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Atieno Ojoo Technical Specialist, Pharmaceuticals UNICEF Supply Division, Copenhagen, Denmark
Presentation outline
UNICEF
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UNICEF
UNICEF
Repackaging
No clean bottles - patients have to bring own bottles, no measuring/counting devices no labels
UNICEF EU generic manufacturers meeting 261109, Copenhagen, Denmark
Solutions?
UNICEF
UNICEF
Patient/caregiver challenges
Palatability-Child refuses to take medicine Too much liquid volume per dose Child vomits, not sure how much to re-administer No storage space for bulky liquids
Dissolve tablet water, then administer by dropper, oral syringe (not provided) or drink directly
UNICEF
No cold storage
Quote two years ago, I was involved in a study.in children and adolescents. One of the subjects, a 5 year old boy, had to commute daily accompanied by either of his parents to the hospital to take the drug, which was a suspension that needed to be stored in a refrigerator. The family did not have a refrigerator and did not have electricity connection either, so we could not even donate a refrigerator as there was provision for this
UNICEF
3. Ease of administration for both parent and child 4. Clear product information/instructions 5. Cost effective 6. Does not require cold storage 7. Minimum steps of manipulation before use ** Chewable, fast melts, effervescent, granules, sprinkles, soluble tablets,,
sublingual, etc
UNICEF EU generic manufacturers meeting 261109, Copenhagen, Denmark
Reduce requirements for cold storage Course of therapy individual patient packs
No bulk packs for repacking
Courtesy of J. Breitkreutz
UNICEF EU generic manufacturers meeting 261109, Copenhagen, Denmark
UNICEF
Thank you
UNICEF