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NR606 Final Exam/NR 606 Midterm Exam (Latest Update) Questions and Verified Ans
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1
Stimulant Medications: -Low risk of adverse
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Methylphenidate effects
-Available formulations:
TERM
• Ritalin - available in
immediate release (IR)
and extended release
(XR) available in beads
that may be sprinkled
on food for children
who cannot swallow
pills
• Concerta biphasic -
combined immediate
and delayed release in
one medication
• Daytrana - patch
applied in AM and
removed after 9 hour
DEFINITION
,2
Stimulant Medications: -Available in IR and ER
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Dexmethylphenidate (Focalin) -More potent than
Ritalin
TERM
-High risk of adverse
effects
DEFINITION
3
Stimulant Medications: Amphetamine -available in orally
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(Adzenys) disintegrating ER
formula for children who
TERM
cannot swallow pills
-Avoid prescribing when
an MAOI has been used
within 14 days
DEFINITION
4
Stimulant Medications: -Available in IR and
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Dextroamphetamine (Adderall) extended-release
formulations
TERM
-Often dosed in
morning (IR or XR) with
an evening or evening
prn (IR) dose if med
, effects diminish prior to
end of school, study or
the workday
-Most abused &
diverted prescription
stimulant
DEFINITION
5
Stimulant Medications: -Biologically inactive
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Lisdexamfetamine (Vyvanse) until metabolized by the
body (Prodrug)
TERM
-Less abuse & diversion
potential than other
stimulants
-Higher-cost medication
DEFINITION
6
Non-stimulant medication: -Noradrenergic (NRI)
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Atomoxetine (Strattera) -Initial drug of choice
for adults with ADHD
TERM
-no abuse potential
-tolerated well when
prescribed in BID
dosing
-appropriate choice for
comorbid substance
abuse
, -may augment the
effects of
antidepressants &
antianxiety meds
-can be dosed at
bedtime if fatigue is
noted
-unlikely to worsen tics
DEFINITION
7
Non-stimulant medication: Clonidine -α 2 agonist
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• May be taken as
TERM
monotherapy or with
stimulant medications
-enhances precortical
function for better
mental focus
-appetite neutral
-may help with sleep
disturbances, administer
at bedtime
-adverse effects:
• sedation, brain fog
-monitor of BP closely
during initial titration,
risk of hypotension
-tapered to avoid
rebound hypertension
post discontinuation
DEFINITION