Pharm, ADHD

Question 1

triad to ADHD

Answer 1

inattentiveness, hyperactivity, impulsiveness

Question 2

onset ADHD

Answer 2

before age 12

Question 3

DSM5 criteria ADHD

Answer 3

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

Question 4

combined ADHD

Answer 4

hyperactivity and inattention forms

Question 5

treatment and management of ADHD

Answer 5

education for patient, parents, teachers, physician

Question 6

medication effects for ADHD

Answer 6

dec fidgeting, interruption, aggressiveness, antisocial behavior,
inc: peer acceptance, efficiency, on task behavior, accuracy, short term memory, parent- child interactions, performance on motor tasks

Question 7

what is methylphenidate

Answer 7

ritalin, methylin

stimulant

Question 8

forms of ritalin

Answer 8

short acting, intm acting and long acting

Question 9

what is dexmethylphenidate

Answer 9

focalin

stimulant

Question 10

dextroamphetamine

Answer 10

dexedrine

stimulant

Question 11

amphetamine mixed salts

Answer 11

adderall

sitmulant

Question 12

disdexamfetamine

Answer 12

Vyvanse
stimulant
longer duration
cannot be crushed and injected to get high

Question 13

Methylphenidate MOA

Answer 13

increase DA from blocking reuptake

Question 14

atomextine

Answer 14

NE reuptake inhibitor

increase prefrontal DA

Question 15

action of guanfacine and clonidine

Answer 15

decrease CNS sympathetic outflow

Question 16

action of wellbutrin and TCAs

Answer 16

increase serotonin

Question 17

expected benefits with stimulants

Answer 17

improved concentration

all other benefits secondary

Question 18

problems with stimulants

Answer 18

misinformation
controlled substance
adverse effects

Question 19

adverse effects stimulants

Answer 19

sleep disturbance
appetite suppression
tics
anemias

Question 20

active ingredient in majoirty stimulant meds

Answer 20

methylphenidate

Question 21

how long do intm formulations last

Answer 21

3-5 hours

Question 22

how long do long acting formulations work

Answer 22

10-12 hours

Question 23

DDI with stimulants

Answer 23

ascorbic acid or fruit juice dec absorption

sodium bicarb inc absorption

Question 24

effects of ADHD Tx and substance abuse

Answer 24

decreases risk for substance abuse

Question 25

clonidine uses

Answer 25

tics and HTN
manage sleep problems in children
aggression and self injurious behavior

Question 26

how does guanfacine work

Answer 26

stimulates a2 R

can cause bradycardia hypotension and syncope

Question 27

TCAs used in combo with stimulants to

Answer 27

Tx partially Txed ADHD

reduce stimulant induced insomnia and appetite suppression