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Review
. 2025 Oct;114(10):2506-2510.
doi: 10.1111/apa.70121. Epub 2025 May 15.

If a Child Vomits After an Oral Medication-Should We Re-Dose or Not?

Christiane A Garnemark  1   2   3 , Gustaf Lernfelt  3   4 , Magnus Dahlander  5 , Lisa Diep  5 , Anna L Eriksson  6   7   8 , Jenny M Kindblom  7   8
Affiliations
Review

If a Child Vomits After an Oral Medication-Should We Re-Dose or Not?

Christiane A Garnemark et al. Acta Paediatr. 2025 Oct.

Abstract

Vomiting after oral administration of medication is common in children. Despite this, there is a lack of formal guidelines and recommendations on this topic. This article is intended for doctors and nurses who treat children to support the management of this everyday clinical dilemma. This article describes the development of a decision support tool and provides an overview of factors to consider. The decision support tool provides advice for making informed decisions. It was based on a literature search combined with an informal consensus discussion in a group of paediatricians, clinical pharmacologists, and clinical pharmacists, followed by an internal review. The decision support tool is now in clinical use.

Keywords: oral medication; paediatric; re‐dosing; vomiting.

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Figures

FIGURE 1
FIGURE 1
Aspects to consider if a child vomits after administration of an oral medication.
See this image and copyright information in PMC

References

    1. Kendrick J. G., Ma K., Dezorzi P., and Hamilton D., “Vomiting of Oral Medications by Pediatric Patients: Survey of Medication Redosing Practices,” Canadian Journal of Hospital Pharmacy 65, no. 3 (2012): 196–201, 10.4212/cjhp.v65i3.1142. - DOI - PMC - PubMed
    1. Thangaraju P., Natha J. S., Venkatesan S., and Tanguturi Yella S. S., “A Survey From a Tertiary Care Hospital in India on Pediatric Medication Re‐Dosing Practices After Patient Vomiting,” Journal of Pediatric Pharmacology and Therapeutics 27, no. 5 (2022): 457–462, 10.5863/1551-6776-27.5.457. - DOI - PMC - PubMed
    1. The Swedish National Formulary for Children ePed, https://eped.se/about‐eped/.
    1. Kearns G. L., Abdel‐Rahman S. M., Alander S. W., Blowey D. L., Leeder J. S., and Kauffman R. E., “Developmental Pharmacology—Drug Disposition, Action, and Therapy in Infants and Children,” New England Journal of Medicine 349, no. 12 (2003): 1157–1167, 10.1056/NEJMra035092. - DOI - PubMed
    1. Wollmer E., Ungell A. L., Nicolas J. M., and Klein S., “Review of Paediatric Gastrointestinal Physiology Relevant to the Absorption of Orally Administered Medicines,” Advanced Drug Delivery Reviews 181 (2022): 114084, 10.1016/j.addr.2021.114084. - DOI - PubMed