Explain the mechanism of action of methylphenidate

Explain the mechanism of action of methylphenidate. What is considered first-line treatment (pharmacotherapy) for ADHD? What is the second-line treatment? (You may need to research this, please provide a reference for your answer). Read the following scenario. There is no “right answer.” Please support your answer with evidence

A twelve-year-old patient with a diagnosis of ADHD has just been transferred into your care. The caregiver notes that the prescribed long-acting stimulant is effective, but it takes a significant amount of time to “kick in.” As a result, the patient now has truancy charges because they are so frequently late for school. What would you suggest?


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