ADHD Flashcards
What are the three hall mark symptoms of ADHD?
Inattentive
Hyperactivity
Impulsivity
What are the pharmacological treatment of ADHD?
Psychostimulant ( dextroamphitamine, methylphenidate)
Atomoxetine
Antidepressants(Bupropion, venlafaxine,TCAs)
Alpha2 Agonists (Clonidine, Guanfacine)
Antipsychotics (Risperidone)
Natural Health products (Chamomile, Valerian, Melatonin)
What is the stimulant used in treatment of narcolepsy?
Modafinal
What to monitor in children’s taking stimulants?
The stimulants have potential for growth suppression ( i.e. Record weight and height monthly)
What are the side effects of stimulants.
Headache, insomnia,
hallucinations,
seizures,
growth suppression, anorexia, weigh loss,
glassy eye rapid involuntary eye movement, zombie like effect
1st line agent for treatment of ADHD?
Stimulants (3-4 week trial) if improve continue 6-12 months.
No improve or No tolerate- switch another stimulant
If patient has risk of diverting stimulants . What to use?
Agents with less abuse potential
Atomoxetine
Guanfacine
Major side efects of atomoxetine
suicide idea
sudden cardic death
liver toxicity
What antidepressents can be taken as 2nd or 3rd line in patients with ADHD?
Bupropion (NDRI)
Venlafaxine ( SNRI)
TCA
What ADHD symptoms are affected by SGAs ( Risperidone)?
Affects behaviour symptoms like hyperactivity and impulsivness.
DONOT / Less effect on affect Inattention
selective alpha 2a agonist used in children 6-17 years?
Guanfacine
what are the medications that can decrease seisure threshold?
bupropion
