Efficacy of a Methylphenidate Transdermal System Versus t.i.d. Methylphenidate in a Laboratory Setting

Objective: To test the efficacy and tolerability of the methylphenidate transdermal formulation (MTS) against immediate-release methylphenidate (IR MPH) and placebo in a 12-hr analog classroom setting. Method: A total of nine boys ages 6 to 9 years, medicated with MPH for ADHD, complete a within-sub...

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Veröffentlicht in:Journal of attention disorders 2011-01, Vol.15 (1), p.28-35
Hauptverfasser: Pelham, William E., Waxmonsky, James G., Schentag, Jerome, Ballow, Charles H., Panahon, Carlos J., Gnagy, Elizabeth M., Hoffman, Martin T., Burrows-MacLean, Lisa, Meichenbaum, David L., Forehand, Gregory L., Fabiano, Gregory A., Tresco, Katy E., Lopez-Williams, Andy, Coles, Erika K., González, Mario A.
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container_end_page 35
container_issue 1
container_start_page 28
container_title Journal of attention disorders
container_volume 15
creator Pelham, William E.
Waxmonsky, James G.
Schentag, Jerome
Ballow, Charles H.
Panahon, Carlos J.
Gnagy, Elizabeth M.
Hoffman, Martin T.
Burrows-MacLean, Lisa
Meichenbaum, David L.
Forehand, Gregory L.
Fabiano, Gregory A.
Tresco, Katy E.
Lopez-Williams, Andy
Coles, Erika K.
González, Mario A.
description Objective: To test the efficacy and tolerability of the methylphenidate transdermal formulation (MTS) against immediate-release methylphenidate (IR MPH) and placebo in a 12-hr analog classroom setting. Method: A total of nine boys ages 6 to 9 years, medicated with MPH for ADHD, complete a within-subject, double-blind study. For the purpose of the study, the boys are administered a dose of 20 cm2 MTS, a matched dose of IR MPH 10 mg TID, and placebo. ADHD symptoms and frequency counts of classroom rule violations and the number of math problems completed are assessed hourly, during three consecutive analog classroom sessions. Results: Findings show that, across measures and throughout the day, both treatments significantly differentiated from placebo (p < .05) but not from each other. It is also observed that the MTS produced more consistent results across the day but had a delayed onset versus IR MPH. Both medications are well tolerated with only mild reductions in sleep onset. Conclusion: The MTS demonstrates comparable efficacy and tolerability to TID IR MPH.
doi_str_mv 10.1177/1087054709359163
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subjects Administration, Cutaneous
Analysis of Variance
Attention Deficit Disorder with Hyperactivity - drug therapy
Attention Deficit Hyperactivity Disorder
Central Nervous System Stimulants - administration & dosage
Central Nervous System Stimulants - therapeutic use
Child
Child Behavior
Children
Comparative Analysis
Double-Blind Method
Drug Administration Schedule
Drug Therapy
Humans
Male
Males
Mathematics Instruction
Methylphenidate - administration & dosage
Methylphenidate - therapeutic use
Outcomes of Treatment
Problem Solving
Student Behavior
Symptoms (Individual Disorders)
Treatment Outcome
Wechsler Intelligence Scale for Children III
title Efficacy of a Methylphenidate Transdermal System Versus t.i.d. Methylphenidate in a Laboratory Setting
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