Flavor and Taste of Lansoprazole Strawberry-Flavored Delayed-Release Oral Suspension Preferred over Ranitidine Peppermin
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ORIGINAL RESEARCH ARTICLE
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Flavor and Taste of Lansoprazole Strawberry-Flavored Delayed-Release Oral Suspension Preferred over Ranitidine Peppermint-Flavored Oral Syrup In Children Aged Between 5–11 Years Vasundhara Tolia,1 Gary Johnston,2 Julie Stolle2 and Chang Lee2 1 2
Children’s Hospital of Michigan, Detroit, Michigan, USA TAP Pharmaceutical Products Inc., Lake Forest, Illinois, USA
Abstract
Objective: To compare the flavor and taste preference of two acid-inhibitory therapies in healthy children aged between 5–11 years. Methods: A single-site, single-blind, taste test trial was conducted in which 111 children participated after parental consent. One teaspoonful (5mL) of lansoprazole delayed-release oral suspension (strawberry-flavored) and ranitidine oral syrup (peppermint-flavored) were provided to each child with a 10-minute break between samples. Children tasted the sample, swished it in their mouth for 10 seconds, and then expectorated the sample. Spring water and crackers were used to clear the palate between samples. After each sampling, children were observed for facial expressions and asked to rate their degree of liking of each sample based on a 5-point facial hedonic scale (5 = like it very much, 1 = dislike it very much). Likes, dislikes, and product preference were recorded. Results: Of the 56 female and 54 male children who tasted both samples, 95% (105/110) preferred lansoprazole. Taste and flavor were the most often cited reasons for preferring lansoprazole (61 and 17 children, respectively) while three children preferred the flavor of ranitidine oral syrup. Lansoprazole received a higher mean liking rating compared with ranitidine (mean liking scores of 4.1 and 2.2, respectively). There was no significant difference in the preference for lansoprazole between age groups and gender with the degree of liking scores ranging between 3.5–4.4. Forty-two children disliked the texture of the lansoprazole oral suspension, citing the granules (31/110), thickness (7/110), or consistency/texture (4/110), specifically. Conclusion: After sampling both products, 95% of children preferred the flavor and taste of the strawberryflavored lansoprazole delayed-release oral suspension compared with the peppermint-flavored ranitidine oral syrup.
Acid-related diseases such as gastroesophageal reflux disease (GERD) are common in adults as well as among children. The prevalence of GERD symptoms such as heartburn and regurgitation are 1.8 and 2.3%, respectively, in children aged between 3–9 years. The frequency of these same symptoms increases to 5.2 and 8.5%, respectively, in children aged between 10–17 years.[1] Although the incidence of GERD is higher in adults, it has been speculated that reflux that begins in childhood begets a lifelong problem with variable symptoms.[2]
The use of proton pump inhibitor (PPI) therapy has had a significant impact on the treatment of a wide variety of acidrelated diseases, including GERD,[3] erosive esophagitis,[4] gastric and
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