Cases of therapy of ADHD

1. A 9 year old boy is newly diagnosed with ADHD symptoms at home and school.
Select/recommend the most appropriate initial treatment.
2. The patient was started on a new medication that you recommended and his symptoms are well controlled but complaining of insomnia.
Select/recommend the most appropriate treatment
3. WD is a 10-year old boy recently diagnosed with ADHD 3 weeks ago. He was started on methylphenidate 5 mg bid at 7 am and 1 pm, titrated to 10 mg bid. Upon follow-up, his mother reports the school notes the boy becoming irritable and hyperactive in the early afternoon. You determine that he frequently misses his afternoon dose because he is embarrassed about going to the nurses’ office to receive his medication.
Select/ recommend the most appropriate treatment
4. YM is a 9-year-old boy with ADHD, diagnosed when he was 5. He has trialed numerous stimulant medications in the past but discontinued because of intolerable side effects. His mother has noticed more recently that he has become more isolated and not participating in activities he had previously enjoyed. The pediatrician feels JK is depressed.
Select/recommend the most appropriate treatment
5. MK is a 7-year-old boy with ADHD that had a good therapeutic response to dextroamphetamine 20 mg XR for the first three months of therapy. His parents report insomnia and agitation in the morning getting ready for school.
Select/recommend the most appropriate treatment
6. KT is a 11-year-old female with a history of depression and epilepsy. She has been managed and well controlled on levetiracetam and citalopram. Today, you diagnose her with ADHD. It is significantly affecting her learning in school and relationships with peers and siblings.
Select/recommend the most appropriate treatment

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