ADD/ADHD Medications Flashcards
First line agents for ADHD that have the greatest efficacy and tolerable side effects
stimulants
Generic names or different forms of methylphendiate
ritalin, Concerta, Metadate
Generic names or diffferent forms of dextroamphetamine
Adderall
Favored dosing strategy for stimulant therapy due to convenience and diminished rebound side effects
once a day sustained release preparations
A prodrug of amphetamine with extended release dosing that was recently approved for ADHD
lisdexamfetamine (Vyvanse)
Second line agents for children and adolescents ?with ADHD
atomexetine (Stratera), Bupropion (Wellbutrin), Venlafaxine (Effexor)
At what age can children be prescribed pharmacotherapy for ADHD?
6 years
Most common side effects of amphetamine salts
decreased appetite, insomnia, headache
How often should children prescribe stimulants have their height, weight, BP, and pulse checked?
quarterly
Integral part of the psychotherapeutic interventions for ADHD
parental training
CI to stimulant therapy
those with CV symptoms or positive family h/o of heart disease, seizures, tourette’s, anxiety
Who do preschool children need to be evaluated by for ADHD?
behavioral health specialist
initial dose of methylphenidate SR (Ritalin)
20mg
initial dose of methylphenidate LA (Ritalin LA)
10mg
Initial dose of methphenidate ER (Concerta)
18mg
Dose titration for methylphenidate SR (Ritalin)
20mg per day every 3-7 days
Dose titration for methylphenidate LA (Ritalin LA)
10mg per dose every 3-7 days
Dose titration for methlyphenidate ER (Concerta)
9-18mg per dose every 3-7 days
Maximum doses for Ritalin and Ritalin LA
less than 50kg: 60mg
greater than 50kg: 100mg
Maximum doses for Concerta
less than 13 yrs: 54mg
greater than 13 yrs: 72mg
Black box warning for Strattera (Atomoxetine)
increased risk of suicide
