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Exam 2
Lecture 6
57
Archaeology
7th Grade
09/23/2013

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Term
concerta
Definition
mephylphenidate long acting
Term
Daytrana
Definition
mephylphenidate long acting
Term
Ritalin LA
Definition
mephylphenidate long acting
Term
Metadate CD
Definition
mephylphenidate long acting
Term
Focalin
Definition
dexmethylphenidate
Term
Adderall
Definition
amphetamine/dextroamphetamine
Term
Vyvanse
Definition
lisdexamfetamine
Term
Strattera
Definition
atomoxetine
Term
Intuniv
Definition
guanfacine ER
Term
onset of symptoms of ADHD is at what age
Definition
3
Term
look on lside 4 to quikcly go over symtpoms
Definition
Term
when is behavioral therapy reccomended
Definition
if pt is medicated or not medicated
Term
Stage 1:
therapy for 4-5 yo
Definition
behavior therapy only
Term
Stage 1:
therapy for 6-18 years
Definition
stimulants unless contrinidcated
Term
for therapy what type of med do you want?
Definition
long acting
Term
if one class of chemical stimulants fails what do you do?
Definition
switch to antoher stimulant class
Term
Stage 2:
therapy for 4-5 yo
Definition
methylphenidate
Term
Stage 2:
therapy for 6-18
Definition
atomoxeitine, guanfacine ER, clonidine XR
Term
if a pateint had a partial repsonse to a stimulant, what do you do in stage 2?
Definition
add the adrenerigc agent as an adjunct
Term
for adults, what is first line theray?
Definition
stimulants
Term
for adults, what are the contraindicaitons for first line therapy-4
Definition
substance abuse, hypertension, cardiac disease, anxiety disorder
Term
what are examples of behavior therapy-4
Definition
postive reinforcement
time-out
response cost
token economy
Term
what is the MOA for all stimulants?
Definition
inhibit DA and NE transporters
Term
what are 2 other MOA for stimulants, which class is the one known for these?
Definition
increase catecholamine release,
inhibit MAO
amphetamines
Term
stimulant classes approved for older than 6 yo-2
Definition
methylphenidate
lisdexamfetamine
Term
which stimulant class approved for 3 yrs and older
Definition
amphetamine
Term
how often is ritalin and methylin dosed?
Definition
2-3x
Term
how often is ritaline SR, methylin ER, and metadate ER dosed?
Definition
1-2x
Term
how often is Metadate CD, Ritalin LA, Concerta, or Daytana dosed?
Definition
1x
Term
how often is Focalin dosed?
Definition
2x
Term
how often is Focalin XR dosedd?
Definition
1x
Term
how often is Dexedrine, and Dextrostat dosed
Definition
2x
Term
how often is Dexedrine Spansule dosed
Definition
1-2x day
Term
how often is Vyvanse dosed?
Definition
1x
Term
how often is Adderall dosed
Definition
1-2x daily
Term
how often is adderall XR dosed
Definition
1x
Term
Concerta has what that prevent sfrom breaking it?
Definition
intermediate coating and then OROS inside
Term
what is the patch med
Definition
Daytrana
Term
how does itt ake for effects of Daytrana to be seen after applied
Definition
2 hours
Term
where do you apply Daytrana
Definition
hip
Term
what meds can be opened and spread on applesauce?
Definition
extedned release
(ritalin La, Metadate CD, Focalin XR, Adderall XR
Term
stimulants ADEs:
to reduce GI upset?
Definition
take with meals/lower dose
Term
stimulants ADEs:
reduced appetite
Definition
high calorie meal in breakfast or late evening
Term
stimulants ADEs:
insomnia
Definition
give last dose earlier in day or lower last dose
Term
stimulants ADEs:
headache
Definition
take on full stomache
Term
stimulants ADEs:
rebound symtpoms
Definition
consider long acting agent
Term
stimulants ADEs:
irritable
Definition
LOWER DOSE
Term
less common ADes of stimulants that have a warning on the label-4
Definition
mania, aggression, anxiety, psychosis
Term
Bc of cardiac problems, what needs to be done when taking stimulants
Definition
ECG at baseline, then monitor pulse and BP at visits
Term
how much can stimulants decrease height?
what should you do to lower this chance
Definition
.4 inches per year ins first 3 yrs
take drug free summers
Term
MOA of atomoxetine
Definition
SNRI
Term
when is atomoxetine taken twice daily
Definition
children
Term
which med is metabolized by 2D6
Definition
atomoxetine
Term
ask someone if we need to know odsing for atomextine or other drugs in this lecture
Definition
Term
adrenergic agents are adjuntcs for-2
Definition
insomnia nad aggression
Term
which adrernergic agents has less sedaiton and hypotension?
Definition
guanfancine ER
Term
adererngic agents ADEs
Definition
hypotension, sedation, dizzy
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