Long-Term Effectiveness and Safety of Dexmethylphenidate Extended-Release Capsules in Adult ADHD
Abstract
Objective: This study evaluates dexmethylphenidate extended release (d-MPH-ER) in adults with ADHD. Method: Following a 5-week, randomized, controlled, fixed-dose study of d-MPH-ER 20 to 40 mg/d, 170 adults entered a 6-month open-label extension (OLE) to assess long-term safety, with flexible dosing of 20 to 40 mg/d. Exploratory effectiveness outcomes included change from Week 5 on ADHD Rating Scale (ADHD-RS) and proportion of responders on Clinical Global Impressions—Improvement (CGI-I) scale. Results: 103 patients completed OLE, and effectiveness was evaluable in 102 patients. d-MPH-ER was well tolerated; the most common adverse events (>15%) were headache, insomnia, and decreased appetite. Mean improvements in ADHD-RS score were −10.2 for patients switched from placebo to d-MPH-ER ( n = 20) and −8.4 for those maintained on d-MPH-ER ( n = 82). Respective CGI-I responder rates were 95.0% and 95.1%. Conclusion: Once-daily d-MPH-ER 20 to 40 mg is safe and effective for long-term treatment of adult ADHD. (J. of Att. Dis. 2009; 12(5) 449-459)
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In Switzerland, dexmethylphenidate XR was licensed for use in adults in 2009 and has been reported as a safe and effective option.
“In Switzerland Dexmethylphenidate XR was licensed for use in adults in 2009 and this has been reported as a safe and effective option [292].”
From European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD (2010) · cites this paper as [292]
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- Authors
- Adler, L. A., Spencer, T., McGough, J. J., Jiang, H., & Muniz, R.
- Affiliations
- VA NY Harbor Healthcare System (US)
- Massachusetts General Hospital (US)
- University of California, Los Angeles (US)
- The Adult ADHD Research Group, Novartis Pharmaceuticals Corporation, East Hanover
- Venue
- Journal of Attention Disorders
- Publisher
- SAGE Publications
- Published
- 2009-03
- Volume
- 12
- Issue
- 5
- Pages
- 449-459
- ISSN
- 1087-0547 (ISSN-L)
- 1557-1246
- OpenAlex
- W2026549843
- Cited by
- 53
- References
- 24
- Citations by year
- 2023: 2 · 2022: 2 · 2018: 2 · 2017: 4 · 2016: 4 · 2015: 4 · 2014: 11 · 2013: 3 · 2012: 4
- FWCI
- 4.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Attention Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Health Sciences › Medicine › Pharmacology › Pharmacology and Obesity Treatment
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- adult ADHD, long-term treatment safety, ADHD symptom improvement, ADHD Rating Scale, flexible dosing, adverse events, stimulant medication
- MeSH terms
- Adult, Central Nervous System Stimulants, Attention Deficit Disorder with Hyperactivity, Capsules, Delayed-Action Preparations, Dose-Response Relationship, Drug, Double-Blind Method, Female, Follow-Up Studies, Humans, Male, Methylphenidate, Middle Aged, Personality Assessment, Treatment Outcome, Adverse Drug Reaction Reporting Systems, Young Adult, Dexmethylphenidate Hydrochloride
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