Posted by: Andrew | 2009/03/29

Growth changes and Methylphenidate

Apparently slowing in physical growth in children with ADD on Methylphenidate hydrochloride, or specifically Concerta, has been documented. What is the reason for this ? Is it simply due to appetite suppression and therefore reduced nutrient intake, or is it due to some other effect on the body' s development ?

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Our expert says:
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Dear Andrew
I could find no other reasons except for appetite supression and increased metabolism, but there may be as yet unknown factors causing this too. We don't know enough about the long term effects yet. It appears to stimulate the cerebral cortex and subcortical structures similar to amphetamines, so if used correctly and in the right dosage really can help a lot with concentration, but the child should have had a full occupational therapy evaluation before using this and the medication should be prescribed by a pediatrician.
Dr Bets

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