Pharm, ADHD Flashcards
triad to ADHD
inattentiveness, hyperactivity, impulsiveness
onset ADHD
before age 12
DSM5 criteria ADHD
6+ Sx of inattention and or hyperactivity and impulsivity
and!!
-onset before 12 y.o
-impairment in 2 settings (school and home)
-impairment in social function
-no other pervasive disorder
combined ADHD
hyperactivity and inattention forms
treatment and management of ADHD
education for patient, parents, teachers, physician
medication effects for ADHD
dec fidgeting, interruption, aggressiveness, antisocial behavior,
inc: peer acceptance, efficiency, on task behavior, accuracy, short term memory, parent- child interactions, performance on motor tasks
what is methylphenidate
ritalin, methylin
stimulant
forms of ritalin
short acting, intm acting and long acting
what is dexmethylphenidate
focalin
stimulant
dextroamphetamine
dexedrine
stimulant
amphetamine mixed salts
adderall
sitmulant
disdexamfetamine
Vyvanse
stimulant
longer duration
cannot be crushed and injected to get high
Methylphenidate MOA
increase DA from blocking reuptake
atomextine
NE reuptake inhibitor
increase prefrontal DA
action of guanfacine and clonidine
decrease CNS sympathetic outflow
action of wellbutrin and TCAs
increase serotonin
expected benefits with stimulants
improved concentration
all other benefits secondary
problems with stimulants
misinformation
controlled substance
adverse effects
adverse effects stimulants
sleep disturbance
appetite suppression
tics
anemias
active ingredient in majoirty stimulant meds
methylphenidate
how long do intm formulations last
3-5 hours
how long do long acting formulations work
10-12 hours
DDI with stimulants
ascorbic acid or fruit juice dec absorption
sodium bicarb inc absorption
effects of ADHD Tx and substance abuse
decreases risk for substance abuse
