MH pharm

Question 1

what are first line drugs for ADHD in peds/adolescent 6+?

Answer 1

amphetamine-based stimulant (Adderall, Dexedrine, Vyvanse)

Question 2

what is the MOA for amphetamine-based stimulants

Answer 2

CNS sympathetic neuron stimulant (release NE and dopamine, prevent reuptake)

Question 3

what are contraindications for amphetamine-based stimulants

Answer 3

MAOI (up to 14 days past d/c), glaucoma, untreated hyperthyroidism, Htn, pheochromocytoms, symptomatic CV disease, psychosis

Question 4

what is the black box warning for amphetamine based stimulants

Answer 4

high potential for abuse, dependence, and withdrawal

Question 5

what is a first line treatment for ADHD & narcolepsy?

Answer 5

methylphenidate based stimulants (concerta/metadat, Ritalin, Focalin)

Question 6

what is the starting dose and titrating schedule for adderal (amphetamine) in children 6-12

Answer 6

start at 5mg daily in the am, increase by 5-10mg to max of 30mg

Question 7

what is the starting dose and titrating schedule for ritalin (methyphenidate) in children 6-12

Answer 7

5mg BID/TID, increase by 5mg to max of 60mg

Question 8

what is the starting dose and titrating dose of adderall in children 13-17

Answer 8

5-10mg daily in am, increase 5 to max of 50mg

Question 9

what is the starting and titrating dose of ritalin in children 13-17

Answer 9

start 5mg BID/TID, increase 5mg to max of 60

Question 10

what is the starting dose and titrating dose of adderall in adults 18+

Answer 10

10mg daily in am, increase by 5mg to max of 50mg

Question 11

what is the starting dose and titrating dose of ritalin in adults 18+

Answer 11

5mg BID/TID/QID, increase 5mg to max of 100mg