diagnosis of Tourette’s disorder • During or within 14 days established● Adverse Reactions and Side Effectspreexisting psychotic disorderActions● unstable patients • Renal or hepatic insuffitension • History of drug or alcohol dependence • Emotionally and/or electroencephalographic (EEG) abnormalities • Hyper-● Use Cautiously in:other serious cardiac problems● myopathy, arrhythmias, recent myocardial infarction (MI), or Contraindications and Precautions Contraindicated in:occurtion, and children younger than 6 years (of treatment with MAO inhibitors (^526 tion • History of glaucoma • Motor tics or family history or cortex to produce its stimulant effect.and dopamine into the presynaptic neuron and increases the release of these monoamines into the extraneuronal space.Methylphenidate activates the brain stem arousal system and Action in the treatment of ADHD is unknown. Dexmethylphenidate blocks the reuptake of norepinephrine Headache^ ) • Clients with structural cardiac abnormalities, cardio-●^ PSYCHOTROPIC MEDICATIONS) • Clients with marked anxiety, tension, or agita- • Patients with history of seizure disorder • Hypersensitivity • Pregnancy, lacta-hypertensive crisis can ciency • Clients with safety has not been
2 2506_Ch31_522-537.indd 1526 506 Ch 31 522 - 537 .ind● ● ● ● ● ● ● ● ● ● ● ● ● ● Interactionsd selective serotonin reuptake inhibitorsHypertensive crisis may occur with concurrent use (or within 2 weeks use) of FeverRhinitisAnorexiaNauseaInsomniatal, phenytoin, Tachycardia; palpitations; hypertensionNervousnessAbdominal painIncreased effects of Growth suppression in children (with long-term use)Decreased effectiveness of Skin redness or itching at site of transdermal patch (Increased serum levels of 1526 MAO inhibitorsand vasopressor agentsprimidone), tricyclic antidepressantsanticonvulsants (antihypertensive agents with concurrent use^ [SSRIs], warfarine.g., phenobarbi-Daytrana),^1 10/1/10 9:40:55 AM 0 / 1 / 10 9 : 40 : 55 AM
