Availability of oral liquid formulations: Dilemmas in managing children with nephrotic syndrome

Conditions such as nephrotic syndrome (NS), which require administration of drugs for a protracted period, present a difficult situation for pediatricians to treat due to lack of appropriate formulations. In the present study, we explored the issue of availability of pediatric oral formulations and...

Full description

Bibliographic Details
Main Authors: Chakrant Mothsara, Karalanglin Tiewsoh, Avaneesh Kumar Pandey, Samir Malhotra, Nusrat Shafiq
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:International Journal of Noncommunicable Diseases
Subjects:
Online Access:http://www.ijncd.org/article.asp?issn=2468-8827;year=2020;volume=5;issue=4;spage=194;epage=200;aulast=Mothsara
_version_ 1819278865256677376
author Chakrant Mothsara
Karalanglin Tiewsoh
Avaneesh Kumar Pandey
Samir Malhotra
Nusrat Shafiq
author_facet Chakrant Mothsara
Karalanglin Tiewsoh
Avaneesh Kumar Pandey
Samir Malhotra
Nusrat Shafiq
author_sort Chakrant Mothsara
collection DOAJ
description Conditions such as nephrotic syndrome (NS), which require administration of drugs for a protracted period, present a difficult situation for pediatricians to treat due to lack of appropriate formulations. In the present study, we explored the issue of availability of pediatric oral formulations and suggested solutions with NS as an example. We searched PubMed, Embase and Ovid, Google, Google Scholar, Current Index of Medical Specialties-Monthly Index of Medical Specialties, and standard textbooks for data acquisition. We found that many drugs used in NS are either not available in suitable pediatric formulation or are not specifically approved for use in pediatric population. Most of these drugs have high pharmacokinetic variability, which further necessitates the availability of proper formulation. Standardized compounding vehicles are also not available in our country. Manipulation of existing adult dosage forms for administering to pediatric patients is often arbitrary and may be associated with either underdosing or overdosing. There is an urgent need for development and standardization of compounding vehicles so that required dose delivery can be ensured in children with NS.
first_indexed 2024-12-24T00:18:48Z
format Article
id doaj.art-3c7e99de00a847b5bb6bfc63a3cb349a
institution Directory Open Access Journal
issn 2468-8827
2468-8835
language English
last_indexed 2024-12-24T00:18:48Z
publishDate 2020-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series International Journal of Noncommunicable Diseases
spelling doaj.art-3c7e99de00a847b5bb6bfc63a3cb349a2022-12-21T17:24:39ZengWolters Kluwer Medknow PublicationsInternational Journal of Noncommunicable Diseases2468-88272468-88352020-01-015419420010.4103/jncd.jncd_7_20Availability of oral liquid formulations: Dilemmas in managing children with nephrotic syndromeChakrant MothsaraKaralanglin TiewsohAvaneesh Kumar PandeySamir MalhotraNusrat ShafiqConditions such as nephrotic syndrome (NS), which require administration of drugs for a protracted period, present a difficult situation for pediatricians to treat due to lack of appropriate formulations. In the present study, we explored the issue of availability of pediatric oral formulations and suggested solutions with NS as an example. We searched PubMed, Embase and Ovid, Google, Google Scholar, Current Index of Medical Specialties-Monthly Index of Medical Specialties, and standard textbooks for data acquisition. We found that many drugs used in NS are either not available in suitable pediatric formulation or are not specifically approved for use in pediatric population. Most of these drugs have high pharmacokinetic variability, which further necessitates the availability of proper formulation. Standardized compounding vehicles are also not available in our country. Manipulation of existing adult dosage forms for administering to pediatric patients is often arbitrary and may be associated with either underdosing or overdosing. There is an urgent need for development and standardization of compounding vehicles so that required dose delivery can be ensured in children with NS.http://www.ijncd.org/article.asp?issn=2468-8827;year=2020;volume=5;issue=4;spage=194;epage=200;aulast=Mothsaraextemporaneous preparationsnephrotic syndromeoral liquid formulationspediatric
spellingShingle Chakrant Mothsara
Karalanglin Tiewsoh
Avaneesh Kumar Pandey
Samir Malhotra
Nusrat Shafiq
Availability of oral liquid formulations: Dilemmas in managing children with nephrotic syndrome
International Journal of Noncommunicable Diseases
extemporaneous preparations
nephrotic syndrome
oral liquid formulations
pediatric
title Availability of oral liquid formulations: Dilemmas in managing children with nephrotic syndrome
title_full Availability of oral liquid formulations: Dilemmas in managing children with nephrotic syndrome
title_fullStr Availability of oral liquid formulations: Dilemmas in managing children with nephrotic syndrome
title_full_unstemmed Availability of oral liquid formulations: Dilemmas in managing children with nephrotic syndrome
title_short Availability of oral liquid formulations: Dilemmas in managing children with nephrotic syndrome
title_sort availability of oral liquid formulations dilemmas in managing children with nephrotic syndrome
topic extemporaneous preparations
nephrotic syndrome
oral liquid formulations
pediatric
url http://www.ijncd.org/article.asp?issn=2468-8827;year=2020;volume=5;issue=4;spage=194;epage=200;aulast=Mothsara
work_keys_str_mv AT chakrantmothsara availabilityoforalliquidformulationsdilemmasinmanagingchildrenwithnephroticsyndrome
AT karalanglintiewsoh availabilityoforalliquidformulationsdilemmasinmanagingchildrenwithnephroticsyndrome
AT avaneeshkumarpandey availabilityoforalliquidformulationsdilemmasinmanagingchildrenwithnephroticsyndrome
AT samirmalhotra availabilityoforalliquidformulationsdilemmasinmanagingchildrenwithnephroticsyndrome
AT nusratshafiq availabilityoforalliquidformulationsdilemmasinmanagingchildrenwithnephroticsyndrome