ADHD - CADDRA Flashcards
1
Q
Comorbidity in ADHD?
A
Bipolar - stabilize mood first
1st line: bupropion
2nd line: Modafanil, CBT
MDD:
prioritize depression if moderate-severe
2
Q
Guanfacine side effects
A
sedation, somnolence, reduced BP, reduced HR, headaches
3
Q
When is atomoxetine indicated for first line?
A
- non responsive to stimulant
- significant side effects with stims
- tic disorder
- epilepsy
- substance use/diversion
- comorbid anxiety
4
Q
ADHD-CADDRA (First line)
A
Long acting stims:
- Methylphenidate - Concetra, Biphentin
- Adderral, Vyvanse
5
Q
CADDRA - Second line
A
Dexedrine
Methylphenidate short acting
Atomoxetine
Guanfecine
6
Q
Prevalance of ADHD
A
Children - adolscent - 5%
Adults - 2.5%
7
Q
Heritability RF in ADHD?
A
Parents with ADHD - >50% risk child dx with ADHD
1st degree relative - 30-40% chance of ADHD
8
Q
Neuroimaging changes in ADHD
A
decreased brain volume
reduced brain volume in cortical areas
delayed brain maturation - delays in peak cortical thickness
9
Q
ADHD evaluation in chidlren and adolescents
A
Parent interview Child interview & MSE Collateral from teachers/other sources Questionnares for parents/teachers - conners rating scale revised - snap -IV teacher/parent rating scale - consider functional impairment scale
