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Building a Better ADHD PDF

163 Pages·2012·4.89 MB·English
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BBLLUUEEPPRRIINNTT FFOORR CCHHAANNGGEE:: BBuuiillddiinngg aa BBeetttteerr AADDHHDD TTrreeaattmmeenntt RReeggiimmeenn ffoorr CCoolllleeggee SSttuuddeennttss AAmmeerriiccaann CCoolllleeggee HHeeaalltthh AAssssoocciiaattiioonn –– CChhiiccaaggoo –– MMaayy 3311,, 22001122 CChhaarrlleess FF.. CCaalleeyy,, PPhhaarrmm..DD..,, BBCCPPPP MMaarrkk HH.. TThhoommaass,, MM..DD..,, FFSSAAMM AAssssoocciiaattee CClliinniiccaall PPrrooffeessssoorr SSttaaffff PPhhyyssiicciiaann CClliinniiccaall PPssyycchhoopphhaarrmmaaccoollooggyy CCoonnssuullttaanntt CClliinniiccaall AAffffiilliiaattee AAssssiissttaanntt PPrrooffeessssoorr WWeellccoommee ttoo CChhiiccaaggoo IIXX 05 Saturday in the Park.wma LLeeaarrnniinngg OObbjjeeccttiivveess ① Discuss the neurologic pathways affected by ADHD and how the various medications which are used to treat this condition affect those pathways. ② Understand the extended-release delivery mechanisms of various ADHD medications, potential interactions with other psychotropic agents, and how these factors impact the selection of agents in designing the most effective therapeutic coverage ③ Describe basic strategies to reduce the impact of potential adverse effects of ADHD medications and for minimizing the diversion of controlled substances including the role of newer medications and non-stimulants in the treatment of ADHD. 3 DDiisscclloossuurreess • Charles F. Caley, Pharm.D., BCPP University of Connecticut School of Pharmacy, Storrs, CT / Institute of Living, Hartford, CT – No potential conflicts of interest to report – I will be discussing some off-label applications of medications • Mark H. Thomas, M.D., FSAM The University of Alabama, Student Health Ctr / University Medical Ctr, College of Community Health Sciences, Tuscaloosa, AL – No potential conflicts of interest to report – I will be discussing some off-label applications of medications 4 Blueprint for Change : Building a Better ADHD Tx Regimen for Students 11.. AADDHHDD NNEEUURROOBBIIOOLLOOGGYY ((PPAATTHHWWAAYYSS,, RREECCEEPPTTOORRSS,, PPHHAARRMMAACCOOLLOOGGYY,, GGEENNEETTIICCSS)) QQuueessttiioonn ##11 • Which one of the following is believed to be the “cognitive attention network” that is central to the pathophysiology of attention deficit hyperactivity disorder? – A. Hypothalamic-pituitary-adrenal – B. Cingulo-frontal-parietal – C. Cortico-striatal-thalamic – D. Raphé-nigro-striatal 6 QQuueessttiioonn ##22 • By virtue of our attention deficit hyperactivity disorder treatments, which two neurotransmitters are implicated in the neurobiology of patients with ADHD? – A. Acetylcholine – B. Dopamine – C. Gamma-amino butyric acid (GABA) – D. Histamine – E. Norepinephrine – F. Serotonin 7 CCooggnniittiivvee AAtttteennttiioonn NNeettwwoorrkk ((CCiinngguulloo--FFrroonnttaall--PPaarriieettaall NNeettwwoorrkk)) Bush G. Biol Psychiatry 2011;69:1160–7. 8 CCooggnniittiivvee AAtttteennttiioonn NNeettwwoorrkk ((CCiinngguulloo--FFrroonnttaall--PPaarriieettaall NNeettwwoorrkk)) Bush G. Biol Psychiatry 2011;69:1160–7. 9 Liston C, et al. Biol Psychiatry 2011;69:1168-77.

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selection of agents in designing the most effective therapeutic coverage . Delayed/long: Dexedrine Spansules, Adderall XR, Vyvanse. 22 .. delivery system. – dose, Aspects of pharmacotherapy management specific to
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