A child diagnosed with attention-deficit hyperactivity disorder has been on methylphenidate (Ritalin) for several months. The physician orders a "drug holiday." Which of the following is the most likely reason for the drug holiday?
a. to give the parents a break from having to administer the medication
b. to determine if the drug is still necessary every day or necessary at all
c. to save money because the drug is very expensive
d. to reverse the adverse side effects of this drug
B
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A Incorrect: The physician would not order a "drug holiday" to give the parents a break from having to administer the medication.
B Correct: The physician may order a "drug holiday" to determine if the drug is still necessary every day or necessary at all.
C Incorrect: The physician would not order a "drug holiday" to save money because Ritalin is not expensive then compared with another medication to treat ADHD called Strattera.
D Incorrect: The physician would not order a "drug holiday" to reverse the adverse side effects of this drug. The most common adverse side effects include anorexia, weight loss, abdominal pain, headache, insomnia, tachycardia, and hypertension. If these side effects are unacceptable to the child or caregivers, other medications may be used.
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