Misc CNS + ADHD Flashcards

1
Q

nonpharmacological tx for muscle spasms

A

heat, massage, TENS unit

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2
Q

3 types of pharmacological tx for muscle spasms

A
  1. acetaminophen
  2. NSAIDS
  3. muscle relaxants
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3
Q

muscle relaxants are part of which type of pain management

A

multimodal :)

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4
Q

what is the prototype for muscle relaxants?

A

cyclobenzaprine (Flexeril, Flexmid)

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5
Q

what is the most efficacious drug for muscle spasms?

A

cyclobenzaprine (Flexeril, Flexmid)

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6
Q

what are the SE for cyclobenzaprine?

A

CNS - drowsy, dizzy, fatigue

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7
Q

what substances should be avoided with cyclobenzaprine use?

A

ETOH, other CNS drugs

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8
Q

do CNS effects diminish with use with cyclobenzaprine or remain in tact?

A

diminish with continued use

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9
Q

what is the drug of choice for spasticity (MS, CP)?

A

baclofen (Lioresal)

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10
Q

what is the MOA for baclofen (Lioresal)?

A

decreases spasms with no muscle weakness

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11
Q

SE of baclofen

A

CNS effects

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12
Q

to avoid baclofen OD (respiratory death + coma), what do we need to do?

A

slowly titrate doses over time… start low and go slow

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13
Q

what substances should be avoided with baclofen (Lioresal) tx?

A

ETOH + other CNS drugs

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14
Q

what is the most efficacious drug (stimulant) for ADHD tx?

A

methylphenidate (Concerta)

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15
Q

how long does the efficacy of methylphenidate (Concerta) last? what would happen then?

A

2-3 years – you would expect to switch over to a non-stimulant ADHD drug (atomexetine - Straterra)

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16
Q

with which type of ADHD drug would you see effects QUICKLY?

A

stimulant ADHD drug - methylphenidate (Concerta)

17
Q

SE of methylphenidate

A

insomnia, decreased appetite, growth suppression, HA

18
Q

what is the prototype for non-stimulant ADHD tx?

A

atomoxetine (Straterra)

19
Q

when are non-stimulant ADHD drugs typically used?

A

when the first line stimulant ADHD drug efficacy has worn off

20
Q

which of the ADHD treatment drugs takes 1-3 weeks for full effect?

A

non-stimulant (atomoxetine - Straterra)

21
Q

what is the most concerning SE in atomoxetine?

A

suicidal thinking, especially in kids

22
Q

what are 2 other options for non-stimulant ADHD treatment, often for kiddos?

A

guanficine + clonidine (BP meds)