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Epstein R, Fonnesbeck C, Williamson E, et al. Psychosocial and Pharmacologic Interventions for Disruptive Behavior in Children and Adolescents [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2015 Oct. (Comparative Effectiveness Reviews, No. 154.)

Cover of Psychosocial and Pharmacologic Interventions for Disruptive Behavior in Children and Adolescents

Psychosocial and Pharmacologic Interventions for Disruptive Behavior in Children and Adolescents [Internet].

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Appendix IPharmacologic Approval Status, Harms, and Indications

The harms data provided in this section were gathered from analyzing available gray literature (i.e. package inserts and FDA review packages). FDA approval packages were limited to those available on the FDA website that contained a “Medical Review” section of the document. Upon further analysis, approval packages that did not assess pediatric safety data were not included. Table I-1 includes the pediatric indication for medications referenced in the clinical studies included in this review. Medications that have not been approved as safe and effective in pediatric patients; therefore are only FDA approved in adults are referenced in Table I-2. Notable boxed warnings, contraindications, and warnings/precautions that would be relevant to consider in the pediatric population were included. As a result, the data provided in this chart is not an all-inclusive list of these package insert sections. For complete data please see the corresponding package insert.

Updated: September 28, 2014

Table I-1. FDA-approved pediatric medications included in literature review

Table I-2. FDA-approved adult medications (prescribed off label in pediatric patients) included in literature review

Table I-3. Serious adverse events reported across medications

Table I-4. Selected adverse events observed across medications

Table I-5. Pharmacologic agents considered for DBD review

Table I-6. FDA approval status for drugs included in the DBD review

References for Appendix I

1.
Intuniv [package insert]. Wayne, PA: Shire US Inc.; 2013.
2.
Depakote [package insert]. North Chicago, IL: AbbVie Inc.; Jul, 2013.
3.
Abilify [package insert]. Rockville, MD: Otsuka America Pharmaceutical, Inc.; 2013.
4.
Strattera [package insert]. Indianapolis, IN: Eli Lilly and Company; 2014.
5.
Adderall [package insert]. Pomona, NY: Barr Laboratories; 2007.
6.
Ritalin [package insert]. East Hanover, NJ: Novartis Pharmaceuticals Corporation; 2013.
7.
Seroquel [package inert]. Wilmington, DE: AstraZeneca Pharmaceuticals LP; Oct, 2013.
8.
Risperdal [package insert]. Titusville, NJ: Janssen Pharmaceuticals, Inc.; 2014.
9.
Geodon [package insert]. New York, NY: Pfizer; Oct, 2012.
10.
Abilify Medical Review - Schizophrenia in Pediatric Patients. Silver Spring, MD: Food and Drug Administration Center for Drug Evaluation and Research; 2007.
11.
Strattera Medical Review - Original Approval. Silver Spring, MD: Food and Drug Administration Center for Drug Evaluation and Research; 2002.
12.
Intuniv Medical Review - Original Approval. Silver Spring, MD: Food and Drug Administration Center for Drug Evaluation and Research; 2009.
13.
Seroquel Medical Review - QT Prolongation Review. Silver Spring, MD: Food and Drug Administration Center for Drug Evaluation and Research; 2011.
14.
Risperdal Medical Review - Pediatric Approval. Silver Spring, MD: Food and Drug Administration Center for Drug Evaluation and Research; 2007.

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