ADHD

Question 1

When is pharmacological therapy indicated in ADHD?

Answer 1

When environmental modifications have been made but there is still impaired function in at least 1 area

Question 2

1st line pharmacological therapy in ADHD?

Answer 2

stimulants- lisdexamphetamine or methylphenidate

Question 3

When is dexamphetamine inidcated in ADHD therapy?

Answer 3

When response is shown from lisdexamphetamine therapy but the long duration cannot be tolerated

Question 4

Which ADHD drug is most associated with sexual dysfunction?

Answer 4

Atomoxetine

Question 5

What class of drugs does guanfacine belong to?

Answer 5

alpha 2a agonists

Question 6

2nd line in ADHD if not response to stimulants

Answer 6

Atomoxetine

Question 7

Describe guanfacine’s place in therapy

Answer 7

Can be initiated under specialist advice in addition to stimulants

Question 8

Which ADHD medications is associated with postural hypotension?

Answer 8

guanfacine

Question 9

Which ADHD drugs are cautioned in epilepsy/ seizure history?

Answer 9

atomoxetine and stimulants

Question 10

Which ADHD drugs are contraindicated in mania/ uncontrolled bipolar disorder?

Answer 10

Stimulants

Question 11

Which ADHD drug is most associated with the development of tics?

Answer 11

stimulants- reduce dose or change to alternative treatment if they develop

Question 12

Which ADHD drug is associated with hypertension?

Answer 12

stimulants

Question 13

How long a gap should there be between the initiation of a mono oxidase inhibitor and atomoxetine/stimulants?

Answer 13

14 days

Question 14

What are the contraindications to atomoxetine?

Answer 14

severe cerebrovascular or cardiovascular disease and phaeochromocytoma