Posted by SalArmy4me on June 2, 2001, at 14:49:20
In reply to concerta, posted by e503 on May 29, 2001, at 8:27:43
Checklist for administering rating scales
The following are administered at 2–4 weeks, 6–8 weeks, 8–10 weeks, and 3, 4, 5 and 6 months.* Parents' rating
* Teachers' rating
* Parents' side effects
* Teachers' side effects.
If no benefit is obtained from methylphenidate, withdraw over a few days and substitute dexamphetamine.TITRATION WITH DEXAMPHETAMINE
This follows the same principles of basic conditions, baseline, and monitoring.* Baseline measurements
* Two to four weeks—dexamphetamine 2.5 mg morning, 2.5 mg midday, 2.5 mg mid-afternoon
* Two to four further weeks—if room for improvement, dexamphetamine 5 mg morning, 5 mg midday, 2.5 mg mid-afternoon (can omit if insomnia)
* Two to four further weeks—if room for improvement, dexamphetamine 7.5 mg morning, 7.5 mg midday, 2.5–5 mg mid-afternoon (can omit if insomnia).
An antihistamine, clonidine, or melatonin can be used as evening dose as per methylphenidate. Follow up is as for methylphenidate.The checklist for administering rating scales is as for methylphenidate.
If no benefit is obtained from dexamphetamine, or if side effects unacceptable, withdraw over a few days and substitute imipramine.
poster:SalArmy4me
thread:200
URL: http://www.dr-bob.org/babble/child/20000813/msgs/209.html