CAN SUPPLEMENTS BE USED TO MANAGE ATTENTION DEFICIT/HYPERACTIVITY DISORDER? GENEVA BRIGGS, PHARMD, BCPS

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1 CAN SUPPLEMENTS BE USED TO MANAGE ATTENTION DEFICIT/HYPERACTIVITY DISORDER? GENEVA BRIGGS, PHARMD, BCPS

2 CAN SUPPLEMENTS BE USED TO MANAGE ATTENTION DEFICIT/HYPERACTIVITY DISORDER? ACTIVITY DESCRIPTION In looking for non-prescription ways to manage behavior in ADHD, many parents turn to various supplements. Over 25 different supplement have been touted for managing these conditions. Many of them may interact with prescription treatments of may actually be ineffective. Only 11% of parents discuss these therapies with their child's health care providers. This program is limited to a discussion of supplements and does not delve into specific diets, prescription medications or other interventions such as biofeedback. TARGET AUDIENCE The target audience for this activity is pharmacists, pharmacy technicians, and nurses in hospital, community, and retail pharmacy settings. LEARNING OBJECTIVES After completing this activity, the pharmacist and nurse will be able to: Describe the subtypes of ADHD Identify those supplements which, based on scientific evidence, would likely improve relevant issues in ADHD Apply knowledge of the reviewed agents to a patient case to recommend a supplement, if appropriate After completing this activity, the pharmacy technician will be able to: List subtypes of ADHD List supplements that could be used to treat ADHD ACCREDITATION PHARMACY PharmCon, Inc. is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. NURSING PharmCon, Inc. is approved by the California Board of Registered Nursing (Provider Number CEP 13649) and the Florida Board of Nursing (Provider Number ). Activities approved by the CA BRN and the FL BN are accepted by most State Boards of Nursing. CE hours provided by PharmCon, Inc. meet the ANCC criteria for formally approved continuing education hours. The ACPE is listed by the AANP as an acceptable, accredited continuing education organization for applicants seeking renewal through continuing education credit. For additional information, please visit Universal Activity No.: H01-P&T Credits: 1 contact hour (0.1 CEU) Release Date: July 31, 2014 Expiration Date: July 31, 2016 ACTIVITY TYPE Knowledge-Based Home Study Webcast FINANCIAL SUPPORT BY PharmCon, Inc. 1

3 ABOUT THE AUTHOR Dr. Geneva Clark Briggs, a board-certified Pharmacotherapy Specialist, received her Doctor of Pharmacy and Bachelor of Science in Pharmacy degree from Virginia Commonwealth University, Medical College of Virginia. Additionally, she is the owner of Briggs and Associates. Dr. Briggs was the Chief of Pharmacotherapy at McGuire Veterans Affairs Medical Center and was an Assistant Clinical Professor of Pharmacy and Pharmaceutics at Virginia Commonwealth University, Medical College of Virginia. Prior to becoming Chief of Pharmacotherapy, she was a clinical pharmacy specialist in geriatrics. She has authored numerous articles and textbook chapters. She currently speaks around the country on various topics. Geneva Briggs, PharmD, BCPS Owner, Briggs and Associates FACULTY DISCLOSURE It is the policy of PharmCon, Inc. to require the disclosure of the existence of any significant financial interest or any other relationship a faculty member or a sponsor has with the manufacturer of any commercial product(s) and/or service(s) discussed in an educational activity. Geneva Briggs reports no actual or potential conflict of interest in relation to this activity. Peer review of the material in this CE activity was conducted to assess and resolve potential conflict of interest. Reviewers unanimously found that the activity is fair balanced and lacks commercial bias. Please Note: PharmCon, Inc. does not view the existence of relationships as an implication of bias or that the value of the material is decreased. The content of the activity was planned to be balanced and objective. Occasionally, authors may express opinions that represent their own viewpoint. Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient or pharmacy management. Conclusions drawn by participants should be derived from objective analysis of scientific data presented from this monograph and other unrelated sources. 2

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14 ACTIVITY TEST 1. Which of the following is a true statement about children diagnosed with ADHD? A. ADHD occurs almost exclusively in boys B. ADHD occurs in girls as frequently as boys. C. ADHD may persist into adulthood. D. ADHD rarely occurs in children who also suffer from depression 2. Which of the following is the most common subtype of ADHD in children? A. Inattentive B. Hyperactive-impulsive C. Hyperkinetic D. Combined 3. Based on community surveys, which of the following best describes the use of complementary and alternative therapies by families of those affected by ADHD? A. Infrequent use B. Frequent use which is not usually discussed with health care providers C. Frequent use but discussed with health care providers D. Infrequent vitamin supplement use but frequent use of other interventions 4. Which of the following is a nonprescription stimulant promoted for ADHD but banned in several countries due to cardiovascular adverse effects? A. Dimethylamylamine B. Caffeine C. Pseudoephedrine D. Phenylalanine 5. Which of the following is an omega 3 fatty acid supplements that might be beneficial in patients with ADHD? A. Evening primrose oil B. Borage seed oil C. Flax seed extract D. Eicosapentaenoic acid (EPA) 13

15 6. When used for ADHD, SAM-e (S-adenosyl-L-methionine) is most like which of the following prescription interventions? A. Methylphenidate B. Guanfacine C. Fluoxetine D. Atomoxetine 7. Which of the following nutritional deficiencies is common in the Middle Eastern children with ADHD but not so common in the US? A. Zinc B. Iron C. Copper D. Magnesium 8. Which of the following is the primary reason blue green algae should NOT be recommended for use in children with ADHD? A. Lead contamination B. Toxic microcystis contamination C. Lack of efficacy in studies D. Potential for growth inhibition 9. Which of the following is the BEST recommendation for iron supplementation in children with ADHD? A. All children should receive replacement doses of ferrous sulfate B. Complete blood counts should be checked to determine if therapy is needed C. Replacement doses should be given even if ferritin levels are normal D. All kids need adequate daily iron intake and those with low ferritin should get replacement. 10. Which of the following supplements has the most scientific evidence to support use in managing symptoms of ADHD in children in the US? A. Ginkgo B. Zinc C. Fish oils D. Iron Please submit your final responses on freece.com. Thank you. 14