Skip to main content
. 2018 May 10;2018(5):CD012069. doi: 10.1002/14651858.CD012069.pub2

Johnson 2013.

Methods A cohort stud of methylphenidate use for 6 weeks
Participants Number of participants screened: not stated
Number of participants included: 96
Number of participants followed up: 77
Number of withdrawals: 9
Diagnosis of ADHD: DSM‐IV (subtype: combined (82%), hyperactive‐impulsive (9%), inattentive (9%))
Age: mean 8 (SD 2.6) years (range 4‐15)
IQ: mean 92.7 (SD 15.9)
Sex: 66 males, 11 females
Methylphenidate‐naïve: 100%
Ethnicity: not stated
Country: Ireland
Comorbidity: oppositional defiant disorder: 60%, conduct disorder: 16%
Comedication: paracetamol, salbutamol and steroid inhalers for asthma and ampicillin antibiotics
Sociodemographics: not stated
Inclusion criteria:
  1. Between 4 and 15 years of age

  2. Meet DSM‐IV criteria for ADHD

  3. Be stimulant naïve

  4. Be willing to provide a blood or saliva sample for genetic analysis


Exclusion criteria:
  1. IQ < 70

  2. Epilepsy, fragile X syndrome, fetal alcohol syndrome, maternal drug abuse during pregnancy, primary diagnosis of pervasive developmental disorder or bipolar disorder

  3. Current treatment with non‐stimulant psychotropic medications

Interventions Methylphenidate type: 45 participants took short‐acting methylphenidate. Otherwise not stated
Methylphenidate dosage: mean 0.57 mg/kg/day (SD 0.19)
Administration schedule: not stated
Time points: not stated
Duration of intervention: 1 year, however only data up to 6 weeks were reported here
Treatment compliance: not stated
Outcomes Non‐serious adverse events:
Barkley's Side Effect Rating Scale at 6 weeks, parent rated ‐ included decreased appetite, weight loss, headache, abdominal pain, irritability, sadness, insomnia, and tics
Notes Sample calculation: not stated
Any withdrawals due to adverse events: not stated
Ethics approval: granted by 8 local research ethics committees
Funding/vested interests: this study was funded by the Irish Health Research Board, Dublin
Authors stated that there were no competing financial interests
Key conclusions of the study authors: the study found an association between 2 CES1 SNP markers and sadness as a side effect of short‐acting methylphenidate
Comments from the study authors: limitations: not cross‐over design; serum measures of methylphenidate were not obtained; study did not consider environmental factors impacting on CES1A1 function
Exclusion of methylphenidate non‐responders/children who have previously experienced adverse events on methylphenidate: no