Venables, RH, Batchelor, H, Stirling, H and Marriott, J (2015) Barriers to administering non-oral formulations in a paediatric population: A semi-structured interview study. International Journal of Pharmaceutics, 497 (1-2). 12 - 17.

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Abstract

There is a paucity of research exploring barriers to non-oral medicines administration in paediatric patients; however, these undoubtedly influence medicines adherence. Studies conducted with healthcare professionals have identified various issues with the administration and acceptance of non-oral medicines and devices (Venables et al., 2012, Walsh et al., 2015). EMA (2014) guidelines specify that formulation teams should demonstrate ‘acceptability’ of paediatric formulations when developing pharmaceutical formulations.

Semi-structured interviews exploring barriers to administering non-oral medicines were conducted with young persons and the parents/legal guardians of children (0–17 years) with chronic conditions at the University Hospital of Coventry and Warwickshire, UK.

90 children prescribed a total of 148 non-oral medicines were recruited to the study; 88 barriers to administering non-oral medicines were reported. The most commonly reported barriers were: poor acceptance of face mask/difficulties with spacer for inhaled formulations (38% of reports); disliking parenteral/preferring alternative formulations (38% of reports); greasy texture of topical preparations; difficulty with administering an ocular ointment and the large dose volume of a nasal preparation.

Formulation teams should consider the use of child-friendly, age-appropriate designs to improve usability and acceptance, thus medicines adherence. These findings should be used to inform future development of non-oral formulations and devices, suitable in terms of safety, efficacy and acceptability to paediatric patients.

Item Type: Article
Uncontrolled Keywords: Pediatric, Medicine, Formulation, Acceptability, Barriers to administration, Device, Usability
Subjects: R Medicine > RM Therapeutics. Pharmacology
R Medicine > RS Pharmacy and materia medica
Depositing User: Symplectic
Date Deposited: 16 Dec 2015 10:51
Last Modified: 18 Apr 2019 13:19
URI: http://eprints.keele.ac.uk/id/eprint/1300

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