American Academy of Child and Adolescent Psychiatry GUIDELINES Apps

ADHD

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Table 3. Medications FDA-approved for ADHD (alphabetical by class) Generic (Brand) Dosage Form Typical Starting Dose Amphetamine, Dextroamphetamine (Adderall ��)* 5, 7.5, 10, 12.5, 15, 20, 30 mg tabs 3-5 yr: 2.5 mg daily ��� 6 yr: 5 mg daily-bid Dextroamphetamine (Dexedrine��)* 5 mg tab 3-5 yr: 2.5 mg daily ��� 6 yr: 5-10 mg daily Amphetamine, Dextroamphetamine (Adderall XR��) 5, 10, 15, 20, 25, 30 mg caps ��� 6 yr: 10 mg daily Dextroamphetamine (Dexedrine Spansule��) 5, 10, 15 mg caps ��� 6 yr: 5 mg daily-bid Lisdexamfetamine (Vyvanse��) 20, 30, 40, 50, 60, 70 mg caps ��� 6 yr: 30 mg daily Amphetamine Preparations Short-acting Long-acting Dexmethylphenidate Preparations Short-acting 2.5, 5, 10 mg tabs 2.5 mg bid 5, 10, 15, 20, 30 mg tabs 5 mg q am Methylin��* 2.5, 5, 10 mg chewable tabs 5mg/mL, 10 mg/mL oral sol���n Ritalin��* 5, 10, 20 mg tabs 5 mg bid Metadate ER�� 10, 20 mg tabs 10 mg q am Ritalin SR��* 20 mg tabs Metadate CD�� 10, 20, 30, 40, 50, 60 mg caps Ritalin LA �� 10, 20, 30, 40 mg caps Focalin�� Long-acting Focalin XR�� Methylphenidate Preparations Short-acting Intermediate-acting 20 mg q am Long-acting Concerta�� 18, 27, 36, 54 mg tabs ��� 6 yr: 18 mg q am Daytrana�� (transdermal system) 10, 15, 20, 30 mg patches ��� 6 yr: Begin with 10 mg patch daily, then titrate up weekly by patch strength Selective Norepinephrine Reuptake Inhibitors (SNRI) Atomoxetine (Strattera��) 10, 18, 25, 40, 60, 80, 100 mg caps Children and adolescents < 70 kg: 0.5 mg/kg/d for 4 d; then 1 mg/kg/d for 4 d; then 1.2 mg/kg/d >70 kg: 40 mg for ��� 3 days, then 80 mg daily Clonidine (Kapvay��) 0.1, 0.2 mg 0.1 mg Guanfacine (Intuniv���) 1, 2, 3, 4 mg tablets 6-17 yr: 1 mg q am Alpha2-adrenergic Agonists 8

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