PMID- 28984477 OWN - NLM STAT- MEDLINE DCOM- 20171117 LR - 20171128 IS - 1744-764X (Electronic) IS - 1474-0338 (Linking) VI - 16 IP - 12 DP - 2017 Dec TI - Pediatric pharmacoepidemiology - safety and effectiveness of medicines for ADHD. PG - 1335-1345 LID - 10.1080/14740338.2017.1389894 [doi] AB - Attention-deficit hyperactivity disorder (ADHD) is a common neurobehavioral disorder in children and adolescents that comprises core symptoms of developmentally inappropriate levels of inattention and/or hyperactivity and impulsivity. Stimulant (methylphenidate, amphetamines) and non stimulant (atomoxetine, clonidine and guanfacine) are the treatment usually prescribed for ADHD. Area covered: This review covers the safety of ADHD medications in children and adolescents. MEDLINE, EMBASE and PsycINFO databases were searched with the aim to retrieve prospective studies that monitored the incidence of adverse events (AEs) in children receiving drug therapy for ADHD. Many of the studies investigated the risk of specific AEs. In particular, the cardiovascular safety, the impact on growth and on sleep pattern, the risk of substance use disorders and of suicidal ideation are among the topics more studied. Expert opinion: Effective drugs for ADHD appears to be safe and well tolerated. Most of the adverse events reported in the randomised controlled trials are mild and transient. Decreased appetite, growth decrease and the impact on sleep (insomnia for stimulants and somnolence for alpha2-agonists) are among the most common events. Concerns exist about cardiovascular and psychiatric AEs, even if the available evidence does not support an association with medications. FAU - Clavenna, Antonio AU - Clavenna A AUID- ORCID: 0000-0001-5536-4192 AD - a Laboratory for Mother and Child Health, Department of Public Health , IRCCS - Istituto di Ricerche Farmacologiche "Mario Negri" , Milan , Italy. FAU - Bonati, Maurizio AU - Bonati M AD - a Laboratory for Mother and Child Health, Department of Public Health , IRCCS - Istituto di Ricerche Farmacologiche "Mario Negri" , Milan , Italy. LA - eng PT - Journal Article PT - Review DEP - 20171012 PL - England TA - Expert Opin Drug Saf JT - Expert opinion on drug safety JID - 101163027 RN - 0 (Central Nervous System Stimulants) SB - IM MH - Adolescent MH - Attention Deficit Disorder with Hyperactivity/*drug therapy MH - Central Nervous System Stimulants/*administration & dosage/adverse effects MH - Child MH - Drug-Related Side Effects and Adverse Reactions/epidemiology MH - Humans MH - *Pharmacoepidemiology MH - Randomized Controlled Trials as Topic OTO - NOTNLM OT - Amphetamines OT - atomoxetine OT - attention deficit hyperactivity disorder OT - drug-related side effects and adverse reactions OT - methylphenidate OT - pediatrics EDAT- 2017/10/07 06:00 MHDA- 2017/11/29 06:00 CRDT- 2017/10/07 06:00 PHST- 2017/10/07 06:00 [pubmed] PHST- 2017/11/29 06:00 [medline] PHST- 2017/10/07 06:00 [entrez] AID - 10.1080/14740338.2017.1389894 [doi] PST - ppublish SO - Expert Opin Drug Saf. 2017 Dec;16(12):1335-1345. doi: 10.1080/14740338.2017.1389894. Epub 2017 Oct 12.