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

Yildiz 2010.

Methods An 8‐week, open‐label, prospective, parallel study with 2 arms:
  1. Osmotic release oral system‐methylphenidate HCL (OROS‐MPH)

  2. Immediate‐release methylphenidate (IR‐MPH)

Participants Number of participants screened: not stated
Number of participants included: 90
Number of participants randomised: OROS‐MPH: 50 and IR‐MPH: 40
Number of participants followed up: OROS‐MPH: 47 and IR‐MPH: 36
Number of withdrawals: OROS‐MPH: 3 and IR‐MPH: 4
Diagnosis of ADHD: DSM‐IV (subtype: combined (IR‐MPH: 75.0%, OROS‐MPH: 80.9%), inattentive (IR‐MPH: 25.0%, OROS‐MPH: 19.1%))
Age: mean 9.7 SD 1.8, range 7‐15 years old (IR‐MPH: 9.3 SD 1.3 and OROS‐MPH: 10.0 SD 2.1)
IQ: above 80. WISC‐R total IQ: IR‐MPH: 99.9 SD 14.2 and OROS‐MPH: 99.5 SD 10.9
Sex: IR‐MPH: 28 males, 8 females. OROS‐MPH: 41 males, 6 females
Methylphenidate‐naïve: not stated
Ethnicity: not stated
Country: Turkey
Comorbidity: specific learning difficulties (IR‐MPH: 22.2%, OROS‐MPH: 23.4%)
Comedication: not stated
Sociodemographics: not stated
Inclusion criteria
  1. 7‐14 years old

  2. Diagnosed with ADHD based on DSM‐IV clinical interviews

  3. Psychostimulant treatment initiation

  4. Parents signed written consent form


Exclusion criteria
  1. Previous unresponsiveness to psychostimulant treatment

  2. Especially drug sensitivity to psychotropic drugs

  3. Having other disruptive behaviour disorders, and specific learning difficulties

  4. Serious gastrointestinal, cardiovascular and haematological diseases history of epilepsy, and severe head trauma

  5. IQ below 80 according to the WISC‐R test intelligence quotient of children and adolescents

Interventions Dosage the first 4 weeks: IR‐MPH: 10 mg/day. OROS‐MPH: 18 mg/day
After the fourth week: IR‐MPH: 10 mg/day (n = 16) or 20 mg/day (n = 20) and OROS‐MPH: 18 mg/day (n = 22) or 36 mg/day (n = 25)
Duration of intervention: 60 days
Treatment compliance: not stated
Outcomes Non‐serious adverse events:
Based on Side Effects of Stimulant Medications for Screening Scale developed by Turgay, there are 16 side effects for psychostimulants. Parents filled out the form for each side effects based on a 4‐point Likert scale (0: none, 1: rare, 2: moderate, 3: severe) in 4th and 8th week
Notes Sample calculation: not stated
Ethics approval: yes
Funding/vested interests: not stated
Key conclusions of the study authors: OROS‐methylphenidate was found to be as effective as IR‐methylphenidate in the treatment of behavioural symptoms in Turkish children with ADHD. These results demonstrated that both drugs were effective and well tolerated in the treatment of Turkish children with ADHD
Exclusion of methylphenidate non‐responders/children who have previously experienced adverse events on methylphenidate: yes