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The Impact of Methylphenidate on Pubertal Maturation and Bone Age in ADHD Children and Adolescents: Results from the ADHD Drugs Use Chronic Effects (ADDUCE) Project

  • Sara Carucci
  • , Alessandro Zuddas
  • , Angelico Lampis
  • , Kenneth K. C. Man
  • , Carla Balia
  • , Jan Buitelaar
  • , Marina Danckaerts
  • , Ralf W. Dittmann
  • , Federica Donno
  • , Bruno Falissard
  • , Antonella Gagliano
  • , Peter Garas
  • , Alexander Häge
  • , Chris Hollis
  • , Sarah K. Inglis
  • , Kerstin Konrad
  • , Hanna Kovshoff
  • , Elizabeth Liddle
  • , Suzanne McCarthy
  • , Antje Neubert
  • Peter Nagy, Eric Rosenthal, Edmund J. S. Sonuga-Barke, Ian C. K. Wong, Tobias Banaschewski, David Coghill
  • ASL Cagliari, Italy
  • Anglia Ruskin University Cambridge UK,University College London London UK
  • Department of Family Medicine, the University of Hong Kong Shenzhen Hospital, The University of Hong Kong, Hong Kong SAR, China.
  • Karakter Child and Adolescent Psychiatry University Centre, Nijmegen, The Netherlands
  • University Psychiatric Center KU Leuven, Belgium
  • Department of Ophthalmology, Medical Faculty Mannheim of the Ruprecht-Karis-University Heidelberg, Mannheim, Germany
  • Department of Electrical and Electronic Engineering, University of Cagliari, 09123 Cagliari, Italy
  • School of Chemistry and Biosciences, University of Bradford, BD7 1DP, Bradford, United Kingdom; Université Paris-Saclay, CNRS, Institut Galien Paris-Saclay, 92296 Châtenay-Malabry, France
  • i Department of Biomedical Sciences, University of Messina , Messina , Italy.
  • Department of Ophthalmology, Semmelweis University, Budapest, Hungary,Faculty of Health Sciences, Semmelweis University, Budapest, Hungary
  • The University of Nottingham, UK
  • University of Dundee
  • RWTH Aachen and Research Centre Jülich, Germany
  • University of Southampton
  • University College Cork
  • Universitätsklinikum Erlangen, Germany
  • Bethesda Children’s Hospital, Budapest, Hungary
  • Children’s Neurosciences, Evelina London Children’s Hospital at Guy’s and St Thomas’ National Health Service Foundation Trust, London, United Kingdom,Department of Women and Children’s Health, School of Life Course Sciences, King’s College London, United Kingdom
  • King's College London
  • Centre for Social and Early Emotional Development, School of Psychology, Deakin University , Canberra, VIC , Australia; Department of Paediatrics, University of Melbourne , Melbourne, VIC , Australia; Judith Lumley Centre, La Trobe University , Melbourne, VIC , Australia

Research output: Contribution to journalArticlepeer-review

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Abstract

Objective: The short-term safety of methylphenidate (MPH) has been widely demonstrated; however the long-term safety is less clear. The aim of this study was to investigate the safety of MPH in relation to pubertal maturation and to explore the monitoring of bone age. Method: Participants from ADDUCE, a two-year observational longitudinal study with three parallel cohorts (MPH group, no-MPH group, and a non-ADHD control group), were compared with respect to Tanner staging. An Italian subsample of medicated-ADHD was further assessed by the monitoring of bone age. Results: The medicated and unmedicated ADHD groups did not differ in Tanner stages indicating no higher risk of sexual maturational delay in the MPH-treated patients. The medicated subsample monitored for bone age showed a slight acceleration of the bone maturation after 24 months, however their predicted adult height remained stable. Conclusion: Our results do not suggest safety concerns on long-term treatment with MPH in relation to pubertal maturation and growth.
Original languageEnglish
Pages (from-to)722-739
Number of pages18
JournalJournal of Attention Disorders
Volume28
Issue number5
Early online date17 Feb 2024
DOIs
Publication statusPublished - 1 Mar 2024

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