Palatability of angiotensin II antagonists among nephropathic children

Br J Clin Pharmacol. 2007 May;63(5):628-31. doi: 10.1111/j.1365-2125.2006.02814.x. Epub 2007 Feb 14.

Abstract

What is already known about this subject: * Among children, medication palatability is crucial for adherence to therapeutic regimen. * Several studies have measured the palatability of antimicrobial suspensions in paediatric patients by means of a visual analogue scale palatability score.

What this study adds: * This is the first analysis comparing the taste and smell acceptability of angiotensin II receptor blockers among paediatric patients with kidney disease. * From the perspective of the child with kidney disease, the taste of pulverized candesartan is significantly superior to that of pulverized irbesartan, losartan, telmisartan or valsartan.

Aim: Angiotensin II receptor blockers are widely prescribed in kidney disease. Among children, medication palatability is crucial for adherence.

Methods: Taste and smell acceptability of five angiotensin II receptor blockers were compared among 21 nephropathic children using a visual analogue scale palatability score.

Results: The score assigned to pulverized tablets of candesartan cilexetil was significantly higher than that assigned to pulverized tablets of irbesartan, losartan, telmisartan and valsartan.

Conclusions: From the perspective of the nephropathic child, the taste of pulverized candesartan cilexetil is superior to that of irbesartan, losartan, telmisartan or valsartan.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Angiotensin II Type 1 Receptor Blockers / therapeutic use*
  • Antihypertensive Agents / therapeutic use*
  • Benzimidazoles / therapeutic use
  • Benzoates / therapeutic use
  • Biphenyl Compounds / therapeutic use
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Irbesartan
  • Kidney Diseases / drug therapy*
  • Losartan / therapeutic use
  • Male
  • Patient Compliance
  • Patient Satisfaction*
  • Smell
  • Taste
  • Telmisartan
  • Tetrazoles / therapeutic use
  • Valine / analogs & derivatives
  • Valine / therapeutic use
  • Valsartan

Substances

  • Angiotensin II Type 1 Receptor Blockers
  • Antihypertensive Agents
  • Benzimidazoles
  • Benzoates
  • Biphenyl Compounds
  • Tetrazoles
  • Valsartan
  • Valine
  • Irbesartan
  • Losartan
  • candesartan cilexetil
  • Telmisartan