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

Zeni 2007.

Methods A cohort study of methylphenidate use for 1 month
Participants Number of participants screened: 111
Number of participants included:106
Number of participants followed up: not stated
Number of withdrawals: 5
Diagnosis of ADHD: DSM‐IV (subtype: combined (58.5%), hyperactive‐impulsive (7.5%), inattentive (26.4%))
Age: mean 10.26, range 4‐17 years old
IQ: not stated
Sex: 82 males, 24 females
Methylphenidate‐naïve: 100%
Ethnicity: 100% European‐Brazilian
Country: Brazil
Setting: outpatient clinic
Comorbidity: conduct disorder (16%), oppositional defiant disorder (51.9%), mood disorders (9,4%), anxiety disorders (23.8%)
Comedication: none
Sociodemographics: not stated
Inclusion criteria
  1. ADHD diagnosis according to DSM‐IV

  2. Age between 4 and 17 years old

  3. European‐Brazilian ethnicity

  4. Drug naïve for methylphenidate

  5. Prescribed dose of methylphenidate of 0.3 mg/kg/day

Interventions Methylphenidate type: short acting
Mean methylphenidate dosage: 0.5 mg/kg/day
Administration schedule: not stated
Duration of intervention: 1 month
Treatment compliance: 2 patients excluded due to irregular use of methylphenidate
Outcomes Non‐serious adverse events
Barkley SERS:
  1. Sleep (insomnia): absent: 77 (72.6%); present: 21 (19.8%); information missing: 8 (7.5%)

  2. Decreased appetite: absent: 44 (41.5%); present: 53 (50%); information missing: 9 (8.5%)

Notes Sample calculation: no
Ethics approval: yes
Funding/vested interest: governmental agencies: Conselho Nacional de Desenvolvimento Cientıfico e Tecnologico (CNPq, Brazil); Grant number: 471761/03‐6; Grant sponsor: Programa de Apoio a Nucleos de Excelencia (PRONEX, Brazil); Grant sponsor: Hospital de Clınicas de Porto Alegre
Key conclusions of the study authors: no significant association was detected between polymorphisms of dopaminergic (DRD4, DAT1) and serotonergic genes (HTR1B, HTR2A, and 5‐HTT) on the response nor side effects to the treatment with methylphenidate
Exclusion of methylphenidate non‐responders/children who have previously experienced adverse events on methylphenidate: no, 100% were methylphenidate‐naïve
Supplemental information received through personal email correspondence with the authors in September 2016 (Zeni 2016 [pers comm])