NPA reminds pharmacists about avoiding NSAIDs in children with chickenpox
April 18 2016
Pharmacists have been “strongly advised” to follow NICE guidance with regards the use of non-steroidal anti-inflammatory drugs in children, especially in cases of varicella-zoster (chickenpox).
National Pharmacy Association advice issued last week said that pharmacists should follow the NICE guidance as set out in its Clinical Knowledge Summaries (CKS). This says NSAIDs should be avoided when treating chickenpox in children as the medicines can increase the risk of necrotizing soft-tissue infections as well as secondary streptococcal infections.
“There is evidence to suggest an increased risk of skin adverse reactions in people with varicella who are being treated with NSAIDs,” said the NPA. “The Summaries of Product Characteristics and Patient Information Leaflets provided by manufacturers of NSAID products differ in the information that they provide regarding the use of their products in the management of chickenpox. Some do not currently contain any reference to chickenpox.
“Therefore, pharmacists are strongly advised to follow NICE CKS guidance when dispensing prescriptions for NSAIDs in children and when supplying over the counter products for use in children with chickenpox.”
Paracetamol remains suitable for pain and fever.