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

Faraone 2007a.

Methods A long term, open‐label, longitudinal study of methylphenidate use for up to 37 months
Participants Number of participants screened: 268
Number of participants included: 191
Number of participants followed up: 127
Number of withdrawals: 64
Diagnosis of ADHD: DSM‐IV (subtype: not stated)
Age: range 6‐12 years old
IQ: not stated
Sex: not stated
Methylphenidate‐naïve: not stated
Ethnicity: not stated
Country: USA
Comorbidity: not stated
Comedication: not stated
Sociodemographics: not stated
Inclusion criteria
  1. 6‐12 years old

  2. DSM‐IV diagnosis of ADHD

Interventions Methylphenidate type: transdermal system
Methylphenidate dosage: 6.25 cm2 (0.5 mg/hour) to 50 cm2 (3.6 mg/hour)
Administration schedule: 12 hour wear time
Duration of intervention: 37 months
Treatment compliance: not stated
Outcomes Non‐serious adverse events:
 Weight, height and BMI, values were converted to age‐corrected standard scores (z scores) and percentiles using the normative growth charts and transformations provided by the Centers for Disease Control and Prevention
Notes Sample calculation: not stated
 Ethics approval: the study was approved by each site's local institutional review board or by a central IRB
 Funding/vested interests: this study was supported in part by a grant from Shire Pharmaceutical Development to SF
 Authors' affiliations: Dr Faraone receives research support from McNeil Consumer & Specialty Pharmaceuticals, Shire US, and Eli Lilly; is on the speakers' bureaus of Eli Lilly, McNeil Consumer & Specialty Pharmaceuticals, Shire US, and Cephalon; and has had an advisory or consulting relationship with the McNeil Consumer & Specialty Pharmaceuticals, Noven Pharmaceuticals, Shire US, Cephalon, and Eli Lilly. Mr Giefer has no financial relationships to disclose
 Key conclusions of the study authors: methylphenidate transdermal system treatment is associated with growth deficits in both weight, height, and BMI, but growth deficits attenuate over time. Baseline growth influences the effect of MTS treatment on both height, weight, and BMI, whereas prior stimulant therapy, dose, and total time treated influences only weight and BMI
 Comments from the study authors: prior stimulant therapy predicted smaller weight and BMI (but not height) deficits during the course of treatment with MTS. Growth velocity analyses showed that the rates of weight and BMI increases were negative in the first year of the study but positive at later time points. These findings suggest that any adverse effects of MTS on weight or BMI occur near the commencement of treatment and show some attenuation over time
 Exclusion of methylphenidate non‐responders/children who have previously experienced adverse events on methylphenidate: not stated