wk 7 draft 2.docx

Question 20 Stimulants Lifespan considerations of prescribing stimulants Which ADHD medications are recommended for children? Stimulants- methylphenidate (ritlan, concerta, Daytrana), dexmethylphenidate (focalin), amphetamine (adzenys), dextroamphetamine (Adderall), & lisdexamfetamine (Vyvanase)...

Question 20 Stimulants Lifespan considerations of prescribing stimulants Which ADHD medications are recommended for children? Stimulants- methylphenidate (ritlan, concerta, Daytrana), dexmethylphenidate (focalin), amphetamine (adzenys), dextroamphetamine (Adderall), & lisdexamfetamine (Vyvanase). What medication is the drug of choice for adults with ADHD? Non-stimulants (NRIs) such as atomoxetine (Strattera), A2 agnonists (clonidine, guanfacine), or NE DA reuptatke inhibitiors such as bupropion (Wellbutrin). ADHD Primary symptoms of ADHD are: inattention, restlessness, cognitive & emotional impulsivity, executive functioning deficits, & Self-regulation What medication should be prescribed for those with a history of substance abuse? Non-stimulants; such as atomoxetine (Strattera) A2 agnonists (clonidine, guanfacine) NE DA reuptatke inhibitiors such as bupropion (Wellbutrin). Which NT play a role in the symptoms & treatment of ADHD? norepinephrine & dopamine. ADHD symptoms 4 categories selective attention hyperactivity lack of sustained attention, impulsivity (dACC is associated with impulsivity) What scheduled drug level are stimulant medications? Stimulants are schedule II controlled substances Are refills permitted for stimulants? Refills are NOT permitted What diagnostic test must be obtained prior to prescribing stimulants? Must obtain a thorough health hx first Assess for cardiac disease and, if present, obtain an EKG Blood pressure, height, and weight should be monitored regularly Assess for bipolar disorder before treatment Treatment efficacy will be noted within the first week of treatment What can cause or worsen /unmask symptoms of tics? Stimulants Terms associated with ADHD Selective attention? lack of attention to detail, careless mistakes, not listening, losing things, diverting attention, forgetful Sustained attention? poor problem solving, difficulty completing tasks, disorganization, difficulty sustaining mental effort Hyperactivity Modulated by the prefrontal cortex (PFC): Hyperactivity Symptoms of hyperactivity: fidgeting, leaving one's seat, running, climbing, trouble playing quietly. Adults are not hyperactive but do report internal restlessness & difficulty sitting still. What other medications, in combination with a stimulant, can increase anxiety?   NE & DA are associated with the symptoms of inefficient information processing in the prefrontal circuits. Rather than deficiency, both are “Out of Tune.”