OBJECTIVES: Despite insufficient evidence to support the safety and efficacy of cough and cold (CAC) products in pediatrics, these are frequently used to relieve CAC symptoms.The objective of this study is to assess the perceived practice of community pharmacists and their comfort level towards dispensing of CAC products in pediatric patient in less than 6 years old.

METHODS: A cross-sectional survey was carried out. A total 216 community pharmacists were enrolled by convenience sampling. Self-administered and pre-validated questionnaire comprising of three sections including socio-demographic information and pharmacists’ comfort level in recommending CAC products. Data were expressed using descriptive as well as inferential statistics.

RESULTS: Based on safety and efficacy, the enrolled pharmacists feel more comfortable to dispense, but uncomfortable to recommend the products for < 2 years than for 2 to 5 years. Overall, pharmacist feel comfortable to suggest vitamin and minerals, herbal remedies and non-pharmacological remedies for pediatric of both age groups. Majority of pharmacist support behind the counter status for CAC products. There is significant association between community pharmacist's experience and the perceived practice of safety and effectiveness to suggest CAC products for pediatric (p<0.05).Chain pharmacist (23.9%) were significantly (p=0.0006) counselled on 50% or more of CAC products than independent pharmacists (12.5%).

CONCLUSIONS: The perceived practice of community pharmacist is acceptable. Education and counselling should be given to the patients to prevent misuse/overdose in order to optimize the therapeutic outcome.