Page last updated: 2024-10-31

methylphenidate and Daytime Sleepiness

methylphenidate has been researched along with Daytime Sleepiness in 30 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.

Research Excerpts

ExcerptRelevanceReference
" Treatment with methylphenidate showed a significant change in median scores on the Daytime Sleepiness Scale (-3."9.16Efficacy and tolerability of a 20-mg dose of methylphenidate for the treatment of daytime sleepiness in adult patients with myotonic dystrophy type 1: a 2-center, randomized, double-blind, placebo-controlled, 3-week crossover trial. ( Bouchard, JP; Mathieu, J; Puymirat, J, 2012)
" His progressively worsening excessive daytime sleepiness (EDS) was treated with methylphenidate hydrochloride."7.71Methylphenidate hydrochloride for excessive daytime sleepiness in a patient with myotonic dystrophy. ( Aizawa, C; Hirata, K; Miyamoto, M; Miyamoto, T; Suga, T; Takekawa, H, 2002)
"Excessive daytime sleepiness due to any cause can result in various symptoms similar to those used for the diagnosis of attention deficit/hyperactivity disorder (ADHD)."5.35Sleep and daytime sleepiness in methylphenidate medicated and un-medicated children with attention-deficit/hyperactivity disorder (ADHD). ( Ashwal, J; Bentley, A; Cockcroft, K, 2009)
"The hypersomnolence was associated with marked elevations in the serum prolactin level."5.29Menstrual-associated sleep disorder: an unusual hypersomniac variant associated with both menstruation and amenorrhea with a possible link to prolactin and metoclopramide. ( Bamford, CR, 1993)
" Treatment with methylphenidate showed a significant change in median scores on the Daytime Sleepiness Scale (-3."5.16Efficacy and tolerability of a 20-mg dose of methylphenidate for the treatment of daytime sleepiness in adult patients with myotonic dystrophy type 1: a 2-center, randomized, double-blind, placebo-controlled, 3-week crossover trial. ( Bouchard, JP; Mathieu, J; Puymirat, J, 2012)
"On the basis of this review, we came to the conclusion that methylphenidate is used to ameliorate opioid-induced somnolence, to augment the analgesic effects of opioids, to treat depression, and to improve cognitive function in patients with cancer."4.81Palliative uses of methylphenidate in patients with cancer: a review. ( Dreisbach, A; Kahn, MJ; Lertora, JJ; Rozans, M, 2002)
" His progressively worsening excessive daytime sleepiness (EDS) was treated with methylphenidate hydrochloride."3.71Methylphenidate hydrochloride for excessive daytime sleepiness in a patient with myotonic dystrophy. ( Aizawa, C; Hirata, K; Miyamoto, M; Miyamoto, T; Suga, T; Takekawa, H, 2002)
"MLN8054 dosing for up to 14 days of a 28-day cycle was feasible."2.76Phase 1 study of MLN8054, a selective inhibitor of Aurora A kinase in patients with advanced solid tumors. ( Burris, H; Cohen, RB; Danaee, H; Dees, EC; Ecsedy, J; Eton, O; Fingert, H; Galvin, K; Infante, JR; Jones, S; Lee, Y; Liu, H; Manfredi, M; O'Neil, BH; Stringer, B; von Mehren, M, 2011)
"Additional testing in patients with hypersomnia should include a polysomnography in order to exclude other sleeping disorders, and a mean sleep latency test."2.50[Hypersomnia: a diagnostic problem]. ( Kranenburg, G; Teunissen, LL, 2014)
"Only daytime sleepiness was more common for those receiving α2-adrenergic agonists vs stimulants (38% vs 3%); several adverse effects were reported more commonly for those receiving stimulants vs α2-adrenergic agonists, including moodiness/irritability (50% vs 29%), appetite suppression (38% vs 7%), and difficulty sleeping (21% vs 11%)."1.62α2-Adrenergic Agonists or Stimulants for Preschool-Age Children With Attention-Deficit/Hyperactivity Disorder. ( Barbaresi, W; Bax, A; Blum, NJ; Cacia, J; Deavenport-Saman, A; Friedman, S; Harstad, E; LaRosa, A; Loe, IM; Mittal, S; Shults, J; Tulio, S; Vanderbilt, D, 2021)
"Childhood narcolepsy is associated with various emotional, behavioural and cognitive dysfunctions as well as with psychiatric and neurodevelopmental disorders: anxiety, depression, attention deficit hyperactivity disorder and psychosis."1.48Childhood narcolepsy and autism spectrum disorders: four case reports. ( Dudova, I; Hrdlicka, M; Mohaplova, M; Nevsimalova, S; Prihodova, I, 2018)
"She was diagnosed with obstructive sleep apnea (OSA) and underwent tonsillectomy and adenoidectomy."1.39Narcolepsy with obstructive sleep apnea in a 4-year-old Korean girl: a case report. ( Cho, M; Hwang, S; Jang, K; Kwon, S; Seo, H, 2013)
"Excessive daytime sleepiness due to any cause can result in various symptoms similar to those used for the diagnosis of attention deficit/hyperactivity disorder (ADHD)."1.35Sleep and daytime sleepiness in methylphenidate medicated and un-medicated children with attention-deficit/hyperactivity disorder (ADHD). ( Ashwal, J; Bentley, A; Cockcroft, K, 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)
"Excessive daytime sleepiness and abnormal sleep-wake patterns are becoming increasingly pervasive in modern society."1.32Pharmacologic management of daytime sleepiness. ( Schwartz, JR, 2004)
"We encountered two cases expressing excessive daytime sleepiness (EDS) and manifesting two or more sleep-onset rapid eye movement (REM) periods in the multiple sleep latency test."1.30Two cases of HLA-DR2-negative hypersomnia manifesting sleep-onset rapid eye movement periods in the multiple sleep latency test. ( Emura, N; Kuroda, K; Mandai, M; Matsumura, H; Satani, S; Ueda, S; Yoneda, H; Yoshida, Y, 1999)
" The elimination half-life of (+)-methylphenidate in patients was within the range of 2."1.29Pharmacokinetics and pharmacodynamics of (+)-threo-methylphenidate enantiomer in patients with hypersomnia. ( Aoyama, T; Honda, Y; Iga, T; Kotaki, H; Sasaki, T; Sawada, Y; Sudoh, Y, 1994)
"The hypersomnolence was associated with marked elevations in the serum prolactin level."1.29Menstrual-associated sleep disorder: an unusual hypersomniac variant associated with both menstruation and amenorrhea with a possible link to prolactin and metoclopramide. ( Bamford, CR, 1993)
"The cause of this syndrome is unknown, in some cases a relationship between infectious disease or traumatic brain damage has been postulated."1.28[The Kleine-Levin syndrome]. ( Boer, F; Njiokiktjien, C; Smit, LM; Smith, F; Visscher, F, 1989)
"However, his hypersomnolence could be attributed to a central dysfunction, and during a follow-up period of 3 years, was successfully treated with methylphenidate."1.27Treatment of hypersomnolence in myotonic dystrophy with a CNS stimulant. ( Boogaard, JM; van den Berg, B; van der Meché, FG, 1986)
"A possibly different mechanism in hypersomnia and hypersexuality is speculated."1.26The Kleine-Levine syndrome--a variant? ( Nair, NP; Yassa, R, 1978)

Research

Studies (30)

TimeframeStudies, this research(%)All Research%
pre-19906 (20.00)18.7374
1990's4 (13.33)18.2507
2000's11 (36.67)29.6817
2010's8 (26.67)24.3611
2020's1 (3.33)2.80

Authors

AuthorsStudies
Harstad, E1
Shults, J1
Barbaresi, W1
Bax, A1
Cacia, J1
Deavenport-Saman, A1
Friedman, S1
LaRosa, A1
Loe, IM1
Mittal, S1
Tulio, S1
Vanderbilt, D1
Blum, NJ1
Prihodova, I1
Dudova, I1
Mohaplova, M1
Hrdlicka, M1
Nevsimalova, S1
Aguilar, AC1
Brant, PHRC1
Tufik, S1
Coelho, FM1
Kwon, S1
Jang, K1
Hwang, S1
Cho, M1
Seo, H1
Kranenburg, G1
Teunissen, LL1
Gahr, M1
Kölle, MA1
Findling, RL1
Cockcroft, K1
Ashwal, J1
Bentley, A1
Dees, EC1
Infante, JR1
Cohen, RB1
O'Neil, BH1
Jones, S1
von Mehren, M1
Danaee, H1
Lee, Y1
Ecsedy, J1
Manfredi, M1
Galvin, K1
Stringer, B1
Liu, H1
Eton, O1
Fingert, H1
Burris, H1
Dempsey, M1
Puymirat, J1
Bouchard, JP1
Mathieu, J1
Westberg, J1
Gobel, BH1
Golan, N1
Shahar, E1
Ravid, S1
Pillar, G1
Schwartz, JR1
Sangal, RB1
Owens, JA1
Sangal, J1
Auger, RR1
Goodman, SH1
Silber, MH1
Krahn, LE1
Pankratz, VS1
Slocumb, NL1
Alisky, JM1
Gruber, R1
Grizenko, N1
Schwartz, G1
Bellingham, J1
Guzman, R1
Joober, R1
Lenz, H1
Aoyama, T1
Sasaki, T1
Kotaki, H1
Sawada, Y1
Sudoh, Y1
Honda, Y1
Iga, T1
Bamford, CR1
Miller, SC1
Yoshida, Y1
Kuroda, K1
Mandai, M1
Satani, S1
Emura, N1
Ueda, S1
Matsumura, H1
Yoneda, H1
Rozans, M1
Dreisbach, A1
Lertora, JJ1
Kahn, MJ1
Miyamoto, T1
Miyamoto, M1
Suga, T1
Aizawa, C1
Takekawa, H1
Hirata, K1
Billiard, M1
Guilleminault, C1
Dement, WC1
Chiles, JA1
Wilkus, RJ1
Yassa, R1
Nair, NP1
Visscher, F1
Smit, LM1
Smith, F1
Boer, F1
Njiokiktjien, C1
van der Meché, FG1
Boogaard, JM1
van den Berg, B1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Efficacy of Pharmacologic Management of ADHD in Children and Youth With Autism Spectrum Disorder[NCT05916339]Phase 4500 participants (Anticipated)Interventional2023-10-01Not yet recruiting
A Phase I/II Study of Alisertib in Combination With Abiraterone and Prednisone for Patients With Castration-Resistant Prostate Cancer After Progression on Abiraterone[NCT01848067]Phase 1/Phase 29 participants (Actual)Interventional2013-08-14Completed
Phase 2/3 Study of Efficacy and Tolerability of Methylphenidate in the Treatment of Excessive Daytime Sleepiness in Myotonic Dystrophy Type 1[NCT01421992]Phase 2/Phase 328 participants (Actual)Interventional2008-06-30Completed
Randomized Study Evaluating the Antiasthenic Effect of Methylphenidate (Ritalin) in Palliative Care in Cancer Patients[NCT00273741]Phase 339 participants (Actual)Interventional2007-01-31Terminated (stopped due to difficulty of recrutement)
A Parallel-group, Double-blind, Placebo-controlled Study of Methylphenidate as an Add on Therapy for Mirtazapine in the Treatment of Major Depressive Disorder in Cancer Patients Under Palliative Care[NCT01497548]Phase 3120 participants (Anticipated)Interventional2011-03-31Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Participants With a PSA Value Equal to or Greater Than 25%

Compared between the two patient subsets using the nonparametric Mann-Whitney test. A comparison of CTC counts between baseline and at progression for those who have progressed will be carried out using either a paired t test or the nonparameteric Wilcoxon matched pairs test. (NCT01848067)
Timeframe: Baseline up to 3 months

InterventionParticipants (Count of Participants)
Treatment (Alisertib, Abiraterone Acetate, Prednisone)3

Phase I: Frequency of Dose Limiting Toxicities of Alisertib, Graded According to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v4.1

Summarized with descriptive statistics. (NCT01848067)
Timeframe: Up to 21 days

InterventionParticipants (Count of Participants)
Treatment (Alisertib, Abiraterone Acetate, Prednisone)2

Reviews

3 reviews available for methylphenidate and Daytime Sleepiness

ArticleYear
[Hypersomnia: a diagnostic problem].
    Nederlands tijdschrift voor geneeskunde, 2014, Volume: 158

    Topics: Adolescent; Cataplexy; Central Nervous System Stimulants; Diagnosis, Differential; Disorders of Exce

2014
Atypical antipsychotic treatment of disruptive behavior disorders in children and adolescents.
    The Journal of clinical psychiatry, 2008, Volume: 69 Suppl 4

    Topics: Adolescent; Antipsychotic Agents; Aripiprazole; Attention Deficit and Disruptive Behavior Disorders;

2008
Palliative uses of methylphenidate in patients with cancer: a review.
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2002, Jan-01, Volume: 20, Issue:1

    Topics: Analgesics, Opioid; Central Nervous System Stimulants; Cognition Disorders; Depression; Disorders of

2002
Palliative uses of methylphenidate in patients with cancer: a review.
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2002, Jan-01, Volume: 20, Issue:1

    Topics: Analgesics, Opioid; Central Nervous System Stimulants; Cognition Disorders; Depression; Disorders of

2002
Palliative uses of methylphenidate in patients with cancer: a review.
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2002, Jan-01, Volume: 20, Issue:1

    Topics: Analgesics, Opioid; Central Nervous System Stimulants; Cognition Disorders; Depression; Disorders of

2002
Palliative uses of methylphenidate in patients with cancer: a review.
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2002, Jan-01, Volume: 20, Issue:1

    Topics: Analgesics, Opioid; Central Nervous System Stimulants; Cognition Disorders; Depression; Disorders of

2002

Trials

3 trials available for methylphenidate and Daytime Sleepiness

ArticleYear
Phase 1 study of MLN8054, a selective inhibitor of Aurora A kinase in patients with advanced solid tumors.
    Cancer chemotherapy and pharmacology, 2011, Volume: 67, Issue:4

    Topics: Administration, Oral; Adult; Aged; Aged, 80 and over; Antineoplastic Agents; Aurora Kinases; Benzaze

2011
Efficacy and tolerability of a 20-mg dose of methylphenidate for the treatment of daytime sleepiness in adult patients with myotonic dystrophy type 1: a 2-center, randomized, double-blind, placebo-controlled, 3-week crossover trial.
    Clinical therapeutics, 2012, Volume: 34, Issue:5

    Topics: Adult; Aged; Central Nervous System Stimulants; Cross-Over Studies; Disorders of Excessive Somnolenc

2012
Performance on the continuous performance test in children with ADHD is associated with sleep efficiency.
    Sleep, 2007, Volume: 30, Issue:8

    Topics: Arousal; Attention; Attention Deficit and Disruptive Behavior Disorders; Attention Deficit Disorder

2007

Other Studies

24 other studies available for methylphenidate and Daytime Sleepiness

ArticleYear
α2-Adrenergic Agonists or Stimulants for Preschool-Age Children With Attention-Deficit/Hyperactivity Disorder.
    JAMA, 2021, 05-25, Volume: 325, Issue:20

    Topics: Adrenergic alpha-2 Receptor Agonists; Attention Deficit Disorder with Hyperactivity; Central Nervous

2021
Childhood narcolepsy and autism spectrum disorders: four case reports.
    Sleep medicine, 2018, Volume: 51

    Topics: Age of Onset; Antidepressive Agents; Anxiety Disorders; Asperger Syndrome; Attention Deficit Disorde

2018
Finding a needle in the haystack-narcolepsy and obstructive sleep apnea.
    Sleep & breathing = Schlaf & Atmung, 2019, Volume: 23, Issue:4

    Topics: Adult; Cephalometry; Diagnosis, Differential; Disorders of Excessive Somnolence; Humans; Male; Methy

2019
Narcolepsy with obstructive sleep apnea in a 4-year-old Korean girl: a case report.
    Journal of Korean medical science, 2013, Volume: 28, Issue:5

    Topics: Adenoidectomy; Asian People; Child, Preschool; Disorders of Excessive Somnolence; Female; Humans; Me

2013
Methylphenidate intoxication: somnolence as an uncommon clinical symptom and proof of overdosing by increased serum levels of ritalinic acid.
    Pharmacopsychiatry, 2014, Volume: 47, Issue:6

    Topics: Adult; Central Nervous System Stimulants; Disorders of Excessive Somnolence; Humans; Male; Methylphe

2014
Sleep and daytime sleepiness in methylphenidate medicated and un-medicated children with attention-deficit/hyperactivity disorder (ADHD).
    African journal of psychiatry, 2009, Volume: 12, Issue:4

    Topics: Adolescent; Attention Deficit Disorder with Hyperactivity; Central Nervous System Stimulants; Child;

2009
A true mystery diagnosis.
    Journal of the Mississippi State Medical Association, 2011, Volume: 52, Issue:10

    Topics: Adolescent; Anticonvulsants; Carbamazepine; Central Nervous System Stimulants; Confusion; Diagnosis,

2011
Methylphenidate use for the management of opioid-induced sedation.
    Clinical journal of oncology nursing, 2004, Volume: 8, Issue:2

    Topics: Analgesics, Opioid; Central Nervous System Stimulants; Disorders of Excessive Somnolence; Drug Thera

2004
Sleep disorders and daytime sleepiness in children with attention-deficit/hyperactive disorder.
    Sleep, 2004, Mar-15, Volume: 27, Issue:2

    Topics: Attention Deficit Disorder with Hyperactivity; Central Nervous System Stimulants; Child; Disorders o

2004
Pharmacologic management of daytime sleepiness.
    The Journal of clinical psychiatry, 2004, Volume: 65 Suppl 16

    Topics: Amphetamines; Benzhydryl Compounds; Central Nervous System Stimulants; Disorders of Excessive Somnol

2004
Patients with attention-deficit/hyperactivity disorder without observed apneic episodes in sleep or daytime sleepiness have normal sleep on polysomnography.
    Sleep, 2005, Volume: 28, Issue:9

    Topics: Adolescent; Atomoxetine Hydrochloride; Attention Deficit Disorder with Hyperactivity; Central Nervou

2005
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
A new approach to Parkinson's disease combining caffeine, methylphenidate, and anticholinergic agents: case histories, pharmacological data, and a conceptual framework from traditional Chinese medicine.
    Hong Kong medical journal = Xianggang yi xue za zhi, 2006, Volume: 12, Issue:2

    Topics: Adult; Aged; Antiparkinson Agents; Caffeine; Disorders of Excessive Somnolence; Drug Therapy, Combin

2006
[Kleine-Levin-syndrome (author's transl)].
    Wiener medizinische Wochenschrift (1946), 1980, Jun-15, Volume: 130, Issue:11

    Topics: Adolescent; Body Water; Disorders of Excessive Somnolence; Feeding and Eating Disorders; Female; Hum

1980
Pharmacokinetics and pharmacodynamics of (+)-threo-methylphenidate enantiomer in patients with hypersomnia.
    Clinical pharmacology and therapeutics, 1994, Volume: 55, Issue:3

    Topics: Administration, Oral; Adolescent; Adult; Disorders of Excessive Somnolence; Female; Humans; Male; Me

1994
Menstrual-associated sleep disorder: an unusual hypersomniac variant associated with both menstruation and amenorrhea with a possible link to prolactin and metoclopramide.
    Sleep, 1993, Volume: 16, Issue:5

    Topics: Adult; Amenorrhea; Arthritis, Rheumatoid; Disorders of Excessive Somnolence; Estrogen Replacement Th

1993
Methylphenidate for clozapine sedation.
    The American journal of psychiatry, 1996, Volume: 153, Issue:9

    Topics: Clozapine; Disorders of Excessive Somnolence; Drug Monitoring; Humans; Male; Methylphenidate; Middle

1996
Two cases of HLA-DR2-negative hypersomnia manifesting sleep-onset rapid eye movement periods in the multiple sleep latency test.
    Psychiatry and clinical neurosciences, 1999, Volume: 53, Issue:2

    Topics: Adult; Central Nervous System Stimulants; Circadian Rhythm; Diagnosis, Differential; Disorders of Ex

1999
Methylphenidate hydrochloride for excessive daytime sleepiness in a patient with myotonic dystrophy.
    Psychiatry and clinical neurosciences, 2002, Volume: 56, Issue:3

    Topics: Adult; Central Nervous System Stimulants; Disorders of Excessive Somnolence; Evoked Potentials, Audi

2002
A menstruation-linked periodic hypersomnia. Kleine-Levin syndrome or new clinical entity?
    Neurology, 1975, Volume: 25, Issue:5

    Topics: Adolescent; Disorders of Excessive Somnolence; Electroencephalography; Estrogens, Conjugated (USP);

1975
Behavioral manifestations of the Kleine-Levin syndrome.
    Diseases of the nervous system, 1976, Volume: 37, Issue:11

    Topics: Adolescent; Behavior; Disorders of Excessive Somnolence; Electroencephalography; Humans; Male; Menta

1976
The Kleine-Levine syndrome--a variant?
    The Journal of clinical psychiatry, 1978, Volume: 39, Issue:3

    Topics: Adult; Disorders of Excessive Somnolence; Feeding and Eating Disorders; Humans; Hypothalamus; Male;

1978
[The Kleine-Levin syndrome].
    Tijdschrift voor kindergeneeskunde, 1989, Volume: 57, Issue:6

    Topics: Adolescent; Child; Disorders of Excessive Somnolence; Humans; Hyperphagia; Male; Methylphenidate; Sl

1989
Treatment of hypersomnolence in myotonic dystrophy with a CNS stimulant.
    Muscle & nerve, 1986, Volume: 9, Issue:4

    Topics: Adult; Disorders of Excessive Somnolence; Humans; Male; Methylphenidate; Myotonic Dystrophy; Respira

1986