By vgreene, 9 September, 2016 If sx do not improve: Re-eval to confirm dx and/or provide education to improve adherence; reconsider tx plan: Change med/dose,6 add med approved for adjuvant tx,7 and/or change behavioral tx
By vgreene, 9 September, 2016 Subsequent visits depend on response but should occur at least 2 times/yr
By vgreene, 9 September, 2016 F/U monthly until consistent optimal response observed, and q3mo thereafter during 1st yr of tx
By vgreene, 9 September, 2016 Schedule face-to-face F/U by 4th wk of medication to review response and monitor for ADR, pulse, BP, and wt
By vgreene, 9 September, 2016 During 1st mo, titration may be done w/ weekly or biweekly phone call to family
By vgreene, 9 September, 2016 Start stimulant at low dose and titrate q3-7days to max effect/min side effects [B/S]
By vgreene, 9 September, 2016 Evidence strongest for stimulants,1,2 followed by atomoxetine,3 guanfacine ER,4 and clonidine ER4 [A/S]
By vgreene, 9 September, 2016 If sx do not improve: Re-eval to confirm dx, assess for coexisting condition, and provide education to improve adherence; reconsider tx plan: Change med/dose6 or add med approved for adjuvant tx,7 and/or change behavioral tx
By vgreene, 9 September, 2016 Monitor improvement in core sx6/target goals in objective way whenever possible
By vgreene, 9 September, 2016 Subsequent visits depend on response but should occur at least 2 times/yr