Med List 4: ADHD & Anti-Depressants

Question 1

Amphetamine/Dextroamphetamine

Answer 1

Brand: Adderall or Adderall XR

Strength: 5,10,15,20,25,30 mg

Frequency: qd

Indications:
- ADHD
- narcolepsy

Counseling Tips:
- take in morning due to insomnia
- weight loss from lowered appetite
- increased heart rate
- dry mouth
- headache

Question 2

Methylphenidate

Answer 2

Brand: Ritalin, Concerta

Strength:
- Ritalin: 5,10,20 mg
- Concerta: 18,27,36,54 mg

Frequency: qd

Indications:
- ADHD
- narcolepsy

Counseling Tips:
- take in morning due to insomnia
- weight loss from lowered appetite
- increased heart rate
- dry mouth
- headache

Question 3

Escitalopram

Answer 3

Brand: Lexapro

Strength: 5,10,20 mg

Frequency: qd

Indications:
- Depression
- Anxiety

Counseling Tips:
- headache
- insomnia or drowsiness **
- sexual dysfunction

Question 4

Venlafaxine

Answer 4

Brand: Effexor

Strength: 37.5, 75, 150, 225 mg

Frequency: qd

Indications:
- Depression
- Anxiety
- Panic Disorder
- Social phobia

Counseling Tips:
- headache
- insomnia or drowsiness **
- dry mouth
- take with food for upset stomach

Question 5

Fluoxetine

Answer 5

Brand: Prozac, Sarafem

Strength: 10, 20, 40 mg

Frequency: qd

Indications:
- Bipolar Disorder
- Bulimia nervosa
- major depressive disorder
- OCD
- panic disorder
- premenstrual dysphoric disorder (sarafem only)

Counseling Tips:
- sexual dysfunction
- anorexia
- diarrhea
- asthenia (lack of energy)

Question 6

Duloxetine

Answer 6

Brand: Cymbalta

Strength: 20, 30, 60 mg

Frequency: qd

Indications:
- depression
- anxiety
- diabetic peripheral neuropathic pain
- chronic musculoskeletal pain

Counseling Tips:
- insomnia or drowsiness **
- take with food for upset stomach

Question 7

Sertraline

Answer 7

Brand: Zoloft

Strength: 25, 50, 100mg

Frequency: qd

Indications:
- depression
- panic disorder
- OCD
- PTSD
- premenstrual dysphoric disorder
- social phobia

Counseling TIps:
- headache
- insomnia
- take with food for upset stomach
- sexual dysfunction

Question 8

Amitriptyline

Answer 8

Brand: Elavil

Strength: 10, 25, 50, 75, 100, 150 mg

Frequency: qd at bedtime

Indications:
- depression

Non-FDA
- chronic pain
- migraine
- insomnia

Counseling Tips:
- drowsiness
- weight gain
- constipation

Question 9

Trazodone

Answer 9

Brand: Desyrel

Strength: 50, 100, 150, 300 mg

Frequency:
- BID, TID: depression
- at bedtime for insomnia

Indications:
- depression
- insomnia

Counseling Tips:
- drowsiness
- take with food to increase absorption

Question 10

Bupropion

Answer 10

Brand: Wellbutrin, Zyban

Strength:
- SR: 100, 150, 200 mg
- XL: 150, 300 mg

Frequency:
- SR: 1 tablet po for 3-7 days, then bid
- XL: 1 150mg tablet po for 3-7 days, then 300mg tablet daily

Indications:
- Wellbutrin: depression & SAD
- Zyban: smoking cessation

Counseling Tips:
- insomnia
- begin 1 week before patient wants to quit smoking