Term
| What is first line treatment for ADHD? |
|
Definition
|
|
Term
| When does first-line fail? And what to use afterwards? |
|
Definition
Stimulants are consider to have failed when they fail to provide adequate help after trials of 2-3 agents. Atomoxetine (Strattera), a non-stimulant medication, can then be tried.
|
|
|
Term
| Which stimulant agent is normally tried first? |
|
Definition
The stimulant agent methylpenidate (available in various formulations), is usually tried first.
|
|
|
Term
| The longer - acting formulation of methylphenidate is preferred for whom? |
|
Definition
Preferred for childrent who would otherwise need dosing at school (which would require a nurse's office visit) and to help maintina more steady symptom control. |
|
|
Term
| What other agents are being used to treat ADHD? |
|
Definition
Guanfacine (has an extended release formulation Intuniv)
Clonidine (has an extended release formulation Kapvay)
Antidepressants are sometimes used as adjunctive treatments.
Fish oils (provide omega - 3 fatty acids) are a natural product increasingly used for a varitey of psychiatric conditions, including ADHD.
Evening Primrose oil (which provides omega - 6 fatty acids)
|
|
|
Term
| What schedule are stimulants? |
|
Definition
Stimulants are CII: instruct patient to not share with others and store in safe place. |
|
|
Term
| What are the some of the Heart-related problems associated wth stimulants? |
|
Definition
(1) Suddent Death in patients who have heart problems or heart defects
(2) Storke and heart attack in adults
(3) Increased blood pressure
Important for parents to inform doctor if theire child has any heard conditions.
|
|
|
Term
| What mental (Psychiatric) Problems does stimulant use produce? |
|
Definition
All Patients: new or worse behavior and thought problems, new or worse bipolar illness, new or worse aggressive behavior or hostility. |
|
|
Term
| What can stimulant manifest in Children and Teenagers? |
|
Definition
New psychotic symptoms (such as hearing voices, beleiving things thare are not true, are suspicious) or new manic symptoms.
|
|
|
Term
| Brand name for Dextroamphetamine and amphetamine IR |
|
Definition
|
|
Term
| Brand name for Dextroamphetamine and amphetamine ER? |
|
Definition
|
|
Term
| Brand name for Dextroamphetamine IR |
|
Definition
|
|
Term
| What is Lisdexamfetamine? |
|
Definition
| prodrug of dextroamphetamine |
|
|
Term
| Brand name for lisdexamfetamine |
|
Definition
|
|
Term
| Vyvanse may have decreased risk abuse because? |
|
Definition
| it cannot be injected or snorted |
|
|
Term
|
Definition
| Statement. Not a question. |
|
|
Term
| Brand name for methylphenidate IR |
|
Definition
|
|
Term
| Brand name for Methylpenidate long - acting |
|
Definition
|
|
Term
| Brand name for Methylphenidate IR extended release |
|
Definition
|
|
Term
| Brand name for Dexmethylphenidate IR |
|
Definition
|
|
Term
| Brand name for Dexemthylphenidate ER |
|
Definition
|
|
Term
| Which can either be taken whole or the capsules sprinkled on applesauce? |
|
Definition
Focalin XR
Ritalin LV
Metadate CD
Adderal XR
|
|
|
Term
| What is Concerta OROS delivery? |
|
Definition
The capsule's outer coat dissolves fast to give immediate action, and the rest is released slowly. |
|
|
Term
| Which are given in the AM |
|
Definition
Concerta, Metadate CD and Ritalin LA are all QAM (IRs and some others are divided) & Daytrana patch is QAM, applied to alternate hip 2 hours before desired effect (or as soon as the child awakens to it starts to deliver prior to school). |
|
|
Term
|
Definition
| Statement. Not a question. |
|
|
Term
| Which of the capsule contents can be mixed with water? |
|
Definition
Vyvanse; must be taken right away or else the medicine will dissolve and become ineffective. |
|
|
Term
| Instructions for how to use Daytrana Patch |
|
Definition
(1) The patch is applied to the hip area in the morning (avoid waistline on pants may cause it to rub off) and apply 2 hours before the desired effect.
(2) Replace each morning
(3) Alternate application site daily (left hip odd days, right hip evend days)
(4) Hold patch on skin for 30 seconds and smooth down edges
(5) When peeling off to discard, fold in half, put down the toilet or lidded trash can
(6) The patch should stay on during bathing and swimming
|
|
|
Term
Non-stimulants for ADHD are considered 2nd line and are not controlled substances. |
|
Definition
| Statment. Not a question. |
|
|
Term
[image]
(See the answer card for the continuation)
|
|
Definition
|
|
Term
| Black box warning for atomoxetine? |
|
Definition
| suicidal ideation in children |
|
|
Term
| Can the atomoxetine capsule be opened and it's contents stprinkled on, say, applesauce? |
|
Definition
|
|
Term
|
Definition
| Statment. Not a question. |
|
|
