Key takeaways:
There are two types of medications available to treat attention-deficit hyperactivity disorder (ADHD): stimulants and non-stimulants.
In some cases, dietary changes may help improve some ADHD symptoms.
Some foods and drinks may make ADHD medications less effective.
Suppose you, or your child, are diagnosed with attention-deficit hyperactivity disorder (ADHD). If this happens, your healthcare provider will advise you on managing it. This may be through therapy — like behavioral therapy or family therapy — and/or by providing medications.
Although it may not seem like a direct treatment option, a healthy diet is also an important part of an ADHD treatment plan. Diet may affect certain ADHD symptoms. Some foods and drinks may also alter ADHD medication effectiveness.
Here we’ll talk about diet and ADHD medications — what to consider, what to avoid, and what you should know.
Having a healthy, balanced diet is important for a healthy life. Many foods can affect energy and concentration levels. So certain food choices may be better options than others for people with ADHD.
Studies have shown that children with ADHD benefit from a healthy diet. This would consist of foods like:
Whole grains
Fruits
Vegetables
Low-fat proteins, like soy, quinoa, and beans
Essential fatty acids, like fish, nuts, and seeds
Processed foods, artificial products, and refined carbohydrates like bread and cereal should be limited. These foods may worsen the ability to concentrate.
ADHD affects both children and adults. Some adults may feel it’s difficult to get organized or complete daily tasks.
Meal planning and cooking are healthy lifestyle choices. But they can be hard for adults affected by ADHD. Making a meal requires many skills, including time management, preparation, and the ability to follow many steps. Some people with ADHD may decide to order food or eat at a restaurant out of frustration or impatience.
Unfortunately, takeout and restaurant meals often have added sugar and artificial dyes. These added ingredients may make ADHD symptoms worse for some people. But this relationship isn’t proven.
Therapy and medication are the most effective treatments for ADHD. But eating regular, healthy meals and avoiding alcohol can help manage ADHD symptoms.
The science behind the effect of food on behavior has been studied for many years. Yet, research has not clearly identified an “ADHD diet.” Studies continue to search for foods that may help control ADHD.
But there’s one diet that’s the subject of quite a bit of interest. The “few-foods diet” for ADHD removes one or more foods in your diet.
The belief is that certain foods may cause or worsen ADHD symptoms. So removing problematic foods might help to improve symptoms. In the “few-foods diet,” parents limit a child’s diet to only a few recommended foods. They then reintroduce foods over a few weeks. This may help parents determine whether certain foods worsen their child’s ADHD.
Studies have examined the effects of eliminating many ingredients, including:
But only a small number of children with ADHD actually benefit when food additives or common food allergens are eliminated from their diets. It’s important to remember that careful research has not supported this approach as a form of treatment.
You should talk with your child’s healthcare provider or dietician about a diet plan that may help support your child’s physical and emotional well-being.
There are two types of medications available to treat ADHD: stimulants and non-stimulants.
Stimulants raise levels of dopamine in the brain. Dopamine is a brain chemical that helps improve attention and motivation. Most stimulants are available in immediate-release (IR) or extended-release (ER) forms. These medications are effective at lessening ADHD symptoms in both children and adults.
Non-stimulant medications affect the brain differently than stimulants. They may be used when stimulants don’t work well or have undesirable side effects.
There are many stimulant medications. Amphetamine salts and methylphenidate are two common ones. They’re both available as generic medications, but they also have many brand names.
Common brand names of amphetamine salts are Adderall, Dyanavel XR, and Evekeo. Common brand names of methylphenidate are Concerta, Daytrana, and Ritalin. Stimulants that only have brand names, such as Vyvanse (lisdexamfetamine), are also used frequently. Stimulants also come in many forms. This includes oral pills, oral liquids, and skin patches, to name a few.
If stimulant medications aren’t an option, non-stimulants are also available. Common non-stimulant ADHD medications are atomoxetine (Strattera), guanfacine ER (Intuniv), and clonidine ER (Kapvay). These are all oral pills.
Deciding which ADHD medication is best for your child will depend on your child’s age and symptoms. Some ADHD medications might not be a good fit for your child because they may have negative side effects. While different, both stimulant and non-stimulant medications have side effects.
The American Academy of Pediatrics recommends that ADHD medication doses are adjusted to find the right balance between benefits and side effects. Parents should work with their child’s healthcare provider to find the medication that works best for their child.
Your diet can affect the amount of acid in the stomach and intestines. This can affect how well the body absorbs ADHD medications like Adderall.
To avoid raising acid levels, the following acidic foods and drinks should be used in moderation, if possible:
Fruit juice
Citrus fruits
Foods high in Vitamin C (e.g., red peppers, strawberries, broccoli)
You should also consume drinks with caffeine in moderation. Another source of caffeine is chocolate, especially dark chocolate. Side effects like higher heart rate, nervousness, and trouble sleeping may occur when drinking too much coffee or tea.
Your diet can affect how well your ADHD medications work. When you eat or drink acidic foods or drinks, the level of acid in your digestive system goes up. This can lower the blood levels and effectiveness of amphetamines.
Extra acid prevents your body from absorbing as much amphetamines. This means there may be lower levels of medication in your bloodstream. Lower medication levels could mean worse ADHD symptoms.
Before considering any treatment for ADHD, talk with your child’s healthcare provider. Studies show that children with ADHD benefit from a healthy diet consisting of whole grains, fruits, vegetables, and low-fat proteins.
Your diet can affect your ADHD medication’s effectiveness. It’s important to limit or avoid acidic foods and drinks with certain ADHD medications. Before trying a new supplement or diet, it’s important to discuss possible risks and benefits with a healthcare provider.
American Academy of Pediatrics. (2019). Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents.
Arnold, L., et al. (2012). Artificial food colors and attention-deficit/hyperactivity symptoms: Conclusions to dye for. Neurotherapeutics.
Centers for Disease Control and Prevention. (2021). About nutrition. Why it matters.
Children and Adults with Attention-Deficit/Hyperactivity Disorder. (2016). Q&A: Can sugar make my child more hyperactive?
Children and Adults with Attention-Deficit/Hyperactivity Disorder. (2021). Nutrition and ADHD.
Children and Adults with Attention-Deficit/Hyperactivity Disorder. (2021). Q&A: What about caffeine for ADHD?
Groen, Y. (2019). A situation-specific approach to measure attention in adults with ADHD: The everyday life attention scale (ELAS). Applied Neuropsychology.
National Institutes of Health. (2019). Vitamin C.
National Institutes of Health. (2021). Attention-deficit/hyperactivity disorder.
National Institutes of Health. (2021). Attention-deficit/hyperactivity disorder in adults: What you need to know.
National Institutes of Health. (2021). Attention-deficit/hyperactivity disorder in children and teens: What you need to know.
Nigg, J., et al. (2014). Restriction and elimination diets in ADHD treatment. Child and Adolescent Psychiatric Clinics of North America.
Pellow, J., et al. (2011). Complementary and alternative medical therapies for children with attention-deficit/hyperactivity disorder (ADHD). Alternative Medicine Review.
Pelsser, L., et al. (2017). Diet and ADHD, reviewing the evidence: A systematic review of meta-analyses of double-blind placebo-controlled trials evaluating the efficacy of diet interventions on the behavior of children with ADHD. PLOS One.
Sarris, J., et al. (2011). Complementary medicines (herbal and nutritional products) in the treatment of attention deficit hyperactivity disorder (ADHD): A systematic review of the evidence. Complementary Therapies in Medicine.
Stevens, J., et al. (2013). Using stimulants for attention-deficit/hyperactivity disorder: Clinical approaches and challenges. The Primary Care Companion for CNS Disorders.
Temple, J., et al. (2017). The safety of ingested caffeine: A comprehensive review. Frontiers in Psychiatry.
Teva Pharmaceuticals. (2020). Adderall [package insert].
United States Department of Agriculture. (2020). Dietary guidelines for Americans 2020-2025.
Yu, C.J., et al. (2016). Sugar-sweetened beverage consumption is adversely associated with childhood attention deficit/hyperactivity disorder. International Journal of Environmental Research and Public Health.