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

Holtkamp 2002.

Methods A patient report of growth impairment during methylphenidate treatment
Participants Diagnosis of ADHD: DSM‐IV (subtype: not stated)
Age: 7.6 years old
IQ: normal
Sex: male
Ethnicity: not stated
Country: Germany
Comorbidity: bronchial asthma
Comedication: inhaled corticosteroids
Sociodemographics: not stated
Interventions Methylphenidate type: not stated
Methylphenidate dosage: 0.75‐0.8 mg/kg/day
Administration schedule: morning and noon
Duration of treatment: 19 months
Treatment compliance: not stated
Outcomes Non‐serious adverse events:
Appetite loss (only in the first weeks of medicine)
Growth impairment
Notes Funding/vested interests: not stated
Key conclusions of the study authors: one may conclude that some children are at risk of serious growth decrement when treated with methylphenidate. The growth of children should thus be monitored carefully, even if there are no alarming gastrointestinal side effects from methylphenidate. We found that the determination of growth velocity was a sensitive marker for the evaluation of growth impairment in our patient