Clinical use/Indication
What are some clinical indications for using stimulants?
What are
ADHD, narcolepsy, depression, weight loss, eating disorders (binge eating)
What are common side effects of stimulant medications?
what is insomnia, decreased appetite, anxiety, headache, weight loss, psychosis/mania, priapism/raynauds
Tell the group an interesting experience/story youve had or know about stimulant medications
Coca-Cola used to have this stimulant as an ingredient
Cocaine
Which formulations of stimulant medications should be used ONCE daily in the morning?
What is extended-release
What are the first-line stimulants for ADHD in adults?
What is
Amphetamines or methylphenidate
What are common cardiovascular effects stimulants can have?
What is increased blood pressure and increased heart rate
What is the brand name of Phentermine/Topiramate? What is it used for?
what is Qsymia
What is weight loss
Which stimulant do around 90% of Americans use every day?
what is caffeine
What is the only formulation of a stimulant medication that is approved for ages 3+?
Bonus: What are the brand names of the medications approved for ages 3+?
What is Immediate-release
Ritalin and methylin
Procentra, zenzedi and Avekio
Adderall IR
Name a stimulant FDA-approved for treatment of narcolepsy
What is modafinil or armodafinil
What is a black box warning for stimulants used for ADHD?
What is high potential for abuse and dependence
What is the youngest age a stimulant medication can be initiated for a patient?
what is 3 years old
Bonus: what ages does AAP recommend to be the youngest a patient can initiate a stimulant medication?
What are some slang terms for stimulants?
What is addys, crosses, dexies, hearts, pep pills, LA turnaround, bennies, speed, uppers, blow, etc
Which drugs are available as a transdermal patch? What is the brand name? How frequent and how long do you wear each of them?
what is dextromethorphan (Xelstrym) and methylphenidate (Daytrana)
Worn once daily, must be removed after 9 hours
What is a stimulant used for weight loss?
What is phentermine
Which stimulant medication has been associated with immediate and delayed hypersensitivity reactions such as Stevens-Johnson syndrome (SJS)?
What is Modafinil
What is the black box warning for majority of stimulant medications?
what is abuse, misuse and addiction
What is the DEA schedule for cocaine?
What is Schedule II?
Topical cocaine has FDA labeled indication for anesthesia for mucous membranes of the oral laryngeal or nasal cavaties and can be used when performing diagnostic procedures and surgeries in these areas
What is the brand name of the stimulant medication that may leave a ghost tablet in stool?
Concerta
What stimulants are sometimes used off-label for treatment resistant depression?
What is methylphenidate and modafinil
What is a major side effect of amphetamines that is pertinent specifically to pediatric patients?
What is growth suppression
What are examples of NON-stimulant medications used in treatment of ADHD?
what is atomoxetine (strattera), guanfacine (intuniv), clonidine (Kapvay)
Which stimulant medications do we have on formulary at MCH?
Adderall, methylphenidate, cocaine 4% solution
How should you go about switching to or from a combination product (such as Adderall) to a single product (such as amphetamine)
What is Refer to package insert/medication label for guidance