| Diagnosis | Stimulants | Amphetamines | Methylphenidate | Non-stimulant options |
|---|---|---|---|---|
|
What is attention deficit hyperactivity disorder
What does ADHD stand for?
|
What is stimulants
What is first-line therapy for ADHD?
|
What is stimulate the release of DA and NE into the presynaptic nerve terminal
What is the general MOA of amphetamines?
|
What is blocks the reuptake of norepinephrine and dopamine into presynaptic neurons
What is the general MOA of methylphenidate products?
|
What is bupropion, atomoxetine, viloxazine, clonidine, guanfacine
What are non-stimulant treatment options?
|
|
What is inattention, hyperactivity/impulsivity, or both
What are the subtypes of ADHD?
|
What is switch to a different stimulant formulation
What is next line therapy if patient doesn't respond to the first stimulant they have tried?
|
What is lisdexamfetamine
Which amphetamine agent is a prodrug?
|
What is methylphenidate, dexmethylphenidate, serdexmethylphenidate/methylphenidate
What are examples of methylphenidate agents?
|
What is drowsiness, hypotension, orthostatis
What are side-effects of alpha-2 agonists?
|
|
What is difficulty paying attention, difficulty listening, easily distracted, loses things easily
What are symptoms of inattention with ADHD?
|
What is insomnia, headache, appetite suppression, irritability, elevated HR/BP
What are some common side-effects of stimulants?
|
What is dextroamphetamine-amphetamine, dextroamphetamine, amphetamine
What are examples of amphetamine agents?
|
What is patch, solution, chewable tablet
What dosage forms of methylphenidate could you use if your patient is having difficulty swallowing?
|
What is atomoxetine, viloxazine, bupropion
Which non-stimulant options have a black-box warning
|
|
What is talking excessively, trouble taking turns, fidgeting
What are symptoms of hyperactivity/impulsivity with ADHD?
|
What is height, weight, BP, pulse, EKG if warranted
What baseline monitoring would you want done prior to starting a stimulant?
|
What is less rebound side-effects, longer duration of action, can be dosed once daily
Why would you use a long acting amphetamine over a short acting amphetamine?
|
What is it is taken in the evening
What is unique about Jornay PM?
|
What is intolerant of stimulants, family/patient wants non-stimulant, adjunct to stimulants
Why might you use a non-stimulant option?
|
|
What is Vanderbilt Assessment Scales and Conners Comprehensive Behavioral Rating Scale
What scales could be used for screening?
|
What is psychiatric concerns, cardiac concerns, seizures, tics
What are some serious side-effects of stimulants?
|
What is triple release action - action of 16 hours
What is unique about the Mydayis formulation?
|
What is concerta
Which methylphenidate formulation can leave a ghost tablet in the stool?
|
What is atomoxetine
Which medication do you have to adjust for CYP2D6 moor metabolizers or on inhibiting medication?
|
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