ADHD

Question 1

What is the first line therapy for treating ADHD?

Answer 1

Cognitive behavioral therapy

Question 2

What is the first-line drug treatment for ADHD?

Answer 2

1) Methylphenidate (Concerta, Daytrana patch, Ritalin)
2) Lisdexamphetamine (Vyvanse)

Use these in the AM

Question 3

What are the drugs that are usually added on to stimulants?

Answer 3

Intuniv (Guanfacine XR)
Kapvay (Clonidine XR)

Question 4

What are the Stimulants?

Answer 4

‘Phenidates’ and ‘Amphetamines’

1) Methylphenidate
2) Dexmethylphenidate
3) Amphetamine/dextroamphetamine (mixed salts) Adderral
4) Dextroamphetamine
5) Lisdexamfetamine
6) Methamphetamine

Question 5

What are the non-Stimulants?

Answer 5

1) Atomoxetine (Straterra)
2) Clonidine (alpha 2 agonist) (Kapvay)
3) Guanfacine (alpha 2 agonist) (Intuniv)

-Clonidine and Guanfacine are both sedating. These are both XR.

Question 6

Are stimulants controlled?

Answer 6

C2

Question 7

Boxed Warnings of Stimulants

Answer 7

1) Heart problems

Question 8

How do Amphetamines work?

Answer 8

Accentuate release and block reuptake of Dopamine and Norepinephrine in presynaptic neurons

Question 9

What are the side effects of Stimulants?

Answer 9

Nausea, insomnia, headache, irritability, blurry vision, dry mouth

*We always start low and titrate up because of the nausea and BP and HR effects.
*Monitor weight and height for children since they loose appetite with stimulants.

Question 10

When are stimulants usually taken?

Answer 10

AM