Do you dispense Sildec DM or Bromphed to patient <6yo

[pharmagirlie]

Im getting so many prescriptions for Sildec PE-DM and Bromephed for patients <6yo and whenever I try to verify it says that it is contraindicated for patients of that age... but I am getting alot of scripts for patients as young as 9 months getting either drug.

I always call the doctor, but they never call back. There is poor information on the safety and efficacy for children under age 6.... so do you guys still dispense. And do you know where I can find information on maximum dose based on age range.

I checked clinicial pharmacology but all it says is "consult physician"... (ya thanks for all the help).

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[Rxnupe]

The FDA posted an article a few weeks ago that they will be removing all those formulations because they simply don't work. All the pediatric formulations like Rondec DM infant drops or Sildec DM drops are no longer available, but if you compare the active ingredients of the pediatric drops to the regular formulation it's really close.

 

[pharmagirlie]

The FDA posted an article a few weeks ago that they will be removing all those formulations because they simply don't work. All the pediatric formulations like Rondec DM infant drops or Sildec DM drops are no longer available, but if you compare the active ingredients of the pediatric drops to the regular formulation it's really close.

I get some 2.5 ml or 1 ml q4-6 for cough scripts for infants from 9-24 months!

 

[Old Timer]

The answer to your questions is moot because these drugs have all been recalled and you can no longer order them, You can sell what you have, but you will bot able to re-replenish.

While they were available I used the following logic tree:

Ordered by a pediatrician: I verify the dose of the antihistamine to make sure it was withing normal range and dispensed if it was

Ordered by a clinic or family doc: Call to verify and give them the appropriate dose. If they don't respond or don't agree, I usually tell the parents to try the appropriate dose first and see if it works.

Either way of the dose is too high, I just refuse to dispense....