Superior palatability of crushed lercanidipine compared with amlodipine among children

Article date: February 2010

By: Gregorio Milani, Monica Ragazzi, Giacomo D. Simonetti, Gian P. Ramelli, Mattia Rizzi, Mario G. Bianchetti, Emilio F. Fossali, in Volume 69, Issue 2, pages 204-206

WHAT IS ALREADY KNOWN ABOUT THIS SUBJECT

AIMS

To compare the taste of equivalent doses of pulverized amlodipine and lercanidipine, two calcium channel blockers, among children with kidney disease.

METHODS

Each child received a test dose of 1 mg of amlodipine besylate and 2 mg of lercanidipine in a single‐blinded fashion. Children indicated their preference by pointing to the appropriate face on a visual analogue scale (VAS) that depicts five degrees of pleasure.

RESULTS

The VAS palatability score assigned to lercanidipine was higher than that assigned to amlodipine both in nine children 4–7 years of age (P < 0.005) and in 10 children 8–11 years of age (P < 0.005). The preference for lercanidipine was statistically significant in both girls (P < 0.02) and boys (P < 0.001) and in both children initially presented amlodipine (P < 0.005) and children initially presented lercanidipine (P < 0.005).

CONCLUSIONS

There is a lack of appropriate formulations for children prescribed drugs originally designed for adults, such as calcium channel blockers. Parents therefore crush available tablets and administer the medication mixed with solid food or a palatable drink. From the perspective of the child, the taste of pulverized lercanidipine is superior to that of pulverized amlodipine.

DOI: 10.1111/j.1365-2125.2009.03580.x

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