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Published on: December 23, 2013
Polyethylene glycol for constipation in children younger than eighteen months old
Sonia Michail1, Elizabeth Gendy, Daniel Preud'Homme
1Wright State University School of Medicine and The Children's Medical Center, Dayton, Ohio 45404, USA. sonia.michial@wright.edu
Insights
Polyethylene glycol (PEG) powder is safe and effective for treating constipation in infants under 18 months. The recommended maintenance dose is 0.78 g/kg/day, with minimal side effects observed.
Area of Science:
- Pediatrics
- Gastroenterology
- Pharmacology
Background:
- Polyethylene glycol (PEG) is established for pediatric constipation in children over 18 months.
- Limited data exist on PEG's safety and efficacy in infants younger than 18 months.
Purpose of the Study:
- To evaluate the safety, efficacy, and optimal dosage of polyethylene glycol (PEG) powder for constipation in infants under 18 months.
Main Methods:
- Retrospective chart review of 28 infants younger than 18 months treated with PEG 3350 for constipation.
- Recorded initial dose, effective maintenance dose, treatment response, duration, and adverse events.
Main Results:
- PEG relieved constipation in 97.6% of infants.
- Mean effective maintenance dose was 0.78 g/kg/day.
- Reported side effects included transient diarrhea and increased gas, manageable with dose adjustment.
Conclusions:
- Oral powdered polyethylene glycol (PEG) at 0.78 g/kg/day is a safe and effective treatment for constipation in patients under 18 months.
- PEG demonstrates similar safety and efficacy profiles in infants compared to older children.
Background:
Polyethylene glycol (PEG) is a safe and effective treatment for constipation in children older than 18 months. Data on its safety and efficacy in infants are lacking. The goal of this study was to determine safety, efficacy, and optimal dose of polyethylene glycol powder for treatment of constipation in patients younger than 18 months.
Methods:
The authors reviewed the charts of patients younger than 18 months treated with PEG 3350 for constipation. The initial dose, effective maintenance dose, response to therapy, duration of therapy, and side effects were recorded.
Results:
Twenty-eight patients younger than 18 months of age treated with PEG were identified (3, age 0-5 months; 9, age 6-11 months; 16, age 12-17 months). Mean duration of therapy was 6.2 +/- 5 months (range, 3 weeks-21 months). Mean initial dose was 0.88 g/kg/day (range, 0.26-2.14 g/kg/day). Mean effective maintenance dose was 0.78 g/kg/day (range, 0.26-1.26 g/kg/day). PEG relieved constipation in 97.6% of patients. One infant experienced increased gas per rectum and four others experienced transient diarrhea that resolved after adjusting the dose.
Conclusion:
Oral powdered polyethylene glycol at a maintenance dose of 0.78 g/kg/day is safe and effective for patients younger than 18 months. Dose and safety profiles are similar for those reported in older children.
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