Page last updated: 2024-10-31

methylphenidate and Smoking Cessation

methylphenidate has been researched along with Smoking Cessation in 12 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.

Smoking Cessation: Discontinuing the habit of SMOKING.

Research Excerpts

ExcerptRelevanceReference
" Although smoking cessation tends to result in weight increase, potentially initiating or exacerbating weight problems, adults with ADHD who are treated with osmotic release oral system methylphenidate (OROS-MPH) tend to lose weight."9.17Osmotic release oral system methylphenidate prevents weight gain during a smoking-cessation attempt in adults with ADHD. ( Heffner, JL; Lewis, DF; Winhusen, TM, 2013)
"In a multisite, randomized study (CTN-0029), a 3-month course of Osmotic-Release Oral System Methylphenidate (OROS-MPH) improved smoking cessation in a group of patients with higher baseline severity in Attention-Deficit/Hyperactivity Disorder (ADHD)."7.91Differential Posttreatment Outcomes of Methylphenidate for Smoking Cessation for Individuals With ADHD. ( Covey, LS; Hu, MC; Luo, SX; Nunes, EV; Winhusen, TM, 2019)
"Methylphenidate improved secondary outcomes during smoking cessation independent of baseline ADHD severity, with no evident treatment-baseline severity interaction."5.27Exploring longitudinal course and treatment-baseline severity interactions in secondary outcomes of smoking cessation treatment in individuals with attention-deficit hyperactivity disorder. ( Covey, L; Hu, MC; Levin, FR; Luo, SX; Nunes, EV; Scodes, JM; Wall, M; Winhusen, T, 2018)
"Osmotic-release oral system methylphenidate (OROS-MPH) did not show overall benefit as an adjunct smoking cessation treatment for adult smokers with ADHD in a randomized, placebo-controlled, multicenter clinical trial."5.20Toward personalized smoking-cessation treatment: Using a predictive modeling approach to guide decisions regarding stimulant medication treatment of attention-deficit/hyperactivity disorder (ADHD) in smokers. ( Covey, LS; Hu, MC; Levin, FR; Luo, SX; Nunes, EV; Winhusen, TM, 2015)
" Although smoking cessation tends to result in weight increase, potentially initiating or exacerbating weight problems, adults with ADHD who are treated with osmotic release oral system methylphenidate (OROS-MPH) tend to lose weight."5.17Osmotic release oral system methylphenidate prevents weight gain during a smoking-cessation attempt in adults with ADHD. ( Heffner, JL; Lewis, DF; Winhusen, TM, 2013)
" In a placebo-controlled trial of osmotic-release oral system methylphenidate (OROS-MPH) as augmentation treatment for smokers with attention deficit hyperactivity/impulsivity disorder (ADHD), three types of sites were selected according to their clinical research specialty (ADHD, smoking cessation, and general mental health)."5.15An exploration of site effects in a multisite trial of OROS-methylphenidate for smokers with attention deficit/hyperactivity disorder. ( Adler, L; Brigham, G; Covey, LS; Green, CA; Hu, MC; Hurt, RD; Winhusen, T, 2011)
" The present study evaluated if using osmotic-release oral system methylphenidate (OROS-MPH) to treat ADHD enhances response to smoking cessation treatment in smokers with ADHD."5.14Impact of attention-deficit/hyperactivity disorder (ADHD) treatment on smoking cessation intervention in ADHD smokers: a randomized, double-blind, placebo-controlled trial. ( Adler, LA; Brigham, GS; Covey, LS; Croghan, IT; Dorer, EM; Green, CA; Leimberger, JD; Lewis, DF; Liu, DS; Somoza, EC; Weiss, RD; Winhusen, TM, 2010)
"In a multisite, randomized study (CTN-0029), a 3-month course of Osmotic-Release Oral System Methylphenidate (OROS-MPH) improved smoking cessation in a group of patients with higher baseline severity in Attention-Deficit/Hyperactivity Disorder (ADHD)."3.91Differential Posttreatment Outcomes of Methylphenidate for Smoking Cessation for Individuals With ADHD. ( Covey, LS; Hu, MC; Luo, SX; Nunes, EV; Winhusen, TM, 2019)
"A Best Approximating Model (BAM) approach that identifies multiple moderators and estimates their simultaneous impact on treatment effect sizes was applied to a randomized, controlled, 11-week, double-blind efficacy trial on smoking cessation of adult smokers with attention-deficit/hyperactivity disorder (ADHD), randomized to either OROS-methylphenidate (nā€‰=ā€‰127) or placebo (nā€‰=ā€‰128), and treated with nicotine patch."3.81A systematic approach to subgroup analyses in a smoking cessation trial. ( Adinoff, B; Golden, RM; Henley, SS; Kashner, TM; Nakonezny, PA; Westover, AN; Winhusen, TM, 2015)

Research

Studies (12)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's12 (100.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Luo, SX3
Covey, LS7
Hu, MC7
Winhusen, TM6
Nunes, EV5
Sweitzer, MM1
Kollins, SH1
Kozink, RV1
Hallyburton, M1
English, J1
Addicott, MA1
Oliver, JA1
McClernon, FJ1
Wall, M1
Covey, L1
Scodes, JM1
Levin, FR3
Winhusen, T5
Brigham, G2
Somoza, EC2
Westover, AN2
Kashner, TM1
Golden, RM1
Nakonezny, PA2
Adinoff, B2
Henley, SS1
Lima, J1
Berlin, I2
Nunes, E1
Weissman, J1
Brigham, GS1
Liu, DS1
Green, CA2
Croghan, IT1
Adler, LA1
Weiss, RD1
Leimberger, JD1
Lewis, DF2
Dorer, EM1
Hurt, RD1
Adler, L1
Heffner, JL1
Vongpatanasin, W1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Pilot Study of Osmotic-Release Methylphenidate in Initiating and Maintaining Abstinence in Smokers With ADHD[NCT00253747]Phase 3255 participants (Actual)Interventional2005-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Diagnostic and Statistical Manual-IV(DSM-IV) ADHD Rating Scale

A Generalized Estimating Equations(GEE)model which included treatment group, week, site, and treatment by week and site by week interaction effects was used to compare the groups on the DSM-IV ADHD total severity score (18 domains score at severity levels of 0[none]-3[severe]; maximum score 54) as measured at screening/baseline and study weeks 1-4 using the the interviewer-administered DSM-IV checklist and by the severity portion of the National Institute of Mental Health Clinical Global Impression (CGI) scale to rate the severity of the participant's ADHD symptoms. A single severity score ranging from 1 to 7 is yielded by the CGI severity scale. (NCT00253747)
Timeframe: Baseline and Study weeks 1,4,7,9,11

InterventionDSM IV ADHD Score (Mean)
Osmotic-Release Methylphenidate (OROS-MPH)-Baseline38.4
Osmotic-Release Methylphenidate (OROS-MPH) - Placebo-Baseline36.6
Osmotic-Release Methylphenidate (OROS-MPH)-Week 1116.4
Osmotic-Release Methylphenidate (OROS-MPH) - Placebo-Week 1124.2
Release Methylphenidate (OROS-MPH)-Week 420.4
Osmotic-Release Methylphenidate (OROS-MPH) - Placebo-Week 427.2
Release Methylphenidate (OROS-MPH)-Week 720
Osmotic-Release Methylphenidate (OROS-MPH) - Placebo-Week 724
Release Methylphenidate (OROS-MPH)-Week 917.3
Methylphenidate (OROS-MPH) - Placebo-Week 923.9

Point-prevalence Abstinence

A logistic regression including site and treatment group will be used to model rates of achieving point prevalence abstinence as assessed at the final visit of the O-MPH/P-Stnd Smoking Tx phase. Point prevalence abstinence was defined as not smoking in the previous seven days based on self-report using the TLFB method and confirmed with a Carbon Monoxide (CO) level <8 ppm. (NCT00253747)
Timeframe: Week 11

Interventionparticipants (Number)
Osmotic-Release Methylphenidate (OROS-MPH)24
Osmotic-Release Methylphenidate (OROS-MPH) - Placebo26

Prolonged Abstinence

"The smoking quit date was considered the first day of the O-MPH/P-Stnd Smoking Tx phase, which lasted for 6 weeks or more precisely 42 days (i.e., approximately weeks 5-10). The grace period was the first two weeks (i.e., days 1-14) with the remaining four weeks (days 15-42) comprising the period in which the participant must not meet criteria for treatment failure in order to be scored as obtaining prolonged abstinence. Self-report of cigarette use was assessed using a time-line follow-back (TLFB) assessment using carbon monoxide (CO)levels to correct self-reported smoking days. Smoking days were determined by starting with self-reported smoking and non-smoking days and using CO levels measured at weekly visits to modify the self-reports." (NCT00253747)
Timeframe: Weeks 7-10

Interventionparticipants (Number)
Osmotic-Release Methylphenidate (OROS-MPH)25
Osmotic-Release Methylphenidate (OROS-MPH) - Placebo28

Trials

8 trials available for methylphenidate and Smoking Cessation

ArticleYear
Exploring longitudinal course and treatment-baseline severity interactions in secondary outcomes of smoking cessation treatment in individuals with attention-deficit hyperactivity disorder.
    The American journal of drug and alcohol abuse, 2018, Volume: 44, Issue:6

    Topics: Adult; Attention Deficit Disorder with Hyperactivity; Central Nervous System Stimulants; Double-Blin

2018
Treating nicotine dependence by targeting attention-deficit/ hyperactivity disorder (ADHD) with OROS methylphenidate: the role of baseline ADHD severity and treatment response.
    The Journal of clinical psychiatry, 2013, Volume: 74, Issue:10

    Topics: Administration, Oral; Adult; Attention Deficit Disorder with Hyperactivity; Biological Availability;

2013
Toward personalized smoking-cessation treatment: Using a predictive modeling approach to guide decisions regarding stimulant medication treatment of attention-deficit/hyperactivity disorder (ADHD) in smokers.
    The American journal on addictions, 2015, Volume: 24, Issue:4

    Topics: Administration, Oral; Adult; Attention Deficit Disorder with Hyperactivity; Central Nervous System S

2015
OROS-methylphenidate or placebo for adult smokers with attention deficit hyperactivity disorder: racial/ethnic differences.
    Drug and alcohol dependence, 2010, Jul-01, Volume: 110, Issue:1-2

    Topics: Administration, Cutaneous; Adult; Attention Deficit Disorder with Hyperactivity; Behavior Therapy; C

2010
Impact of attention-deficit/hyperactivity disorder (ADHD) treatment on smoking cessation intervention in ADHD smokers: a randomized, double-blind, placebo-controlled trial.
    The Journal of clinical psychiatry, 2010, Volume: 71, Issue:12

    Topics: Administration, Oral; Adult; Attention Deficit Disorder with Hyperactivity; Central Nervous System S

2010
An exploration of site effects in a multisite trial of OROS-methylphenidate for smokers with attention deficit/hyperactivity disorder.
    The American journal of drug and alcohol abuse, 2011, Volume: 37, Issue:5

    Topics: Administration, Oral; Adult; Attention Deficit Disorder with Hyperactivity; Central Nervous System S

2011
Osmotic release oral system methylphenidate prevents weight gain during a smoking-cessation attempt in adults with ADHD.
    Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2013, Volume: 15, Issue:2

    Topics: Administration, Oral; Adult; Attention Deficit Disorder with Hyperactivity; Female; Humans; Male; Me

2013
Risk of methylphenidate-induced prehypertension in normotensive adult smokers with attention deficit hyperactivity disorder.
    Journal of clinical hypertension (Greenwich, Conn.), 2013, Volume: 15, Issue:2

    Topics: Adult; Attention Deficit Disorder with Hyperactivity; Blood Pressure; Body Weight; Central Nervous S

2013

Other Studies

4 other studies available for methylphenidate and Smoking Cessation

ArticleYear
Differential Posttreatment Outcomes of Methylphenidate for Smoking Cessation for Individuals With ADHD.
    The American journal on addictions, 2019, Volume: 28, Issue:6

    Topics: Administration, Oral; Adolescent; Adult; Attention Deficit Disorder with Hyperactivity; Central Nerv

2019
ADHD, Smoking Withdrawal, and Inhibitory Control: Results of a Neuroimaging Study with Methylphenidate Challenge.
    Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2018, Volume: 43, Issue:4

    Topics: Adult; Attention Deficit Disorder with Hyperactivity; Central Nervous System Stimulants; Female; Hum

2018
A systematic approach to subgroup analyses in a smoking cessation trial.
    The American journal of drug and alcohol abuse, 2015, Volume: 41, Issue:6

    Topics: Adolescent; Adult; Data Interpretation, Statistical; Double-Blind Method; Female; Humans; Male; Meth

2015
Anxiety and Depressed Mood Decline Following Smoking Abstinence in Adult Smokers with Attention Deficit Hyperactivity Disorder.
    Journal of substance abuse treatment, 2015, Volume: 59

    Topics: Adult; Anxiety; Attention Deficit Disorder with Hyperactivity; Combined Modality Therapy; Counseling

2015