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18 Cards in this Set
- Front
- Back
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Incidence of ADHD in children?
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4-12%
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When do sx present?
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<7yo
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Pathophys of ADHD?
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altered NE, DA, nicotinic, & frontal striatal connections
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Differential diagnoses
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learning disability, conduct disorder, defiant behavior, depression, anxiety
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Complications of untreated ADHD
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substance abuse, school failure, psychiatric disorders
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Adrenergic effects of stimulants
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alertness, insomnia, decreased appetite, dependence, palpitations, arrhythmias, HTN, angina, HA, chills, sweating, N/V/D/A
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DOA of stimulants?
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4-6hr
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Tx for stimulant overdose
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thorazine
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Efficacy of stimulants in ADHD?
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70-80%
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MOA of Atomoxetine?
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SNRI
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ADRs of atomoxetine in children
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decreased appetite, nausea, vomiting, tiredness, upset stomach
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ADRs of atomoxetine in adults
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decreased appetite, nausea, vomiting, dizzy, urinary difficulty, ED, sexual dysfunction
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Black Box Warning for atomoxetine
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suicide in children
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Benefits of atomoxetine
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no abuse potential, no exacerbation tics
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Dose of atomoxetine
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0.5mg/kg x3days then 1.2mg/kg; take qam; no tapering if stop agent
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Cautions for atomoxetine?
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BP, tachycardia, CAD; CI with MAOIs or glaucoma
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How long should Daytrana be worn?
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9 hours
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ADRs of Daytrana
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insomnia, blurred vision, skin irritation, slows weight and height gain, decreased appetite
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