Term
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Definition
Inattention OR hyperactivity/impulsivity
-17 or older > or = 5 symptoms
-16 and younger > or = 6 symptoms
-Several present prior to age 12
Duration > or = 6 months
Several present in > or = 2 settings
inconsistent w/ developmental level
Negatively impact social, academic, or occupational activies |
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Term
| Stimulant SEs and management: |
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Definition
Stomach ache: decrease dose, give with food
Insomnia: Give earlier in day, lower last dose, use sedating medication at bedtime
Headache: Divide dose, give with food, use IBU or APAP
Rebound symptoms: Trial of LA stimulant, atomoxetine, or antidepressant
Irritability: Rule out psychiatric condition, reduce dose, use ER agent, switch therapy |
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Term
| Age Specific Therapy Options |
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Definition
Preschool (4-5 yo):
1) behavioral therapy
2) may use methylphenidate
Elementary school (6-11yo):
1) Drug therapy w/ behavioral therapy
Adolescents (12-18yo):
1) Drug therapy w/ behavioral therapy |
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Term
| Treatment of ADHD in those with Subsance Abuse |
|
Definition
Atomoxetine (Stattera):
MOA: selective NE reuptake inhibitor
ONLY NON-STIMULANT APPROVED FOR ADULTS
BBW: Suicidal ideation
Bupropion:
MOA: NDRI
Not approved for ADHD
Guanfacine & Clonidine
MOA: Alpha-2 agonist
FDA approved in children & adolescents age 6-17 as mono or adjunct therapy |
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Term
| Methylphenidate 0-5mg BID-TID --> Concerta |
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Definition
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Term
| Methylphenidate 10mg BID-TID or 40mg SR --> Concerta |
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Definition
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Term
| Methylphenidate 15mg BID-TID or 60mg SR --> Concerta |
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Definition
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Term
| Methylphenidate 20mg BID-TID --> Concerta |
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Definition
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Term
| Long Acting Methylphenidate |
|
Definition
Methadate CD
Ritalin LA
Concerta
Daytrana
Quillivant
DOA: 8-12H
Administer before noon |
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Term
|
Definition
Must administer with liquids
CAPSULE MAY APPEAR IN STOOL |
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Term
|
Definition
Transdermal patch
Apply to hip 7 remove 9 hours later
Active for 3 hours after removal
ALL PTS: start with 10mg patch |
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Term
|
Definition
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Term
|
Definition
(b) Focalin
Dosing:
IR 5mg QAM or 2.5mg BID
XR: pedi 5mg QAM; adult 10mg QAM
SA: 10mg methylphenidate = 5mg Focalin |
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Term
| Contraindications to methylphenidate and/or amphetamines |
|
Definition
1) History of substance abuse
2) Use w/in 14 days of MAOI
2) Agitation |
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