Pharmocotherapy Flashcards
What counselling steps for cannabis use
Verify
Reconcile
Supply accurate information and Rx
what are the steps and purpose of medication reconciliation
side effects of glycopyrolate
other than antipsychotics what medications can you use for behavior in ASD?
alpha agonist
stimulants
valproic acid
what adolescent functions do stimulants not prevent in ADHD
side effects of stimulants other than sleep disturbance and appetite suppression
possible preaprism
rare psychosis
4 side effects of atomoxetine
which medications are contraindicated for beahvior management in ASD?
and quetiapine
clinical parameters to follow in ADHD on stimulants
contraindication to stimulants in adhd? what would you use instead?
Name 4 non-pharmacology treatments for ADHD?
2 side effects of guanfacine that are not related to blood pressure (not cardiac)?
side effects and max dose of atomoxetine in child?
side affects of abilify on labs?
risk for poor response to ADHD medications?
Inadequate dosing
Dose limiting side effects
Severity
Secondary ADHD (post TBI)
comorbiditie (IDD, LD, ASD, anxiety, etc)
Parental mental health
Benefits of aripiprazole over risperidone
cardiac risk factors for starting stimulants in ADHD?
family history of sudden death or arrythmia,
personal history of structural heart disease or cardiomyopathy, or artyhmias
Cardiac findings on physical exam, unexplained murmur
side effects of stimulants other than appetite suppression or sleep disturbances
dizziness
hypertension
tachycardia
tics
anxiety
headaches
reduced mood
Four side effects of glycopyrrolate.
- Excessive thickening of secretions
- Urinary retention
- Constipation
- Headache
- Blurred vision
- Behavioural disturbance
SSRI neonatal behavioural syndrome features
fidgety/gittery
Feeding difficulty
tachycardia, cyanosis
hypertonia
Antipsychotic medication (use of risperidone) Besides wt, height, bmi, and waist circumference what 2 things should you check on exam and why? What 2 investigations would be done other than lipid profile?
neuro exam - extrapyramidal symptoms
BP
prolactin
fasting glucose
insulin
liver enzymes
4 potential side effects of ITB pump
a) CSF leakage
b) Infection at the pump site
c) Catheter malfunction
d) Abrupt withdrawal from baclofen can be life threatening
4 counseling points when starting melatonin?
6 NDDs that have evidence for the use of melatonin for sleep?
ADHD
ASD
Smith-Magenis
Angelman Syndrome
Rett Syndrome
Tuberous Sclerosis
3 drug classes to treat tics
alpha agonists
atypical antipsychotics
Antispasmatics - baclofen, botox
medication issues to counsel on before stopping alpha agonist
risk of rebound hypertension - needs to be tapered
enzyme metabolizer for SNRI
CYP2D6
dose for stimulants (starting and max)
0.5 mg/kg/day MAX 2mg/kd/day
starting dose for strattera (atomoxetine) and max dose
0.5 mg/kd/day MAX 1.2 mg/kg/day or 80 mg daily
no improved effect above this dose
