| کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
|---|---|---|---|---|
| 2663364 | 1140561 | 2015 | 7 صفحه PDF | دانلود رایگان |
کلمات کلیدی
روش‌ها
نتایج
محرک‌ها
جدول 1. مقایسه قیمت محرک‌های کوتاه اثر
جدول 2. مقایسه قیمت محرک‌های متوسط اثر
جدول 3. مقایسه قیمت محرک‌های طولانی اثر
غیر محرک‌ها
جدول 4. مقایسه قیمت غیر محرک‌ها
پیامدهای عملی
توصیه‌هایی برای کودکان زیر 5 سال مبتلا به ADHD
توصیه‌هایی برای کودکانی که قادر به خوردن قرص نیستند
توصیه‌هایی برای مصرف محرک‌های کوتاه، متوسط و طولانی اثر
توصیه‌هایی برای مصرف غیر محرک‌ها
نتیجه‌گیری
• All stimulant medications, including short-acting, intermediate-acting, and long-acting medications, are similar in efficacy, so the selection of an attention-deficit hyperactivity disorder (ADHD) medication for a pediatric patient should be primarily driven by cost and age appropriateness.
• Treatment of pediatric patients with ADHD can be accomplished with nonstimulant medications for children whose use of a stimulant is contraindicated, although the selection of nonstimulant medications should follow recommendations of the American Academy of Pediatrics.
• Recommendations for pharmacologic treatment of pediatric patients with ADHD are largely dependent on the age of the child, whether the child can swallow a capsule or tablet, and cost.
Although a common psychological disorder, pharmacologic treatment of attention-deficit hyperactivity disorder can be a costly endeavor. Among 4- to 5-year olds, methylphenidate is a safe, efficacious, and cost-effective option for short-, intermediate-, and long-acting medication options. Short-acting methylphenidate, intermediate-acting methylphenidate extended release and sustained release, and long-acting methylphenidate are the most efficacious and cost-effective medications. The selection of nonstimulant medications should be based on recommended guidelines rather than primarily on cost. For children incapable of swallowing pills, the most efficacious and cost-effective treatments are short-acting dextroamphetamine liquid and long-acting methylphenidate capsules that can be opened and sprinkled over food.
Journal: The Journal for Nurse Practitioners - Volume 11, Issue 2, February 2015, Pages 226–232