Comprehensive Care for Patients With ADHD:
                                                               A Practical, Interactive Initiative
                                                   Volume 3, No. 1
 

 CME/CE-Certified Newsletter 1
    Released
April 2008; New format June 2008

 Focus on Complex Patients

 

 

 

 

Newsletter Page 1

 

Comprehensive Care for Patients With ADHD: A Practical, Interactive Initiative

 

CME/CE-Certified Newsletter 1 Released April 2008; New format June 2008

 

Focus on Complex Patients

 

WELCOME

Complex patients are, by definition, particularly challenging to the clinician. In treating ADHD, there are numerous questions about appropriate selection of therapeutic agents and management of patients who either do not respond to treatment or have comorbidities that complicate therapeutic decision-making. Recently, I was pleased to moderate a wide-ranging discussion with my colleagues, Larry Culpepper, MD, MPH, and Margaret D. Weiss, MD, PhD, who offered their clinical guidance on many of these difficult issues. This newsletter summarizes the roundtable content.

 

Sincerely,

 

Timothy E. Wilens, MD, Editor

Associate Professor, Psychiatry

Harvard Medical School

Director of Substance Abuse Services, Clinical and Research Programs

Pediatric Psychopharmacology Research Program

Massachusetts General Hospital

Boston, Massachusetts

 

Method of Participation

Read this newsletter, complete the CME/CE Activity Evaluation and Request for Credit Form online, and receive your statement of credit immediately. Print your statement of credit. This activity is provided free of charge to participants.

 

Intended Audience

Psychiatrists, primary care physicians, and nurse practitioners

 

Release/Expiration Dates

April 2008 through June 30, 2009

 

Estimated Time to Complete

1 hour

 

Accreditation/Designation of Credit Statements

Veritas Institute for Medical Education, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

 

Physicians

Veritas Institute for Medical Education, Inc. designates this educational activity for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

 

Family Physicians

This activity has been reviewed and is acceptable for up to 1 Prescribed credit(s) by the American Academy of Family Physicians. AAFP accreditation begins April 2008. Term of approval is for one year from this date with option for yearly renewal.

 

Nurse Practitioners

Veritas Institute for Medical Education, Inc. approved as a provider for nurse practitioner continuing education by the American Academy of Nurse Practitioners: AANP Provider Number 040309. This program has been approved for 1 contact hour of continuing education (which includes 1 hour of pharmacology).

 

Sponsorship and Support

Sponsored by:

Supported by an educational grant from:


administered by

 

 

Financial Disclosure Statements

In accordance with the ACCME’s Standards for Commercial Support, all CME providers are required to disclose to the activity audience the relevant financial relationships of the planners, teachers, and authors involved in the development of CME content. An individual has a relevant financial relationship if he or she has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CME activity content over which the individual has control. Disclosures are as follows:

 

Timothy E. Wilens, MD―Abbott Laboratories, Cephalon Inc, Eli Lilly and Company, Merck and Co., Inc., National Institute of Mental Health, National Institute on Drug Abuse, Novartis Pharmaceuticals Corporation, Ortho-McNeil Janssen Scientific Affairs, LLC, Shire (grant/research support, speakers bureau, and/or consultant).

 

Larry Culpepper, MD, MPH—AstraZeneca, Forest Laboratories, Eli Lilly and Company, Neurocrine, Pfizer Inc, Wyeth (speakers bureau and/or consultant), Blue Cross Foundation of Massachusetts (grant/research support).

 

Margaret D. Weiss, MD, PhD—Eli Lilly and Company, Ortho-McNeil Janssen Scientific Affairs, LLC, Purdue, Shire, Takeda Pharmaceutical Company Limited (grant/research support, speakers bureau, and/or consultant).

 

The staff of Veritas Institute for Medical Education, Inc. has nothing to disclose.

 

Unlabeled Use Disclosure Statement

Participants are advised that this CME/CE activity will contain references to unlabeled/ unapproved/investigational uses of drugs to treat attention-deficit/hyperactivity disorder.

 

Disclaimer

The opinions expressed in this activity are those of the faculty and do not necessarily reflect those of Veritas Institute for Medical Education, Inc. or McNeil Pediatrics administered by Ortho-McNeil Janssen Scientific Affairs, LLC. Please consult the appropriate package insert for full prescribing information on all drug therapies discussed.

 

Copyright © 2008 Veritas Institute for Medical Education, Inc. All rights reserved.

 

Editorial Board

 

Timothy E. Wilens, MD, Editor

Associate Professor, Psychiatry

Harvard Medical School

Director of Substance Abuse Services, Clinical and Research Programs

Pediatric Psychopharmacology Research Program

Massachusetts General Hospital

Boston, Massachusetts

 

Larry Culpepper, MD, MPH

Professor and Chair, Family Medicine

Boston University School of Medicine

Chief, Family Medicine

Boston Medical Center

Boston, Massachusetts

 

Margaret D. Weiss, MD, PhD

Clinical Full Professor, Director of Research, Psychiatry

University of British Columbia

Director of the Provincial ADHD Program, Psychiatry

Children’s and Women’s Health Centre

Vancouver, British Columbia, Canada

 

LEARNING OBJECTIVE

You will be better able to treat patients with ADHD who are resistant to treatment with stimulants and/or have psychiatric or medical comorbidities.

 

PREACTIVITY ASSESSMENT

 

On a scale of 1 to 6 (1 = Strongly Disagree and 6 = Strongly Agree), please indicate your level of agreement with the following statements.

 

1. Stimulant and nonstimulant medications for ADHD should not be used in combination to treat patients with ADHD.

2. Adherence to treatment can be improved by carefully optimizing the dose over the first 2 or 3 months of treatment.

3. When a patient has heart disease and ADHD, I would treat the cardiac condition first, and then address the ADHD.

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