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

Grcevich 2001.

Methods This retrospective review of medical charts compares the efficacy, safety, dosing frequency, and medication switch rates of Adderall with methylphenidate in children and adolescents with ADHD treated in a private, outpatient psychiatric clinic over 1992 to 1998. Of the evaluable patients, 54 received Adderall, and 75 received methylphenidate
Participants Number of participants screened: not stated
Number of participants included: not stated
Number of participants followed up: 75
Diagnosis of ADHD: DSM‐IIIR or DSM‐IV (without hyperactivity: 12, with hyperactivity: 62)
Age: mean 10.2 years old
IQ: not stated
Sex: 58 males, 16 females
Methylphenidate‐naïve: not stated
Ethnicity: not stated
Country: USA
Comorbidity: disruptive behaviour: 9, depressive disorder: 7, anxiety disorder: 1, communication disorder: 4, impulse control disorder: 1, Asperger's: 1, other disorders: 7
Comedication: no additional ADHD medications
Sociodemographics: not stated
Inclusion criteria
  1. Children and adolescents with ADHD receiving Adderall or methylphenidate and were treated in a private, outpatient psychiatric clinic between 1992 and 1998


Exclusion criteria
  1. Patients presenting for initial evaluation only or receiving ADHD medications other than methylphenidate or Adderall

Interventions Methylphenidate type: not stated
Mean methylphenidate dosage: 27 mg/day
Administration schedule: not stated
Duration of treatment: not stated
Treatment compliance: not stated
Outcomes Non‐serious adverse events:
Different types of non‐serious adverse events
Notes Sample calculation: not stated
Ethics approval: not stated
Funding/vested interests: funded by Shire Redwood Inc.
Key conclusions of the study authors: Adderall and methylphenidate provided comparable efficacy and safety in children and adolescents with ADHD
Comments from the study authors: the population examined may be poorer responders to ADHD treatment than the general population.
Exclusion of methylphenidate non‐responders/children who have previously experienced adverse events on methylphenidate: not stated
Supplemental information regarding IQ received October 2013 (Grcevich 2013 [pers comm])