Adult ADHD - Free CE Continuing Education online pharmacy ...

Page 12Adult ADHD: Fact or Fiction?© 2010 Pharmaceutical Education Consultants, Inc. unless otherwise noted. All rights reserved.Reproduction in whole or in part without permission is prohibited.Dosing: How high is too high?Stimulant Side Effects• Titrate stimulants until you get a positiveresponse or untoward side effect• In select cases, we go above FDArecommendedmax doses• These cases require close monitoring• Ask specific, rather thangeneral questions regardingside effects• Weight loss, decreasedappetite• Insomnia• Headache• Tics• Emotional irritability• Less common: psychosis,severe aggression• Growth retardation(debated)• Methylphenidate maycause relatively greaterside effects inpreschoolers• Stimulants may causeincreased irritability inchildren with autismspectrum disordersPharmCon is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy educationPharmCon is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy educationStimulant Use Precautions• Glaucoma• Hyperthyroidism• Hypertension• Don’t use with MAO-I• Drug and alcohol abuse- No evidence stimulantuse causes increased risk of substance abuse in teens• Known cardiac defectsNonstimulants: Atomoxetine• First non-stimulant FDA approved for ADHD• Not schedule II• Not immediately effective and not as effective asstimulants• Monitor for SI• MAY have less effect on sleep, appetite, tics• Common side effects: sedation, nausea, dizziness• Adjust dose if on a CYP2D6 inhibitor (paroxetine,fluoxetine)PharmCon is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy educationPharmCon is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education