ADHD (3) Flashcards
what age do you have to see symptoms before for ADHD
12 (used to be 8)
how many symptoms, how long for dx of combined ADHD
6 inattention symptoms, 6 hyperactive/impulsive symptoms for 6 months
what part of the brain is considered to by hypoactive in ADHD
anterior cingulate cortex (ACC)
what 2 neurotransmitters are usually low in ADHD?
DA and NE
what are some environmental causes of ADHD
smoking/drinking in utero
lead poisoning
head injuries
what is the most common co-diagnosis in adult ADHD
anxiety disorder
what are the side effects of giving stimulants
risk of addiction
stunts growth
weight loss
what drug:
“norepi reuptake inhibitor, raise NE, ACC starts firing again”
atomexetine (non stimulatory drug)
what 2 drugs are alpha2 NE agonists to treat ADHD
guanfacine and clonidine
side effects of guanfacine and clonidine?
lower BP
how does guanfacine and clonidine work in the fontal cortex
help to improve signal to noise ratio
what medication should you start with in children & adolescents?
start with addictive slow release
what medication should you start with in adults?
immediate release of non-addicting drugs