Chapter 66: ADHD Flashcards
Inattention Requirments
> = 6 symptoms of inattention for children up to age 16
or
= 5 symptoms for ages 17 and older
Must have been present for at least 6 months
Hyperactivity and Impulsivity Requirments
> =6 symptoms of hyperactivity/impulsivity for children up to age 16
or
=5 symptoms for ages 17 and older
Must have been present for at least 6 months
Methylphenidate SE
Insomnia
Decreased appetite/weight loss
Headache
Irritability
Methylphenidate Monitoring
Consider ECG prior to Tx
Monitor BP and HR
Heigh and Weight
Ritalin Dosing
Start 5mg bid
Concerta Dosing
OROS delivery: outer coat dissolves fast and the rest is dissolved slowly
Can see ghost tab in stool
Start 18-36mg qam
Ritalin LA dosing
Jornay PM: outer coating delays drug release for evening dose
Daytrana dosing
10mg/9hr patch QAM
Apply 2 hours before desired effect
Remove after 9 hours
Alternate Hips daily
Lisdexamphetamine formulations
Vyvanse
Capsule
Chewable
Tablet
Strattera
Atomoxetine
SNRI
Strattera Boxed Warnings
Risk of suicidal ideation
Strattera CI
MAOi use within the last 14 days
Strattera SE
Decreased appetite Insomnia Somnolence Dry Mouth Hypertension Tachycardia
Clonidine Warnings
Dose dependent cardiovascular effects
Do not stop abruptly (rebound htn)
Clonidine SE
Dry mouth Somnolence Fatigue Dizziness Constipation Decreased HR Hypotension
