Indian Journal of PsychiatryIndian Journal of Psychiatry
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Year : 2021  |  Volume : 63  |  Issue : 3  |  Page : 274-278

Prescription patterns and medication adherence in preadolescent children with attention deficit hyperactivity disorder

1 Department of Psychiatry, KEM Hospital and Seth GS Medical College, Mumbai, Maharashtra, India
2 Department of Psychiatry, T.N.M.C. and B.Y.L. Nair Ch. Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Hrishikesh Bipin Nachane
Department of Psychiatry, T.N.M.C. and B.Y.L. Nair Ch. Hospital, Byculla, Mumbai - 400 008, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/psychiatry.IndianJPsychiatry_782_20

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Background: Nonadherence in attention deficit hyperactivity disorder (ADHD) can be as high as 80%, yet studies on adherence to medications in preadolescent children are few. Recent Indian trends in prescription patterns are lacking. Aim: The present study assesses prescription patterns and adherence to medications in preadolescent children with ADHD. Materials and Methods: Fifty children aged 5–12 years with ADHD, who were on medications for at least 6 months, were enrolled. Their sociodemographic factors and prescription details were noted. Vanderbilt ADHD Diagnostic Parents Rating Scale and Compliance Rating Scale were administered. Results: Sixty-two percent of the children had good compliance, whereas 38% showed reluctance. Adherence was better in children with shorter duration of illness, lesser severity, absence of side effects, and stimulant prescription. Non–stimulant-based combination (40%) was more common compared to stimulants (28%), with atomoxetine and risperidone being the most commonly prescribed medications. Conclusions: Adherence to medications in preadolescent children with ADHD is good. Associated factors and implications are discussed.



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