Chapter 12 Pediatric Dosing Problems The recommended oral dosage of

55-year-old man with a past medical history of hypertension and coronary artery disease presents as a new patient to the primary care clinic requesting treatment for ADHD. He works as a lawyer. Over the past 3 months, he has become easily distracted at work and thinks stimulants will improve his focus and performance. He fails to pay close attention to details, makes mistakes at work, and frequently loses necessary items for work. Denies signs of impulsivity or hyperactivity. No previous diagnosis with ADHD. On social history review, he endorses weekly cocaine use. The physician explains the patient does not currently meet the criteria for ADHD and discourages the use of stimulants given his cocaine use and cardiovascular history. However, the patient insists this is the only type of medication he will consider and it is vital for him to continue functioning at work. What is the most appropriate response to this patient’s request? A. Prescribe stimulants for inattention as requested by the patient. • B. Prescribe a short course of stimulants to help the patient with his work deadline. • c. Discuss possible alternatives to stim&ants. D. Dismiss the patient from the practice.

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