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Veterinary-Prescribed Buprenorphine Ingestion in a 2-Year-Old Girl

Kristin J Roberts1, Suzanne Tomasi1,2, Jason W Stull2

  • 1From the Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital.

Pediatric Emergency Care
|August 15, 2018
PubMed

Insights

Veterinary buprenorphine, dispensed in non-child-resistant packaging, poses a significant ingestion risk to young children. Pediatricians and veterinarians must educate pet owners on safe medication storage to prevent accidental pediatric exposure.

Area of Science:

  • Veterinary Medicine
  • Pediatric Toxicology
  • Public Health

Background:

  • Buprenorphine ingestion by children is a growing concern, often resulting from accidental exposure to adult-prescribed medication.
  • Veterinary-prescribed buprenorphine, frequently in non-child-resistant packaging, presents an underreported source of pediatric exposure risk.

Observation:

  • A case report details a 2-year-old girl found with a syringe of veterinary buprenorphine in her mouth.
  • The medication was intended for the family pet and was provided in a plastic bag by the veterinarian.
  • The child remained asymptomatic after a 24-hour hospitalization.

Findings:

  • This case represents a novel route of pediatric buprenorphine exposure via veterinary pharmaceuticals.
  • Unsecured medications in the home environment significantly elevate the risk of accidental pediatric ingestion.

Implications:

  • Pediatricians should counsel parents on the risks of veterinary medications and emphasize secure storage.
  • Veterinarians must implement enhanced precautions when dispensing buprenorphine to households with young children.
  • Increased awareness and interprofessional collaboration are crucial to mitigate pediatric pharmaceutical poisoning from veterinary sources.
Abstract

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