Abstract
In 1979 the BMJ focused attention on the harmful effects of medicines sweetened with sugar on children's teeth.1 From 1984 the British National Formulary has included a warning, “although liquid preparations are particularly suitable for children, many contain sugar which encourages tooth decay. Sugar-free preparations should be used whenever possible.” In 1986 the British National Formulary marked preparations which did not contain sucrose, glucose, or fructose as “sugar free.” Pharmaceutical companies have responded to professional and market forces and are producing sugar free medicines.2 However, availability does not necessarily mean that the medicines will be widely used and recommended. The most commonly prescribed paediatric medicine is paracetamol. Sugar containing and sugar free generic and brand named versions which have identical therapeutic actions have been available …
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