Buspirone versus methylphenidate in the treatment of attention deficit hyperactivity disorder: a double-blind and
Rozita Davari-Ashtiani1, Mahin Eslami Shahrbabaki, Katayoon Razjouyan
1Imam Hossein Hospital, Department of Psychiatry, Shahid Beheshti University of Medical Sciences, Tehran, Iran. rodavari@sbmu.ac.ir
Insights
Buspirone and methylphenidate (MPH) effectively treated childhood attention-deficit/hyperactivity disorder (ADHD). While MPH improved inattention, buspirone showed fewer side effects, suggesting a favorable safety profile for ADHD treatment.
Area of Science:
- Child and Adolescent Psychiatry
- Neurodevelopmental Disorders
- Pharmacology
Background:
- Attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children.
- Methylphenidate (MPH) is a widely used stimulant medication for ADHD.
- Alternative treatments with different side effect profiles are needed.
Purpose of the Study:
- To compare the efficacy and side effects of buspirone and methylphenidate (MPH) in treating children with ADHD.
- To evaluate the impact of both medications on ADHD symptoms and specific symptom subscales.
Main Methods:
- A 6-week, double-blind, randomized clinical trial involving 34 children diagnosed with ADHD.
- Participants received either buspirone (0.5 mg/kg/day) or MPH (0.3-1 mg/kg/day) based on weight.
- Outcomes were measured using parent and teacher ADHD Rating Scales and a side effect checklist.
Main Results:
- Both buspirone and MPH significantly reduced ADHD symptoms as reported by parents and teachers (p = 0.001).
- Methylphenidate was more effective in reducing symptoms of inattention.
- Buspirone exhibited a milder and less frequent side effect profile compared to MPH.
Conclusions:
- Buspirone demonstrates clinically significant efficacy in improving ADHD symptoms in children.
- Buspirone presents a favorable side-effect profile, making it a potential alternative treatment option.
- Further large-scale, cross-over studies are warranted to confirm these preliminary findings.
Abstract:
The efficacy and side effects of buspirone compared with methylphenidate (MPH) in the treatment of children with attention-deficit/hyperactivity disorder (ADHD). A total of 34 children with ADHD as defined by DSM-IV-TR were randomized to buspirone or methylphenidate dosed on weight-adjusted basis at buspirone (0.5 mg/kg/day) and methylphenidate (0.3-1 mg/kg/day) for a 6-week double-blind clinical trial. The principle measures of outcome were the teacher and parent ADHD Rating Scale. The side effects were assessed by the special side effect checklist of each drug. In both groups, the scores of teacher and parent ADHD Rating Scale significantly declined on the 6th week as compared to baseline (p = 0.001). These effects were observed in the subscales too. No significant differences were observed between the two protocols on the total scores of parent and teacher ADHD Rating Scale, but methylphenidate was superior to buspirone in decreasing the symptoms of inattention. The side effects of buspirone were mild and rare in comparison with MPH. Buspirone has a favorable side-effects profile. It also has clinically and statistically significant impacts on improving the ADHD symptoms in children. These preliminary findings of the efficacy of buspirone in children with ADHD need large and cross-over studies.
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