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Parental experience of potential adverse drug reactions related to their oral administration of antipyretic analgesics in children in Saudi Arabia.

Tobaiqy, Mansour; MacLure, Katie; Radwi, Mansoor; Almalki, Ashwaq M.; Alhasan, Ahmed H.; Tannoury, Maya; Attieh, Zouhair

Authors

Mansour Tobaiqy

Katie MacLure

Mansoor Radwi

Ashwaq M. Almalki

Ahmed H. Alhasan

Maya Tannoury

Zouhair Attieh



Abstract

Background: Oral antipyretic analgesic medicines are commonly used in children and have the potential for adverse drug reactions (ADRs). Objective: The aim of this study was to explore parental experiences of potential ADRs related to their oral administration of antipyretic analgesics in children in the Kingdom of Saudi Arabia. Methods: For this cross-sectional survey, a paper-based questionnaire, consent form and information sheet were handed out to 1000 parents who had administered an oral antipyretic analgesic medicine to their children during the previous 3 months. Data were entered and analyzed using SPSS version 21.0 (IBM-SPSS Inc, Armonk, NY). Simple descriptive and inferential statistics were used. Management and ethical approvals were attained. Results: During March to April 2017, 661 parents agreed to participate, giving a response rate of 66.1%. Of the surveyed sample, 208 parents had observed 1 or more potential ADRs (31.5%, n = 208 out of 661). Parents’ (n = 208) most commonly reported potential ADRs (n = 523) were loss of appetite (23%, n = 120 out of 523), stomachache (20.3%, n = 106 out of 523), abdominal colic (13%, n = 68 out of 523), and diarrhea (10.3%, n = 54 out of 523). Parents described severity of the ADRs as slight (71.8%, n = 342 out of 476), annoying to the child (7.9%, n = 85 to of 476), significant and affecting daily tasks (3.6%, n = 17 out of 476) and significant and led to the hospital (6.7%, n = 32 out of 476). Fever was the top-ranked reason for using antipyretic analgesic medicines (41.0%, n = 271 out of 661), followed by toothache (25.0%, n = 165 out of 661) and tonsillitis/laryngitis (24.7%, n = 163 out of 661). Among parents, 34.7% (n = 165 out of 476) did not seek medical attention when a potential ADR occurred, whereas 26.3% (n = 125 out of 476) of parents took their children to hospital clinics. Conclusions: Although the majority of parentally reported (but not proven) ADRs were mild, a number of significant ADRs were reported. Future research should consider whether there is a role for physicians and pharmacists in educating parents in Saudi Arabia, and perhaps more widely, about the optimal use of oral antipyretic and analgesic medicines in children. (Curr Ther Res Clin Exp. 2020; 81:XXX–XXX) © 2020 Elsevier HS Journals, Inc.

Citation

TOBAIQY, M., MACLURE, K., RADWI, M., ALMALKI, A.M., ALHASAN, A.H., TANNOURY, M. and ATTIEH, Z. 2020. Parental experience of potential adverse drug reactions related to their oral administration of antipyretic analgesics in children in Saudi Arabia. Current therapeutic research [online], 92, article ID 100592. Available from: https://doi.org/10.1016/j.curtheres.2020.100592

Journal Article Type Article
Acceptance Date Jun 13, 2020
Online Publication Date Jun 20, 2020
Publication Date Jun 30, 2020
Deposit Date Jun 26, 2020
Publicly Available Date Jun 26, 2020
Journal Current therapeutic research
Print ISSN 0011-393X
Electronic ISSN 1879-0313
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 92
Article Number 100592
DOI https://doi.org/10.1016/j.curtheres.2020.100592
Keywords Antipyretic analgesics; Adverse drug reactions; Children; Parents; Survey
Public URL https://rgu-repository.worktribe.com/output/938095

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