ARI Publ. 34/February 2008

Parent Ratings of Behavorial Effects of Biomedical Interventions

Autism Research Institute
4182 Adams Avenue
San Diego, CA 92116 USA

The parents of autistic children represent a vast and important reservoir of information on the benefits-and adverse effects- of the large variety of drugs and other interventions that have been tried with their children. Since 1967 the Autism Research Institute has been collecting parent ratings of the usefulness of the many interventions tried on their autistic children.

The following data have been collected from the more than 26,000 parents who have completed our questionnaires designed to collect such information. For the purposes of the present table, the parents responses on a six-point scale have been combined into three categories: “made worse” (ratings 1 and 2), “no effect” (ratings 3 and 4), and “made better” (ratings 5 and 6). The “Better:Worse” column gives the number of children who “Got Better” for each one who “Got Worse.”

There are three sections: Drugs, Biomedical/Non-Drug/Supplements, and Special Diets. Download a one-page Adobe (.pdf) file containing all three sections.

Drugs

Note: For seizure drugs: The first line shows the drug’s behavioral effects; the second line shows
the drug's effects on seizures.

Possible Adverse Effects of Prescription Drugsnew

 

Got
WorseA
No
Effect
Got
Better
Better:
Worse
No. of
CasesB
Aderall
43%
25%
32%
0.8:1
775
Amphetamine
47%
28%
25%
0.5:1
1312
Anafranil
32%
38%
30%
0.9:1
422
Antibiotics
33%
53%
15%
0.5:1
2163
AntifungalsC: Diflucan
5%
38%
57%
11:1
653
AntifungalsC: Nystatin
5%
44%
50%
9.7:1
1388
Atarax
26%
53%
22%
0.9:1
517
Benadryl
24%
50%
26%
1.1:1
3032
Beta Blocker
17%
51%
31%
1.8:1
286
Buspar
27%
45%
28%
1.0:1
400
Chloral Hydrate
41%
39%
20%
0.5:1
459
Clonidine
22%
31%
47%
2.1:1
1525
Clozapine
37%
44%
19%
0.5:1
155
Cogentin
19%
54%
27%
1.4:1
186
Cylert
45%
36%
20%
0.4:1
623
Deanol
15%
57%
28%
1.9:1
210
DepakeneD: Behavior:
25%
43%
32%
1.3:1
1071
DepakeneD: Seizures
11%
33%
56%
4.8:1
705
Desipramine
34%
35%
31%
0.9:1
86
DilantinD: Behavior
28%
49%
23%
0.8:1
1110
DilantinD: Seizures
15%
37%
48%
3.3:1
433
Felbatol
20%
55%
25%
1.3:1
56
Fenfluramine
21%
52%
27%
1.3:1
477
Haldol
38%
28%
34%
0.9:1
1199
IVIG
10%
44%
46%
4.5:1
79
KlonapinD: Behavior
28%
42%
30%
1.0:1
246
KlonapinD: Seizures
25%
60%
15%
0.6:1
67
Lithium
24%
45%
31%
1.3:1
463
Luvox
30%
37%
34%
1.1:1
220
Mellaril
29%
38%
33%
1.2:1
2097
MysolineD: Behavior
41%
46%
13%
0.3:1
149
MysolineD: Seizures
19%
56%
25%
1.3:1
78
Naltrexone
20%
46%
34%
1.8:1
302
Paxil
33%
31%
36%
1.1:1
416
Phenergan
29%
46%
25%
0.9:1
301
PhenobarbitalD: Behavior
47%
37%
16%
0.3:1
1109
PhenobarbitalD: Seizures
18%
43%
39%
2.2:1
520
Prolixin
30%
41%
29%
1.1:1
105
Prozac
32%
32%
36%
1.1:1
1312
Risperidal
20%
26%
54%
2.8:1
1038
Ritalin
45%
26%
29%
0.7:1
4127
Secretin: Intravenous
7%
49%
44%
6.3:1
468
Secretin: Transdermal
10%
53%
37%
3.6:1
196
Stelazine
28%
45%
26%
0.9:1
434
Steroids
35%
33%
32%
0.9:1
132
TegretolD: Behavior
25%
45%
30%
1.2:1
1520
TegretolD: Seizures
13%
33%
54%
4.0:1
842
Thorazine
36%
40%
24%
0.7:1
940
Tofranil
30%
38%
32%
1.1:1
776
Valium
35%
41%
24%
0.7:1
865
Valtex
6%
42%
52%
8.5:1
65
ZarontinD: Behavior
35%
46%
19%
0.6:1
153
ZarontinD: Seizures
19%
55%
25%
1.3:1
110
Zoloft
35%
33%
32%
0.9:1
500

Biomedical/Non-Drug/Supplements


Got
WorseA
No
Effect
Got
Better
Better:
Worse
No. of
CasesB
CalciumE:
3%
62%
35%
14:1
2097
Cod Liver Oil
4%
45%
51%
13:1
1681
Cod Liver Oil with Bethanecol
10%
54%
37%
3.8:1
126
Colostrum
6%
56%
38%
6.1:1
597
Detox. (Chelation)C:
3%
23%
74%
24:1
803
Digestive Enzymes
3%
39%
58%
17:1
1502
DMG
8%
51%
42%
5.4:1
5807
Fatty Acids
2%
41%
56%
24:1
1169
5 HTP
13%
47%
40%
3.1:1
343
Folic Acid
4%
53%
43%
11:1
1955
Food Allergy Treatment
3%
33%
64%
24:1
952
Hyperbaric Oxygen Therapy
5%
34%
60%
12:1
134
Magnesium
6%
65%
29%
4.6:1
301
Melatonin
8%
27%
65%
7.8:1
1105
Methyl B12 (nasal)
15%
29%
56%
3.9:1
48
Methyl B12 (subcutaneous)
7%
26%
67%
9.5:1
170
MT Promoter
13%
49%
38%
2.9:1
61
P5P (Vit. B6)
12%
37%
51%
4.2:1
529
Pepcid
12%
59%
30%
2.6:1
164
SAMe
16%
63%
21%
1.3:1
142
St. Johns Wort
18%
66%
16%
0.9:1
150
TMG
15%
43%
42%
2.8:1
803
Transfer Factor
10%
48%
42%
4.3:1
174
Vitamin A
2%
57%
41%
18:1
1127
Vitamin B3
4%
52%
43%
10.1:1
927
Vitamin B6 with Magnesium
4%
48%
48%
11:1
6634
Vitamin B12 (oral)
7%
32%
61%
8.6:1
98
Vitamin C
2%
55%
43%
19:1
2397
Zinc
2%
47%
51%
22.1:1
1989

Special Diets


Got
WorseA
No
Effect
Got
Better
Better:
Worse
No. of
CasesB
Candida Diet
3%
41%
56%
19:1
941
Feingold Diet
2%
42%
56%
25:1
899
Gluten- /Casein-Free Diet
3%
31%
66%
19:1
2561
Removed Chocolate
2%
47%
51%
28:1
2021
Removed Eggs
2%
56%
41%
17:1
1386
Removed Milk Products/Dairy
2%
46%
52%
32:1
6360
Removed Sugar
2%
48%
50%
25:1
4187
Removed Wheat
2%
47%
51%
28:1
3774
Rotation Diet
2%
46%
51%
21:1
938
Specific Carbohydrate Diet
7%
24%
69%
10:1
278

A. “Worse” refers only to worse behavior. Drugs, but not nutrients, typically also cause physical problems if used long-term.
B. No. of cases is cumulative over several decades, so does not reflect current usage levels (e.g., Haldol is now seldom used).
C. Antifungal drugs and chelation are used selectively, where evidence indicates they are needed.
D. Seizure drugs: top line behavior effects, bottom line effects on seizures.
E. Calcium effects are not due to dairy-free diet; statistics are similar for milk drinkers and non-milk drinkers.