ADHD Flashcards
symptoms of ADHD usually starts at age
3, diagnosis at age school age
ADHD: genetic or environmental?
genetic
DSM V criteria for inattention of ADHD patients
inattention: 6+ symptoms for up to age 16
5+ symptoms for ages 17+
for 6+ months
inattention symptoms of ADHD from DSM V
decreased attn., careless mistakes
trouble holding attention, doesn’t listen when spoken to
doesn’t follow instructions, trouble organizing takss, avoids tasks that require mental effort
loses things necessary for tasks and activities
easily distracted, forgetful in daily activities
hyperactivity and impulsivity symptoms for ADHD
fidgets, taps, squirms
leaves seat, runs or climbs when inappropriate
unable to play quietly, on the go, talks excessively, blurts out an answer before a question is completed
trouble waiting for turn, interrupts or intrudes on others
symptoms of ADHD must be present before age
12
comorbidities of ADHD
mood disorders, anxiety disorders, oppositional defiant disorder, conduct disorder, substance use disorders, learning disorders
prognosis of ADHD
50% persists to adulthood; remits beween 12-20 y/o
usually persists when comorbid
hyperactivity usually disappears
stimulant drugs for ADHD
methylphenidate
dextroamphetamine
combo: Adderall
dexmethylphenidate
lisdexamphetamine
modafinil for adults
side effects of stimulants
headaches, stomachache, nausea, insomnia, psychosis, MI,
non stimulant drugs for ADHD
atomoxetine
antidepressants: bupropion, venlafazine, pemoline
alpha adrenergic agonist: clonidine, guanfacine
main differential diagnosis for preschool age group
oppositional defiant disorder
ADHD: equal incidence in boys and girls?
no, more in males
which drug is not efficacious in treatment of ADHD?
sertraline- SSRI
which drug has been associated with significant liver toxicity?
atomoxetine
