PMID- 38205711 OWN - NLM STAT- Publisher LR - 20240111 IS - 1938-2707 (Electronic) IS - 0009-9228 (Linking) DP - 2024 Jan 11 TI - The Safety, Tolerability, and Efficacy of DL-Lactic Acid Syrup (Tonsitin) in Children With Recurrent Tonsillitis: A Pilot Study. PG - 99228231222317 LID - 10.1177/00099228231222317 [doi] AB - To evaluate Tonsitin (10% DL-lactic acid) safety, tolerability, and efficacy, as a treatment for recurrent tonsillitis (RT) in children. This is a clinical prospective, randomized, double blind pilot study, to evaluate the safety, tolerability and efficacy of Tonsitin in healthy children with RT. Safety evaluated in terms of adverse events (AEs), tolerability in terms of compliance, and efficacy in terms of tonsils' size and frequency of tonsillitis, and quality of life. The study included 51 children. The treatment regimen was tolerable among the participants. Six children experienced AEs, but mostly mild. Tonsil size declined in both groups, but these results did not reach statistical significance. Tonsillitis episodes' frequencies were random and not significant. Tonsitin treatment was found to be feasible in the clinical setup and was well tolerated, and appears to be safe. Study efficacy results did not reach statistical significance. FAU - Taha, Ahmed AU - Taha A AUID- ORCID: 0000-0003-4554-8531 AD - Department of Otolaryngology-Head and Neck Surgery, Shamir Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel. FAU - Yeheskeli, Eyal AU - Yeheskeli E AD - Department of Otolaryngology-Head and Neck Surgery, Shamir Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel. FAU - Gavriel, Haim AU - Gavriel H AD - Department of Otolaryngology-Head and Neck Surgery, Shamir Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel. FAU - Berkovitch, Matitiahu AU - Berkovitch M AD - Clinical Pharmacology and Toxicology Unit, Shamir Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel. FAU - Mizrakli, Yuval AU - Mizrakli Y AD - Department of Otolaryngology-Head and Neck Surgery, Shamir Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel. FAU - Shlamkovitch, Natan AU - Shlamkovitch N AD - Department of Otolaryngology-Head and Neck Surgery, Shamir Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel. FAU - Kohn, Elkana AU - Kohn E AD - Clinical Pharmacology and Toxicology Unit, Shamir Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel. LA - eng PT - Journal Article DEP - 20240111 PL - United States TA - Clin Pediatr (Phila) JT - Clinical pediatrics JID - 0372606 SB - IM OTO - NOTNLM OT - 10% DL-lactic acid syrup (Tonsitin) OT - recurrent tonsillitis OT - tonsillar hypertrophy COIS- Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2024/01/11 07:42 MHDA- 2024/01/11 07:42 CRDT- 2024/01/11 05:44 PHST- 2024/01/11 07:42 [medline] PHST- 2024/01/11 07:42 [pubmed] PHST- 2024/01/11 05:44 [entrez] AID - 10.1177/00099228231222317 [doi] PST - aheadofprint SO - Clin Pediatr (Phila). 2024 Jan 11:99228231222317. doi: 10.1177/00099228231222317.