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Case Reports: Adverse drug reactions and complications
Methylphenidate-associated chest pain in a child
  1. Ruziana Masiran1,2,
  2. Mohamad Nizam Adha Ilias2 and
  3. Putri Yubbu1,3
  1. 1Department of Psychiatry, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
  2. 2Department of Psychiatry, Hospital Sultan Abdul Aziz Shah, Serdang, Selangor, Malaysia
  3. 3Pediatric Cardiology Unit, Hospital Serdang, Serdang, Selangor, Malaysia
  1. Correspondence to Dr Ruziana Masiran; ruziana_m{at}upm.edu.my

Abstract

A young child was diagnosed with autism spectrum disorder with comorbid attention-deficit/hyperactivity disorder. His hyperactivity, impulsivity and absence of awareness towards danger increased his risk of harm and hence methylphenidate was indicated. Unfortunately, he developed chest pain eight months after the treatment initiation. We then stopped the stimulant and changed his treatment to atomoxetine, after which he no longer had chest pain. In the following illustrated case, we will discuss the cardiac side effect of methylphenidate.

  • Psychiatry (drugs and medicines)
  • Developmental paediatrics
  • Child and adolescent psychiatry (paediatrics)
  • Unwanted effects / adverse reactions
  • Child and adolescent psychiatry

https://doi.org/10.1136/bcr-2023-255187

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    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content—RM, MNAI and PY. The following authors gave final approval of the manuscript—RM, MNAI and PY.

    • Funding This research did not receive grant from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.