Underweight Children Face Higher Risk Of Stopping Adhd Medication Early

Trending 3 hours ago

Children who are underweight are much apt to extremity taking their ADHD medicine wrong a year. These are nan findings of a study conducted astatine nan University of Gothenburg connected methylphenidate, a communal pharmacological curen successful ADHD. Behind nan discontinuations are clear differences successful dosage that tin besides beryllium linked to gender and age.

Methylphenidate helps nan encephalon to modulate attraction and impulse control. It is nan astir commonly utilized medicine for ADHD and is nan progressive constituent successful Concerta, Ritalin, Medikinet and different medicines. The tablets aliases capsules are approved for children from 6 years of age, and for adults.

The existent study, published successful nan diary Pediatric Drugs, included 1,741 children and adolescents who had started curen pinch methylphenidate. The information included accusation connected gender, age, BMI and medicine doses. For 612 children, follow-up information connected medicine and BMI 6-12 months aft curen initiation were besides available.

Clear differences successful nan dosages

The results show that children and adolescents pinch overweight and obesity received somewhat higher doses of methylphenidate connected their first prescription, but erstwhile nan researchers considered nan weight of nan children and calculated nan dose per weight, they recovered that children and adolescents pinch overweight and obesity tended to person little weight-adjusted doses.

For nan group of children and adolescents pinch underweight, nan other was true. When their first doses were considered according to weight, it was recovered that successful believe nan doses were higher than for those of higher weight.

In nan adjacent step, erstwhile it was clip for follow-up prescriptions, absolute dose increases were highest successful children and adolescents pinch obesity and lowest successful children and adolescents pinch underweight.
The study besides shows that astatine follow-up, girls received higher doses than boys, some absolute and weight-adjusted doses, while children complete 12 years received higher absolute but little weight-adjusted doses than children nether 12 years.

Weight, gender and property matter

Leading nan study are Julia Izsak, Researcher and Resident successful Clinical Pharmacology, and Jenny Kindblom, Consultant and Professor of Clinical Pharmacology astatine nan University of Gothenburg and Sahlgrenska University Hospital:

"There is simply a importantly higher proportionality of children and adolescents pinch underweight who discontinue curen during nan first year, compared to nan group of normal weight. In summation to this, it is besides clear that girls and children complete nan property of 12 are much apt to discontinue their curen wrong a year," Julia Izsak concludes.

The researchers reason that nan findings item nan request for further studies connected really dosage affects nan efficacy and information of methylphenidate curen for ADHD successful children and adolescents, including those pinch underweight, overweight aliases obesity.

There are awesome gaps successful knowledge regarding medicines to children and adolescents. Our results underline nan value of considering children's individual circumstances erstwhile starting and monitoring aesculapian curen for ADHD. Through further research, we dream to summation knowledge and lend to much meticulous curen strategies for children and adolescents pinch different weight status."

Julia Izsak, Researcher and Resident successful Clinical Pharmacology, University of Gothenburg

Source:

Journal reference:

Izsak, J., et al. (2025). Dosing and Discontinuation of Methylphenidate Medication successful Relation to Weight Status successful Children and Adolescents. Pediatric Drugs. doi: 10.1007/s40272-025-00728-z. https://link.springer.com/article/10.1007/s40272-025-00728-z

More