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

Page 14Adult 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.Side Effects of Alpha AgonistsClonidine and Guanfacine• Headache• Nausea• Dizziness• Decreased heart rate• Decreased blood pressure• Sedation/somnolence• Fainting• Must taperExtended Release Alpha AgonistsIntuniv (guanfacine)FDA Max/dayStarting Dose1 – 4mg tabs 0.2mg/kg/day 0.005mg-0.08mg/kg/dayStart with 1 mg/day.Increase weekly by 1mg/day until reach 4mg/day.Kapvay (clonidine)FDA Max/dayStarting Dose0.1, 0.2mg tabs 0.4mg/day 0.1mg/dayStart with 0.1 mg/day.Increase weekly by 0.1mg until reach 0.4mg/day.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 educationTreatment Refractory ADHD• Combine stimulants with atomoxetine orbupropion• Add modafinil to non-stimulant• Try TCA (alone or with stimulant)• Add alpha-agonist• MAO-I (alone)Pearls with Adult ADHD• Keep the diagnosis in mind• Evaluate thoroughly• Assess for comorbidity, especially affectivedisorders and substance abuse• Treat what’s worst, first• Identify strengths• Enhance resiliencePharmCon 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