In 2007, the World Health Assembly passed a Resolution titled ‘Better
Medicines for Children’. This
resolution recognized the need for research and development into medicines for
children, including
better dosage forms, better evidence and better information about how to ensure
that medicines
for treating the common childhood diseases are given at the right dose for
children of all ages. The
World Health Organization has therefore developed a program of work on medicines
for children,
including the development of a Model List of Essential Medicines for children
(EMLc). As an extra
resource for health-care workers and national programmes that supply medicines
for children, this
new edition of the WHO Model Formulary has been prepared, based on the 2nd
edition of the
EMLc, to provide prescribers with the best information about how to use the
medicines included on
the List.
In developing the WHO Model Formulary for Children, the editors have based
decisions on
treatment regimens on the best available evidence from clinical studies in
children, that have been
assessed and evaluated by the WHO Expert Committee on Selection and Use of
Essential Medicines.
However, as has been found by all authorities in relation to medicines for
children, in many cases the
recommendations on dose and duration of treatment in children have to be
extrapolated from studies
in adults and adjusted based on our understanding of the effect of age and
development on the
absorption, distribution and metabolism and excretion of different medicines in
children of different
ages. One of the aims of this publication is therefore not only to describe what
is known about
treatments, but to highlight where more research is needed...