Attention-deficit hyperactivity disorder

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Reference no: EM133906239

Question

The PMHNP sees a 12 year old patient who takes lisdexamfetamine (Vyvanse) 50 mg daily for attention-deficit hyperactivity disorder (ADHD). The nurse practitioner observes a tic which the parents report began after the patient began taking the psychostimulant. They report it has been increasing in severity and interfering with his social and school life. Both the parents and the school report that the medication is helpful for his ADHD. The nurse practitioner:

prescribes Adderall XR 20mg daily in replacement of the Vyvanse. discontinues the psychostimulant, prescribes guanfacine extended release (Intuniv) daily, and monitors the patient. increases the dose of the psychostimulant and schedules a follow-up appointment in three months. continues the psychostimulant and has the parents and school observe the patient.

Reference no: EM133906239

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