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. 2018 May 10;2018(5):CD012069. doi: 10.1002/14651858.CD012069.pub2

El‐Fiky 2014.

Methods A cohort study of methylphenidate use for 6 weeks
Participants Number of participants screened: 31
Number of participants included: 31
Number of participants followed up: not stated
Number of withdrawals: not stated
Diagnosis of ADHD: DSM‐5 (subtype: combined (70.9%), hyperactive‐impulsive (6.5%), inattentive (22.6%))
Age: females: mean 8.2 (SD 3), range 5‐14 years old. Males: mean 8.4 (SD 2.2), range 6‐14 years
IQ: mean: females: 100.8, males: 106.5
Sex: 21 males, 10 females
Methylphenidate‐naïve: not stated
Ethnicity: not stated
Country: Egypt
Comorbidity: oppositional defiant and conduct disorders: 11 (35.4%); specific phobic disorders: 3 (9.6%); childhood depression: 2 (6.5%), multiple comorbid problems (of conduct, agoraphobia, social and specific phobias): 2 (6.5%)
Comedication: not stated
Sociodemographics: not stated
Inclusion criteria
  1. No contra‐indications to stimulant's therapy

  2. DSM diagnosis

  3. 5‐15 yo

  4. Both sexes

  5. Consent of parents


Exclusion criteria
  1. IQ below 90

  2. Chronic general medical conditions

  3. Forms of pervasive developmental or tics disorder

  4. Epilepsy

  5. Previous poor response or intolerance to stimulants

  6. Non‐consenting families

Interventions Methylphenidate type: not stated
Mean methylphenidate dosage: male: 0.75 mg/kg (SD 0.12); female: 0.76 mg/kg (SD 0.16)
Administration schedule: not stated
Time points: not stated
Duration of intervention: 6 weeks
Treatment compliance: not stated
Outcomes Non‐serious adverse events:
Measure method: Stimulant Drug Side Effects Rating Scale of Barkley
Notes Sample calculation: not clear, but authors stated: "A pilot study involving 10 subjects (8 males, 2 females) was conducted to determine size and selection methods, interrater reliability and applicability of tools, and dose ranges of methylphenidate (0.4‐1 mg/kg)."
Ethics approval: not stated
Funding/vested interests/authors' affiliations: not stated
Any withdrawals due to adverse events: not clearly stated, but no mention of dropouts
Key conclusions of the study authors: no statistically significant gender differences; females recorded less improvement and showed more 'talk less' and 'less interest' as side effects. Conclusive evidence for the role of gender in ADHD require bypassing methodological limitations as well as confounding factors.
Comments from the study authors: since the above mentioned gender differences were less apparent than expected in the absence of gender‐by‐ADHD interaction, they can be attributed to many confounding factors than modification of ADHD effect by gender
Exclusion of methylphenidate non‐responders/children who have previously experienced adverse events on methylphenidate: yes
 Supplemental information attempted to retrieve, but no contact information for the authors found