ADHD Flashcards
(13 cards)
What is 1st line for children over 5 yrs/young adults
Methylphenidate
What is 2nd line for children over 5/young adults
When to start 2nd line?
Lisdexamfetamine
After 6 weeks of methylphenidate
If child over 5/young adult responds to lisdexamfetamine but not tolerating whats next?
Dexamfetamine
If child over 5/young adult does not tolerate methylphenidate or lisdexamfetamine.
What is next?
Atomoxetine or
Guanfacine
What is a side effect of guanfacine
Somnolence
Overdose
Hypotension
What are the side effcts of atomoxetine
Hepatic impairment
Suicidal ideation
In adults what is 1st line
Methylphenidate or
Lisdexamfetamine
What is 2nd line if not tolerant and not responding to 1st line in adults
Atomoxetine
What is 2nd line if responding but not tolerant to 1st line in adults?
Dexamfetamine
Why is MR prep used and what are the rules
Convenient
Adherence
Reduced stigma
Pknprofile
Lower risk of stimulant misuse
No need to give at school
Must be prescribed by brand
3 class of methylphenidate side effects
Gi - d+v, abdo pain, dry mouth, anorexia
CV - HYPERtension, tachycardia, arrhythmias
NS - Insomnia, nervousness, depression, irritarion, aggression, headache, drowsiness, dizziness, movement disorders
What to monitor with methylphenidate and how often
Height weight
Hr
Bp
Every 6 months
Which medications are cautioned in cvd
Lisdexamfetamine
Dexamfetamine
Not methyl
