1
Q
What are treatment line for ADHD for severe and persistent symptoms?
A
lisdexamfetamine or methylphenidate
Dexamfetamine (unlicensed) if beneficial response to lisdex but cannot tolerate longer duration of action.
atomexitine
2
Q
How long should each option be tried for before switching to alternative?
A
6 weeks
3
Q
How should patients be monitored for the effectiveness and side effects?
A
sleep pattern
sexual dysfunction (atomexitine)
stimulant diversion
misuse
4
Q
what are alternatives and why are they not used?
A
Bupropion
modafinil
venlafaxine
Lack of evidence- not recommended without specialist advice
