ADHD Flashcards
List of stimulants for ADHD
Amphetamine salts (Adderall)
Dextroamphetamine (Dexadrine)
Lisdexamphetamine (Vyvanse)
Methylphenidate (Ritalin, Concerta)
Dexmethylphedinate (Focalin)
Adderall Dexadrine Vyvanse Ritalin / Concerta Focalin
ADHD Stimulants warnings
Adderall Dexadrine Vyvanse Ritalin, Concerta Focalin
CV, CVA, MI
Psychosis exacerbation
Growth suppression
Peripheral vasculopathy
ADHD Stimulants Contraindicated
Adderall Dexadrine Vyvanse Ritalin, Concerta Focalin
MAOIs
Anxiety
Agitation
Non-stimulant ADHD med which is a selective NE reuptake inhibitor
Atomoxetine (Strattera)
Atomoxetine (Strattera) Warnings
Suicide Ideation
CV, High BP/HR
Psychosis
Liver
technically not a controlled substance
Other non stimulants for ADHD
Buproprion (Wellbutrin)
Antihypertensives
- Clonidine
- Guanfacine
Treatment guidelines for peds ADHD
1st line: CBT, stims
2nd line: Atomoxetine
Which benzos are still used for insomnia
Temazepam - short term, 2 weeks
Triazolam, pre-op anxiety
Class of drugs that are first line for short term treatment of insomnia
BDZ Receptor Agonists
- Ambien (Zolpidem)
- Lunesta (Eszo)
- Sonata (Zaleplon)
Indications for Ambien (Zolpidem)
Sleep onset, sleep maintenance
XR for up to 6 months, otherwise 2 weeks
Ambien (Zolpidem) drug interactions
3A4 substrate
- Azoles
- Clarithro/erithromycin
- Ritonavir
Which BZD receptor agonist is less likely to have next-day-impairment
Sonata (Zaleplon) - only need 4 hours
Melatonin receptor agonist
Ramelteon
for sleep latency
take on empty stomach within 30 min going to bed
Avoid ramelton in patients with
liver problems
Treatment for Non-24-Hour Sleep Disorder
Tasimelton (Heliotz)