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Prior research has suggested that methylphenidate (MPH) treatment in children with attention-deficit/hyperactivity disorder (ADHD) induces chromosomal damage. To further explore this issue, researchers randomized 63 children (age range, 6–12 years) with ADHD who had not previously been treated with stimulant medication and had not received x-rays in the prior 3 months to receive treatment with MPH or mixed amphetamine salts.
Blood samples were taken at baseline and after 3 months of treatment to evaluate three markers of chromosomal damage in lymphocytes: structural aberrations, micronuclei, and sister chromatid exchanges. Twenty-five percent of patients did not complete treatment. No significant signs of cytogenetic change were found in the…