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Artigos Científicos

terça-feira, 10 julho 2018 15:59

Concomitant Use of Psychotropic Medication With Stimulants for the Treatment of ADHD in Children and Adolescents: A Retrospective Insurance Claims Study in the United States

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Zhou Zhou1, Keith A. Betts1, Iryna Bocharova1David Kinrich1, William M. Spalding2

1
Analysis Group, Inc., Boston, MA, USA
2
Shire Outcomes Research & Epidemiology, Lexington, MA, USA

Journal of Attention Disorders: SAGE Journals

July 10, 2018


ABSTRACT:

Objective: To evaluate annual concomitant psychotropic medication use among stimulant-treated children/adolescents with ADHD.

Method: Children/adolescents with ≥1 primary ADHD diagnosis who had received ≥30 days of stimulant medication were identified from insurance claims for each calendar year (2011-2014). Use of 15 psychotropic medications concomitantly with stimulants was evaluated and their prevalence in each year was calculated overall and by medication category for children (6-12 years) and adolescents (13-17 years).

Results: Each year 133,354 to 157,303 children and 95,632 to 111,280 adolescents were included. Annual period prevalence of any concomitant psychotropic medication use was 22.9% to 25.0% for children and 25.2% to 28.2% for adolescents. The most common medication categories included selective serotonin reuptake inhibitors (children: 6.8%-7.9%; adolescents: 12.7%-14.9%), atypical antipsychotics (4.2%-5.4%; 5.3%-6.3%), and guanfacine extended release (5.1%-7.0%; 2.3%-3.6%).

Conclusion: Around a quarter of children/adolescents with ADHD were prescribed psychotropic medication concomitant to stimulant treatment, although only 2 of the 15 medication classes studied were Food and Drug Administration (FDA)-approved for adjunctive use.


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