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

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Page 8<strong>Adult</strong> <strong>ADHD</strong>: Fact or Fiction?© 2010 Pharmaceutical <strong>Education</strong> Consultants, Inc. unless otherwise noted. All rights reserved.Reproduction in whole or in part without permission is prohibited.Differential Diagnosis• Psychiatric• Medical• MalingeringSubstance Abuse and Stimulants• CNS stimulants are rarely abused by <strong>ADHD</strong>patients• Used properly, they decrease the likelihoodof later substance abuse in these patients• If there is comorbid substance abuse, treat itfirstPharmCon is accredited by the Accreditation Council for Pharmacy <strong>Education</strong> as a provider of continuing <strong>pharmacy</strong> educationPharmCon is accredited by the Accreditation Council for Pharmacy <strong>Education</strong> as a provider of continuing <strong>pharmacy</strong> educationSubstance Abuse and Stimulants• Vigilance• Information from patient and others• Treat substance abuse first• Document three or more months ofabstinence before treating <strong>ADHD</strong>• Treat the abstinent patient with Stratteraand/or stimulants, but stay vigilantRisks of Treating <strong>ADHD</strong> in <strong>Adult</strong>s• All medications have side effects• Stimulants have decades of researchbehind them• Active cardiovascular heart disease oruncontrolled hypertension• Active, untreated substance abuse• Current symptoms or past history ofbipolar disorder, especially mania• PsychosisPharmCon is accredited by the Accreditation Council for Pharmacy <strong>Education</strong> as a provider of continuing <strong>pharmacy</strong> educationPharmCon is accredited by the Accreditation Council for Pharmacy <strong>Education</strong> as a provider of continuing <strong>pharmacy</strong> education

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