Tehrani-Doost Mehdi, Moallemi Shirin, Shahrivar Zahra
Tehran University of Medical Sciences, Department of Psychiatry, Roozbeh Hospital, Tehran, Iran.
J Child Adolesc Psychopharmacol. 2008 Apr;18(2):179-84. doi: 10.1089/cap.2006.0034.
The main aim of this study was to assess the effectiveness and tolerability of reboxetine, a selective norepinephrine reuptake inhibitor, in children and adolescents with attention-deficit/hyperactivity disorder (ADHD).
Twenty children and adolescents, aged 6-16 (mean, 10.29; standard deviation, SD = 2.72) years, diagnosed with ADHD were enrolled in a 6-week open-label trial. Assessments included the ADHD Rating Scale (home version) and Conners' Parent Rating Scale-Revised, Short Version [CPRS-R (S)]. The dose of reboxetine was between 3 and 6 mg/day (mean, 4.41).
A significant reduction in ADHD symptoms, as measured by CPRS-R (S), was observed. This reduction was significant after 2 weeks of treatment (p < 0.001). The oppositional symptoms were also reduced significantly (p < 0.05). Reboxetine was relatively well tolerated. The most common adverse effects were decreased appetite, constipation, sleep problems, and dry mouth.
This open-label study suggests the efficacy of reboxetine in the treatment of ADHD in children and adolescents. Controlled studies in larger samples are needed to test the effectiveness of reboxetine in ADHD.
本研究的主要目的是评估选择性去甲肾上腺素再摄取抑制剂瑞波西汀对患有注意力缺陷多动障碍(ADHD)的儿童和青少年的有效性和耐受性。
20名年龄在6至16岁(平均10.29岁;标准差SD = 2.72)、被诊断患有ADHD的儿童和青少年参加了一项为期6周的开放标签试验。评估包括ADHD评定量表(家庭版)和康纳斯父母评定量表修订版简表[CPRS-R(S)]。瑞波西汀的剂量为每日3至6毫克(平均4.41毫克)。
观察到,通过CPRS-R(S)测量,ADHD症状有显著减轻。治疗2周后这种减轻很显著(p < 0.001)。对立症状也显著减轻(p < 0.05)。瑞波西汀耐受性相对良好。最常见的不良反应是食欲下降、便秘、睡眠问题和口干。
这项开放标签研究表明瑞波西汀对治疗儿童和青少年ADHD有效。需要在更大样本中进行对照研究以检验瑞波西汀对ADHD的有效性。