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

Kazanci 2015.

Methods 2 patient reports of dyskinesia following a single dose of methylphenidate
Participants Case 1
Diagnosis of ADHD: DSM 5
Age: 8 years old
IQ: normal
Sex: male
Ethnicity: not stated
Country: Turkey
Comorbidity: none
Comedication: none
Sociodemographics: uneventful pregnancy and delivery history. Born from healthy, non‐consanguineous parents without any history of any psychiatric diseases, movement or muscle disorders
Case 2
Diagnosis of ADHD: DSM 5
Age: 6 years old
IQ: normal
Sex: male
Ethnicity: not stated
Country: Turkey
Comorbidity: none
Comedication: none
Sociodemographics: uneventful pregnancy and delivery history. Born from healthy, non‐consanguineous parents without any history of any psychiatric diseases, movement or muscle disorders
Interventions Case 1
Methylphenidate type and dosage: methylphenidate IR 10 mg/day
Methylphenidate dosage: 5 mg twice daily
Duration of treatment: 3 hours
Treatment compliance: yes
Case 2
Methylphenidate type and dosage: OROS methylphenidate 18 mg/day
Administration schedule: not stated
Duration of treatment: 2 hours
Treatment compliance: yes
Outcomes Case 1
Non‐serious adverse events: 3 hours after first dose of methylphenidate IR 5 mg: repetitive facial contortions and abnormal neck movement. The abnormal movements decreased during the following hours. Continuation of 5 mg methylphenidate immediate release twice daily. After 2 months further increase to 10 mg twice a day and no repetition of dyskinesia
Case 2
Non‐serious adverse events: 2 hours after a single dose of OROS‐methylphenidate 18 mg: repetitive facial grimaces, lip smacking and protrusion of tongue. 2 hours later all symptoms have resolved. No treatment required. Continuation of 18 mg OROS‐methylphenidate. After 3 months, further increase to 27 mg OROS‐methylphenidate and no repetition of dyskinesia in the 8‐month follow‐up period
Notes Funding/vested interest: the authors report no conflicts of interest related to this article
Key conclusions of the study authors: these side effects are assumed to occur due to individual drug sensitivities. Continuation of the methylphenidate treatment, despite dyskinetic side effects, may not cause any recurrent dyskinetic movements