Pyridoxine and Magnesium Administration-Induced Hyperactivity in Two Children With Autism Spectrum Disorder: Case
Abraham Debi Ann1, Narasimhan Udayakumar2, Christy Senta3
1Department of Pharmacy Practice, Sri Ramachandra Faculty of Pharmacy, Chennai, Tamil Nadu, India.
Insights
Hyperactivity was observed in two children with autism spectrum disorder (ASD) treated with pyridoxine hydrochloride and magnesium sulfate (pyridoxine-Mg). A possible to probable association between hyperactivity and pyridoxine-Mg was identified.
Area of Science:
- Neuroscience
- Developmental Pediatrics
- Pharmacology
Background:
- Autism spectrum disorder (ASD) is a complex neurodevelopmental condition.
- Pyridoxine hydrochloride and magnesium sulfate (pyridoxine-Mg) are sometimes used in ASD management.
- Adverse drug reactions require careful monitoring and assessment.
Purpose:
Pyridoxine hydrochloride and magnesium sulfate (pyridoxine-Mg) have been used for the management of autism spectrum disorder (ASD). We present a case report of 2 children with ASD who were administered pyridoxine-Mg for 2 months.
Methods:
The Childhood Autism Rating Scale, Second Edition, was used to confirm the adverse reaction. The Naranjo Adverse Drug Reaction Probability Scale was used to assess causality.
Results:
Children were reported by their parents as being hyperactive. Evaluation by the psychologist using the Childhood Autism Rating Scale, Second Edition, also confirmed the reaction. According to the Naranjo scale, hyperactivity had a possible and probable association with pyridoxine-Mg for child 1 and 2, respectively.
Implications:
A probable to possible association exists between hyperactivity and pyridoxine-Mg. Clinical Trial Registry-India identifier: CTRI/2019/07/020102.
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