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Minitablets: new modality to deliver medicines to preschool-aged children
Sarah A Thomson1, Catherine Tuleu, Ian C K Wong
1Centre for Paediatric Pharmacy Research, School of Pharmacy, University of London, London, England.
Insights
Minitablets show promise for preschool children. Swallowing rates increase with age, with 85% of 5-year-olds successfully swallowing them, indicating suitability for pediatric use.
Area of Science:
- Pediatric Pharmacology
- Drug Delivery Systems
- Formulation Science
Background:
- Pediatric drug administration presents unique challenges.
- Minitablets offer a potential alternative to traditional dosage forms for young children.
- Assessing the acceptability of novel formulations in pediatric populations is crucial.
Purpose of the Study:
- To evaluate the acceptability and suitability of 3-mm placebo minitablets for preschool-aged children (2-6 years).
- To determine the feasibility of using minitablets as a pediatric dosage form.
Main Methods:
- One hundred children aged 2-6 years participated in the study.
- Children were instructed on swallowing the minitablet, with chewing discouraged.
- Administration outcomes (swallowed, chewed, spat out, refused) were recorded.
Main Results:
- Swallowing success increased with age, from 46% in 2-year-olds to 85% in 5-year-olds.
- A significant majority of children aged 4 years and older could swallow the minitablets.
- Gender did not influence the ability to swallow the minitablets.
Conclusions:
- Minitablets are a potentially suitable formulation for preschool-aged children.
- The study supports the use of minitablets as a novel dosage form for this age group.
- Further research into minitablet formulations for pediatric use is warranted.
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 > or =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.
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