CHAPTER 4: CNS: ADHD

Question 1

Which class of drugs are used in the management of ADHD?

Answer 1

CNS Stimulants

Question 2

What is an example of a CNS stimulant?

Answer 2

Desamfetamine

Question 3

Which indications should CNS stimulants NOT be used for? (5)

Answer 3

1. Obesity
2. Depression
3. Senility
4. Debility
5. Fatigue

Question 4

What is the main indication for CNS stimulants?

Answer 4

Severe and persistent ADHD, or moderate ADHD unresponsive to other treatments

Question 5

Can a GP prescribe CNS stimulants for ADHD?

Answer 5

Yes. They are initiated by a specialist and can be prescribed by a GP under a shared care agreement

Question 6

Dexamfetamine and lisdexamfetamine should only be used for ADHD if it unresponsive to treatment with which other drugs? (2)

Answer 6

1. Methylphenidate

2. Atomexetine

Question 7

How frequently should the need to continue drug treatment for ADHD be reviewed?

Answer 7

Annually

Question 8

What must be monitored with CNS stimulants before treatment and every 6 months? (6)

Answer 8

1. Pulse
2. Blood pressure
3. Psychiatric symptons
4. Appetite
5. Weight
6. Height