Skip to main content
. 2018 May 10;2018(5):CD012069. doi: 10.1002/14651858.CD012069.pub2

Coşkun 2010.

Methods Cohort study of methylphenidate treatment in participants with ADHD and comorbid anxiety‐ or depressive disorders
Participants Number of participants screened: not stated
Number of participants included: 7
Number of participants followed up: not stated
Number of withdrawals: not stated
Diagnosis of ADHD: DSM‐IV (subtype: combined (57%), inattentive (43%))
Age: mean 11.85 (SD 2.91), range: 8‐16 years old
IQ: normal
Sex: 4 males, 3 females
Methylphenidate‐naïve: none
Ethnicity: Turkish
Country: Turkey
Comorbidity: generalised anxiety (86%), social anxiety (86%), panic (29%), separation anxiety (29%), obsessive‐compulsive (29%) and major depressive disorder (14%), special phobia (29%) and agoraphobia (14%)
Comedication: SSRIs (57%)
Sociodemographics: not stated
Inclusion criteria
  1. Meet criteria for diagnoses of ADHD, anxiety and/or depressive disorders based on DSM‐IV

Interventions Methylphenidate type and dosage: immediate release (15‐20 mg/day), osmotic release oral system (18‐54 mg/day), IR/OROS (10‐18 mg)
Administration schedule: not stated
Duration of intervention: 4‐30 months, mean 14.28 (SD 9.41)
Treatment compliance: not stated
Outcomes Non‐serious adverse events:
  1. Sleep problems:

    1. developed sleep problems (n = 4)

    2. worsening of pre‐existing sleep problems (n = 2)

  2. Appetite problems:

    1. significant decrease in appetite (n = 3)

    2. weight loss: same 3 patients (1 = −2 kg, 1 = −3 kg, 1 = −4 kg)

Notes Sample calculation: not stated
Ethics approval: not stated
Funding/vested interests: the authors reported no conflict of interest related to this article
Key conclusions of the study authors: young participants with diagnosis of ADHD and comorbid anxiety and depressive disorders may benefit from mirtazepine addition particularly in the presence of methylphenidate‐ or SSRI‐related sleep and/or appetite problems
Comments from the review authors: the adverse events reported here are from before the start of the mirtazepine treatment which means the participants are under no treatment but methylphenidate
Exclusion of methylphenidate non‐responders/children who have previously experienced adverse events on methylphenidate: no
Supplemental information received through personal email correspondence with the authors in August 2013 (Coşkun 2013c [pers comm])