Behavioral Peds (ADHD) Flashcards Preview

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Flashcards in Behavioral Peds (ADHD) Deck (19):
1

What is best ADHD med if coexisting emotional or behavioral condition

alpha 2 adrenergic agonist

2

What is the best ADHD drug if concern for drug abuse, personal or family history?

Strattera - not a stimulant

3

Methylphenidate preparations

Ritalin or methylin or Concerta or Ritalin LA or Focalin Xr

4

Methylphenidate short acting duration of action

3-5hours

5

Methylphenidate dosing

5-20mg bid (ritalin or methylin)

6

Dexmethylphenidate trade name

Focalin

7

Focalin duration of action

5-6hours

8

Detroamphedamine trade name

Dexedrine

9

Amphetamine-dextroamphetamine trade name

Adderall 4-6 hour duration

10

What are the short acting preparations?

Ritalin and Adderall, focalin

11

Duration of action of Methylphenidate SR and ER

3-8 hours, delayed onset with continuous release

12

How is Methylphenidate LA different that SR or ER?

Comes in capsules you can sprinkle - bimodal, 50% immediate release, 50% delated release over 8-12 hours

13

What is concerta?

Methylphenidate ER - 20% immediate, 80% long acting over 10-12 hours. Only in tablet form

14

What is daytrana?

Methylphenidate patch - onset 2 hours after application of patch and continueous release over 10-12 hours.

15

What is Adderall XR?

Amphetamine-dextroamphetamine ER; Combo of immediate and continuous release over 8-10 hours

16

What is vyvanse?

Lisdexamfetamine; prodrug converted in bloodstread with effect over 10 hours. Must dissover capsule in water for immediate use

17

What is Strattera?

Atomoxetine; SNRI. 10-12 hours

18

What are the alpha 2 adrenergic agonists?

Intuniv (guanfacine) 10-12 hours, Kapvay (ER clonidine)

19

What are disadvantage of strattera?

Potential increased risk of suicide, takes 2 weeks to get to steady state, no opportunity for drug holiday