Effects of Application to Two Different Skin Sites on the Pharmacokinetics of Transdermal Methylphenidate in Pediatric Patients with Attention-Deficit/Hyperactivity Disorder
Abstract
Objective: This study was conducted to quantify the rate and extent of methylphenidate (MPH) absorption from a transdermal system when applied to two different skin sites in pediatric subjects with attention-deficit/hyperactivity disorder (ADHD). Methods: In an open-label, single-dose, randomized, two-way crossover study, children (6–12 years) with ADHD were randomized to wear one MPH transdermal system (MTS) on the hip area or on the scapular area for 16 hours. The following week, subjects were crossed over to the opposite application site. Serial blood samples were collected after each MTS application and pharmacokinetic (PK) parameters for d,l -MPH were calculated. Worn MTS units were assayed to calculate the Apparent Dose absorbed from MTS. Results: PK analyses included 23 subjects. Hip and scapular application resulted in quantifiable levels of d,l -MPH, with approximately 31% higher bioavailability upon hip application. Logarithm transformed mean ratios for area under the curve (AUC) and C max indicated a lack of equivalence between the two sites. Conclusion: MTS applied to both hip and scapular areas resulted in quantifiable plasma levels of d,l -MPH. Bioavailability of MPH from the same transdermal delivery system appears to differ substantially when applied to two different skin surfaces in young children but with similar overall skin effects assessments.
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Greater absorption of methylphenidate occurs when the patch is applied to the buttocks rather than to the subscapular area.
“Greater absorption of medication occurs when the patch is applied to the buttocks rather than to the subscapular area [47].”
From Advances in understanding and treating ADHD (2011) · cites this paper as [47]
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- Authors
- González, M. A., Campbell, D., & Rubin, J.
- Affiliations
- P'Kinetics International, Inc.
- DAC and Associates Consulting
- Takeda (United States) (US)
- ORCID
- Rubin, Jonathan
- Venue
- Journal of Child and Adolescent Psychopharmacology
- Publisher
- SAGE Publications
- Published
- 2009-06
- Volume
- 19
- Issue
- 3
- Pages
- 227-232
- ISSN
- 1044-5463 (ISSN-L)
- 1557-8992
- OpenAlex
- W1992397132
- Cited by
- 16
- References
- 15
- Citations by year
- 2025: 1 · 2021: 1 · 2020: 2 · 2019: 1 · 2017: 1 · 2014: 1 · 2013: 1
- FWCI
- 1.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Child and Adolescent Psychopharmacology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmaceutical Science › Advancements in Transdermal Drug Delivery
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pharmaceutical studies and practices
- Keywords
- methylphenidate, transdermal drug delivery, attention deficit hyperactivity disorder, pediatric patients, pharmacokinetics, bioavailability, skin effect
- MeSH terms
- Administration, Cutaneous, Central Nervous System Stimulants, Attention Deficit Disorder with Hyperactivity, Biological Availability, Female, Hip, Humans, Male, Methylphenidate, Scapula, Skin Absorption, Cross-Over Studies, Area Under Curve
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