NS: Attention deficit hyperactivity disorder

Question 1

ADHD symptoms typically appear in children at what age?

Answer 1

3-7 years

Question 2

What is the first-line treatment of ADHD for adults?

Answer 2

Methylphenidate.

Question 3

What drugs can be considered in patients unresponsive or intolerant to methylphenidate? How long should the initial trial with methylphenidate last?

Answer 3

Atomoxetine or dexamfetamine sulfate should be considered in patients unresponsive or intolerant to methylphenidate (an adequate trial should usually be about 6 weeks).

Question 4

In second-line treatment of ADHD, why may atomoxetine be used in lieu of dexamfetamine?

Answer 4

If there may be a concern abou the potential for drug misuse and diversion.

Question 5

Patients treated with atomoxetine should be observed for what side effects?

Answer 5

Agitation
Irritability
Suicidal thinking 
Self-harming behaviour
Unusual changes in behaviour.

Question 6

Drugs used for ADHD include:
1.
2.
3.
4.
5.
6.

Answer 6

1. Guanfacine
2. Imipramine
3. Lisdexamfetamine
4. Methylphenidate (1st line)
5. Atomoxetine
6. Desamfetamine