Trends in accessibility to medicines for children in New Zealand: 1998-2002
- PMID: 14998428
- PMCID: PMC1884450
- DOI: 10.1046/j.1365-2125.2003.02014.x
Trends in accessibility to medicines for children in New Zealand: 1998-2002
Abstract
Background: Reported rates of unlicensed and off-label use of medicines in children raise concerns regarding overall access of children to medicines
Objective: To assess changes in availability of proprietary formulations suitable for infants and young children; licensing of medicines; and subsidization of medicines for children in New Zealand.
Methods: Review of the New Ethicals Catalogue, New Ethicals Compendium, product data sheets and the New Zealand Pharmaceutical Schedule covering the years 1998-2002 inclusive.
Results: There was a decrease in the total number of medicines licensed in New Zealand from 2014 to 1840; but there was an increase in the number and percentage of suitable formulations that were licensed for paediatric use from 616[31%] to 642[35%]. The number of suitable paediatric formulations that were subsidized decreased from 281[13.9%] to 260[14.1%]. The number of orally available chemical entities with suitable formulations, licensed and subsidized for paediatric use declined from 101[5.0%] to 94[5.1%], but all of these chemical entities that were withdrawn had therapeutic alternatives that were licensed and subsidized. Only 36% of new medicines that had licensing for children were licensed for the 0-23 month age group.
Conclusion: There have been modest improvements in licensing of medicines for children in New Zealand from 1998 to 2002.
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References
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- Moore P. Children are not small adults. Lancet. 1998;352:630. - PubMed
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- Turner S. Unlicensed and off-label drug use in Australia. Paediatric Perinatal Drug Ther. 2000;4:12–15.
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