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

Akhondzadeh 2003.

Methods A 4‐week randomised, double‐blind, clinical trial, parallel‐design where children with ADHD are randomised to methylphenidate or selegiline
Participants Number of participants screened: not stated
Number of participants included: 28
Number of participants randomised: selegiline: 14; methylphenidate: 14
Number participants followed‐up in each arm: selegiline: 13; methylphenidate: 10
Number of withdrawals in each arm: selegiline: 1; methylphenidate: 4
Methylphenidate group
Diagnosis of ADHD: DSM‐IV (subtype: combined)
Age: mean 7.37 years old (SD 1.59)
IQ: above 70
Sex: 10 males, 4 females
Methylphenidate‐naïve: 100%
Ethnicity: Persian
Country: Iran
Setting: outpatient clinic
Comorbidity: not stated
Comedication: none
Sociodemographics: not stated
Inclusion criteria
  1. DSM‐IV

  2. IQ > 70

  3. Parents and children had to be willing to comply with all requirements of the study

  4. Minimum score of 20 on the teacher and parent ADHD rating scale


Exclusion criteria
  1. Previously diagnosed with a psychiatric disorder

  2. Clinically significant chronic medical condition, incl. a past history of cardiovascular disease, organic brain disorder, or seizures

  3. Current abuse or dependence on drugs within 6 months

  4. Current treatment with psychotropic medications

Interventions Participants were randomly assigned to receive treatment using either selegiline 5 mg/day (under 5 years of age) and 10 mg/day (over 5 years of age) or methylphenidate 1 mg/kg/day for a 4‐week double‐blind clinical trial
Methylphenidate type: not stated
Administration schedule: not stated
Titration period: not stated
Treatment compliance: not stated
Outcomes Non‐serious adverse events:
  1. Anxiety: 3

  2. Decreased appetite: 5

  3. Increased appetite: 0

  4. Difficulty falling a sleep: 4

  5. Abdominal pain: 3

  6. Nausea: 2

  7. Headache: 6

Notes Sample calculation: not stated
Any withdrawals due to adverse events: not stated
Ethics approval: not explicitly stated but inferred: informed consent (parent and children) was received before the administration of any study procedure or dispensing of study medication in accordance with the ethical standards of the investigative site's institutional review board and with the Helsinki Declaration of 1975, as revised in 2000
Funding/vested interests/authors' affiliations: not stated
Key conclusions of the study authors: the results of the study must be considered preliminary, but they do suggest that selegiline may be beneficial in the treatment of ADHD. In addition, a tolerable side effect profile may be considered as one of the advantages of selegiline in the treatment of ADHD
Supplemental information requested from the study authors twice in June 2013 with no answer