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Related Experiment Videos

When do children convert from liquid antiretroviral to solid formulations?

Vincent W Yeung1, Ian C K Wong

  • 1Centre for Paediatric Pharmacy Research, The School of Pharmacy, The Institute of Child Health and Great Ormond Street Hospital for Children NHS Trust, University of London, 29-39 Brunswick Square, London WC1N 1AX, UK.

Pharmacy World & Science : PWS
|December 13, 2005
PubMed
Summary

Children typically switch from liquid to solid antiretroviral formulations around age seven. Stavudine users tend to transition to solid forms earlier than those on other medications.

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Area of Science:

  • Paediatric pharmacology
  • Clinical pharmacy
  • HIV/AIDS treatment

Background:

  • Liquid antiretroviral formulations are standard for children but present challenges like stability, taste, and travel inconvenience.
  • Solid formulations offer a preferred alternative for long-term management in older children, parents, and clinicians.
  • Limited research exists on the optimal age for transitioning children from liquid to solid antiretroviral drug forms.

Purpose of the Study:

  • To determine the age range for converting children from liquid to solid antiretroviral formulations (abacavir, didanosine, lamivudine, stavudine, zidovudine).
  • To assess the retention time of five UK-based liquid antiretroviral formulations and identify factors influencing it.

Main Methods:

  • A retrospective survey of medical records at Great Ormond Street Hospital for Children, London.

Related Experiment Videos

  • Calculation of retention times from liquid treatment initiation to solid formulation conversion using SPSS software.
  • Comparison of retention times across different antiretroviral preparations via Cox regression analysis.
  • Main Results:

    • Analysis included 92 pediatric patients.
    • The average age for conversion to solid formulations was 7.3 years.
    • Patients on stavudine showed a significantly higher likelihood (P < 0.001) of switching to solid forms earlier than those on other medications; over 50% switched within nine months, compared to less than 25% for others.

    Conclusions:

    • Children generally transition to solid antiretroviral dosage forms around seven years of age.
    • Stavudine is associated with an earlier switch to solid formulations in pediatric patients.