ADHD Flashcards
T or F: TV/video games cause ADHD
F
T or F: Too many ppl are being dx’ed w/ ADHD.
F
What percentage of children w/ ADHD have at least 1 comorbid condition?
50-90%
T or F: There’re genetic and environmental factors in ADHD development.
T
When is ADHD dx met according to the DSM V?
When six of nine of listed sx’s in EITHER the inattentiveness category OR hyperactivity/impulsivity category are met for at least 6 mths
Which is more efficacious for tx’ing core ADHD sx’s?
- behavioural tx
- pharmacotx
- both
- pharmacotx (for the core ADHD sx’s)
Which is more efficacious for tx’ing 2ndary outcomes in ADHD pts?
- behavioural tx
- pharmacotx
- both
- both
Which drug is Health Can-approved for ADHD monotx?
atomoxetine
According to CADDRA guidelines, which stimulant(s) are considered 1st line?
Long-acting fmlations of stimulant meds (methylphenidate or amphetamine)
- amphetamine mixed salts (Adderall XR)
- lisdexamfetamine (Vyvanse)
- methylphenidate controlled-release (Biphentin)
- methylphenidate extended-release (Concerta)
What is the interaction b/w carbamazepine and methylphenidate?
Carb induces 3A4
Methylphenidate is partly metabolized by 3A4
–>Reduced methylphenidate effectiveness
3 hallmarks of ADHD?
- inattention
- hyperactivity
- impulsivity
T or F: ADHD is the most treatable mental health condition
T
T or F: Attention probs of ADHD decline with time in adolescents.
F
Hyperactivity declines with time in adolescents
T or F: Pharm tx alone for ADHD is better than behavioural tx alone.
T
What is the reason for clinical differences observed when some brand name ADHD meds are changed to bioequivalent generics?
Diffs in Tmax b/w the two drugs
What do the stimulants used for ADHD tx do to help relieve sx’s? (i.e. MOA)
they increase intrasynaptic DA and NE (methylphenidate and amphetamine derivatives) and increase release of presynaptic catecholamines (amphetamine derivatives)
MOA of atomoxetine
Selective NE reuptake inhibitor > reduces ADHD sx’s and reduces tic severity
MOA of guanfacine
alpha-2 adrenergic agonist > reduced ADHD sx’s and tics
What drug may be considered as adjunctive tx in ADHD pts, esp. if they suffer from depression?
Bupropion
T or F: Clonidine is less effective than guanfacine XR for ADHD tx
T
T or F: Sleep issues are common for children suffering from ADHD
T
What’s the only OTC med that’s been shown to be safe and effective for tx of insomnia in children w/ ADHD?
melatonin
