June 30 (Reuters) - The U.S. Food and Drug
Administration said on Monday it is revising the labeling of all
extended-release stimulants to treat attention-deficit
hyperactivity disorder (ADHD) to warn about the risk of weight
loss and other side effects in patients younger than six years.
The FDA said that it is requiring a "limitation of use"
section in the prescribing information of all extended-release
stimulants to include a statement on higher rates of adverse
reactions in children younger than six years.
ADHD is a disorder, common among children, that affects the
ability to pay attention, follow directions and complete tasks.
The FDA has approved two types of medications - stimulants
and non-stimulants - to help reduce symptoms of ADHD.
Stimulants, sold under brand names Ritalin by Novartis
and Concerta by Johnson & Johnson's ( JNJ ) unit
Janssen, are commonly prescribed by healthcare professionals.
They work by increasing levels of dopamine and norepinephrine in
the brain, two neurotransmitters associated with motivation,
attention and impulse control.
Extended-release stimulants are not approved for children
younger than six years, but healthcare professionals can
prescribe them "off label" to treat ADHD, the FDA said.
The agency said it assessed data from clinical trials of
extended-release formulations of amphetamine and methylphenidate
for ADHD treatment, finding that, compared to older children,
patients younger than six years have higher levels of the drug
in their bodies as well as higher rates of side effects.
For these reasons, the benefits of extended-release
stimulants may not outweigh the risks in patients younger than
six years, the FDA said in a statement.
Studies show that the number of children diagnosed with ADHD
continues to increase. An estimated seven million children in
the U.S. between three to 17 years of age have been diagnosed
with ADHD, according to the FDA.