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NR 546 Week 7 ADHD Medication Table (LATEST UPDATE)
- Course
- NR 546
- Institution
- Chamberlain College Of Nursing
NR 546 Week 7 ADHD Medication Table (LATEST UPDATE)
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Drug Name Indication (include Short-acting, intermediate- Notable side effects /Patient education instructions(include if IR, XR, approved ages) acting or long-acting.
ODT, LA) Neurotransmitter(s) Duration of action, peak (if
Affected noted) ADHD Table
Target Symptoms
Methylphenidate Indication/(ages): Duration of action (peak) Notable side effects:
(D/L) Insomnia, nervousness, dizziness, headache,
(Concerta, Ritalin) Attention Deficit Average half-life in adults is exacerbation of tics, irritability, overstimulation,
Hyperactivity 3.5 hours (1.3- 7.7 hours) tremor,
Disorder (ADHD) in Anorexia, nausea, abdominal pain, weight loss
children and adults Average half-life in children Can temporarily slow normal growth in children
(approved ages is 2.5 hours (1.5- 5hours) Blurred vision
vary based on
formulation) Immediate-release Ritalin, Patient education instructions:
generic methylphenidate
Narcolepsy (2-4 hours duration of Children who are not growing or gaining weight
(Metadate ER, action) should stop treatment, at least temporarily
Methylin ER, May worsen motor and phonic tics
Ritalin, Ritalin SR) Older extended-release May affect blood pressure and should be used
Ritalin SR, Methylin SR, and cautiously with agents used to control blood
Neurotransmitter(s) Metadate ER: these pressure
affected: formulations have a Avoid dosing late in the day because of the risk
Dopamine and duration of action of of insomnia
norepinephrine reuptake approximately 4-6 hours
inhibitors and releaser
Newer sustained-release
Target Symptoms: formulations for ADHD
Concentration Concerta (up to 12 hours
Attention span duration of action)
Motor
hyperactivity
Impulsiveness
Physical and
mental fatigue
Daytime sleepiness
Depression
Dexmethylphenidate Indication/(ages): Duration of action (peak) Notable side effects:
(Focalin) (D)
Attention Deficit Immediate Release (IR): Insomnia, headache, exacerbation of tics,
Hyperactivity nervousness, irritability, overstimulation,
Disorder (ADHD) in Onset of Action: tremor, dizziness
children ages 6-17 Within 1 to 2 hours of an Anorexia, nausea, abdominal pain, weight loss
(Focalin, Focalin effective dose. Can temporarily slow normal growth in children
XR) and in adults (controversial)
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