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- Title
Dikkat Eksikliği ve Hiperaktivite Bozukluğu Tedavisinde Uzun Etkili Metilfenidat Kullanımı ile Enkoprezis Belirtilerinde Düzelme: İki Olgu Sunumu.
- Authors
Akça, Ömer Faruk
- Abstract
Comorbidity of Attention Deficit Hyperactivity Disorder (ADHD) with other psychiatric disorders is a common condition and frequently causes difficulties in treatment. Also comorbidity of ADHD and encopresis is known to be common. Despite behavioral methods are known to be effective in treatment of encopresis, some psychotropic drugs are stated to be effective in treatment of encopresis in the literature. However, the mechanisms of these drugs in treatment of encopretic symptoms are not known exactly. In this article two boys are presented who admitted to a Child Psychiatry clinic with complains of gaita incontinence and overactivity. After clinical assessment, these boys were diagnosed as encopresis and ADHD. Firstly, short acting methylphenidate medication was administered to the patients, however, because of need for single dose medication, short acting methylphenidate treatment was switched to the extended release methylphenidate in both patients. Despite encopresis symptoms did not change with short acting methylphenidate, these symptoms disappeared with extended release methylphenidate treatment and did not recur during four and fifteen months of follow-up. The cases are presented and possible mechanisms of ADHD-encopresis comorbidity and possible mechanisms of effect of extended release methylphenidate on encopresis are discussed in this article. As a conclusion, searching and treating ADHD symptoms may lead to recovery of encopretic symptoms in patients with ADHD and comorbid encopresis.
- Subjects
ENCOPRESIS; SYMPTOMS; ATTENTION; PATHOLOGICAL psychology; COMORBIDITY; PSYCHIATRIC drugs; DRUG dosage; METHYLPHENIDATE; THERAPEUTICS
- Publication
Klinik Psikiyatri Dergisi, 2011, Vol 14, Issue 2, p115
- ISSN
1302-0099
- Publication type
Article