Alcohol use in paediatric medication: potential impact on the brain and the current regulation

Authors

  • Yunita Nur Aziza Faculty of Pharmacy, Gadjah Mada University, Yogyakarta, Indonesia
  • Putri Wulandari Faculty of Pharmacy, Gadjah Mada University, Yogyakarta, Indonesia
  • Nila Vidilia Utami Faculty of Pharmacy, Gadjah Mada University, Yogyakarta, Indonesia
  • Savira Wahyu Larasati Faculty of Pharmacy, Gadjah Mada University, Yogyakarta, Indonesia
  • Cici Darsih Research Center for Food Technology and Processing, National Research and Innovation Agency, Yogyakarta, Indonesia.
  • Muhammad Thesa Ghozali Department of Pharmaceutical Management, School of Pharmacy, Universitas Muhammadiyah Yogyakarta, Kasihan, Indonesia.
  • Dwi Endarti (1) Department of Pharmaceutics, Faculty of Pharmacy, Gadjah Mada University, Yogyakarta, Indonesia (2) Health Technology Assessment, Faculty of Pharmacy, Gadjah Mada University, Yogyakarta, Indonesia
  • Marlyn Dian Laksitorini (1) Department of Pharmaceutics, Faculty of Pharmacy, Gadjah Mada University, Yogyakarta, Indonesia (2) Institute of Halal and Industry System, Gadjah Mada University, Yogyakarta, Indonesia

DOI:

https://doi.org/10.31117/neuroscirn.v8i2.398

Keywords:

Ethanol restriction, Paediatric, Liquid medication, Brain

Abstract

Alcohol is an organic solvent that can interfere with neurological function. It is frequently used as an excipient in liquid medication as a solubiliser, preservative, and odorant. The addition of alcohol to liquid medicines, especially for paediatrics, has potential risks as some alcohol metabolizing enzymes are not fully expressed in some subpopulations of paediatrics. Accumulation of alcohol in the blood interferes with normal brain function. Major medicine agencies such as the Food Drug Administration (FDA) and the European Medicine Agency (EMA) recommend the limitation of the alcohol content in paediatric drug formulations to prevent alcohol toxicity in children. However, this recommendation has been underappreciated. This review aims to explore the current regulations on alcohol restriction in paediatric medication and the application of these regulations across different countries. The halal aspect of alcohol content in the medication was also discussed. This review will improve the understanding of the potential risk of alcohol in children as well as support the safety of liquid formulations for infants and toddlers.

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2025-05-31

How to Cite

Aziza, Y. N., Wulandari, P., Utami, N. V., Larasati, S. W., Darsih, C., Ghozali, M. T., Endarti, D., & Laksitorini, M. D. (2025). Alcohol use in paediatric medication: potential impact on the brain and the current regulation. Neuroscience Research Notes, 8(2), 398.1–398.18. https://doi.org/10.31117/neuroscirn.v8i2.398