Week 13: Stimulants & Nonstimulants

Question 1

ADHD most commonly used agents

Answer 1

stimulants (increasing dopamine and norepinephrine)

Question 2

what do you monitor in stimulants? especially each visit?

Answer 2

decreased appetite
difficulty sleeping
tics (sudden, repetitive, involuntary movements or sounds)
personality changes (anxiety, irritability)
stomach aches
h/a

each visit: BP, height/weight, HR

Question 3

FDA warning on methylphenidate (Ritalin)

Answer 3

complications if pt has tics, glaucoma, HTN, seizures, MAOIs, mental health conditions

Question 4

FDA warning on amphetamines (Adderall) can cause complications if pt has

Answer 4

heart dz, HTN, hyperthyroidism, glaucoma, drug misuse, mental health condition, tics, liver/kid problems, thyroid problems, seizures

Question 5

non-stimulant med that is approved by FDA to tx ADHD

Answer 5

• strattera (atomoxetine)

- clonidine, guanifacine

Question 6

endocannabinoid system responsible for ?

what receptors

Answer 6

relaxing, eating, sleeping, and forgetting

CB1: in CNS; modulate cognition, memory, motor function, analgesia

CB2: in tissues; immune function (WBC, bone marrow, tonsils, thymus, spleen)

Question 7

THC

Answer 7

psychoactive

• enhances analgesia
• anti-inflammatory effects
• nausea/vomiting
• more CNS effects

Question 8

CBD

Answer 8

non psychoactive
-analgesic, anti-inflammatory, anti-seizure
no CNS side effects

Question 9

sativa

Answer 9

uplifting
energetic
anti-depressive
daytime use

Question 10

indica

Answer 10

relaxing, calming, sedating

night time use

Question 11

CBD/THC

Answer 11

combo mitigates psychoactiv THC

day or night

Question 12

cannabis side effects

Answer 12

Xerostomia, nausea, and vomiting often with excessive use, drowsiness, somnolence, vertigo/dizziness

Question 13

Cannabinoid hyperemesis syndrome

Answer 13

occur in ppl who smoke excess marijuana long term