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] |
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.
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.