Effect of Adding l -Carnitine to Risperidone on Behavioral, Cognitive, Social, and Physical Symptoms in Children and Adolescents With Autism: A Randomized Double-Blinded Placebo-Controlled Clinical Trial

Clin Neuropharmacol. 2023 Mar-Apr;46(2):55-59. doi: 10.1097/WNF.0000000000000544. Epub 2023 Feb 4.

Abstract

Objectives: The present research aimed to evaluate the effect of adding l -carnitine to risperidone in treating children and adolescents with autism spectrum disorder (ASD).

Methods: In this randomized controlled clinical trial study, 50 ASD children and adolescents were divided into 2 groups: those receiving l -carnitine and risperidone (n = 25) and those receiving placebo and risperidone (n = 25). Treatment continued for 8 weeks, and participants were assessed at the beginning of the study, in the fourth and eighth weeks, by the Aberrant Behavior Checklist (ABC).

Results: l -Carnitine add-on therapy reduced the scores of total ABC and subscales of restlessness, lethargy and social isolation, stereotypic behavior, and inappropriate speech at weeks 4 and 8. There was a significant difference between the 2 groups in the score of total ABC and subscale of lethargy and social isolation.

Conclusions: According to the present study, adding l -carnitine to risperidone improves ASD symptoms.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Antipsychotic Agents* / therapeutic use
  • Autism Spectrum Disorder* / drug therapy
  • Autistic Disorder* / drug therapy
  • Carnitine / therapeutic use
  • Child
  • Cognition
  • Double-Blind Method
  • Drug Therapy, Combination
  • Humans
  • Lethargy / drug therapy
  • Risperidone / therapeutic use
  • Treatment Outcome

Substances

  • Risperidone
  • Antipsychotic Agents
  • Carnitine