Evidence map›Paper›PMID 42363304›Full record

ArticleBMC pharmacology & toxicology2026

Clinical characteristics and outcomes of pediatric methylphenidate intoxication: a five-year single-center study.

Pırıl Yıldız, Ali Yurtseven, Caner Turan, Burcu Vural Atalay, Eylem Ulas Saz

Abstract read
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Article in BMC pharmacology & toxicology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Pırıl YıldızDivision of Pediatric Emergency Medicine, Department of Pediatrics, Ege University Faculty of Medicine, Izmir, Turkey.ORCID http://orcid.org/0000-0002-2849-1513
Ali YurtsevenDivision of Pediatric Emergency Medicine, Department of Pediatrics, Ege University Faculty of Medicine, Izmir, Turkey. aliyurtseven1605@gmail.com.ORCID https://orcid.org/0000-0002-8302-0204
Caner TuranDivision of Pediatric Emergency Medicine, Department of Pediatrics, Ege University Faculty of Medicine, Izmir, Turkey.
Burcu Vural AtalayDivision of Pediatric Emergency Medicine, Department of Pediatrics, Ege University Faculty of Medicine, Izmir, Turkey.
Eylem Ulas SazDivision of Pediatric Emergency Medicine, Department of Pediatrics, Ege University Faculty of Medicine, Izmir, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMethylphenidate is widely prescribed for attention-deficit/hyperactivity disorder, and its use has increased substantially in recent years. Although generally considered safe within therapeutic ranges, supratherapeutic ingestion may result in various systemic adverse effects. This study aimed to evaluate the demographic and clinical characteristics of children presenting with overdose ingestion and to identify potential factors associated with symptom development.

methodsWe conducted a retrospective review of patients younger than 18 years who presented to a tertiary pediatric emergency department between January 1, 2020, and December 31, 2024, due to overdose ingestion. Demographic characteristics, psychiatric history, ingested dose, mode of exposure, clinical findings, emergency department course, and factors potentially associated with adverse effects were analyzed.

resultsThirty-two patients were included; 72% were female, and ingestion was intentional in 84%. The mean ingested dose was 5.7 mg/kg. Clinical symptoms developed in 41% of patients. The most frequent findings were tachycardia (38%), mild hypertension (34%), agitation (22%), and seizures (16%). Although most cases were mild and resolved within 12 h of observation, one toddler developed neuropsychiatric manifestations requiring close monitoring with full recovery within 48 h. No statistically significant association was observed between age, sex, gastrointestinal decontamination status, or reported ingested dose and the development of clinical symptoms (p > 0.05).

conclusionsPediatric methylphenidate intoxication is generally mild, but severe neuropsychiatric and cardiovascular effects may occur. Careful clinical monitoring remains essential.

trial registrationNot applicable.

Indexed as

Central Nervous System StimulantsDrug OverdoseMethylphenidateAdolescentChildChild, PreschoolFemaleHumansHypertensionMaleRetrospective StudiesSeizuresTachycardiaCentral Nervous System StimulantsMethylphenidateChildrenMethylphenidateOverdosePediatric emergencyPoisoningStimulant toxicity

Identifiers

PMID42363304
PMCPMC13576354

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.