Prescribing of non-steroidal anti-inflammatory drugs, tramadol and opioids in children: patterns of its utilization

Zin, Che Suraya (2019) Prescribing of non-steroidal anti-inflammatory drugs, tramadol and opioids in children: patterns of its utilization. In: International Conference on Pharmaceutical Research and Pharmacy Practice cum 14th IIUM-MPS Pharmacy Scientific Conference (ICPRP 2019), 19-20th October 2019, Hotel Istana Kuala Lumpur. (Unpublished)

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Abstract

Background: Analgesic is commonly used in children but little is known about its patterns of utilization. This study explored the patterns of analgesic prescribing in children. Methods: This cross sectional study used prescription databases of tertiary hospital settings in Malaysia from 2010 to 2016. Prescriptions for nine NSAIDs (diclofenac, ketoprofen, etoricoxib, celecoxib, ibuprofen, indomethacin, mefenamic acid, meloxicam and naproxen), tramadol and five other opioids (morphine, oxycodone, fentanyl, buprenorphine and dihydrocodeine) prescribed for children age < 18 years old were included. Number of annual patients and prescriptions were measured and analysed using Stata v15. Results: During a 7-year study period, a total of 5040 analgesic prescriptions of the nine NSAIDs, tramadol, and five other opioids were prescribed for 2460 paediatric patients (81.8% NSAIDs patients, 17.9% tramadol patients, and 0.3% opioid patients). Ibuprofen was the primary analgesic in young children less than 12 years old (≤2 years old (y.o) (75%), 3-5 y.o (85%) and.6-12 y.o (56.3%)). While there was a wide range of analgesics used in older children (above 12 years old) with the majority for naproxen (13 to 15 y.o (28.2%) and 16 to 17 y.o (28.2%). Other frequently prescribed analgesics for older children included ibuprofen (20.6%) and diclofenac (18.2%)) for 12 to 15 y.o and diclofenac (26.7%) and tramadol (17.6%)) for 16-17 y.o. Conclusion: Ibuprofen was the primary analgesic for children less than 12 years old while there was a wide range of analgesics prescribed for children age above 12 years old including naproxen, diclofenac and tramadol.

Item Type:	Conference or Workshop Item (Poster)
Additional Information:	4127/75877
Uncontrolled Keywords:	Children prescribing, analgesics, tramadol, NSAIDs, opioids, Malaysia
Subjects:	R Medicine > RM Therapeutics. Pharmacology
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Pharmacy > Department of Pharmacy Practice Kulliyyah of Pharmacy
Depositing User:	Prof Dr Che Suraya Mohd Zin
Date Deposited:	12 Nov 2019 15:13
Last Modified:	12 Nov 2019 15:13
URI:	http://irep.iium.edu.my/id/eprint/75877

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