Navigation Links
Instructions on over-the-counter medications for children are found to be confusing
Date:11/30/2010

Instructions on boxes and bottles of over-the-counter (OTC) medicines for children in the United States are confusing and hard for parents to understand and follow, according to a study in the December 1 issue of JAMA.

"There is an unacceptable amount of inconsistency in labels and measuring devices of OTC liquid medications for children," said H. Shonna Yin, MD, assistant professor of pediatrics at NYU School of Medicine who co-led the study. "These types of inconsistencies are likely to be a source of confusion for parents and can lead to errors in dosing, placing children at risk."

The study was undertaken after the U.S. Food and Drug Administration issued voluntary guidelines last year recommending greater consistency in dosing directions and accompanying measuring devices, following numerous reports of accidental overdosing in children attributed in part to these issues.

The researchers reviewed 200 top-selling pediatric oral liquid OTC medications categorized as analgesics, cough/cold, allergy, or gastrointestinal medicines representing 99 percent of the U.S. market of these products. They found that 25 percent of these products did not include dosing devices, such as a cup or dropper for giving the medicine, and that 99 percent had directions on the bottle's label and dose markings on the device that do not match. In addition, more than half the products did not use standard abbreviations for terms such as teaspoon or milliliter.

"This is an issue of patient safety and needs urgent attention," said Ruth Parker, MD, professor of medicine at Emory University School of Medicine, who co-led the study. "Given how many products are affected, it seems unlikely that the voluntary guidelines alone set by the FDA and industry will fix this problem. The current guidance does not contain a timeline for compliance or specify consequences for non-compliance. Standards and regulatory oversight will likely be needed to ensure that all products contain label information and dosing device markings that match and are understandable and useful."

The study authors believe that when dosing instructions and devices match, and standard abbreviations are used, parents will be less confused and better able to give the proper dose of medication to their child. "Devices often have extra markings on them that are not listed on the label, which can be distracting and lead to confusion," says Dr. Yin. "Furthermore, some devices are missing doses that are recommended on the label, making the task of dosing more difficult.

The authors recommend that terms such as "cc" and "drams", which are not commonly understood, not be used in labeling. Tablespoon instructions, they note, should also not be used because they are often confused with teaspoon instructions which can lead to a 3-fold underdose or overdose.

"There are very straightforward things that can be done to help parents dose OTC medications correctly," said co-author Benard P. Dreyer, MD, professor of pediatrics at NYU School of Medicine, and president-elect of the Academic Pediatric Association. "Making sure that all products follow these guidelines will help parents use OTC medicines more safely and effectively."


'/>"/>

Contact: Dorie Klissas
dorie.klissas@nyumc.org
212-404-3555
NYU Langone Medical Center / New York University School of Medicine
Source:Eurekalert

Related medicine news :

1. Convenience drives US women to buy over-the-counter contraception in Mexico, study finds
2. Missed opportunities: Most heart attack patients are not taking preventive medications
3. Medications found to cause long term cognitive impairment of aging brain
4. Psychotropic medications can cause birth defects
5. Publix Pharmacy Now Offers Pill Glide, an Innovative New Way for Children and Adults to Take Vitamins, Supplements and Medications
6. HIRC Research Alert: Health Plans Expected to Increase Adoption of Percent Copays to Manage Specialty Medications
7. Oralflo Pill Swallowing Cup Wins Medical Design Excellence Award, Helps Autism Spectrum Kids and Dysphagia Sufferers Take Medications With No Problem
8. Study cautions: Psychotropic medications overprescribed to children
9. Adverse drug effects in epileptic patients not correlated with number of prescribed medications
10. Pollen.com Reports Five U.S. Cities with Highest Pollen Activity -- Total Prescriptions for Allergy Medications 3.7% Higher than Last Year
11. New England Journal of Medicine Article Trumpets “Priority” Status of Helping Patients Take Medications Correctly
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/26/2016)... (PRWEB) , ... May 26, 2016 , ... In Madeira ... the mainland by a single drawbridge, citizens formed an organization, Madeira Beach United, to ... traffic and change the small town center to a high rise urban environment. , ...
(Date:5/26/2016)... ... May 26, 2016 , ... Women’s athletic apparel company ... second pop-up shop for three consecutive weekends. The pop-up shop is a great ... community, a community full of women who appreciate the most premium goods and ...
(Date:5/25/2016)... ... May 26, 2016 , ... The United States Food and Drug ... in both men and women. To date, the company is the first and only ... any adult who suffers with androgenetic alopecia. , “This new level of clearance ...
(Date:5/25/2016)... ... May 25, 2016 , ... Extremity ... Tennessee locations to streamline patient check-in and post visit surveys. , “The Phreesia ... patient care. It has revolutionized the check-in process for our clinic network, providing ...
(Date:5/25/2016)... ... May 25, 2016 , ... A new update to Xsens ... all by utilizing a common Wi-Fi network and a mobile device. When paired with ... location with Wi-Fi, and use a mobile device to control the recording. , ...
Breaking Medicine News(10 mins):
(Date:5/25/2016)... PUNE, India , May 25, 2016 /PRNewswire/ ... Pipeline Review, H1 2016"market research report that provides ... complete with comparative analysis at various stages, therapeutics ... route of administration (RoA) and molecule type, along ... releases. It also reviews key players involved in ...
(Date:5/24/2016)... 24, 2016   ... primären Endpunkte und demonstriert Ebenbürtigkeit bei ... ‚ausgezeichneter plus guter , ...      (Logo: http://photos.prnewswire.com/prnh/20130829/633895-a ) ... positive Daten von der MORA-Studie der Phase III ...
(Date:5/24/2016)... ARANZ Medical  Ltd a specialist ... has been named the Coretex Hi-Tech Emerging Company of the ... Dr Bruce Davey , CEO of ARANZ Medical says, ... good to be recognised for the work we are doing ... in 35 countries around the world from Sub-Saharan Africa through ...
Breaking Medicine Technology: