TITLE:
Cases Report of a Medication Error by Look-a-Like Packaging: Metoclopramide and Paracetamol Suppositories
AUTHORS:
Abdulsalam Nayer Alsulami, Reem Fareed Aldeijy, Elsharif A. Bazie
KEYWORDS:
Look-A-Like, Metoclopramide, Paracetamol, Children, Saudi Arabia
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.13 No.1,
January
11,
2023
ABSTRACT: Medication errors are Unlike adverse drug reactions (ADRs) or adverse
drug events (ADEs); mistakes by healthcare personnel cause them. We reported
two cases of developed symptoms of
Metoclopramide over-dose. Metoclopramide was given as Paracetamol due to
look-a-like packaging. In Emergency Departments, reviewing the patient’s
medications to prevent look-a-like complications should be done for all
patients with suspected drug toxicity.