Can L-Theanine Improve Sleep for Adults with ADHD on Amphetamine? - Psychiatry

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Hello, doctor! I am an adult ADHD patient currently taking 10mg of Adderall.
However, I have been experiencing difficulty sleeping at night and feel very tired when I wake up in the morning.
I read online that L-theanine can improve sleep quality, but it should not be taken with central nervous system stimulants.
Can I take L-theanine in the evening and Adderall in the morning? Thank you!

Chrissy, 20~29 year old female. Ask Date: 2022/02/23

Dr. Qiu Junda reply Psychiatry


Hello.
You can try this to see if it helps improve your condition.
Additionally, you can discuss it with your physician during your follow-up appointment.

Reply Date: 2022/02/23

More Info


L-Theanine, an amino acid found primarily in green tea, has been studied for its potential effects on sleep quality and relaxation. For adults with ADHD who are taking amphetamines, such as Adderall (known as 安保美喜 in your context), the question of whether L-Theanine can be safely used to improve sleep is quite relevant.

Amphetamines are central nervous system stimulants that can lead to increased alertness and energy levels, which may interfere with sleep, especially if taken later in the day. Many individuals with ADHD experience sleep disturbances, which can exacerbate symptoms of the disorder and lead to daytime fatigue, as you've described.
L-Theanine is known for its calming effects and has been shown to promote relaxation without sedation. It works by increasing levels of certain neurotransmitters in the brain, such as GABA, dopamine, and serotonin, which can help reduce anxiety and improve sleep quality. Some studies suggest that L-Theanine may help individuals fall asleep faster and experience better sleep quality, making it an appealing option for those struggling with sleep issues.

Regarding your specific question about the timing of L-Theanine and amphetamines, it is generally considered safe to take L-Theanine in the evening while continuing to take your amphetamine medication in the morning. The key is to ensure that the stimulant effects of the amphetamine do not overlap with the time you intend to sleep. Taking L-Theanine in the evening could potentially help mitigate some of the sleep disturbances caused by the stimulant medication.

However, it is important to note that while L-Theanine is generally well-tolerated, individual responses can vary. Some people may experience mild side effects, such as gastrointestinal discomfort or headaches. Moreover, the interaction between L-Theanine and amphetamines has not been extensively studied, so while there is no strong evidence suggesting adverse effects, it is always prudent to consult with your healthcare provider before adding any new supplement to your regimen.

In addition to considering L-Theanine, there are other strategies you might explore to improve your sleep quality while managing ADHD symptoms. These include:
1. Sleep Hygiene: Establishing a regular sleep schedule, creating a comfortable sleep environment, and avoiding screens before bedtime can significantly improve sleep quality.

2. Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, or yoga can help reduce anxiety and promote relaxation, making it easier to fall asleep.

3. Cognitive Behavioral Therapy for Insomnia (CBT-I): This is a structured program that helps individuals address the thoughts and behaviors that contribute to sleep problems. It has been shown to be effective for many people with insomnia.

4. Diet and Exercise: Regular physical activity and a balanced diet can also support better sleep. However, try to avoid vigorous exercise close to bedtime.

5. Consulting a Specialist: If sleep issues persist, it may be beneficial to consult a sleep specialist or a psychiatrist who can provide tailored advice and possibly adjust your ADHD treatment plan.

In summary, L-Theanine may be a helpful addition to your routine for improving sleep quality while on amphetamines, but it is essential to discuss this with your healthcare provider to ensure it fits well with your overall treatment plan.

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