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

Ardic 2014.

Methods A retrospective chart review of osmotic release oral system methylphenidate and immediate release methylphenidate use for 8 weeks
Participants Number of participants screened: not stated
Number of participants included: 122 (68 in the OROS‐MPH group and 54 in the IR‐MPH group)
Diagnosis of ADHD: DSM‐IV (subtype: combined (89.00%), hyperactive‐impulsive (0%), inattentive (11%))
Age: mean 9.1 (1.7), range: 7‐15 years old
IQ: OROS‐MPH: 98.2 (SD 16.5). IR‐MPH: 99.4 (SD 12.8)
Sex: 98 males, 24 females (OROS‐MPH: 58 males, 10 females; IR‐MPH: 40 males, 14 females)
Methylphenidate naïve: not stated
Ethnicity: not stated
Country: Turkey
Comorbidity: none
Comedication: none
Sociodemographics: not stated
Inclusion criteria:
  1. Children and adolescents admitted to the Child and Adolescent Psychiatry Department of Ege University Medical Faculty between January and June 2010

  2. ADHD diagnosis according to the schedule for affective disorders and schizophrenia for school aged children (Kiddie‐SADS)


Exclusion criteria:
  1. Psychotic disorder, bipolar disorder or pervasive developmental disorder

  2. Mental retardation (defined as having an IQ lower than 80)

  3. Not taking another medication for anxiety, depression, or other disruptive behaviour disorders

Interventions Methylphenidate type: osmotic release oral system (OROS) and immediate release
Mean methylphenidate dosage: OROS‐MPH 30.8 (SD 11.5) mg/day; IR‐MPH 27.5 (SD 6.1) mg/day
Administration schedule: OROS‐MPH once daily, IR‐MPH twice daily
Duration of intervention: 8 weeks
Treatment compliance: not stated
Outcomes Serious adverse events:
No severe or life‐threatening adverse effects were reported in either group
Non‐serious adverse events:
≥ 1 adverse effect in 76% of the OROS‐MPH group and in 79.6% of the IR‐MPH group. 88% adverse events disappeared/decreased over time. Emotional changes were more frequent in IR‐MPH than OROS‐MPH group (51.9% and 32.4%, respectively; P = 0.03)
Notes Sample calculation: not stated
 Ethics approval: local approval was obtained from hospital administration for using the data on the Hospital Information System retrospectively
 Funding/vested interest/authors' affiliations: while making the study no support has been taken. Eyup Sabri Ercan is in charge in the advisory board of Lilly and Janssen‐Cilag, and the other authors declare no competing financial interests
 Key conclusions of the study authors: OROS‐MPH was effective and safe for Turkish children and adolescents, compared to MPH‐IR
Comments from the study authors: an important limitation of our study is our inability to assess treatment adherence in both medication groups. 88% of the adverse effects in the OROS‐MPH group and 86% of those in the IR‐MPH group decreased or disappeared over time
Comments from the review authors: adverse events rating scale was created by study authors, but it seems to be very similar to Barkley rating scale. According to the Methods section, heart rate, blood pressure, and weight were measured but are not reported in the paper
Exclusion of methylphenidate non‐responders/children who have previously experienced adverse events on methylphenidate: not explicitly stated, but it seems that only methylphenidate‐responders were included
Supplemental information regarding heart rate, blood pressure and weight has not been possible to receive from the authors. We have written twice in June 2016 without reply