Nonprescription drug use among hospitalized pediatric patients

American Journal of Hospital Pharmacy
|October 1, 1983
PubMed

Insights

Most parents use nonprescription drugs for children without seeking advice. Professional recommendations, especially from physicians and pharmacists, significantly influence product selection for pediatric self-medication.

Area of Science:

  • Pediatric medicine
  • Pharmacology
  • Public health

Background:

  • Self-medication with nonprescription drugs is common in pediatric care.
  • Parental decision-making regarding pediatric medication is crucial for child safety.
  • Understanding factors influencing nonprescription drug selection is vital for healthcare providers.

Purpose of the Study:

  • To investigate parental practices and decision-making processes for nonprescription drug use in children.
  • To identify key influences and information sources guiding parents in selecting pediatric nonprescription medications.
  • To assess the role of healthcare professionals versus other media in parental choices.

Main Methods:

  • A questionnaire was administered to parents of 200 hospitalized pediatric patients.
  • Data collected included nonprescription drug use patterns, advice-seeking behaviors, and product selection factors.
  • 160 questionnaires were returned and analyzed.

Main Results:

  • Nearly all children (97.5%) received nonprescription medication from parents before hospitalization.
  • Only 21% of parents routinely sought advice before self-medicating their children.
  • Physician recommendations were the most influential factor, followed by pharmacists and other healthcare professionals, surpassing media advertisements.

Conclusions:

  • Parental self-medication of children is widespread, often without professional consultation.
  • Healthcare professionals, particularly physicians and pharmacists, are key influencers in nonprescription drug selection.
  • Pharmacists should enhance their role in guiding parents on appropriate pediatric self-medication choices.

Related Concept Videos

Prescription, Nonprescription and Orphan Drugs01:02

Prescription, Nonprescription and Orphan Drugs

Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight, compared...
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses a challenge in...
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
Pharmaceutical Poisoning: Potential Scenarios01:26

Pharmaceutical Poisoning: Potential Scenarios

Pharmaceutical poisoning can occur through various channels, impacting an estimated 2 million hospitalized patients in the U.S. annually with serious adverse drug responses. These scenarios encompass both therapeutic uses, such as drug toxicity, where even standard dosages can lead to severe central nervous system depression, and non-therapeutic exposures, including accidental ingestion by children, and environmental and occupational exposures.Unintentional poisonings often involve exploratory...