Literature DB >> 20354788

Access to children's medicines in the United Kingdom, Australia and New Zealand in 1998, 2002 and 2007.

Rajan Ragupathy1, June Tordoff, Pauline Norris, David Reith.   

Abstract

OBJECTIVE: To describe the listing of prescription entities (unique active agents only available on prescription) in standard reference texts that were licensed for children (0-18 years), in dosage forms suitable for children, and subsidised (Government funded) for children. Setting The United Kingdom, Australia and New Zealand in 1998, 2002 and 2007.
METHOD: A review of data from 1998, 2002, and 2007 using standard prescribing and subsidy reference sources in each country. The study examined all prescription entities, orally available entities, and entities newly licensed for children 2002-2007. MAIN OUTCOME MEASURE: Changes in the number of prescription entities that were licensed, suitably formulated and subsidised for children over the period. Results The United Kingdom had the highest number of prescription entities (1149 in 1998; 1049 in 2007), entities licensed for children (677; 564), entities suitably formulated for children (791; 676), and entities licensed for children and subsidised (677; 562) over the period. However, the numbers and proportions of entities licensed for children and suitably formulated for children decreased over the period of the study. New Zealand and Australia had lower numbers throughout the period, but the number of entities licensed for children (New Zealand 319-450, Australia 288-466) and entities licensed for children and subsidised (New Zealand 245-288, Australia 155-254) increased over the period.
CONCLUSION: Over the period of the study, there was a decrease in listed prescription entities that were licensed for children in the United Kingdom, but an increase in Australia and New Zealand. There were considerably fewer entities licensed, suitably formulated and subsidised for children than for adults at all three time points and in all three countries. This reinforces the need for the current initiatives to improve access to medicines for children.

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Year:  2010        PMID: 20354788     DOI: 10.1007/s11096-010-9383-z

Source DB:  PubMed          Journal:  Pharm World Sci        ISSN: 0928-1231


  16 in total

1.  Lack of appropriate formulations of medicines for children in the community.

Authors:  E Schirm; H Tobi; T W de Vries; I Choonara; L T W De Jong-van den Berg
Journal:  Acta Paediatr       Date:  2003-12       Impact factor: 2.299

2.  Access to prescribing information for paediatric medicines in the USA: post-modernization.

Authors:  Larissa Young; Francis Lawes; June Tordoff; Pauline Norris; David Reith
Journal:  Br J Clin Pharmacol       Date:  2008-12-10       Impact factor: 4.335

3.  Use of "off-label" and unlicensed drugs in paediatric intensive care unit.

Authors:  S Turner; A Gill; T Nunn; B Hewitt; I Choonara
Journal:  Lancet       Date:  1996-02-24       Impact factor: 79.321

Review 4.  Unlicensed and off-label uses of drugs in paediatrics: a review of the literature.

Authors:  Laura Cuzzolin; Ada Zaccaron; Vassilios Fanos
Journal:  Fundam Clin Pharmacol       Date:  2003-02       Impact factor: 2.748

5.  A prospective questionnaire assessment of attitudes and experiences of off label prescribing among hospital based paediatricians.

Authors:  J S McLay; M Tanaka; S Ekins-Daukes; P J Helms
Journal:  Arch Dis Child       Date:  2006-01-27       Impact factor: 3.791

Review 6.  Formulation of medicines for children.

Authors:  Tony Nunn; Julie Williams
Journal:  Br J Clin Pharmacol       Date:  2005-06       Impact factor: 4.335

7.  Adverse drug reactions to unlicensed and off-label drugs on paediatric wards: a prospective study.

Authors:  S Turner; A J Nunn; K Fielding; I Choonara
Journal:  Acta Paediatr       Date:  1999-09       Impact factor: 2.299

8.  Adverse drug reactions and off-label prescribing for paediatric outpatients: a one-year survey of spontaneous reports in Sweden.

Authors:  Mike Ufer; Elin Kimland; Ulf Bergman
Journal:  Pharmacoepidemiol Drug Saf       Date:  2004-03       Impact factor: 2.890

9.  The impact of unlicensed and off-label drug use on adverse drug reactions in paediatric patients.

Authors:  Antje Neubert; Harald Dormann; Jutta Weiss; Tobias Egger; Manfred Criegee-Rieck; Wolfgang Rascher; Kay Brune; Burkhard Hinz
Journal:  Drug Saf       Date:  2004       Impact factor: 5.606

10.  Adverse drug reactions and off-label drug use in paediatric outpatients.

Authors:  Benjamin Horen; Jean-Louis Montastruc; Maryse Lapeyre-Mestre
Journal:  Br J Clin Pharmacol       Date:  2002-12       Impact factor: 4.335

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