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

Lakic 2012.

Methods A cohort study of the influence of methylphenidate treatment on the occurrence of tics and exacerbation of pre‐existing tics
Participants Number of participants screened: not stated
Number of participants included: 68
Diagnosis of ADHD: DSM‐TR‐IV (subtype: not stated)
Age: range 7‐15 years old
IQ: > 70
Sex: not stated
Methylphenidate‐naïve: not stated
Ethnicity: not stated
Country: Serbia
Comorbidity: tic disorder 9.7%
Comedication: not stated
Sociodemographics: not stated
Inclusion criteria:
  1. DSM‐TR‐IV diagnosis of ADHD

  2. Currently or recently treated with methylphenidate sustained release


Exclusion criteria:
  1. Mental retardation

Interventions Methylphenidate type: sustained‐release
Methylphenidate dose range: 18‐36 mg/day (individualised dose)
Administration schedule: not stated
Duration of intervention: > 6 weeks, up to 6 months
Treatment compliance: not stated
Outcomes Non‐serious adverse events:
Assessment of the occurrence of tics at the time of diagnosis, start of therapy and during methylphenidate treatment. Furthermore, monitoring (type, intensity, duration) of pre‐existing tics during methylphenidate treatment
Notes Sample calculation: not stated
Ethics approval: not stated
Funding: no funding
Authors' affiliations: not stated
Key conclusions of the study authors: tics as a side effect of sustained‐release methylphenidate treatment in our patients was predominantly motor, of mild intensity and transient in nature, and did not require cessation of therapy
Exclusion of methylphenidate non‐responders/children who have previously experienced adverse events on methylphenidate: not stated
Supplemental outcome data and information about IQ and funding were received through personal email correspondence with the authors in October 2013 (Lakic 2013 [pers comm])