Ch. Sughar Singh Pharmacy College, Jaswantnagar, Etawah, India
Due to physiological, pharmacokinetic, and compliance-related considerations, pediatric medication formulations are very different from adult dose forms. Safety, effectiveness, palatability, and dose flexibility are the main considerations in the creation of pediatric marketed formulations. A variety of commercially available pediatric formulations, including syrups, suspensions, dry syrups, tablets, and innovative dosage forms, are highlighted in this review. Based on factors such stability, patient compliance, dosage accuracy, and convenience, a comparative analysis is provided. To improve therapeutic results in children, recent developments focus on taste-masked, preservative-free, and user-friendly formulations.
Pediatric patients are a diverse group with particular treatment requirements. Children's swallowing abilities, taste preferences, and metabolic variances make administering drugs to them difficult. There is a need for specially created pediatric preparations because many traditional adult formulas are inappropriate. Due to their greater acceptability and simplicity of administration, oral formulations make up the bulk of pediatric formulations. However, dose flexibility, stability, and palatability must be taken into account while designing a formulation.
2. Types of Pediatric Preparations on the Market
Pediatric formulations fall under the following general categories:
1. Formulations that are ready to use
Syrups
• Oral remedies
Suspensions
Chewable tablets
• ODTs, or oral disintegrating tablets
These formulations are easy to use right away and don't need to be altered before administration.
2. Formulations that need to be modified or reconstituted
• Dry syrups (powder for suspension)
• Oral suspension granules
• Tablets that disperse
• Oral solution powders
These formulations are recommended for stability concerns and need to be diluted or prepared before use.
3. Comparative Study of Paediatric Dosage Forms
|
Dosage Form |
Advantages |
Disadvantages |
Examples (Marketed) |
|
Syrups |
Palatable, easy administration |
High sugar content, microbial growth |
Paracetamol syrup |
|
Suspensions |
Suitable for insoluble drugs, better stability |
Sedimentation, shaking required |
Ibuprofen suspension |
|
Dry Syrups |
Enhanced shelf-life, stability |
Requires reconstitution, risk of dosing errors |
Antibiotic dry syrups |
|
Solutions |
Uniform dosing, rapid absorption |
Stability issues, taste masking needed |
Vitamin solutions |
|
Chewable Tablets |
Convenient, portable |
Not suitable for very young children |
Multivitamin chewables |
|
ODTs (Orally Disintegrating Tablets) |
No need for water, fast action |
Costly, fragile |
Ondansetron ODT |
4. Evaluation Parameters
4.1 Taste
Taste masking is essential since children's obedience is decreased by unpleasant taste.
4.2 Consistency
Liquid formulations are less stable.
• Dry formulations: more stable
Because they prolong shelf life by preventing deterioration, dry syrups are favored.
4.3 Accuracy of Dosage
• Liquids: adaptable but prone to measurement errors • Tablets: precise but less adaptable
5. Challenges in Paediatric Formulation Development
6. Current Developments in Pediatric Formulations
Current developments in pediatric preparations on the market include:
• Multiparticulate systems and mini-tablets • ODTs, or oral disintegrating tablets • Granules and powders based on sachets • Formulations without preservatives These developments enhance patient compliance, safety, and dose flexibility.
DISCUSSION
Comparative analysis indicates that no single dosage form is ideal for all paediatric patients. Liquid formulations are widely preferred for infants and young children, whereas solid dosage forms are gaining importance due to better stability and convenience. The choice depends on age, disease condition, drug properties, and patient compliance.
CONCLUSION
As pharmaceutical technology has advanced, pediatric marketed formulations have changed dramatically. The market is dominated by syrups and suspensions, but more recent dose forms including ODTs and mini-tablets are becoming more well-liked. For pediatric patients, the best course of treatment requires a balanced approach that takes stability, palatability, and dosage accuracy into account.
REFERENCES
Shivam*, Saurav Singh Sikarwar, Pradeep Kumar, A Comparative Study of Marketed Pediatric Formulations, Int. J. Med. Pharm. Sci., 2026, 2 (5), 172-174. https://doi.org/10.5281/zenodo.20041836
10.5281/zenodo.20041836