Dx:
- inattention
- hyperactivity
Drug classes:
Classic drug: methylphenidate (Ritalin)
1 - CNS stimulants
2 - Non-CNS stimulants (2nd line)
Drug names:
1 - CNS stimulants
- Dextro-amphetamine (Dexedrine)---dextro-amplified-FEet
- Dextro-amphetamine/amphetamine (Adderall)-amplified-feetx2
- Methylphenidate (Ritalin, Concerta)----metal-phoenix
BBW: psych. dependence risk esp. h/x drug dependence/ETOH
Mech.: alpha & beta receptors effects => NorEpi & DA release
Side effects:
- may cause paradoxical hyperactivity
2 - Non-CNS stimulants (2nd line)
- atomoxetine ----2nd/3rd line
- bupropion---avoids in pt w/ seizures (buPROP-ion "PROPer behavior" => not for seizures, it's for ADHD)
- clonidine----adjunct for aggressive
- guanfacine----adjunct for aggressive (GU-an-FAC-ine ==> GUM-FACE)
Mech.: affects NorEpi release
Use: less effective than CNS stimulant
Use: less effective than CNS stimulant
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