Factors affecting treatment adherence to atomoxetine in ADHD: a systematic review

Tamás Treuer,1 Luis Méndez,2 William Montgomery,3 Shenghu Wu4 1Neuroscience Research, Eli Lilly and Company, Budapest, Hungary; 2Eli Lilly de Mexico, Mexico City, Mexico; 3Global Patient Outcomes and Real World Evidence, Eli Lilly Australia Pty Ltd, West Ryde, NSW, Australia;...

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Autores principales: Treuer T, Méndez L, Montgomery W, Wu S
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Lenguaje:EN
Publicado: Dove Medical Press 2016
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Acceso en línea:https://doaj.org/article/0c83fb1ec3ff4d678fd633e08091cc78
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spelling oai:doaj.org-article:0c83fb1ec3ff4d678fd633e08091cc782021-12-02T05:15:16ZFactors affecting treatment adherence to atomoxetine in ADHD: a systematic review1178-2021https://doaj.org/article/0c83fb1ec3ff4d678fd633e08091cc782016-05-01T00:00:00Zhttps://www.dovepress.com/factors-affecting-treatment-adherence-to-atomoxetine-in-adhd-a-systema-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Tamás Treuer,1 Luis Méndez,2 William Montgomery,3 Shenghu Wu4 1Neuroscience Research, Eli Lilly and Company, Budapest, Hungary; 2Eli Lilly de Mexico, Mexico City, Mexico; 3Global Patient Outcomes and Real World Evidence, Eli Lilly Australia Pty Ltd, West Ryde, NSW, Australia; 4Neuroscience Research, Eli Lilly Asia, Inc, Shanghai, People’s Republic of China Abstract: The purpose of this paper was to systematically review the literature related to research about the factors affecting treatment adherence and discontinuation of atomoxetine in pediatric, adolescent, and adult patients with attention-deficit/hyperactivity disorder (ADHD). Medline was systematically searched using the following prespecified terms: “ADHD”, “Adherence”, “Compliance”, “Discontinuation”, and “Atomoxetine”. We identified 31 articles that met all inclusion and exclusion criteria. The findings from this review indicate that persistence and adherence to atomoxetine treatment were generally high. Factors found to influence adherence and nonadherence to atomoxetine treatment in ADHD in this review include age, sex, the definition of response used, length of treatment, initial dose of treatment, comorbid conditions, and reimbursement. Tolerability was cited as an important reason for treatment discontinuation. More research is needed to understand those factors that can help to identify patients at risk for poor adherence and interventions that could improve treatment adherence early in the stage of this illness to secure a better long-term prognosis. Keywords: atomoxetine, treatment discontinuation, adherence, compliance, ADHD medication, relapseTreuer TMéndez LMontgomery WWu SDove Medical Pressarticletreatment discontinuationadherencecomplianceADHD medicationrelapseNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2016, Iss Issue 1, Pp 1061-1083 (2016)
institution DOAJ
collection DOAJ
language EN
topic treatment discontinuation
adherence
compliance
ADHD medication
relapse
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle treatment discontinuation
adherence
compliance
ADHD medication
relapse
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Treuer T
Méndez L
Montgomery W
Wu S
Factors affecting treatment adherence to atomoxetine in ADHD: a systematic review
description Tamás Treuer,1 Luis Méndez,2 William Montgomery,3 Shenghu Wu4 1Neuroscience Research, Eli Lilly and Company, Budapest, Hungary; 2Eli Lilly de Mexico, Mexico City, Mexico; 3Global Patient Outcomes and Real World Evidence, Eli Lilly Australia Pty Ltd, West Ryde, NSW, Australia; 4Neuroscience Research, Eli Lilly Asia, Inc, Shanghai, People’s Republic of China Abstract: The purpose of this paper was to systematically review the literature related to research about the factors affecting treatment adherence and discontinuation of atomoxetine in pediatric, adolescent, and adult patients with attention-deficit/hyperactivity disorder (ADHD). Medline was systematically searched using the following prespecified terms: “ADHD”, “Adherence”, “Compliance”, “Discontinuation”, and “Atomoxetine”. We identified 31 articles that met all inclusion and exclusion criteria. The findings from this review indicate that persistence and adherence to atomoxetine treatment were generally high. Factors found to influence adherence and nonadherence to atomoxetine treatment in ADHD in this review include age, sex, the definition of response used, length of treatment, initial dose of treatment, comorbid conditions, and reimbursement. Tolerability was cited as an important reason for treatment discontinuation. More research is needed to understand those factors that can help to identify patients at risk for poor adherence and interventions that could improve treatment adherence early in the stage of this illness to secure a better long-term prognosis. Keywords: atomoxetine, treatment discontinuation, adherence, compliance, ADHD medication, relapse
format article
author Treuer T
Méndez L
Montgomery W
Wu S
author_facet Treuer T
Méndez L
Montgomery W
Wu S
author_sort Treuer T
title Factors affecting treatment adherence to atomoxetine in ADHD: a systematic review
title_short Factors affecting treatment adherence to atomoxetine in ADHD: a systematic review
title_full Factors affecting treatment adherence to atomoxetine in ADHD: a systematic review
title_fullStr Factors affecting treatment adherence to atomoxetine in ADHD: a systematic review
title_full_unstemmed Factors affecting treatment adherence to atomoxetine in ADHD: a systematic review
title_sort factors affecting treatment adherence to atomoxetine in adhd: a systematic review
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/0c83fb1ec3ff4d678fd633e08091cc78
work_keys_str_mv AT treuert factorsaffectingtreatmentadherencetoatomoxetineinadhdasystematicreview
AT mendezl factorsaffectingtreatmentadherencetoatomoxetineinadhdasystematicreview
AT montgomeryw factorsaffectingtreatmentadherencetoatomoxetineinadhdasystematicreview
AT wus factorsaffectingtreatmentadherencetoatomoxetineinadhdasystematicreview
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