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Published on: December 17, 2017
Urine retention in a child treated with oral salbutamol
Enza D'Auria1, Marzia Mandelli, Francesco Di Dio
1Department of Paediatrics, San Paolo Hospital, University of Milan, Italy.
Insights
Oral salbutamol can cause acute urinary retention in children, a rare adverse drug reaction. This case highlights the importance of considering the route of administration for drug safety in pediatric patients.
Area of Science:
- Pediatric Pharmacology
- Adverse Drug Reactions
- Urology
Background:
- Voiding difficulties are known drug side effects, but the impact of administration route, particularly in children, is under-researched.
- Salbutamol is commonly administered via inhalation for wheezing, yet oral formulations are still used in certain pediatric settings.
Observation:
- A 3-year-old boy experienced two episodes of acute urinary retention.
- Both retention episodes occurred shortly after receiving oral salbutamol therapy.
Findings:
- This case represents the first documented instance of acute urinary retention as an adverse drug reaction to oral salbutamol in a child.
- Systemic side effects of salbutamol in children are documented, but urinary retention linked to the oral route is novel.
Implications:
- Clinicians should be aware of the potential for acute urinary retention with oral salbutamol in pediatric patients.
- This finding underscores the importance of route of administration in pediatric drug safety and warrants further investigation into salbutamol's effects.
Abstract:
It is known that voiding difficulties can be caused by some drugs, but little is known about the role about the route of administration, especially in children. We report here a case of a 3-year old Italian boy referred to the Pediatric Emergency Unit complaining of two episodes of acute urinary retention, both after therapy with oral salbutamol. In spite of recommendations to use inhaled salbutamol to treat acute wheezing, oral salbutamol is still sometimes used in some settings. Whereas other side effects of systemic salbutamol are described in children, to our knowledge this is the first description of acute urinary retention as an adverse drug reaction to oral salbutamol.
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