Skip to main content
Log in

Methylphenidate oral dose plasma concentrations and behavioral response in children

  • Original Investigations
  • Published:
Psychopharmacology Aims and scope Submit manuscript

Abstract

The relationship between methylphenidate (MP) oral dose and plasma concentration to social and cognitive behaviors was studied in 25 boys diagnosed as having “attention deficit disorder with hyperactivity”. Children were administered successive 1-week treatment conditions under the following schedule of fixed oral doses given twice daily: placebo; 0.25 mg/kg; 0.50 mg/kg; 1.0 mg/kg; placebo. Teacher and parent ratings showed increased improvement in social behavior as a function of MP dose. No drug effects were obtained on cognitive performance. MP plasma concentrations were significantly associated with oral dose and with measures of social behavior. No relationship was found with cognitive behavior. Side effects at the largest dose were severe enough to require discontinuation of treatment for five children, but were relatively mild for the remaining children.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Brown RT, Sleator EK (1979) Methylphenidate in hyperactive children: Differences in dose effects on impulsive behavior. Pediatrics 64:408–411

    Google Scholar 

  • Cantwell DP, Carlson GA (1978) Stimulants. In: Werry JS (ed) Pediatric psychopharmacology: The use of behavior modifying drugs in children. Bruner Mazel, New York, pp 171–207

    Google Scholar 

  • Conners CK (1969) A teacher rating scale for use in drug studies with children. Am J Psychiatry 126:884–888

    Google Scholar 

  • Halliday R, Gnauck K, Rosenthal JR, McKibben JL, Callaway E (1980) The effects of methylphenidate dosage on school and home behavior of the hyperactive child. In: Knights RM, Bakker DJ (eds) Treatment of hyperactive and learning disordered children: Current research. University Park, Baltimore, pp 237–247

    Google Scholar 

  • Hungund BL, Hanna M, Winsberg BG (1978) A sensitive gas chromatographic method for the determination of methylphenidate (Ritalin) and its major metabolite alpha-phenyl-2-piperidine acetic acid (ritalinic acid) in human plasma using nitrogen-phosphorous detector. Commun Psychopharmacol 2:203–208

    Google Scholar 

  • Hungund BL, Perel JM, Hurwic MC, Sverd J, Winsberg BG (1979) Pharmacokinetics of methylphenidate in hyperactive children. Br J Pharmacol 8:571–576

    Google Scholar 

  • McNutt BA, Ballard JE, Boileau R, Sprague RL, von Neumann A (1976) The effects of long-term stimulant medication on growth and body composition of hyperactive children. Psychopharmacol Bull 12:13–15

    Google Scholar 

  • Safer D, Allen R (1975) Side effects from long-term use of stimulants in children. Int J Ment Health 4:105–118

    Google Scholar 

  • Schowalter JE (1979) Paying attention to attention deficit disorder. Pediatrics 64:546–547

    Google Scholar 

  • Sprague RL, Berger BD (1980) Drug effects on learning performance: Relevance of animal research to pediatric psychopharmacology. In: Knights RM, Bakker DJ (eds) Treatment of hyperactive and learning disordered children: Current research. University Park, Baltimore, pp 167–183

    Google Scholar 

  • Sprague RL, Sleator EK (1977) Methylphenidate in hyperkinetic children: Differences in dose effects on learning and social behavior. Science 198:1274–1276

    Google Scholar 

  • Werry JS, Aman MG (1975) Methylphenidate and haloperidol in children: Effects on attention, memory, and activity. Arch Gen Psychiatry 32:790–795

    Google Scholar 

  • Werry JS, Aman MG, Diamond E (1979) Imipramine and methylphenidate in hyperactive children. J Child Psychol Psychiatry 21:27–35

    Google Scholar 

  • Werry JS, Sprague RL (1974) Methylphenidate in children: Effect of dosage. Aust NZ J Psychiatry 8:9–19

    Google Scholar 

  • Werry JS, Sprague RL (1970) Hyperactivity. In: Costello CG (ed) Symptoms of psychopathology: A handbook. Wiley, New York, pp 397–417

    Google Scholar 

  • Winsberg BG, Yepes LE, Bialer I (1976) Pharmacologic management of children with hyperactive/aggressive/inattentive behavior disorders. Clin Pediatr (Phila) 15:471–477

    Google Scholar 

  • Yepes LE, Balka EB, Winsberg BG, Bialer I (1977) Amitriptyline and methylphenidate treatment of behaviorally disordered children. J Child Psychol Psychiatry 18:39–52

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Winsberg, B.G., Kupietz, S.S., Sverd, J. et al. Methylphenidate oral dose plasma concentrations and behavioral response in children. Psychopharmacology 76, 329–332 (1982). https://doi.org/10.1007/BF00449120

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00449120

Key words

Navigation