Title |
Safety and tolerability considerations in the use of sildenafil for children with pulmonary arterial hypertension
|
---|---|
Published in |
Drug, Healthcare and Patient Safety, December 2015
|
DOI | 10.2147/dhps.s65571 |
Pubmed ID | |
Authors |
Andrew L Dodgen, Kevin D Hill |
Abstract |
Sildenafil is a phosphodiesterase type-5 inhibitor approved for treatment of pulmonary arterial hypertension (PAH) in adults. Data from pediatric trials demonstrate a similar acute safety profile to the adult population but have raised concerns regarding the safety of long-term use in children. Interpretation of these trials remains controversial with major regulatory agencies differing in their recommendations - the US Food and Drug Administration recommends against the use of sildenafil for treatment of PAH in children, while the European Medicines Agency supports its use at "low doses". Here, we review the available pediatric data regarding dosing, acute, and long-term safety and efficacy of sildenafil for the treatment of PAH in children. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 3 | 30% |
Spain | 1 | 10% |
Brazil | 1 | 10% |
Nepal | 1 | 10% |
Canada | 1 | 10% |
Unknown | 3 | 30% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 4 | 40% |
Practitioners (doctors, other healthcare professionals) | 3 | 30% |
Science communicators (journalists, bloggers, editors) | 2 | 20% |
Scientists | 1 | 10% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 42 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 7 | 17% |
Student > Bachelor | 5 | 12% |
Researcher | 4 | 10% |
Student > Postgraduate | 4 | 10% |
Student > Ph. D. Student | 4 | 10% |
Other | 5 | 12% |
Unknown | 13 | 31% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 13 | 31% |
Pharmacology, Toxicology and Pharmaceutical Science | 6 | 14% |
Biochemistry, Genetics and Molecular Biology | 2 | 5% |
Chemistry | 2 | 5% |
Nursing and Health Professions | 1 | 2% |
Other | 4 | 10% |
Unknown | 14 | 33% |