Pemoline effects on children with ADHD: a time-response by dose-response analysis on classroom measures

J Am Acad Child Adolesc Psychiatry. 1995 Nov;34(11):1504-13. doi: 10.1097/00004583-199511000-00018.

Abstract

Objective: To evaluate the dose-response by time-response characteristics of pemoline (Cylert) on dependent measures of behavior and academic performance in a laboratory classroom.

Method: After a 2-week baseline, a double-blind crossover design was used to compare placebo, 18.75 mg, 37.5 mg, 75 mg, and 112.5 mg of pemoline, q.a.m., with each dose administered for 1 week. Medication was given at 9:00 A.M., and performance was measured beginning immediately and beginning 2, 4, and 6 hours after ingestion. The dependent measures included number of math problems completed correctly, teacher-recorded rates of on-task behavior and noncompliance, and teacher ratings on an Abbreviated Conners Teacher Rating Scale.

Results: There were linear effects of medication, with pemoline doses greater than 18.75 mg having an effect beginning 2 hours after ingestion and lasting through the seventh hour after ingestion.

Conclusions: Results are contrasted with widespread misbeliefs regarding pemoline's time course and efficacy.

Publication types

  • Clinical Trial
  • Comparative Study
  • Controlled Clinical Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Attention Deficit Disorder with Hyperactivity / drug therapy*
  • Central Nervous System Stimulants / administration & dosage*
  • Central Nervous System Stimulants / therapeutic use*
  • Child
  • Child, Preschool
  • Cross-Over Studies
  • Dose-Response Relationship, Drug*
  • Double-Blind Method
  • Female
  • Humans
  • Male
  • Pemoline / administration & dosage*
  • Pemoline / adverse effects
  • Pemoline / therapeutic use*
  • Placebos
  • Schools*
  • Time Factors

Substances

  • Central Nervous System Stimulants
  • Placebos
  • Pemoline