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naplex > ADHD > Flashcards

ADHD Flashcards

1
Q

ADHD

A
  • Chronic illness
  • Need cognitive behavior therapy FIRST
  • Believed to be connected to defects in DA system (lack of DA/NE)
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2
Q

ADHD Sxs

A
  • Inattention
  • Hyperactivity
  • Impulsivity

Ex:

  • Difficulty focusing
  • Easily distracted
  • Trouble staying still
  • Unable to control impulsive behavior
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3
Q

Diagnosis Criteria

A
  • Sxs must be present before age 12
  • Present in 2+ settings
  • 6+ sxs must be present for at least 6 months
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4
Q

Natural Products for ADHD

A
  • Fish oils!

- Melatonin can help with sleep in these patients

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5
Q

First-line for ADHD

A
  • Concerta, Daytrana, or Ritalin
  • Vyvanse
  • Adderall XR and IR (usually old)
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6
Q

Alternatives for ADHD

A
  • 2nd line: Strattera (decreases abuse risk, or after 2-3 meds fail)
  • Intuniv - guanfacine (causes sedation)
  • Kapvay - clonidine (causes sedation)
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7
Q

Sleep Options

A
  • Clonidine IR
  • Diphenhydramine
  • OR Intuniv/Kapvay (less sedating, ER forms)
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8
Q

Stimulants

A
  • CII: need med guide
  • Need to ensure heart is in good condition/not too fast
  • Need BP, weight, height, and HR checked at each visit
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9
Q

Stimulant Dosing

A
  • Titrate dose Q7d
  • No need to taper when D/C IF used as directed
  • Prefer taking once daily in morning
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10
Q

Vyvanse

A
  • Capsule form
  • Mix in water, orange juice, or yogurt (all others are beads in capsule that go on a small amount of applesauce)
  • Has chewable option, not used as much
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11
Q

QuilliChew ER

A
  • Methylphenidate
  • Chewable tablet - can be cut/chewed
  • Quillivant XR is a long acting suspension option as well
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12
Q

Stimulant Info

A
  • Daytrana: place on hip, can lose pigmentation on those skin sites (put on 2 hours before desired effect)
  • SE: Nausea, insomnia, HA, dry mouth, blurry vision, irritability, priapism
  • New onset psychosis/increases seizure risk
  • Consider ECG and monitoring BG/HR
  • Monitor height/weight
  • CI w/in 14 days of MAOI use
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13
Q

Concerta

A
  • Methylphenidate
  • Small capsules
  • CANNOT be opened, crushed, etc
  • OROS formulation (combo of IR/ER) - ghost capsule
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14
Q

Strattera Box Warnings

A
  • Atomoxetine, non-stimulant option
  • Suicidal ideation
  • Worsening mood
  • MAOI use w/in 14 days
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15
Q

Atomoxetine Info

A
  • Hepatotoxicity
  • Priapism
  • Do NOT open capsule - irritant
  • Can reduce height/weight of children too
  • Similar SE to stimulant + sexual dysfunction
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16
Q

Central Alpha-2 Agonists

A
  • Intuniv - guanfacine ER
  • Kapvay - Clonidine ER
  • Somnolence!
  • Can be taken monotherapy or with stimulants

naplex (59 decks)

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