The Potential Risks of Giving Cold and Cough Medicines to Infants

 

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Cough and cold medicine for infants

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In fact, after this advisory, the FDA raised concerns about giving such products to children under four years of age. And cold and cough medicines with decongestants and antihistamines are to be avoided altogether for small children and infants. Keep in mind that according to the FDA, most problems with cold medicines occur when “more than the recommended amount is used, if it is given too ofte.

A combination of cold medicine like Coricidin HBP Cough and Cold (“Triple C”) can also be abused. In addition to dextromethorphan, Coricidin HBP Cough and Cold contains an antihistamine. Large doses can cause hallucinations and other serious side effects. There have even been reports of deaths from kids abusing DXM and Coricidin.  . Some cough and cold medicines also have serious side effects, such as slowed breathing, which can be life-threatening, especially in infants and young children, so it’s important to know when.

More important, these medications have potentially serious side effects, including fatal overdoses in children younger than 2 years old. Don’t use over-the-counter medicines, except for fever reducers and pain relievers, to treat coughs and colds in children younger than 6 years old. Always ask a doctor before giving a cough or cold medicine to a child.

Death can occur from the misuse of cough and cold medicines in very young children. Do not take for longer than 7 days in a row. Talk with your doctor if your symptoms do not improve after 7 days of treatment, or if you have a fever with a headache or skin rash. In January 2008, manufacturers voluntarily removed over-the-counter (OTC) infant (less than 2 years of age) cough and cold products from the market due to safety concerns. Later in fall of 2008. In 2008, the FDA strongly recommended against giving over-the-counter cough and cold medicines to children who are under age 2. However, rather than requiring manufacturers to warn consumers, the.

Cough and cold medicines do not cure the common cold. Although cough and cold medicines may be used to treat the symptoms of the common cold in older children, they should not be used in children less than 4 years old. Too much cough and cold medicine can cause serious harm or even death in children. OTC drugs that relieve symptoms like aches, pains, or fever (like acetaminophen and ibuprofen) should be used as your doctor recommends.

Do not give cough or cold medicines to your child unless the doctor says it’s OK, especially to kids under 6 years old. These products offer little benefit to young children and can have serious side effects. Diphenhydramine: Diphenhydramine is an antihistamine that is often used in cough, cold, sinus, and allergy formulations. It is also the main component in many sleep aids, including “nighttime” versions of cold medications, as well as motion sickness pills.

Although the levels are low in breastmilk, this medication can cause sedation in both mother and infant and therefore is not ideal in.

List of related literature:

Advise him or her to save medicines for symptoms that are causing discomfort, disrupting sleep, or really bothering the child [e.g., hacking cough, fever higher than 102F (38.9C)].

“Pediatric Telephone Advice” by Barton D. Schmitt
from Pediatric Telephone Advice
by Barton D. Schmitt
Lippincott Williams & Wilkins, 2004

Citing serious risks, FDA recommends no cold and cough medicines for infants.

“The 5 Minute Pediatric Consult” by M. William Schwartz
from The 5 Minute Pediatric Consult
by M. William Schwartz
Wolters Kluwer Health, 2012

All are potential hazards when OTC cold and cough medications are given to infants and children.

“Swanson's Family Medicine Review E-Book” by Alfred F. Tallia, Joseph E. Scherger, Nancy Dickey
from Swanson’s Family Medicine Review E-Book
by Alfred F. Tallia, Joseph E. Scherger, Nancy Dickey
Elsevier Health Sciences, 2012

In the meantime, citing inadequate effectiveness, significant adverse effects, and common misuse, the American Academy of Pediatrics recommended restricting the use of cough and cold medicines to children above the age of 6 years.

“Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants E-Book” by Laura Rosenthal, Jacqueline Burchum
from Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants E-Book
by Laura Rosenthal, Jacqueline Burchum
Elsevier Health Sciences, 2017

As a result of the lack of direct evidence for effectiveness and the potential for unwanted side effects, the American Academy of Pediatrics recommends that nonprescription cough and cold products not be used for infants and children younger than 6 yr of age.

“Nelson Textbook of Pediatrics, 2-Volume Set” by Robert M. Kliegman, MD, Bonita F. Stanton, MD, Joseph St. Geme, MD, Nina F Schor, MD, PhD
from Nelson Textbook of Pediatrics, 2-Volume Set
by Robert M. Kliegman, MD, Bonita F. Stanton, MD, et. al.
Elsevier Health Sciences, 2015

Over-the-counter cold preparation such as pseudoephedrine and some antihistamines are not appropriate for the treatment of the common cold in infants and toddlers; these may cause serious side effects in such children and have been associated with death in infants (Hampton, Nguyen, Edwards, et al., 2013).

“Wong's Essentials of Pediatric Nursing: Second South Asian Edition” by A. Judie
from Wong’s Essentials of Pediatric Nursing: Second South Asian Edition
by A. Judie
Elsevier Health Sciences, 2018

Cold remedies for infants introduce the potential for enhanced toxicity since metabolism and drug excretion vary by age and safe dosing levels have not been established in infants.

“Public Health and Infectious Diseases” by Davidson H. Hamer, Jeffrey Griffiths, James H. Maguire, Kristian Heggenhougen, Stella R. Quah
from Public Health and Infectious Diseases
by Davidson H. Hamer, Jeffrey Griffiths, et. al.
Elsevier Science, 2010

Teach the parents to avoid administering cough syrups or cold medicines, which may dry and thicken secretions.

“Saunders Comprehensive Review for the NCLEX-RN® Examination E-Book” by Linda Anne Silvestri
from Saunders Comprehensive Review for the NCLEX-RN® Examination E-Book
by Linda Anne Silvestri
Elsevier Health Sciences, 2010

Finally, the FDA recommended that “anyone with questions contact a physician, pharmacist or other health care professional to discuss how to treat a child with a cough or cold.”

“Innovation and Marketing in the Pharmaceutical Industry: Emerging Practices, Research, and Policies” by Min Ding, Jehoshua Eliashberg, Stefan Stremersch
from Innovation and Marketing in the Pharmaceutical Industry: Emerging Practices, Research, and Policies
by Min Ding, Jehoshua Eliashberg, Stefan Stremersch
Springer New York, 2013

The child should be carefully watched for changes in secretions or cough, shortness of breath, headache, changes in mental status, sleepiness, and snoring.

“Pediatric Rehabilitation: Principles & Practice” by Michael A. Alexander, MD, Dennis J. Matthews, MD
from Pediatric Rehabilitation: Principles & Practice
by Michael A. Alexander, MD, Dennis J. Matthews, MD
Springer Publishing Company, 2009

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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  • Hello everyone i suffer from flu virus disease and the Dr told us there’s no cure for it. But i want to appreciate dr ehimare who cure my flu disease with his herbs medicine treatment and i will continue to testify about your treatment and God will bless you more. And you can also reach Dr via WhatsApp +23490 2734 9748 or email [email protected] gmail.com.

  • Hi dear. Can u post a video on how to wash baby clothes? Either in washing machine or hand wash? What about using fabric conditioner that’s specially designed for baby clothes? How to wash soiled cloth diapers, bibs or aprons with food stuck n dried and normal outer clothes?

  • Hii mam mere baby ko 8 month shuru hua hai…… Use pasina bahot ata hai…. Agar thand bhi lg rahi ho to uske sir pe pasina rhta hai….. Aisa kyu hota hai…. Koi drne wali to baat nahi hai na….

  • Funny how all this came up in my recommended videos when I gave my two-and-a-half-year-old some cough medicine today and it did say 4 year old but I thought because I cut the dose it will be okay. I took it and it made my heart beat fast. Definitely never giving my kids cough medicine. I’ll just stick to natural remedies

  • Wait, did you ask them if it was label for children or not? There are otc cold medicines labeled and made for small children. You should clarify if you mean only adult ones or both the adult and children medicine.

  • 95% of parents give their children vaccines that they shouldn’t. Unvaccinated children are much healthier, less ear infections, little to no asthma, hearing loss, autism aka brain damage, cancer, etc,,, than the vaccinated. In 2011, the US Supreme Court ruled that vaccines are “unavoidably unsafe”. Read the vaccine package inserts for the ingredients (all poisons and neuro toxins) and join some fb groups like “Learn the Risk” or “Vaccine Research Society”. Educate before you vaccinate! RN for decades……ps: “no shots, no school” is not true. All states have waivers, aka exemptions. Schools dont tell you this as they get more federal funding for maintaining a certain percentage of fully vaccinated student

  • Even I have heard all this during my post pregnancy and many times I have felt guilty that because I used cold water my baby has got cold..