Behavioral Peds (ADHD) Flashcards

1
Q

What is best ADHD med if coexisting emotional or behavioral condition

A

alpha 2 adrenergic agonist

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2
Q

What is the best ADHD drug if concern for drug abuse, personal or family history?

A

Strattera - not a stimulant

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3
Q

Methylphenidate preparations

A

Ritalin or methylin or Concerta or Ritalin LA or Focalin Xr

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4
Q

Methylphenidate short acting duration of action

A

3-5hours

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5
Q

Methylphenidate dosing

A

5-20mg bid (ritalin or methylin)

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6
Q

Dexmethylphenidate trade name

A

Focalin

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7
Q

Focalin duration of action

A

5-6hours

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8
Q

Detroamphedamine trade name

A

Dexedrine

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9
Q

Amphetamine-dextroamphetamine trade name

A

Adderall 4-6 hour duration

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10
Q

What are the short acting preparations?

A

Ritalin and Adderall, focalin

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11
Q

Duration of action of Methylphenidate SR and ER

A

3-8 hours, delayed onset with continuous release

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12
Q

How is Methylphenidate LA different that SR or ER?

A

Comes in capsules you can sprinkle - bimodal, 50% immediate release, 50% delated release over 8-12 hours

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13
Q

What is concerta?

A

Methylphenidate ER - 20% immediate, 80% long acting over 10-12 hours. Only in tablet form

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14
Q

What is daytrana?

A

Methylphenidate patch - onset 2 hours after application of patch and continueous release over 10-12 hours.

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15
Q

What is Adderall XR?

A

Amphetamine-dextroamphetamine ER; Combo of immediate and continuous release over 8-10 hours

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16
Q

What is vyvanse?

A

Lisdexamfetamine; prodrug converted in bloodstread with effect over 10 hours. Must dissover capsule in water for immediate use

17
Q

What is Strattera?

A

Atomoxetine; SNRI. 10-12 hours

18
Q

What are the alpha 2 adrenergic agonists?

A

Intuniv (guanfacine) 10-12 hours, Kapvay (ER clonidine)

19
Q

What are disadvantage of strattera?

A

Potential increased risk of suicide, takes 2 weeks to get to steady state, no opportunity for drug holiday