How ADHD medication works

By Julie Rawe

Expert reviewed by Nelson Dorta, PhD

A pill container on its side spilling pills out. Pill containers in the distance.

At a glance

  • Medication can reduce ADHD symptoms, but there is no "cure."

  • The medications help parts of your brain talk better to other parts.

  • There are different types of medication, and some work better for some people but less well for others.

How does ADHD medication work? Why do stimulants and other kinds of ADHD medication help reduce ADHD symptoms?

Learn how ADHD medication works in the brain.

How ADHD affects a key process in the brain

For the brain to do anything, like smell a flower or spell a word, neurons (brain cells) have to pass information along to each other. This process is called neurotransmission.

How does one neuron send a message to the next? The tail end of the sending neuron releases a small amount of chemicals called neurotransmitters. These chemicals have to cross a tiny gap — called a synapse — to reach the tip of the receiving neuron.

Left: Neurotransmitters cross synapse between sending neuron and receiving neuron. Right: Close-up of neurotransmitters released by the sending neuron and crossing synapse. Some are received by receiving neuron. Others are returned to sending neuron by reuptake transporter.

With ADHD, this process can get disrupted in different ways:

  1. The sending neuron may not release enough neurotransmitters.
  2. The neurotransmitters may have trouble activating the landing pads (receptors) on the receiving neuron.
  3. The sending neuron may suck the neurotransmitters back up before a good connection is made.

All sending neurons need to vacuum up extra neurotransmitters so they can get ready to send another signal. This process is called reuptake. But it can happen too quickly with ADHD, before the receiving neuron gets the message.

How ADHD medication works

Trouble passing information from neuron to neuron can affect attention. It can impact motivation, too. It also helps explain other ADHD symptoms like being restless and impulsive.

Medication can reduce ADHD symptoms. It does this by helping neurons pass along messages. It can make neurotransmission more efficient in one or more ways.

1. ADHD medication enhances the release of neurotransmitters. 2. It stimulates the receptors so they can catch more neurotransmitters. 3. It slows down the reuptake so neurotransmitters have more time to activate the next neuron.

Some types of ADHD medication help release more neurotransmitters. Other types help slow down reuptake — they’re called reuptake inhibitors. Both of these actions can help more neurotransmitters reach the next neuron.

By improving neurotransmission, ADHD medication can make kids less hyperactive. It can help them pay attention. And that can help them process and learn new information.

ADHD medication works in about eight out of 10 people. But it’s not a “cure” for ADHD. It can reduce symptoms only while it’s active in the body.

Not all people respond equally well to different types of ADHD medication, and it’s not uncommon to switch from one to another. All types of ADHD medication can cause side effects. Two of the most common are decreased appetite and trouble sleeping.

Learn about other ADHD treatment options. And get tips to help with ADHD at home.

Understood is not affiliated with any pharmaceutical company.

Key takeaways

  • Inattention is often caused by your brain struggling to pass messages between neurons.

  • ADHD medication helps the neurons "talk" to one another.

  • The medications work for about eight in 10 people, but one type of medication doesn't work for all people with ADHD.

About the author

About the author

Julie Rawe is the special projects editor at Understood.

Reviewed by

Reviewed by

Nelson Dorta, PhD is a pediatric neuropsychologist and an assistant professor of medical psychology in child psychiatry at the College of Physicians and Surgeons of Columbia University.

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