Drug therapy of attention deficit hyperactivity disorder: current trends
- PMID: 22654382
- PMCID: PMC3353606
- DOI: 10.4103/0973-1229.87261
Drug therapy of attention deficit hyperactivity disorder: current trends
Abstract
Attention deficit hyperactivity disorder is a developmental disorder with an age onset prior to 7 years. Children with ADHD have significantly lower ability to focus and sustain attention and also score higher on impulsivity and hyperactivity. Stimulants, such as methylphenidate, have remained the mainstay of ADHD treatment for decades with evidence supporting their use. However, recent years have seen emergence of newer drugs and drug delivery systems, like osmotic release oral systems and transdermal patches, to mention a few. The use of nonstimulant drugs like atomoxetine and various other drugs, such as α-agonists, and a few antidepressants, being used in an off-label manner, have added to the pharmacotherapy of ADHD. This review discusses current trends in drug therapy of ADHD and highlights the promise pharmacogenomics may hold in the future.
Keywords: ADHD; Antidepressants; Atomoxetine; Attention deficit hyperactivity disorder; Bupropion; Children; Clonidine; Dopamine; Drug; Guanfacine; Lisdexamphetamine (LDX); Methylphenidate; Mixed Amphetamine Salts; Modafinil; Non-stimulants; Pemoline; Pharmacogenomics; Preschool ADHD; Reboxetine; Selegiline; Stimulants; Theophylline; Venlafaxine; delivery systems; α-agonists.
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References
-
- Akhondzadeh S, Tavakolian R, Davari-Ashtiani R, Arabgol F, Amini H. Selegiline in the treatment of attention deficit hyperactivity disorder in children: A double blind and randomized trial. Prog Neuropsychopharmacol Biol Psychiatry. 2003;27:841–5. PMID: 12921918. - PubMed
-
- Angold A, Erkanli A, Egger HL, Costello EJ. Stimulant treatment for children: A community perspective. J Am Acad Child Adolesc Psychiatry. 2000;39:975–84. PMID: 10939226. - PubMed
-
- Arabgol F, Paanaghi L, Hebrani P. Reboxetine versus Methylphenidate in the treatment of children and adolescents with ADHD. Eur Child Adolesc Psychiatry. 2009;18:53–9. PMID: 18563471. - PubMed
-
- Atzori P, Usala T, Carucci S, Danjou F, Zuddas A. Predictive factors for the persistent use and compliance of immediate release methylphenidate: A 36 month naturalistic study. J Child Adolesc Psychopharmacol. 2009;19:673–81. PMID: 20035585. - PubMed
-
- Banaschewski T, Roessner V, Dittmann RW, Santosh PJ, Rothenberger A. Non-stimulant medications in the treatment of ADHD. Eur Child Adolesc Psychiatry. 2004;13(Suppl 1):102–16. PMID: 15322961. - PubMed
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