Pharmacotherapy of irritability in pervasive developmental disorders

Child Adolesc Psychiatr Clin N Am. 2008 Oct;17(4):739-52, vii-viii. doi: 10.1016/j.chc.2008.06.002.

Abstract

Children and adolescents diagnosed with autism and related pervasive developmental disorders (PDDs) often sustain irritability, including aggression, self-injurious behavior, and tantrums. Research to date supports the use of the atypical antipsychotics as a first-line pharmacologic treatment for this target symptom domain in PDDs. Currently, the atypical antipsychotic risperidone is the only medication approved by the US Food and Drug Administration for irritability in youth with autism. Additional large-scale, placebo-controlled studies of other medications are needed to determine their efficacy for the treatment of irritability in this diagnostic group.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adolescent
  • Aggression / drug effects
  • Anticonvulsants / adverse effects
  • Anticonvulsants / therapeutic use
  • Antipsychotic Agents / adverse effects
  • Antipsychotic Agents / therapeutic use
  • Autistic Disorder / diagnosis
  • Autistic Disorder / drug therapy*
  • Autistic Disorder / psychology
  • Child
  • Child Development Disorders, Pervasive / diagnosis
  • Child Development Disorders, Pervasive / drug therapy*
  • Child Development Disorders, Pervasive / psychology
  • Clonidine / adverse effects
  • Clonidine / therapeutic use
  • Humans
  • Irritable Mood / drug effects*
  • Psychotropic Drugs / adverse effects
  • Psychotropic Drugs / therapeutic use*
  • Self-Injurious Behavior / prevention & control
  • Self-Injurious Behavior / psychology

Substances

  • Anticonvulsants
  • Antipsychotic Agents
  • Psychotropic Drugs
  • Clonidine