Page last updated: 2024-10-31

methylphenidate and Anorexia

methylphenidate has been researched along with Anorexia in 17 studies

Methylphenidate: A central nervous system stimulant used most commonly in the treatment of ATTENTION DEFICIT DISORDER in children and for NARCOLEPSY. Its mechanisms appear to be similar to those of DEXTROAMPHETAMINE. The d-isomer of this drug is referred to as DEXMETHYLPHENIDATE HYDROCHLORIDE.
methylphenidate : A racemate comprising equimolar amounts of the two threo isomers of methyl phenyl(piperidin-2-yl)acetate. A central stimulant and indirect-acting sympathomimetic, is used (generally as the hydrochloride salt) in the treatment of hyperactivity disorders in children and for the treatment of narcolepsy.
methyl phenyl(piperidin-2-yl)acetate : A amino acid ester that is methyl phenylacetate in which one of the hydrogens alpha to the carbonyl group is replaced by a piperidin-2-yl group.

Anorexia: The lack or loss of APPETITE accompanied by an aversion to food and the inability to eat. It is the defining characteristic of the disorder ANOREXIA NERVOSA.

Research Excerpts

ExcerptRelevanceReference
"Response to methylphenidate is associated with higher baseline fatigue but not with higher baseline depression or sedation."3.77Factors associated with response to methylphenidate in advanced cancer patients. ( Bruera, E; Chacko, R; Palmer, JL; Yennurajalingam, S, 2011)
"Depression is quite common among cancer patients."2.73An open-label long-term naturalistic study of mirtazapine treatment for depression in cancer patients. ( Elbi, H; Ersoy, MA; Noyan, AM, 2008)
" Headache, anorexia, and insomnia were the most frequently reported treatment-related adverse events."2.72Once-daily OROS methylphenidate is safe and well tolerated in adolescents with attention-deficit/hyperactivity disorder. ( Bukstein, O; Greenhill, L; Lerner, M; McBurnett, K; McGough, JJ; Stein, M; Wilens, TE, 2006)
" Pulse, blood pressure, and the presence of treatment emergent adverse events (AEs), parent and teacher AE ratings, and vital signs were recorded in each phase."2.72Safety and tolerability of methylphenidate in preschool children with ADHD. ( Abikoff, H; Chuang, S; Davies, M; Ghuman, J; Greenhill, L; Kollins, S; McCRACKEN, J; McGOUGH, J; Posner, K; Riddle, M; Skrobala, A; Stehli, A; Swanson, J; Thorp, B; Vitiello, B; Wigal, S; Wigal, T, 2006)
"Methylphenidate also has an adverse event profile that requires consideration."2.41How efficacious and safe is short-acting methylphenidate for the treatment of attention-deficit disorder in children and adolescents? A meta-analysis. ( King, J; Langford, S; Moher, D; Pham, B; Schachter, HM, 2001)
" Methylphenidate (MP) appears safe when used in the treatment of depression and fatigue in advanced cancer."1.36Methylphenidate side effects in advanced cancer: a retrospective analysis. ( Davis, MP; Khoshknabi, DS; Lasheen, W; Mahmoud, F; Rivera, N; Walsh, D, 2010)
" Medication dosing was flexible, with titration to a maximum of 30 mg/day."1.35The open-label treatment of attention-deficit/hyperactivity disorder in 4- and 5-year-old children with beaded methylphenidate. ( Fried, J; Greenhill, L; Gugga, SS; Maayan, L; Paykina, N; Strauss, T, 2009)
" Members of the high-dose group (n = 58) had received at least 1 stimulant at a dosage > or = 120% of the maximum recommended by the American Academy of Sleep Medicine Standards of Practice Committee."1.33Risks of high-dose stimulants in the treatment of disorders of excessive somnolence: a case-control study. ( Auger, RR; Goodman, SH; Krahn, LE; Pankratz, VS; Silber, MH; Slocumb, NL, 2005)

Research

Studies (17)

TimeframeStudies, this research(%)All Research%
pre-19905 (29.41)18.7374
1990's1 (5.88)18.2507
2000's7 (41.18)29.6817
2010's4 (23.53)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Espadas, M1
Insa, I1
Chamorro, M1
Alda-Diez, JA1
Na, KS1
Lee, SI1
Hong, SD1
Kim, JH1
Shim, SH1
Choi, J1
Yang, J1
Lee, MS1
Joung, YS1
Kim, EJ1
Park, JH1
Maayan, L1
Paykina, N1
Fried, J1
Strauss, T1
Gugga, SS1
Greenhill, L3
Lasheen, W1
Walsh, D1
Mahmoud, F1
Davis, MP1
Rivera, N1
Khoshknabi, DS1
Yennurajalingam, S1
Palmer, JL1
Chacko, R1
Bruera, E1
Auger, RR1
Goodman, SH1
Silber, MH1
Krahn, LE1
Pankratz, VS1
Slocumb, NL1
McGough, JJ1
McBurnett, K1
Bukstein, O1
Wilens, TE1
Lerner, M1
Stein, M1
Wigal, T1
Chuang, S1
McGOUGH, J1
Vitiello, B1
Skrobala, A1
Swanson, J1
Wigal, S1
Abikoff, H1
Kollins, S1
McCRACKEN, J1
Riddle, M1
Posner, K1
Ghuman, J1
Davies, M1
Thorp, B1
Stehli, A1
Ersoy, MA1
Noyan, AM1
Elbi, H1
Rosse, RB1
Licamele, WL1
Golinko, BE2
Schachter, HM1
Pham, B1
King, J1
Langford, S1
Moher, D1
Antelman, SM1
Caggiula, AR1
Black, CA1
Edwards, DJ1
Eckerman, DA1
Moy, SS1
Perkins, AN1
Patrick, KS1
Breese, GR1
Dulcan, MK1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Efficacy and Learning Skill After OROS Methylphenidate Treatment in Adolescents With Attention-Deficit/Hyperactivity Disorder: A 12-week, Multi-center, Open-label Study[NCT01060150]Phase 4115 participants (Actual)Interventional2008-07-31Completed
Long-Duration Stimulant Treatment of ADHD in Young Children-Feasibility Study[NCT00257725]Phase 411 participants (Actual)Interventional2005-03-31Completed
Methylphenidate Efficacy and Safety in ADHD Preschoolers[NCT00018863]Phase 3165 participants Interventional2001-04-01Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Clinical Global Impression - Improvement (CGI-I) Score

The CGI-I is a 7-point scale that requires the clinician to assess how much the participant's illness has improved or worsened relative to a baseline state at the beginning of the intervention and rated as: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse. (NCT01060150)
Timeframe: Week 12

InterventionUnits on a scale (Mean)
OROS Methylphenidate HCl2.14

Clinical Global Impression - Severity (CGI-S) Score

"The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill participants. Higher scores indicate worsening." (NCT01060150)
Timeframe: Week 12

InterventionUnits on a scale (Mean)
OROS Methylphenidate HCl2.81

Korean Version of the Attention-Deficit/Hyperactivity Disorder (ADHD) Rating Scale (K-ARS) Score

The K-ARS is a rating scale that is used for the ADHD diagnosis and the assessment of treatment efficacy and comprises 18 items in total on the basis of Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV), each item being rated from 0-3 points. The total score ranges from 0-54 with 0=normal and 54=severe condition. (NCT01060150)
Timeframe: Week 12

InterventionUnits on a scale (Mean)
OROS Methylphenidate HCl11.78

Learning Skill Test (LST) Total Score

The LST measures learning ability of student. This scale is composed of 7 sections: self control, participation, task accomplishment, reading, writing, test taking and information processing. It consists of 70 items for middle school student (age 13-15 years) and 80 items for high school student (age 16-18 years). Each item is rated on a 5-point Likert scale ranging from 1 (never) to 5 (always). The total score range is 70-350 for middle school version and 80-400 for high school version where higher score indicates better ability for learning. In result analysis, each sub-score and total score was converted to T-score for normalization. The score range of T-score is from 1 to 100 with a mean of 50. Higher score indicates better ability for learning. (NCT01060150)
Timeframe: Week 12

InterventionT-score (Mean)
OROS Methylphenidate HCl49.61

Attention-Deficit/Hyperactivity Disorder (ADHD) Diagnostic System (ADS) Test Result for Omission Errors and Commission Errors

The ADS is composed of 4 factors: omission/missing frequency to measure attention dispersibility; false alarm/commission frequency to measure impulse; mean response/reaction time to measure the speed of task processing; and the response variability/standard deviation of response time to measure the consistency of attention. The total value for both, omission errors and commission errors, ranges from 0-100 errors where high value indicates worsening attention. (NCT01060150)
Timeframe: Baseline and Week 12

InterventionErrors (Mean)
Omission errors: BaselineOmission errors: Week 12Commission errors: BaselineCommission errors: Week 12
OROS Methylphenidate HCl58.8857.4062.9851.70

Attention-Deficit/Hyperactivity Disorder (ADHD) Diagnostic System (ADS) Test Score for Reaction Time and Response Variability

The ADS is composed of 4 factors: omission/missing frequency to measure attention dispersibility; false alarm/comission frequency to measure impulse; mean response/reaction time to measure the speed of task processing; and the response variability/standard deviation of response time to measure the consistency of attention. The score range for both, reaction time and response variability, is 0-100. High score indicates worsening attention. If one or over factor's score is over 65 point, the participant is resulted in having attention deficit. (NCT01060150)
Timeframe: Baseline and Week 12

InterventionUnits on scale (Mean)
Reaction time average: BaselineReaction time average: Week 12Response variability: BaselineResponse variability: Week 12
OROS Methylphenidate HCl54.3249.7385.7759.42

Controlled Oral Words Association Test (COWAT) Score

This test measures the executive function of the frontal lobe and is consisted of examinations of category/meaning fluency and letter/phoneme fluency. It consisted of three 60 second word generation trials in which the participant orally generates as many words as possible that begin with target letters F, A and S. Dependent variables included total number of acceptable words generated for each target letter and total number of words generated across all three letter trials. Total score was calculated as sum of acceptable words generated, with higher scores indicating better verbal fluency. (NCT01060150)
Timeframe: Baseline and Week 12

InterventionWords (Mean)
Category/semantic: BaselineCategory/semantic: Week 12Letter/phenomic: BaselineLetter/phenomic: Week 12
OROS Methylphenidate HCl29.7130.6228.7133.78

Digit Span Test Score

Each participant individually was given a sequence of numbers, with the sequence becoming progressively longer, to repeat the digits in the same sequence, either forwards or backwards. Each sequence length was attempted twice. The test was complete after failure on both trials of any sequence length. 1 point was awarded if the participant passed only 1 trial of a sequence length. 0 points were given if the participant failed both trials. Total score range was 0-16 (forwards) and 0-14 (backwards). A higher score was indicative of better recall and attention. (NCT01060150)
Timeframe: Baseline and Week 12

InterventionUnits on a scale (Mean)
Forward: BaselineForward: Week 12Backward: BaselineBackward: Week 12
OROS Methylphenidate HCl11.1911.567.097.32

Finger Window (FW) Test Score

In FW test, a participant shows memory of a demonstrated visual pattern using a 8x11 inch plastic template containing 9 asymmetrically located holes. The examiner models a given sequence of holes and asks the participant to imitate the sequence by placing his/her finger through the same holes in the correct order. The total number of correct sequences constitutes the total score which ranges from 0-24 (forward FW) and 0-28 (backward FW) with higher score indicating a more favorable health state. (NCT01060150)
Timeframe: Baseline and Week 12

InterventionUnits on a scale (Mean)
Forward FW: BaselineForward FW: Week 12Backward FW: BaselineBackward FW: Week 12
OROS Methylphenidate HCl18.4219.0915.5917.36

Stroop Test Result for False Reaction

This test consists of 3 trials: color trial (simple execution), word trial (middle execution) and word-color interference trial (interfering execution). In simple execution, participants have to read the written color names of the words independent of the color of the ink. In middle execution, participants have to read words written in black letters. In interfering experiment, participants have to say the color of the letters independent of the written word. The total value ranges from 0-24 errors for each execution where high value indicates worsening attention. (NCT01060150)
Timeframe: Baseline and Week 12

InterventionErrors (Mean)
Simple execution false reaction: BaselineSimple execution false reaction: Week 12Middle execution false reaction: BaselineMiddle execution false reaction: Week 12Interfering execution false reaction: BaselineInterfering execution false reaction: Week 12
OROS Methylphenidate HCl0.40.160.30.21.040.84

Stroop Test Result for Reaction Time

This test consists of 3 trials: color trial (simple execution), word trial (middle execution) and word-color interference trial (interfering execution). In simple execution, participants have to read the written color names of the words independent of the color of the ink. In middle execution, participants have to read words written in black letters. In interfering experiment, participants have to say the color of the letters independent of the written word. This test estimates spending time for execution. High spending time indicates low ability of suppression of automation. (NCT01060150)
Timeframe: Baseline and Week 12

InterventionSeconds (Mean)
Simple execution time: BaselineSimple execution time: Week 12Middle execution time: BaselineMiddle execution time: Week 12Interfering execution time: BaselineInterfering execution time: Week 12
OROS Methylphenidate HCl14.7813.6415.8815.0422.1219.72

Stroop Test Score for Ratio Interference

Ratio interference is calculated by dividing simple execution time by interfering execution time. The score range is 0-1. Higher value indicates better ability of suppression of automation. (NCT01060150)
Timeframe: Baseline and Week 12

InterventionUnits on a scale (Mean)
BaselineWeek 12
OROS Methylphenidate HCl0.700.72

Children's Global Assessment Scale (C-GAS)

Children's Global Assessment Scale (C-GAS) is designed to assess overall functioning across settings. The scale is rated from 1 to 100, with lower scores reflecting poorer adjustment. Change from baseline is reported. (NCT00257725)
Timeframe: week 5

Interventionscore on a scale (Mean)
ADHD Treatment Group10.55

Clinical Global Impressions-Severity (CGI-S)

"CGI-S is designed to assess severity of illness on a seven-point scale: 1 = normal (not at ll ill) to 7 = among the most extremely ill patients.~Range: 0-7, higher score means worse outcome. Change from baseline is reported." (NCT00257725)
Timeframe: week 5

Interventionscore on a scale (Mean)
ADHD Treatment Group-1.64

Swanson, Nolan, and Pelham Questionnaire (SNAP-IV)

"The SNAP-IV Rating Scale is a revision of the Swanson, Nolan and Pelham (SNAP) Questionnaire (Swanson et al, 1983). The SNAP-IV is based on a 0 to 3 rating scale: Not at All = 0, Just A Little = 1, Quite A Bit = 2, and Very Much = 3. Subscale scores on the SNAP-IV are calculated by summing the scores on the items in the subset and dividing by the number of items in the subset. The score for any subset is expressed as the Average Rating-Per-Item, as shown for ratings on the ADHD-Inattentive (ADHD-I) subset.~Sub scale ranges from 0-3. Higher scores mean better outcome. Change score from baseline is reported." (NCT00257725)
Timeframe: week 5

Interventionscore on a scale (Mean)
ADHD Treatment Group-1.09

Reviews

2 reviews available for methylphenidate and Anorexia

ArticleYear
[Side effects of methylphenidate in children and the young].
    Revista de neurologia, 2018, Mar-01, Volume: 66, Issue:5

    Topics: Adolescent; Anorexia; Attention Deficit Disorder with Hyperactivity; Bone Diseases, Developmental; C

2018
How efficacious and safe is short-acting methylphenidate for the treatment of attention-deficit disorder in children and adolescents? A meta-analysis.
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2001, Nov-27, Volume: 165, Issue:11

    Topics: Adolescent; Adult; Age Factors; Anorexia; Attention Deficit Disorder with Hyperactivity; Bias; Centr

2001

Trials

5 trials available for methylphenidate and Anorexia

ArticleYear
Effect of osmotic-release oral system methylphenidate on learning skills in adolescents with attention-deficit/hyperactivity disorder: an open-label study.
    International clinical psychopharmacology, 2013, Volume: 28, Issue:4

    Topics: Administration, Oral; Adolescent; Anorexia; Attention Deficit Disorder with Hyperactivity; Child; De

2013
Once-daily OROS methylphenidate is safe and well tolerated in adolescents with attention-deficit/hyperactivity disorder.
    Journal of child and adolescent psychopharmacology, 2006, Volume: 16, Issue:3

    Topics: Adolescent; Anorexia; Attention Deficit Disorder with Hyperactivity; Central Nervous System Stimulan

2006
Safety and tolerability of methylphenidate in preschool children with ADHD.
    Journal of the American Academy of Child and Adolescent Psychiatry, 2006, Volume: 45, Issue:11

    Topics: Anorexia; Attention Deficit Disorder with Hyperactivity; Central Nervous System Stimulants; Child, P

2006
An open-label long-term naturalistic study of mirtazapine treatment for depression in cancer patients.
    Clinical drug investigation, 2008, Volume: 28, Issue:2

    Topics: Administration, Oral; Adult; Aged; Anorexia; Antidepressive Agents, Tricyclic; Depressive Disorder;

2008
Side effects of dexedrine in hyperactive children: operationalization and quantification in a short-term trial.
    Progress in neuro-psychopharmacology & biological psychiatry, 1982, Volume: 6, Issue:2

    Topics: Anorexia; Attention Deficit Disorder with Hyperactivity; Body Weight; Child; Dextroamphetamine; Dose

1982

Other Studies

10 other studies available for methylphenidate and Anorexia

ArticleYear
The open-label treatment of attention-deficit/hyperactivity disorder in 4- and 5-year-old children with beaded methylphenidate.
    Journal of child and adolescent psychopharmacology, 2009, Volume: 19, Issue:2

    Topics: Anorexia; Attention Deficit Disorder with Hyperactivity; Central Nervous System Stimulants; Child, P

2009
Methylphenidate side effects in advanced cancer: a retrospective analysis.
    The American journal of hospice & palliative care, 2010, Volume: 27, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Akathisia, Drug-Induced; Anorexia; Central Nervous System Stimulants

2010
Factors associated with response to methylphenidate in advanced cancer patients.
    The oncologist, 2011, Volume: 16, Issue:2

    Topics: Anorexia; Anxiety; Central Nervous System Stimulants; Depression; Drug Monitoring; Dyspnea; Fatigue;

2011
Risks of high-dose stimulants in the treatment of disorders of excessive somnolence: a case-control study.
    Sleep, 2005, Volume: 28, Issue:6

    Topics: Adult; Anorexia; Case-Control Studies; Central Nervous System Stimulants; Disorders of Excessive Som

2005
Slow-release methylphenidate: problems when children chew tablets.
    The Journal of clinical psychiatry, 1984, Volume: 45, Issue:12

    Topics: Abdomen; Anorexia; Attention Deficit Disorder with Hyperactivity; Child; Delayed-Action Preparations

1984
Side effects of dextroamphetamine and methylphenidate in hyperactive children--a brief review.
    Progress in neuro-psychopharmacology & biological psychiatry, 1984, Volume: 8, Issue:1

    Topics: Anorexia; Attention Deficit Disorder with Hyperactivity; Body Weight; Child; Dextroamphetamine; Grow

1984
Another long-acting methylphenidate (Metadate CD).
    The Medical letter on drugs and therapeutics, 2001, Oct-01, Volume: 43, Issue:1114

    Topics: Anorexia; Attention Deficit Disorder with Hyperactivity; Child; Child, Preschool; Clinical Trials as

2001
Stress reverse the anorexia induced by amphetamine and methylphenidate but not fenfluramine.
    Brain research, 1978, Mar-31, Volume: 143, Issue:3

    Topics: Animals; Anorexia; Dextroamphetamine; Dose-Response Relationship, Drug; Feeding and Eating Disorders

1978
Enantioselective behavioral effects of threo-methylphenidate in rats.
    Pharmacology, biochemistry, and behavior, 1991, Volume: 40, Issue:4

    Topics: Animals; Anorexia; Appetite; Appetite Depressants; Behavior, Animal; Male; Methylphenidate; Rats; Re

1991
Attention deficit disorder: evaluation and treatment.
    Pediatric annals, 1985, Volume: 14, Issue:5

    Topics: Age Factors; Anorexia; Attention Deficit Disorder with Hyperactivity; Behavior Therapy; Body Height;

1985