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Psychiatry · Child psychiatry: atomoxetine
Sample itemA 10-year-old with ADHD and tics has worsening tics on methylphenidate. Which non-stimulant is a reasonable alternative?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Atomoxetine
Atomoxetine is a selective noradrenaline reuptake inhibitor with no abuse potential and is a non-stimulant option for ADHD. Alpha-2 agonists such as clonidine and guanfacine are also used. Adverse effects include nausea, appetite loss and rarely hepatotoxicity and suicidal ideation.
Option by option
A. Atomoxetine (correct)
Correct. Atomoxetine is a non-stimulant treatment for ADHD.
B. Diazepam
Diazepam can cause disinhibition and does not treat ADHD.
C. Dextroamphetamine at higher dose
Higher-dose amphetamine worsens tics and appetite loss.
D. Haloperidol alone
Haloperidol alone does not treat ADHD.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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