Cover Image

Neurological and psychiatric adverse effects of long-term methylphenidate treatment in ADHD: a map of the current evidence

Methylphenidate (MPH), the most common medication for children with Attention Deficit/Hyperactivity Disorder (ADHD) in many countries, is often prescribed for long periods of time. Any long-term psychotropic treatment in childhood raises concerns about possible adverse neurological and psychiatric o...

Full description

Saved in:
Bibliographic Details
Main Authors: Krinzinger, Helga (Author) , Hall, Charlotte L (Author) , Groom, Madeleine J (Author) , Ansari, Mohammed T (Author) , Banaschewski, Tobias (Author) , Buitelaar, Jan K (Author) , Carucci, Sara (Author) , Coghill, David (Author) , Danckaerts, Marina (Author) , Dittmann, Ralf (Author) , Falissard, Bruno (Author) , Garas, Peter (Author) , Inglis, Sarah K (Author) , Kovshoff, Hanna (Author) , Kochhar, Puja (Author) , McCarthy, Suzanne (Author) , Nagy, Peter (Author) , Neubert, Antje (Author) , Roberts, Samantha (Author) , Sayal, Kapil (Author) , Sonuga-Barke, Edmund (Author) , Wong, Ian C K (Author) , Xia, Jun (Author) , Zuddas, Alessandro (Author) , Hollis, Chris (Author) , Konrad, Kerstin (Author) , Liddle, Elizabeth B (Author)
Format: Article (Journal)
Language:English
Published: 20 September 2019
In: Neuroscience & biobehavioral reviews
Year: 2019, Volume: 107, Pages: 945-968
ISSN:1873-7528
DOI:10.1016/j.neubiorev.2019.09.023
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.neubiorev.2019.09.023
Verlag, lizenzpflichtig, Volltext: http://www.sciencedirect.com/science/article/pii/S0149763419302350
Get full text
Author Notes:Helga Krinzinger, Charlotte L Hall, Madeleine J Groom, Mohammed T Ansari, Tobias Banaschewski, Jan K Buitelaar, Sara Carucci, David Coghill, Marina Danckaerts, Ralf W Dittmann, Bruno Falissard, Peter Garas, Sarah K Inglis, Hanna Kovshoff, Puja Kochhar, Suzanne McCarthy, Peter Nagy, Antje Neubert, Samantha Roberts, Kapil Sayal, Edmund Sonuga-Barke, Ian C K Wong, Jun Xia, Alessandro Zuddas, Chris Hollis, Kerstin Konrad, Elizabeth B Liddle, the ADDUCE Consortium
Description
Summary:Methylphenidate (MPH), the most common medication for children with Attention Deficit/Hyperactivity Disorder (ADHD) in many countries, is often prescribed for long periods of time. Any long-term psychotropic treatment in childhood raises concerns about possible adverse neurological and psychiatric outcomes. We aimed to map current evidence regarding neurological and psychiatric outcomes, adverse or beneficial, of long-term MPH (> 1year) treatment in ADHD. We coded studies using a “traffic light” system: Green: safe/favours MPH; Amber: warrants caution; Red: not safe/not well-tolerated. Un-categorisable study findings were coded as “Unclear”. Although some evidence suggests an elevated risk of psychosis and tics, case reports describe remission on discontinuation. Several studies suggest that long-term MPH may reduce depression and suicide in ADHD. Evidence suggests caution in specific groups including pre-school children, those with tics, and adolescents at risk for substance misuse. We identified a need for more studies that make use of large longitudinal databases, focus on specific neuropsychiatric outcomes, and compare outcomes from long-term MPH treatment with outcomes following shorter or no pharmacological intervention.
Item Description:Gesehen am 18.03.2020
Physical Description:Online Resource
ISSN:1873-7528
DOI:10.1016/j.neubiorev.2019.09.023

Similar Items