Ephar congress poster methylphenidate adhd Ephar kongresi poster metilfendiat dehb

1. RATIONAL USE OF METHYLPHENIDATE IN ADHD IN UMRANIYE, ISTANBUL
I. Badur1
1Clinical Pharmacy, Istanbul Medipol University, Istanbul, Turkey
Objective: Attention Deficit Hyperactivity Disorder (ADHD) is vastly
overdiagnosed and red prescription (RP) obliged for the drug
methylphenidate. In this study, the prescriptions of controlled drugs (CD) in
Umraniye, Istanbul were evaluated. The aim of this retrospective study was
to investigate if there is any irrational use of methylphenidate.
1. Chen, M.-H., Lan, W.-H., Bai, Y.-M., Huang, K.-L., Su, T.-P., Tsai, S.-J., … Hsu, J.-W. (2016). Influence of Relative Age on Diagnosis and Treatment of Attention-Deficit Hyperactivity Disorder in Taiwanese Children. The Journal of Pediatrics, 172, 162–167.e1. http://doi.org/10.1016/j.jpeds.2016.02.012..
Results: In 357 (86%) of 416 met were prescribed. In randomly chosen sample 48 (80%) patients were prescribed methylphenidate. 304 (55,2%) visits was
to psychiatry department between January 2014 and December 2015 for 48 patients. According to the drug histories of sample: age mean(M):11,7 standart
deviation(SD): 3,03; first admistration age minimum(min) was 5 years maximum(max) was 17 years (M:9,1; SD:3,01); how many years used results was min 2
years, max 5 years (M:2,58; SD:1,05); overdosed(60mg) was 45,2% drug-drug interaction was 35,4%, overdosed and drug-drug interaction have not
determined were 17%, psychiatry consultation frequency throught two years min was 1, max was 24 (M:7,33; SD:5,02); total visits throught two years min
was 1, max was 43 (M:12,5; SD: 9,38). Daily dose min was 10 mg, max 108 mg. Most of the prescriptions were written for men(71%). 44,12 per cent of
men’s month of birth was June-July-August. There was pozitif correlation(spearman correlation coefficient rho:0,302; p:0,042); between men’s psychiatry
visits frequency and month of birth June-July-August (1).
There was positive correlation between men’s psychiatry visits per cent and month of birth.
Keywords: attention deficit hyperactivity disorder, misuse of methylphenidate, pharmacoepidemiyology, rational use of drug, red prescription
Conclusion: The results confirm the accurance of an irrational use of methylpenidate and series of inadequate practices related to ADHD medication.
Contact: e-mail: i.badur@st.medipol.edu.tr LinkedIn: https://www.linkedin.com/in/isa-badur-8ab851b3
facebook: https://www.facebook.com/isabadur