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Pharmacology > Psych: Stimulants > Flashcards

Psych: Stimulants Flashcards

1
Q

How do stimulants work for ADHD?

A

Block reuptake of monoamines via VMAT and increase NT release (NE, DA, and 5HT)

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2
Q

What are some common side effects of stimulants? (6)

A 
GI Upset
Headache
Decrease Appetite (weight loss and reduced growth)
Insomnia
Anxiety
Elevated BP
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3
Q

What is the most serious rare effect of stimulants?

A

Sudden cardiac death

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4
Q

What is a unique side effect of stimulants that involves the skin?

A

Chemical Leukoderma

-with Daytrana patch

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5
Q

What stimulants are used to treat ADHD that are amphetamine derivatives? (5)

A

Amphetamine
Dextroamphetamine

Lisdexamfetamine

Methylphenidate
Dexmethylphenidate

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6
Q

What are some non-stimulants used for ADHD? (3)

A

Atomoxetine

Guanfacine and Clonidine (α2 agonists)

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7
Q

How fast is the onset of most stimulants?

A

24 hours

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8
Q

Are stimulants available to pick up without doctor’s orders?

A

No, controlled substance (1 month supply)

-most states allow 3 months (not MO though)

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9
Q

What form of medication does dextroamphetamine/AMP/Adderal come in and how long does it last??

A

Tablet

-immediate release (4-6 hr)

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10
Q

What form of medication does dextroamphetamine sulfate/Procentral come in and how long does it last??

A

Liquid

-immediate release (4-6 hr)

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11
Q

What form of medication does amphetamine sulfate/Evekeo come in and how long does it last??

A

Capsule

-immediate release (4-6 hr)

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12
Q

What form of medication does dextroamphetamine/Zenzidi come in and how long does it last??

A

Tablet

-immediate release (4-6 hr)

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13
Q

What form of medication does dextroamphetamine/Adderall XR come in and how long does it last??

A

Capsule

-extended release (8-12 hrs)

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14
Q

What form of medication does dextroamphetamine/Dexedrine come in and how long does it last?

A

Capsule

-extended release (8-10hrs)

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15
Q

What form of medication does amphetamine/Dyanavel XR come in and how long does it last?

A

Liquid**
-Extended release (13 hrs)

great for people who cannot swallow well

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16
Q

What form of medication does lisdexamfetamine/Vyvanse come in and how long does it last?

A

Capsule

-extended release (10-12hrs)

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17
Q

What form of medication does Amphetamine/Mydayis come in and how long does it last?

A

Capsule

-extended release (16hrs**)

18
Q

What form of medication does dexmethylphenidate/Focalin come in and how long does it last?

A

Tablet

-immediate release (4-6 hr)

19
Q

What form of medication does methylphenidate/methylin oral solution come in and how long does it last?

A

Liquid

-immediate release (3-4hrs)

20
Q

What form of medication does methylphenidate/ritalin come in and how long does it last?

A

Tablet

-immediate release (3-4hrs)

21
Q

What form of Adzenys come in and how long does it last?

A

Extended release, oral dissolving tablet

-no water necessary

22
Q

What form of medication does methylphenidate/ritalin-SR come in and how long does it last?

A

Tablet

-Sustained release (4-8hrs)

23
Q

What form of medication does methamphetamine/Desoxyn come in and how long does it last?

A

Tablet

-Sustained release (4-8hrs)

24
Q

What form of medication does methylphenidate/aptensio XR come in and how long does it last?

A

Capsule

-Extended release (12 hrs)

25
Q

What form of medication does methylphenidate HCl/Concerta come in and how long does it last?

A

Tablet

-Extended release (10-12hrs)

26
Q

What form of medication does methylphenidate ER/comtempla XR-ODT come in and how long does it last?

A

Tablet

-Extended release (12 hrs)

27
Q

What form of medication does methylphenidate transdermal/Daytrana come in and how long does it last?

A

Transdermal patch**

-Extended release (10-12hrs)

28
Q

What form of medication does dexmethylphenidate HCl/Focalin XR come in and how long does it last?

A

Capsule

-Extended release (6-10hrs)

29
Q

What form of medication does methylphenidate HCl/metadate CD come in and how long does it last?

A

Capsule

-Extended release (8-10hrs)

30
Q

What form of medication does methylphenidate HCl ER/ritalin LA come in and how long does it last?

A

Capulse

-Extended release (8-10hrs)

31
Q

What form of medication does methylphenidate HCl/QuilliChew come in and how long does it last?

A

Chewable tablet**

-Extended release (8hrs)

32
Q

What form of medication does methylphenidate/Quillivant XR come in and how long does it last?

A

Liquid **

-Extended release (8, 10, 12hrs)

33
Q

MOA of atomoxetine?

A

Blocks NET reuptake of NorE

34
Q

MOA of guanfacine/clonidine?

A

Agonist of CNS α2

35
Q

Onset of activity for non-stimulants?

A

1-4+weeks

-in contrast to stimulants (24hrs)

36
Q

Why are non-stimulants used?

A

Useful for patients that are intolerant to stimulant effects

37
Q

What form of medication does atomoxetine come in and how long does it last?

A

Capsule

-24 hours

38
Q

What form of medication does clonidine come in and how long does it last?

A

Tablet

-12-24hrs

39
Q

What form of medication does Guanfacine come in and how long does it last?

A

Tablet

-12-24hrs

40
Q

Should you crush, chew, or break the tablets of guanfacine or clonidine?

A

nope

41
Q

What BP effect happens when you stop taking clonidine and guanfacine?

A

Rebound HTN

Pharmacology (50 decks)

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