Behavioral Peds (ADHD) Flashcards
What is best ADHD med if coexisting emotional or behavioral condition
alpha 2 adrenergic agonist
What is the best ADHD drug if concern for drug abuse, personal or family history?
Strattera - not a stimulant
Methylphenidate preparations
Ritalin or methylin or Concerta or Ritalin LA or Focalin Xr
Methylphenidate short acting duration of action
3-5hours
Methylphenidate dosing
5-20mg bid (ritalin or methylin)
Dexmethylphenidate trade name
Focalin
Focalin duration of action
5-6hours
Detroamphedamine trade name
Dexedrine
Amphetamine-dextroamphetamine trade name
Adderall 4-6 hour duration
What are the short acting preparations?
Ritalin and Adderall, focalin
Duration of action of Methylphenidate SR and ER
3-8 hours, delayed onset with continuous release
How is Methylphenidate LA different that SR or ER?
Comes in capsules you can sprinkle - bimodal, 50% immediate release, 50% delated release over 8-12 hours
What is concerta?
Methylphenidate ER - 20% immediate, 80% long acting over 10-12 hours. Only in tablet form
What is daytrana?
Methylphenidate patch - onset 2 hours after application of patch and continueous release over 10-12 hours.
What is Adderall XR?
Amphetamine-dextroamphetamine ER; Combo of immediate and continuous release over 8-10 hours
What is vyvanse?
Lisdexamfetamine; prodrug converted in bloodstread with effect over 10 hours. Must dissover capsule in water for immediate use
What is Strattera?
Atomoxetine; SNRI. 10-12 hours
What are the alpha 2 adrenergic agonists?
Intuniv (guanfacine) 10-12 hours, Kapvay (ER clonidine)
What are disadvantage of strattera?
Potential increased risk of suicide, takes 2 weeks to get to steady state, no opportunity for drug holiday
