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Stimulant Medications
Open accessAbstract
OBJECTIVE: To review the short- and long-term safety and efficacy of stimulants for the treatment of children with attention-deficit/hyperactivity disorder (ADHD). METHOD: A Medline search was conducted for both randomized controlled trials and reviews to determine the efficacy and safety of stimulant drugs for treating children with ADHD. Information was obtained on adverse events associated with their use, including their impact on height and weight gain during childhood. Animal data were reviewed for information on tolerance, sensitization, and the impact of high-dose stimulant effects on neurons and on the development of hepatic tumors. Human data on dopamine transporter occupancy by stimulants were also included. RESULTS: Stimulant treatment studies show robust short-term efficacy and a good safety profile. Longer-term studies are few in number but have produced no conclusive evidence that careful therapeutic use of these medications is harmful. CONCLUSION: Current evidence indicates that stimulants show efficacy and safety in studies lasting up to 24 months.
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“These interventions result in significant benefits for children with ADHD in multiple domains of functioning (Conners, 2002; Greenhill, Halperin, & Abikoff, 1999; Pelham, Jr., Wheeler, & Chronis, 1998; Pelham, Jr. & Fabiano, 2008; Spencer et al., 1996).”
From The influences of environmental enrichment, cognitive enhancement, and physical exercise on brain development: Can we alter the developmental trajectory of ADHD? (2011) · cites this paper as Greenhill et al., 1999
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Markowitz, J. S., Zhu, H., & Markowitz, J. S. (2011) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s24153 · Cited by 4
Cardo, E., Porsdal, V., Quail, D., Fuentes, J., Steer, C., Montoya, A. G., Anand, E., & Escobar, R. (2013) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2012.0027 · Cited by 4
Wright, P., & O‘Neill, M. F. (2012) · Elsevier eBooks · doi:10.1016/b978-0-7020-3397-1.00039-2 · Cited by 6
Metadata
- Authors
- GREENHILL, L. L., HALPERIN, J. M., & ABIKOFF, H.
- Affiliations
- Queens College, CUNY (US)
- Corresponding author
- GREENHILL, LAURENCE L.
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 1999-05
- Volume
- 38
- Issue
- 5
- Pages
- 503-512
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W4250858368
- Cited by
- 268
- References
- 54
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 3 · 2019: 5 · 2018: 3 · 2017: 5 · 2016: 7 · 2015: 4 · 2014: 10 · 2013: 10 · 2012: 10
- FWCI
- 3.01
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (5-UO1-MH5045402, U01MH050454)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pharmaceutical studies and practices
- Social Sciences › Arts and Humanities › Philosophy › Neuroethics, Human Enhancement, Biomedical Innovations
- Keywords
- stimulant medication, attention deficit hyperactivity disorder, children, long-term safety, efficacy, adverse events, weight gain, height gain, tolerance (pharmacology and immunology), sensitization, liver tumors
- MeSH terms
- Central Nervous System Stimulants, Attention Deficit Disorder with Hyperactivity, Body Constitution, Child, Humans, Weight Gain, Treatment Outcome
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