Minitablets: New Modality to Deliver Medicines to Preschool-Aged Children

Author:

Thomson Sarah A.12,Tuleu Catherine123,Wong Ian C. K.23,Keady Simon34,Pitt Kendal G.5,Sutcliffe Alastair G.6

Affiliation:

1. Centre for Paediatric Pharmacy Research

2. Institute of Child Health, University College London, London, England

3. Department of Pharmaceutics, School of Pharmacy, University of London, London, England

4. Pharmacy Department, University College London Hospitals, London, England

5. Global Manufacturing Supplies, GlaxoSmithKline, Ware, England

6. General and Adolescent Unit, University College Medical School

Abstract

OBJECTIVE. The goal was to assess the acceptability and suitability of placebo minitablets for preschool-aged children. METHODS. One hundred children 2 to 6 years of age were recruited from a major London hospital. How to swallow the minitablet was discussed with the child, and chewing was discouraged. The parents were asked to administer 1 minitablet (placebo, 3-mm diameter) to the child. The outcomes were recorded as (1) swallowed, (2) chewed, (3) spat out, or (4) refused to take. RESULTS. Of the youngest children (2 years of age), almost one half (46%) swallowed the minitablet. The proportion increased to 53% for children 3 years of age. Children ≥4 years of age were more likely to swallow the minitablet than not to swallow the minitablet, with 85% of 5-year-old children swallowing the minitablet. The ability to swallow the minitablet was not affected by gender. CONCLUSIONS. This study demonstrated the potential to use minitablets for the treatment of preschool-aged children and suggests that minitablets can be used as a potential new formulation for children in this age range.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

Reference19 articles.

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3. Schirm E, Tobi H, de Vries TW, Choonara I, De Jong-van den Berg L. Lack of appropriate formulations of medicines for children in the community. Acta Paediatr. 2003;92(12):1486–1489

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