CC May 2016 Adult ADHD Medication Therapy

echoecho's version from 2016-09-06 04:49


Question Answer
List psychostimulants for adult ADHD?1) amphetamine (various isomers and combinations like Vyvanse, Adderall, Concerta) 2) methylphenidate (Riltalin)
What symptoms in most adult ADHD patients improve when treated with psychostimulants?1) hyperactivity 2) impulsivity 3) inattention
Which formula is currently the most common form prescribed (long-acting vs short-acting)?long-acting
About ____% of patients diagnosed with ADHD see improvments with long-acting ofrmulations of what 2 medication groups?1) amphetamine OR 2) methylphenidate
List the side effects of long-acting formulations?1) headache 2) insomnia 3) anxiety 4) loss of appetite
Close follow-up is advised, especially at the initiation of therapy, true or false?true
Although psychostimulants are considered safe and effective in young and middle-aged adults, why should providers advised to proceed with caution?17% of college students misuse stimulant medications
Stimulants are used priimarily for what? What group of people are teh primary source of diversion for the medication?1) academic advantage 2) peers
What gender in their teens and young adult years appear to be at the highest risk of med diversion?male
*** Adults with ADHD who are prescribed stimulant medications should be monitored routinely for what?1) possible misuse and/or 2) diversion
What 3 things should be done to decrease the likelihood of misuse?1) comprehensive, team-based, treatment plan of controlled substance contracts 2) frequent follow-up 3) random drug screening
Negative testing indicates what?diversion
Which medication would not be identified on urine drug screens for amphetamines?Methylphenidate
Which ADHD medication is NOT a controlled drug and blocks norepinephrine and dopamine in the front cortex?Atomoxetine (Strattera)
Compare Atomoxetine (Strattera) to psychostimulants for the treatment of adult ADHD?Atomoxetine (Strattera) is less effective than psychostimulants
List advantages of Atomoxetine (Straterra)?1) minimal abuse potential (good choice for patients with a hx of aabuse or a good first option for teen / young adult males
Is anti-depressant used for treatment for ADHDhave limited data
Overall, antidpressants are considerably less effective than ____?stimulants
The lone medications with any data to support a trial for ADHD therapy is ______?Bupropion (Wellbutrin), however it is not consdered a first-line choice
Are SSRI like Fluoxetine (Prozac) recommended for ADHD?no
*** SUMMARY = The majority of patients with ADHD are successfully treated with ______ stimulantslong-acting
*** SUMMARY = Up to ____% of college students misuse stimulant medications, primarily for academic advantage?17
*** SUMMARY = What group are at highest risk for diversion, mainly to peers?Teen and young adults