Changing the Calculus of Pediatric Product Development: Narrowing the too-big gap between need and solution in a small market.

First, Deliece Hofen drops the pill into hot water to soften the outside coating. Then, she slices through the center of the pill with an X-ACTO knife and squeezes the isotretinoin inside into a syringe. With the drug in liquid form, she can now administer it to her ten-year-old son Brandon. "The problem is...some of [the isotretinoin] is still left inside of the capsule and I\´m not getting an exact dosage," admits Hofen.