Huss M, Lehmkuhl U
Department of Child and Adolescent Psychiatry, Charité Virchow-Hospital, Humboldt-University of Berlin, Germany.
J Atten Disord. 2002;6 Suppl 1:S65-71. doi: 10.1177/070674370200601s09.
This article reviews pharmacological, animal, and human evidence regarding the abuse liability of methylphenidate (MPH). Findings are not always consistent, but evidence converges to suggest that although intravenous methylphenidate has some abuse potential, there is very little potential for oral MPH abuse. Furthermore, the available data suggests that children with Attention-Deficit/Hyperactivity Disorder (ADHD) who are treated with MPH are at lower risk for substance use disorder later in life. More longitudinal, prospective studies are needed to assess the long term effects of MPH treatment in ADHD.
本文综述了关于哌甲酯(MPH)滥用可能性的药理学、动物及人体研究证据。研究结果并不总是一致,但证据趋于表明,虽然静脉注射哌甲酯有一定滥用可能性,但口服MPH的滥用可能性极小。此外,现有数据表明,接受MPH治疗的注意力缺陷多动障碍(ADHD)儿童在日后出现物质使用障碍的风险较低。需要更多纵向、前瞻性研究来评估MPH治疗ADHD的长期效果。