combination may or may not be safe for anyone else. There is no way to tell unless you try them.

    Again, I am NOT confident that you’ll be safe using Aniracetam with Ritalin. Because there is no way to predict how your system will react to this combo.

      Ed
      July 25, 2021

      Hi David,

      Thank you for your reply. Yes, I completely understand.

      What worries me is that, according to the internet, excitotoxicity isn’t something that can be felt or observed (at least in the short term). And so, even though I may respond well to the combination, I fear I may still be causing my brain irreparable harm.

      By the way, I ended up finding a very recent study on the combination of methylphenidate and piracetam. Children were treated for 6 weeks with this combination, with extremely favorable results compared to the control group (who just took methylphenidate). However, it is obviously not a brain biopsy, nor was there any neural imaging. I think one or both would be required to confirm the neurological safety of this combination. FYI, here is a link to that study:

      https://sites.kowsarpub.com/ijpbs/articles/59421.html

      In the comments at the bottom, I have just entered a request to investigate the safety of combining piracetam and methylphenidate, with respect to excitotoxicity and other forms of neurotoxicity. Hopefully, they will follow through and shed light on this widely contentious topic!

      Thank you for your help, David!

        David Tomen
        July 25, 2021

        ED, be very careful with “according to the internet” because anyone can publish anything and it does not necessarily mean it’s valid info.

        But the study you found is valid and a good find. I cannot see a how combining those two would be a problem. But you can put money on that combo sending someone to the ER. And why can’t say it’s safe to use. It may be for you but not the person beside you.

        Continue to do your research and fully understand how each compound works in your brain. Then decide for yourself if you think it is safe. But NOT “according to the internet” please.

        Ed
        July 27, 2021

        I’m glad you approve of the study – it is very encouraging to see that they are testing this combination!

        Ah yes sorry – I was being a bit facetious with that phrase 🙂 Let me clarify:

        What I have understood is that the brain itself has no pain receptors, and that any sensations of pain or discomfort are actually generated by the tissues surrounding the brain (but not the brain itself). And so, when it comes to neurotoxicity, the fact that you can’t “feel” it is worrisome.

        Additionally, cognitive decline is something that is rarely noticed by the perceiver (who is usually the last one to know). The most prominent demonstration of this is in the elderly. Many say they feel their brain is working as good as always, when family members are forced to tell them otherwise, for their own safety. The only real way to personally observe one’s cognitive cognitive decline seems to be through purpose-build tests.

        And so for me, these two aspects of the brain make long-term excitotoxicity/cognitive degenration a worry when it comes to supplements.

        Thank you so much for your helpful insight, David!!!

Jennifer Isaac
July 23, 2021

Hi,

Dr John Grey is a great believer in using Lithium Orotate to treat children with ADHD. My 9 year old niece has ADHD and possible Autism. Is N-Acetyl-L-Tyrosine safe to use with Lithium Orotate. I purchased myself a bottle of NALT that I wish to give to her as you mention on this website that it is good for ADHD.

    David Tomen
    July 25, 2021

    Jennifer, yes, NALT is safe to use with Lithium Orotate. I’ve been doing it for years without a problem.

Jennifer Isaac
July 20, 2021

Hi David,

my 9 year old Niece has ADHD. I think she may be taking Concerta for it or some other medication. Her Mother didn’t want to have to resort to medication for her but based on her behaviour and problems at school she thought it was best to put her on medication. I myself prefer natural supplements instead of prescription drugs. Is it possible to effectively treat her without her medication using L-Tyrosine and Rhodiola Rosea? If so does she need to wean off her medication? if so what are the details in regards to how she would wean off? How much L-Tyrosine and Rhodiola Rosea would she need to take a day?

    David Tomen
    July 21, 2021

    Jennifer, you cannot naturally treat ADHD with just Tyrosine and Rhodiola Rosea. To do it successfully you need a stack like the one in the yellow box near the top of this article which includes Alpha GPC or CDP-Choline, ALCAR, L-Tyrosine, Phosphatidylserine (PS), DHA, magnesium and a high quality multivitamin.

Mike
July 19, 2021

Hi David,

25 year old here. I finally went in for an ADHD diagnosis after almost a decade of struggling. I started the year off testing nootropics and found they were not effective enough. I was first prescribed Strattera for 2 months but it was not effective (maybe helped anxiety and working memory a bit) and had an abundance of side effects. I am now on a low dose of Concerta and it is definitely more effective. A couple of weeks before I started on Strattera, I cut out all nootropics I was taking. Now that I am on Concerta, I would like to start back on a small stack. I have Rhodiola Rosea, Lion’s Mane, and Bacopa Monnieri on hand. Would either of these three possibly be beneficial in stacking with concerta? Any other nootropics you recommend? I have vinpocetine as well though I have read it could contradict some of the effects of concerta and since I am on a low dose, I rather not interfere with its effectiveness. Thanks.

    Mike
    July 19, 2021

    I’ll add that I take a B-complex, vitamin D+k and Zinc supplement daily.

    David Tomen
    July 21, 2021

    Mike, the stack listed in the yellow box near the top of this article is great for supporting Concerta use and preventing a stimulant crash at the end of the day. The key is increasing dopamine and acetylcholine levels so Concerta has something to work with.

    And using nootropics like Lion’s Mane for ongoing brain repair and maintenance.

    Vinpocetine works great with most stimulants and nootropics because it stimulates cerebral blood flow. Which means more oxygen and nutrients for a healthier brain and better cognitive performance.

Thomas
July 19, 2021

Since coenzyme Q10, baicalein and N-Acetyl L-Cysteine are noted to protect against amphetamine-caused toxicity and brain damage, in your other article – why are they not recommended in the stack (or listed as some of the most important in the other ‘stacks’ here) in this article? I see two of them are listed further below, among some others, but judging from the description in the ‘smart drugs’ artricle, they sound like they’d be more central – especially to those who do take ADHD meds.

    David Tomen
    July 21, 2021

    Thomas, I’ve 13 ways to boost BDNF for brain health and repair in this article: https://nootropicsexpert.com/13-nootropics-to-boost-bdnf/. And there are another 6 – 7 that also boost BDNF or Nerve Growth Factor not included in that article. There are so many ways to reduce toxicity and brain damage that I need to draw the line somewhere.

    BTW, I don’t recall doing a review or any research on baicalein. Maybe you’re thinking of someone else?

      Thomas
      July 28, 2021

      Hello David.

      No, I was referencing your other article – this one mentioned baicalein:
      https://nootropicsexpert.com/smart-drugs-the-bad-and-the-ugly/

        David Tomen
        July 29, 2021

        Hi Thomas, I forgot all about including baicalein in that article. Makes sense after you see the study I linked to that prompted me to include it: https://pubmed.ncbi.nlm.nih.gov/16887252/.

        Not sure there is enough evidence to do a full review for baicalein as a nootropic. But it does look effective in protecting your brain from Adderall use.

        Looks like I should add a few more options to this section of the article above: Repairing Neuroreceptors Needed to Control ADHD. And possibly change that sub-head to better reflect what it’s for.

        Thomas
        August 11, 2021

        Hi David. I’m glad I could shed some light and give a reminder then.

        If I just want my ADHD medication (and maybe tyrosine) to work sufficiently without causing me neurotoxicity (and thus bad side effects?) do you think it’s enough to just take Q10 or NAC? Or both? Or more, for that to work?

        David Tomen
        August 12, 2021

        Thomas, definitely L-Tyrosine. I personally use more than just CoQ10 and NAC to prevent neurotoxicity. And that includes using Mind Lab Pro daily and adding Lion’s Mane extract as well.

        You may be able to get away with just those two but better to be safe in my opinion. I only have one brain and can’t afford to damage it just because I need to use stimulants.

        Thomas
        August 12, 2021

        I’ve had problems with L-tyrosine and often experienced toxic dopaminergic effects from L-T (both in combination with meds and without).

        But is Q10 and NAC enough to make medicine work without toxicity? It was fine in the beginning. (I also use tryptophan at night, but no difference.)

        David Tomen
        August 12, 2021

        Thomas, glad you told me that. CoQ10 and NAC are not toxic as long as you use recommended dosages.

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