Medication Misuse in Children and
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The misuse of prescription and OTC medications in children and teens is a critical area in which community healthcare providers, and pharmacists in particular, can have a great impact. Medications can be misused unintentionally (or even maliciously) by parents and other caregivers, or abused by children and teens themselves. This issue provides a clear overview of the common causes of medication misuse and the potentially harmful consequences.
The ways in which a child’s changing physiology and anatomy can dramatically affect the distribution and clearance of medications, and thus impact dosing, is described. The most common dosing errors parents make, the OTC medications that are potentially dangerous for children, and the medications most likely to be abused by teens are discussed in detail. Medications that are intentionally used to sedate or calm children are also reviewed. Whether misuse is unintentional, intentional, or malicious, the key educational strategies detailed in this issue will enable healthcare providers to improve the safety of medication use in children and teens.
Publication Date: 12/01/2010
Expiration Date: 12/01/2013
CE Credit: 1.5 (0.15 CEU)
Type of Activity: Knowledge-based
This program was developed by The Rx Consultant and published by Continuing Education Network, Inc.
The Rx Consultant accepts no advertising or financial support from the pharmaceutical industry and
is funded solely by the purchase of programs. The Rx Consultant is dedicated to providing unbiased,
balanced information to health care practitioners.
Programs developed by The Rx Consultant are written by health care providers with expertise in the topic
area, peer-reviewed, extensively edited, and fact-checked. This development process was created to insure
that every program presents information that is current, accurate, relevant to "real world" health care
providers, and written in an easy reading, "plain English" style.
Roger S. Klotz, RPh, BCNSP, FASCP, FACA, FCPhA, Assistant Professor of Pharmacy Practice and Administration, Western University of Health Sciences College of Pharmacy, Pomona, CA; Allison Jun, PharmD, Clinical Pharmacy Manager, NICU Pharmacist, Children's Hospital of Orange County, CA; Christine Bang, PharmD, Children's Hospital of Orange County, CA; Helen Le, PharmD, Clinical Pharmacy Resident, Children's Hospital of Orange County, CA; and Sam Shimomura, PharmD, FASHP, CGP, Associate Dean, Professor of Pharmacy Practice and Administration, Western University of Health Sciences College of Pharmacy, Pomona, CA. The authors would like to acknowledge Sandip Patel, PharmD Candidate 2011, for his contribution to this issue. Guest Editor: Sarah Scarpace Lucas, PharmD, BCPS, Pediatric Clinical Pharmacist, UCSF Children's Hospital and Assistant Clinical Professor, UCSF School of Pharmacy.
The authors report no financial or personal relationship with any commercial interest producing, marketing, reselling, or distributing a product or service that appears in this issue.
This accredited program is targeted to
Goals & Objectives
At the conclusion of this program, participants will be able to:
- Describe the physiological differences in children that can affect drug disposition.
- Identify sources of dosing confusion for parents that may lead to unintentional misuse of OTC medications.
- Describe the prevalence of intentional medication misuse among adolescents. List 2 drug classes caregivers have maliciously misused in children.
The Rx Consultant is a publication of Continuing Education Network, Inc.
Continuing Education Network, Inc. is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education as a
provider of continuing pharmacy education.
Continuing Education Network is approved by the California Board of Registered Nursing, Provider Number CEP 13118. Programs approved by CA BRN are accepted by most State Boards of Nursing.
ACPE Universal Activity Number: 0428-0000-10-011-H05-P
Exam & Credit Statement Procedures
Upon successful completion of this program and the post test (70%), 1.5 hours of continuing education credit will be awarded. To receive credit and your exam score, please complete the exam questions and
Editorial and Review Board
Chief Editor and CE Administrator
Terry M. Baker, PharmD
Tracy Farnen, PharmD
James Chan, PharmD, PhD
Pharmacy Quality and Outcomes Coordinator
Associate Clinical Professor
School of Pharmacy
University of California San Francisco
San Francisco, CA
Richard Ron Finley, B.S. Pharm.,R.Ph.
Clinical Pharmacist (volunteer faculty)
University of California, San Francisco (UCSF) Memory and Aging Center
Lecturer (Emeritus) UCSF, Department of Clinical Pharmacy
Health Sciences Clinical Professor, UCSF School of Pharmacy
San Francisco, CA
Ray Dolby Brain Health Center, Sutter Health/CPMC
San Francisco, CA
Consult Pharmacist Aging and Adult Health Services
San Francisco Health Department
San Francisco, CA
Julio R. Lopez, PharmD, FCSHP
Chief of Pharmacy Service
VA Northern California Health Care System
Adjunct Clinical Professor
College of Pharmacy
Assistant Clinical Professor
School of Pharmacy
University of California, San Francisco
San Francisco, CA Adjunct Professor
Thomas J. Long School of Pharmacy
University of the Pacific
Visiting Associate Professor and Lecturer
Samuel Merritt University
Pamela Mausner, MD
Helen Berlie, Pharm.D. CDE, BCACP
Clinical Assistant Professor, Pharmacy Practice
Wayne State University
Ambulatory Care Specialist - Diabetes
Health Centers Detroit Medical Group
Senior Editorial Advisor
Gerard Hatheway, PharmD, PhD
Belinda M. Danielson, RPh
Christopher M. DeSoto, PharmD
Angie S. Graham, PharmD
Cynthia Chan Huang, PharmD, MBA
Fred Plageman, PharmD
Editorial Advisor and Clinical Practice Consultant for Nurse Practitioners
Meuleman, RN, C, MS
About the Rx Consultant
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educate patients about drugs and manage drug therapy. The reader is responsible for confirming
the information presented here and interpreting it in relation to each patient's specific situation before utilizing the information.
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