ADHD Flashcards
(15 cards)
When is pharmacological therapy indicated in ADHD?
When environmental modifications have been made but there is still impaired function in at least 1 area
1st line pharmacological therapy in ADHD?
stimulants- lisdexamphetamine or methylphenidate
When is dexamphetamine inidcated in ADHD therapy?
When response is shown from lisdexamphetamine therapy but the long duration cannot be tolerated
Which ADHD drug is most associated with sexual dysfunction?
Atomoxetine
What class of drugs does guanfacine belong to?
alpha 2a agonists
2nd line in ADHD if not response to stimulants
Atomoxetine
Describe guanfacine’s place in therapy
Can be initiated under specialist advice in addition to stimulants
Which ADHD medications is associated with postural hypotension?
guanfacine
Which ADHD drugs are cautioned in epilepsy/ seizure history?
atomoxetine and stimulants
Which ADHD drugs are contraindicated in mania/ uncontrolled bipolar disorder?
Stimulants
Which ADHD drug is most associated with the development of tics?
stimulants- reduce dose or change to alternative treatment if they develop
Which ADHD drug is associated with hypertension?
stimulants
How long a gap should there be between the initiation of a mono oxidase inhibitor and atomoxetine/stimulants?
14 days
What are the contraindications to atomoxetine?
severe cerebrovascular or cardiovascular disease and phaeochromocytoma
Side effects of stimulants
Abdominal pain upper; anxiety; appetite decreased; behaviour abnormal; constipation; diarrhoea; dizziness; dry mouth; dyspnoea; fatigue; feeling jittery; headache; hyperhidrosis (uncommon in children); insomnia; mood altered; movement disorders (uncommon in children); nausea; palpitations; sexual dysfunction (uncommon in children); tachycardia; tremor; weight decreased
