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EJ697184 - Long-Term Tolerability and Effectiveness of Once-Daily Mixed Amphetamine Salts (Adderall XR) in Children with ADHD

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ERIC #:EJ697184
Title:Long-Term Tolerability and Effectiveness of Once-Daily Mixed Amphetamine Salts (Adderall XR) in Children with ADHD
Authors:McGough, James J.Biederman, JosephWigal, Sharon B.Lopez, Frank A.McCracken, James T.Spencer, ThomasZhang, YuxinTulloch, Simon J.
Descriptors:HyperactivityAttention Deficit DisordersDrug TherapyChildrenAttention SpanBehavior ChangeSymptoms (Individual Disorders)
Source:Journal of the American Academy of Child and Adolescent Psychiatry, v44 n6 p530 Jun 2005
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Publisher:Lippincott Williams & Wilkins, P.O. Box 1620, Hagerstown, MD 21741. Tel: 800-638-3030 (Toll Free); Fax: 301-223-2400.
Publication Date:2005-06-00
Pages:9
Pub Types:Journal Articles; Reports - Research
Abstract:Objective: To evaluate the long-term tolerability and effectiveness of extended-release mixed amphetamine salts (MAS XR; Adderall XR[R]) in children with attention-deficit/hyperactivity disorder (ADHD). Method: This was a 24-month, multicenter, open-label extension of TWO placebo-controlled studies of MAS XR in children with ADHD aged 6 to 12 years. Subjects (N = 568) began treatment with MAS XR 10 mg once daily, with 10-mg weekly dose increases to optimal effectiveness (maximum dose, 30 mg/d). Effectiveness was assessed with analysis of quarterly Conners Global Index Scale, Parent version (CGIS-P) scores. Tolerability was assessed by monitoring adverse events (AEs), vital signs, physical examinations, and serial laboratory tests. Results: Significant improvements (>30%, p is less than .001) in CGIS-P scores were maintained during long-term treatment. Treatment was well tolerated, and most AEs were mild. The most frequently reported drug-related AEs included anorexia, insomnia, and headache. The incidence of drug-related AEs increased with increasing MAS XR dose, suggesting a dose relationship. Changes in laboratory values and vital signs were modest and not clinically meaningful. Conclusions: In children with ADHD, once-daily 10 mg-30 mg MAS XR was well tolerated and significant behavioral improvements were consistently maintained during 24 months of treatment.
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Record Type:Journal
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ISSN:ISSN-0890-8567
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Languages:English
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