A pilot study of lis-dexamfetamine dimesylate (LDX/SPD489) to facilitate smoking cessation in nicotine-dependent adults with ADHD

J Atten Disord. 2014 Feb;18(2):158-68. doi: 10.1177/1087054712440320. Epub 2012 Apr 16.

Abstract

Objective: The goal of this study was to assess the efficacy and tolerability of lis-dexamfetamine dimesylate (LDX) as an adjunct to nicotine replacement therapy in adult smokers with ADHD who were undergoing a quit attempt.

Methods: Thirty-two regular adult smokers with ADHD were randomized to receive LDX (n = 17) or placebo (n = 15) in addition to nicotine patch concurrent with a quit attempt.

Results: There were no differences between smokers assigned to LDX versus placebo in any smoking outcomes. Participants treated with LDX demonstrated significant reductions in self-reported and clinician-rated ADHD symptoms. LDX was well tolerated in smokers attempting to quit.

Discussion: In general, LDX does not facilitate smoking cessation in adults with ADHD more than does placebo, though both groups significantly reduced smoking. LDX demonstrated efficacy for reducing ADHD symptoms in adult smokers engaging in a quit attempt.

Keywords: adult ADHD; lis-dexamfetamine dimesylate; smoking.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attention Deficit Disorder with Hyperactivity / drug therapy*
  • Central Nervous System Stimulants / administration & dosage
  • Central Nervous System Stimulants / therapeutic use*
  • Dextroamphetamine / administration & dosage
  • Dextroamphetamine / therapeutic use*
  • Double-Blind Method
  • Female
  • Humans
  • Lisdexamfetamine Dimesylate
  • Male
  • Pilot Projects
  • Smoking / adverse effects*
  • Smoking Cessation / methods*
  • Tobacco Use Cessation Devices
  • Tobacco Use Disorder / drug therapy*
  • Treatment Outcome

Substances

  • Central Nervous System Stimulants
  • Lisdexamfetamine Dimesylate
  • Dextroamphetamine