ADHD, Pharmacology of Stimulants part 3 Flashcards
Atomoxetine
6 years or older
Blocks NET
Weight-based dosing
SE: increased HR and BP, hepatitis
Boxed warning: suicidal ideation
Viloxazine
6-17 yo
Blocks NET
Age-based dosing
SWALLOW WHOLE
SE: increased HR and BP
Boxed warning: suicidal ideation
Clonidine ER
BID dosing
Alpha-2-agonist
Added with stimulant at bedtime
Onset is 4 weeks
SE: orthostasis hypotension
if combined with stimulants–>order ECG
Drowsiness, dizziness
Guanfacine ER
Once daily dosing
Alpha-2-agonist
Added with stimulant at bedtime
Onset is 4 weeks
SE: orthostasis hypotension
if combined with stimulant–>order ECG
Drowsiness, dizziness
Bupropion
Not FDA approved
CI in seizures and eating disorders
TCA
cardiac concerns (sudden cardiac death in children)
Atypical antipsychotics
ADHD + Bipolar/conduct/intermittent explosive disorder
Mydaysis
mixed amphetamine salts
ages 13-17
Daytrana
methylphenidate
apply patch 2 hrs before stimulant effects are needed and remove 9 hours after
Lisdexamfetamine
prodrug
SWALLOW WHOLE
Journey PM
take in evening between 6:30-9:30 PM