SP2 NPPG/RCPCH position statement: using standardised concentrations of unlicensed liquid medicines in children. How well has it been adopted nationally?

Aim In 2018, the Neonatal and Paediatric Pharmacists Group (NPPG) Royal College of Paediatrics Child Health (RCPCH) published a Position Statement recommending use standard concentrations for 20 unlicensed medicines. The current version this document contains recommendations 12 original 20; remainder having been removed due to introduction licensed products. 1 This project aimed assess extent which list has adopted nationally, identify any barriers its implementation. Method A survey was developed using Microsoft Forms before email circulation all NPPG members, asking them share with non-member colleagues who had involved local discussions and/or implementation recommendations. open two weeks. Participants were asked if they aware Those answered ‘no’ no further questions; those answering ‘yes’ indicate each recommended in locally, whether or not as result publication. If conscious decision taken adopt concentration particular drug, respondents favour an alternative concentration, non-liquid formulation because drug is used locally. Multiple options could be selected drug. Respondents then detail difficulties experienced adopting drugs, whole; suggest ideas would support extended future. Results 108 responses received. 73 (67.6%) publication provided feedback concentrations. Responses 4 medicines follows: Spironolactone: 88.3% concentration; 24.4% reported adding it formulary list; 11.6% unsure when added. Phenobarbital: 86.7% 19.3% 8.4% Chloral Hydrate: 94.4% 11.1% 13.6% Sodium Chloride: 72.8% Common reasons given product existing different strength being more suitable administration. Suggestions aid future included ensuring dissemination community-based practitioners, providing clearer on rationale behind choice concentration. Conclusion NPPG/RCPCH position statement helped drive standardisation some extent, though work needed understand how best practitioners implementing these Reference Health, UK. Using Standardised Concentrations Unlicensed Liquid Medicines Children . April 2020. Available at: https://nppg.org.uk/wp-content/uploads/2020/04/NPPG-Position-Statement-18-01-V5-April-2020.pdf