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. 2021 May 4;325(20):2067–2075. doi: 10.1001/jama.2021.6118

Table 4. Adverse Effects in a Study of α2-Adrenergic Agonists vs Stimulants for Preschool-Age Children With Attention-Deficit/Hyperactivity Disorder.

Adverse effecta No. (%) [95% CI]
α2-Adrenergic agonist (n = 175) Stimulants (n = 321)b
Daytime sleepiness 66 (38) [30-45] 9 (3) [1-5]
Moodiness/irritability 50 (29) [21-36] 161 (50) [43-57]
Disruptive behavior 49 (28) [19-37] 72 (22) [16-29]
Difficulty with sleep 19 (11) [6-15] 67 (21) [17-25]
Headaches 16 (9) [5-13] 16 (5) [3-7]
Appetite suppression 13 (7) [3-12] 123 (38) [33-44]
Stomachaches 8 (5) [1-8] 42 (13) [9-17]
Skin picking or other repetitive behaviors 8 (5) [1-8] 36 (11) [7-15]
a

The data abstraction form listed many known adverse effects and an “other” category, and the presence or absence of each was abstracted from the medical records.

b

One child who was treated with stimulant medication (methylphenidate) did not have the clinician identification number available and thus was excluded from these results because the 95% CIs provided were adjusted for clustering by clinician.