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. 2021 Nov 3;11(11):1141. doi: 10.3390/jpm11111141

Table 5.

Meta-analysis of Adverse Effects Associated with Leucovorin in Children with ASD. Bold and italics indicate significant effects across studies.

Leucovorin Alone Leucovorin Combination
Adverse Effect Incidence (95% CI) Adverse Effect Incidence (95% CI)
Abdominal Pain 1.7% (0.0%, 4.8%) Abdominal Pain 2.1% (0.0%, 7.2%)
Aggression 9.5% (4.2%, 16.3%) Aggression 1.3% (0.1%, 3.6%)
Blood in Stool 1.7% (0.0%, 4.8%) Attention Problems 0.9% (0.0%, 2.9%)
Confusion 1.8% (0.0%, 5.0%) Constipation/Diarrhea 7.4% (0.0%, 21.5%)
Constipation 2.6% (0.0%, 7.4%) Dizziness 2.1% (0.0%, 7.2%)
Decreased Appetite 2.6% (0.0%, 7.4%) Headaches 0.9% (0.0%, 2.5%)
Depression 230% (0.0%, 6.9%) Hyperactivity 2.5% (0.0%, 8.8%)
Diarrhea 2.3% (0.0%, 7.0%) Impulsivity 1.0% (0.0%, 2.7%)
Dry Mouth, Excessive Thirst 5.0% (0.0%, 13.6%) Increased Appetite 3.2% (0.0%, 12.1%)
Emotional Lability 2.0% (0.0%, 7.4%) Irritability 1.0% (0.0%, 2.7%)
Excitement or Agitation 11.7% (1.1%, 28.8%) Nausea/Vomiting 0.9% (0.0%, 2.9%)
Gastroesophageal Reflux 2.8% (0.2%, 7.5%) Rash 0.9% (0.0%, 2.5%)
Headache 4.9% (1.3%, 10.5%) Reduced Sleep 1.9% (0.0%, 6.3%)
Insomnia 8.5% (0.2%, 23.8%) Sedation 1.7% (0.0%, 5.6%)
Increased Motor Activity 7.4% (0.0%, 21.8%) Worsening Behavior 8.5% (3.9%, 14.6%)
Increased Tantrums 6.2% (1.5%, 13.3%)
Involuntary Movements 2.6% (0.0%, 7.4%)
Restlessness 3.4% (0.0%, 10.6%)
Stiffness 1.7% (0.0%, 5.0%)
Viral Infection 10.3% (0.0%, 33.8%)
Weight Gain 2.6% (0.0%, 7.4%)