[CARPA] Bicillin Feedback Requested

[Chris Wilson]

As a remote area nurse just completing a 6 week stint in Central  
Australia after a 3 year absence I am struck with the difference in  
discomfort in giving the Benzathine penicillin preparation when mixed  
with 1% lignocaine. Even though 2 injections are required for syphilis  
treatments they are far less painful, immediately afterwards as well  
as the next day, although needle blockage does occur fairly  
frequently. Is it not possible to have a depot penicillin that has a  
lignocaine or procaine added to minimise discomfort and therefore  
improve acceptance, especially in children? And yes a paediatric dose  
is very desirable, although we RAN's are used to titrating out of  
whatever glass syringe formulation is available even though that may  
not be ideal practice. Better to give the dose than not at all.

Unfortunately there seemed to be no real progress in ensuring that RHF  
& RHD patients were getting their prophylaxis on time, hopefully the  
introduction of PICAS into remote clinics may assist with this vital  
program.

Cheers,

Chris Wilson
On 19/06/2008, at 10:04 AM, Julie Parras wrote:

> Dear CARPA,
>
> As you are aware we now have the new Bicillin back in stock. One of  
> the areas that we are looking at for the future is the possibility  
> of having a pediatric dose syringe.
>
> It is very early days yet but we at Aspen would like some feedback  
> from you as the main users of this product. Our understanding is  
> that at present you simply adjust the dosage for use in pediatrics,  
> and this would be based on weight?
>
> If a pediatric dose was looked it it would be probably be 1ml (half  
> the adult dose) but we are unsure if this would fulfil the majority  
> of pediatric patients. The other area that we would like some  
> feedback on is the percentage of pediatirc use of Bicillin - it may  
> not be financially viable if this percentage is low.
>
> I look forward to any feedback/thoughts you can give me in this  
> preliminary phase of discussion on a pediatric dose for Bicillin.
>
> Kind Regards
>
> Julie Parras
> Senior Product Manager
> Aspen Pharmacare
> PH: 61 2 8436 8300
> FAX: 61 2 9901 3540
>
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