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

Niederhofer 2009.

Methods A patient report of dosage reduction of methylphenidate treatment by addition of atomoxetine. Adverse effects of methylphenidate are reported
Participants Diagnosis of ADHD: DSM‐IV (subtype: combined)
Age: 11 years old
IQ: 97
Sex: male
Ethnicity: not stated
Country: Italy
Comorbidity: not stated
Comedication: not stated
Sociodemographics: not stated
Interventions Methylphenidate type: not stated
Methylphenidate dosage: 20 mg/day
Administration schedule: not stated
Duration of intervention: 2 months
Treatment compliance: not stated
Outcomes Non‐serious adverse events:
Methylphenidate 20 mg/day: depressed mood and appetite loss
Dosage‐reduction to 10 mg/day: improved the depressed mood
Notes Key conclusions of study authors: the reported case mainly shows that the combination between atomoxetine and methylphenidate helped reducing the dose of methylphenidate and thus, probably the side effects while showing beneficial clinical effects
Funding/vested interests/authors' affiliations: not stated
Supplemental information regarding ADHD type received through personal email correspondence with author in July 2013 (Niederhofer 2013 [pers comm])