Development of a New Once-a-Day Formulation of Methylphenidate for the Treatment of Attention-deficit/Hyperactivity Disorder
Author(s) -
James M. Swanson,
Suneel Gupta,
Andrew Lam,
Ira Shoulson,
Marc Lerner,
Nishit B. Modi,
Elizabeth Lindemulder,
Sharon B. Wigal
Publication year - 2003
Publication title -
archives of general psychiatry
Language(s) - English
Resource type - Journals
eISSN - 1538-3636
pISSN - 0003-990X
DOI - 10.1001/archpsyc.60.2.204
Subject(s) - methylphenidate , dosing , attention deficit hyperactivity disorder , tachyphylaxis , pharmacodynamics , pharmacokinetics , medicine , pharmacology , anesthesia , psychology , psychiatry
The duration of action of the immediate-release formulation of methylphenidate hydrochloride is short (3 to 4 hours), and 3 times daily dosing is thought to maximize effectiveness across a 12-hour day. The initial sustained-release formulations of methylphenidate had reduced efficacy compared with immediate-release methylphenidate and were not well accepted. Tachyphylaxis was hypothesized to account for the reduced effects, and an ascending drug delivery pattern was proposed to overcome this acute tolerance.
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