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

Mohammadi 2012a.

Methods An 8‐week double‐blind parallel‐group randomised controlled trial with 2 arms:
  1. Methylphenidate + placebo

  2. Methylphenidate + melatonin

Participants Number of participants screened: not stated
Number of participants included: 60
Number randomised to methylphenidate + placebo: 32 and methylphenidate + melatonin: 28
Number followed up in the methylphenidate + placebo group: 24
Number of withdrawals in the methylphenidate + placebo group: 8
Methylphenidate + placebo group
Diagnosis of ADHD: ICD‐10 (subtype: combined (100%))
Age: mean 8.83 years old (range 7‐12)
IQ: above 70
Sex: 17 males, 7 females
Methylphenidate‐naïve: 100% were newly diagnosed
Ethnicity: not stated
Country: Iran
Comorbidity: no
Comedication: no
Sociodemographics: level of family income: low (58.8%), average (23.6%), high (17.6%)
Inclusion criteria:
  1. 7‐12 years old

  2. Newly diagnosed with ADHD, ICD‐10 combined type

  3. Clinical need to be treated with methylphenidate

  4. Parental and child consent


Exclusion criteria:
  1. Use of any confounding drugs or dietary supplements

  2. History of major prenatal complications such as prematurity

  3. Low birthweight (reported by parents)

  4. Any past or present psychosis, comorbid Tourette syndrome, celiac, phenylketonuria, autism, or other persistent developmental disorders

  5. Narcotics use

  6. Any confounding comorbidities

Interventions Methylphenidate type: Ritalin
Methylphenidate dosage: 1 mg/kg
Administration schedule: not stated
Duration of intervention: 8 weeks
Treatment compliance: not stated
Outcomes Sleep Disturbance Scale for Children (SDSC) sleep questionnaires and appetite questionnaires were completed by mothers at baseline, week 2, 4, and 8
Height, weight were measured by a dietitian at baseline and week 8. Weight was measured with minimal clothing and height without shoes in standard position
3‐day food records were completed by mothers at baseline and week 8
Stimulant drug side effects questionnaires were completed by mothers at week 8 (methylphenidate + placebo, n = 18)
Notes Sample calculation: not stated
Any withdrawals due to adverse events: not stated
Ethics approval: yes
Funding/vested interests: the study was financially supported by Research Deputy of Tehran University of Medical Sciences
Authors' affiliations: not stated
Key conclusions of study authors: melatonin with methylphenidate can partially improve symptoms of sleep disturbance by circadian cycle modification. However, it did not seem to reduce the attention deficiency and hyperactivity behaviour of ADHD children
Exclusion of methylphenidate non‐responders/children who have previously experienced adverse events on methylphenidate: no
Supplemental data received through personal email correspondence with the authors in July 2013 (Mohammadi 2013 [pers comm])