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Mediterranean Journal of Pharmacy and Pharmaceutical Sciences
https://ppj.org.ly/article/doi/10.5281/zenodo.15427684

Mediterranean Journal of Pharmacy and Pharmaceutical Sciences

Original article

Home administration of oral medications to children: Parental challenges and practices in Libya

Emira F. Bousoik, Rahma A. Alshalwi, Aya S. Alwerfali, Fatima M. Butalak, Retaj R. Shawish, Maryam A. Isweesi

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Abstract

Administering medication to children at home presents substantial challenges for caregivers. Errors in dosage, timing, or administration method could be harmful. A key contributor to such errors is inadequate knowledge of pediatric medication. The objective of this study was to explore how parents in Libya administer oral medications to their children and the self-care therapies they use for them. A cross-sectional study was conducted using an online self-designed questionnaire consisting of yes/no and multiple-response questions. The sample size was 523 parents with valid questionnaires. Inclusion criteria were being a parent of children aged six months to 10 years and consent to participate. The data were analyzed by the Chi-square test was employed to examine associations between demographic characteristics and parental behaviors and techniques of medication administration. One-third of parents used inappropriate tools to administer liquid medications to their children. When children resisted medication, 49.3% of parents insisted on administering it, 10.7% mixed it with milk or other drink, 5.2% mixed it with food, and 9.2% dissolved solid forms in water or another drink. Additionally, 9.4% of parents admitted to giving doses higher than prescribed, trying to achieve rapid recovery. Furthermore, 82.0% of the parents engaged in self-medication of children, mostly with antipyretics (86.4%) but also with antibiotics (2.5%). We concluded that knowledge of the correct practices for administering oral medication to children was inadequate. It is suggested to develop educational programs for parents on correct practices.

Keywords

Home administration, oral medications, parental challenges, pediatric medications 

References

  1. Balan S, Hassali M, Mak V (2017) Challenges in pediatric drug use: A pharmacist point of view. Research in Social and Administrative Pharmacy. 13 93): 653-655. doi: 10.1016/j.sapharm.2016.06.014
  2. Hashad NS (2023) Dosing in the neonatal intensive care unit. Mediterranean Journal of Pharmacy and Pharmaceutical Sciences. 3 (3): 61-62. doi: 10.5281/zenodo.10.5281/zenodo.8393129
  3. Yin HS, Mendelsohn AL, Wolf MS, Parker RM, Fierman A, Van Schaick L, Bazan IS, Kline MD, Dreyer BP (2010) Parents' medication administration errors: Role of dosing instruments and health literacy. Archives of Pediatrics and Adolescent Medicine. 164 (2): 181-186. doi: 10.1001/archpediatrics.2009.269
  4. Englander H, Salisbury-Afshar E, Gregg J, Martin M, Snyder H, Weinstein Z, King C (2020) Converging crises: caring for hospitalized adults with substance use disorder in the time of COVID-19. Journal of Hospital Medicine. 15 (10): 628-630. doi: 10.12788/jhm.3485
  5. Sammons HM, Choonara I (2007) What is happening to improve drug therapy in children? Paediatrics and Child Health. 17 (3): 108-110. doi: 10.1016/j.paed.2007.01.013
  6. Adams LV, Craig SR, Mmbaga EJ, Naburi H, Lahey T, Nutt CT, Kisenge R, Noel GJ, Spielberg SP (2013) Children’s medicines in tanzania: A national survey of administration practices and preferences. PLoS one. 8 (3): e58303. doi: 10.1371/journal.pone.0058303
  7. Hoyle JD, Ekblad G, Hover T, Woodwyk A, Brandt R, Fales B, Lammers RL (2020) Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide pediatric drug dosing reference. Prehospital Emergency Care. 24 (2): 204-213. doi: 10.1080/10903127.2019
  8. Tobaiqy M, maclure K, Radwi M, Almalki AM, Alhasan AH, Tannoury M, Attieh Z (2020) Parental experience of potential adverse drug reactions related to their oral administration of antipyretic analgesic medicines in children in Saudi Arabia. Current Therapeutic Research: Clinical, Experimental. 92: 100592. doi: 10.1016/j.curtheres.2020. 100592
  9. Zyoud SEH, Waring WS, Al-jabi SW, Sweileh WM, Awang R (2016) The 100 most influential publications in paracetamol poisoning treatment: A bibliometric analysis of human studies. SpringerPlus. 5: 1534. 1-18. doi: 10.1186/s40064-016-3240-z
  10. Baguley D, Lim E, Bevan A, Pallet A, Faust SN (2012) Prescribing for children-taste and palatability affect adherence to antibiotics: A review. Archives of Disease in Childhood. 97 (3): 293-297. doi: 10.1136/archdischild-2011-300909
  11. Majeed SA (2024) Effect of beverages on the disintegration time of drugs in the tablet dosage form. Mediterranean Journal of Pharmacy and Pharmaceutical Sciences. 4 (2): 69-74. doi: 10.5281/zenodo.12571620
  12. Batchelor HK (2015) Influence of food on paediatric gastrointestinal drug absorption following oral administration: A review. Children. 2 (2): 244-271. doi: 10.3390/children2020244
  13. Honig PK, Gillespie BK (1995) Drug interactions between prescribed and over-the-counter medication. Drug Safety. 13 (5): 296-303. doi: 10.2165/00002018-199513050-00003
  14. Rungvivatjarus T, Huang MZ, Winckler B, Chen S, Fisher ES, Rhee KE (2023) Parental factors affecting pediatric medication management in underserved communities. Academic Pediatrics. 23 (1): 155-164. doi: 10.1016/j.acap. 2022.09.001
  15. Kemper KJ, Vohra S, Walls R; Taskforce on Complementary and Alternative Medicine; Provisional Section on Complementary, Holistic, and Integrative Medicine (2008) American Academy Pediatrics. The use of complementary and alternative medicine in pediatrics. Pediatrics. 122: 1374-1386. doi: 10.1542/peds.2008-2173
  16. Turner S, Nunn A, Fielding K, Choonara I (1999) Adverse drug reactions to unlicensed and off‐label drugs on paediatric wards: A prospective study. Acta Paediatrica. 88 (9): 965-968. doi: 10.1080/08035259950168469
  17. Alkaddour NA, Shah RB, Gillani S, Sharafi NH, Khan AF, Elshafie RM, Rathore HA (2023) A cross-sectional survey among parents to report challenges and barriers in the administration of medicines to children in United Arab Emirates. F1000research. 11: 1431. doi: 10.12688/f1000research.123317.2
  18. Al-yateem N, Bani Issa W, Rossiter RC, Al-shujairi A, Radwan H, Awad M, Fakhry R, Mahmoud I (2020) Anxiety related disorders in adolescents in the united arab emirates: A population based cross-sectional study. BioMed Central Pediatrics. 20 (1): 1-8. doi: 10.1186/s12887-020-02155-0
  19. Bailey DG, Malcolm J, Arnold O, Spence JD (1998) Grapefruit juice-drug interactions. British Journal of Clinical Pharmacology. 46 (2): 101-110. doi: 10.1046/j.1365-2125.1998.00764.x
  20. Baraldi C, Gavioli L (2016) On professional and non-professional interpreting in healthcare services: The case of intercultural mediators. European Journal of Applied Linguistics. 4: 33-55. doi: 10.1515/eujal-2015-0026
  21. Bradley E, Nolan P (2008) Non-medical prescribing: Multidisciplinary perspectives, Cambridge University Press. University Printing House, Cambridge CB2 8BS, United Kingdom. ISBN: 978-0-521-70687-2.
  22. Batchelor HK, Fotaki N, Klein S (2014) Paediatric oral biopharmaceutics: Key considerations and current challenges. Advanced Drug Delivery Reviews. 73: 102-126. doi: 10.1016/j.addr.2013.10.006
  23. Benkhaial A, Elkezza S, Ahmed H, Abdulkader Y(2022) Common errors in writing of prescriptions in Benghazi. Mediterranean Journal of Pharmacy and Pharmaceutical Sciences. 2 (3): 7-11. doi: 10.5281/zenodo.7115118
  24. El Yamani MA, Sherif FM (2021) Assessment of drug prescribing pattern and prescription errors in elderly patients. Mediterranean Journal of Pharmacy and Pharmaceutical Sciences. 1 (2): 46-50. doi: 10.5281/zenodo.5171325
  25. Sherif FM (2008) An evaluation of the prescribing patterns of drugs in Libya. Jamahiriya Medical Journal. 8 (3): 203-206. doi: Nil.
  26. Wong IC, Ghaleb MA, Franklin BD, Barber N (2004) Incidence and nature of dosing errors in paediatric medications: A systematic review. Drug Safety. 27 (9): 661-670. doi: 10.2165/00002018-200427090-00004
  27. Falagas ME, Vouloumanou E, Plessa E, Peppas G, Rafailidis P (2010) Inaccuracies in dosing drugs with teaspoons and tablespoons. International Journal of Clinical Practice. 64 (9): 1185-1189. doi: 10.1111/j.1742-1241.2010 02402.x
  28. Schillie SF, Shehab N, Thomas KE, Budnitz DS (2009) Medication overdoses leading to emergency department visits among children. American Journal of Preventive Medicine. 37 (3): 181-187.  doi: 10.1016/j.amepre.2009. 05.018
  29. Dimatteo MR, Giordani PJ, Lepper HS, Croghan TW (2002) Patient adherence and medical treatment outcomes: A meta-analysis. Medical Care. 40 (9): 794-811. doi: 10.1097/00005650-200209000-00009
  30. Matsui D (2007) Current issues in pediatric medication adherence. Pediatric Drugs. 9 (5): 283-288. doi: 10.2165/ 00148581-200709050-00001
  31. Kaushal R, Bates DW, Landrigan C, Mckenna KJ, Clapp MD, Federico F, Goldmann DA (2001) Medication errors and adverse drug events in pediatric inpatients. JAMA. 285 (16): 2114-2120. doi: 10.1001/jama.285.16.2114
  32. Cuzzolin l, Atzei A, Fanos V (2006) Off-label and unlicensed prescribing for newborns and children in different settings: A review of the literature and a consideration about drug safety. Expert Opinion on Drug Safety. 5 (5): 703-718. doi: 10.1517/14740338.5.5.703
  33. Khalil JR, Regaey FN, Aburawi SM (2023) Exploration of drug-drug interaction in prescriptions of Libyan practitioners in community pharmacies. Mediterranean Journal of Pharmacy and Pharmaceutical Sciences. 3 (4): 18-25. doi: 10.5281/zenodo.10125879
  34. Paul SK (2025) Assessment of knowledge and attitude of adverse drug reactions among healthcare professionals in Bangladesh. Mediterranean Journal of Pharmacy and Pharmaceutical Sciences. 5 (2): 70-78. doi: 10.5281/zenodo. 15275065
  35. Subramaniam GA, Nolan L, Huntley K, Corbin M, Crenshaw K, Mandell T, Linton J, Blackeney Q (2023) National institute on drug abuse: dissemination of scientific knowledge to improve adolescent health. Child and Adolescent Psychiatric Clinics of North America. 32 (1): 157-167. doi: 10.1016/j.chc.2022.06.005

Submitted date:
04/01/2025

Reviewed date:
05/10/2025

Accepted date:
05/13/2025

Publication date:
05/15/2025

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