The Potential Risks of Pediatric Cough Medicine

 

Consumer Alert: Children’s Cough Medicines Recalled Due To Potential Overdose Risks

Video taken from the channel: CBS New York


 

Children’s Robitussin and Dimetapp cough medicines recalled due to potential overdose risks

Video taken from the channel: FOX 2 St. Louis


 

Children’s Robitussin, Dimetapp cough medicine recalled for possible overdose risk

Video taken from the channel: 10 Tampa Bay


 

Chronic Cough Treatment for Children | Mindy Ross, MD | UCLAMDChat

Video taken from the channel: UCLA Health


 

Cough Syrups | Dr. Ira Shah

Video taken from the channel: Pediatric Oncall


 

Children’s Robitussin, Dimetapp Cough Medicines Recalled For Possible Overdose Risks

Video taken from the channel: CBS Sacramento


 

Children’s cough syrup recalled due to possible overdose risk

Video taken from the channel: ABC Action News


Popular alternative remedies for coughing include: Cool air humidifier. Drinking extra fluids. Rest and decreased activity, especially avoiding physical activity that may make a cough worse. Saline nasal drops, with bulb suctioning for newborns and infants.

Cough drops for children over age 4. To help your child cope with a cough or cold: Offer fluids. Liquids such as water, juice and broth might help thin secretions. Warm liquids, such as tea or chicken soup, might have a soothing Run a cool-mist humidifier. This can add moisture to the air, which might decrease the drying of the.

Avoid driving and doing other tasks or actions that call for you to be alert or have clear eyesight until you see how Pediatric Cough & Cold (chlorpheniramine, pseudoephedrine, and dextromethorphan) affects you. Avoid drinking alcohol while taking Pediatric Cough & Cold (chlorpheniramine, pseudoephedrine, and dextromethorphan). Symptoms of overdose of either product may include impaired coordination, elevated blood pressure, dizziness, seizure, nausea, vomiting, constipation, diarrhea, abdominal pain, hallucinations. Although most colds in children don’t cause serious complications, they can cause anxiety in parents and caregivers.

And colds are among the top reasons children visit a doctor. Both. 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. Experts agree that the risks from kids’ cold and cough medicines are low, especially considering how common they are. Still, thousands of children under age 12.

Cough and cold medicines, therefore, are not administered without risk. In 1 analysis of poison control reports of 249 038 exposures to cough and cold preparations in children <6 years old, there were 72 “major events” and 4 deaths. 27 These numbers are probably falsely low resulting from reliance of this data on voluntary reporting. Other children may have adverse outcomes from cough and cold.

Moreover, the risks of using prescription opioid cough products in children of all ages generally outweigh the potential benefits. Common side effects of opioids include drowsiness, dizzines. How to use Pediatric Cough/Cold Formula Liquid and confusion can increase the risk of falling.

Children may be more sensitive to the effects of Keep all medicines away from children and pets.

List of related literature:

Due to the risk of overdose, unsupervised ingestions, potential for harm, and little evidence of efficacy, the use of decongestants and/or cough medication is no longer recommended for children younger than 6 years.

“Burns' Pediatric Primary Care E-Book” by Dawn Lee Garzon Maaks, Nancy Barber Starr, Margaret A. Brady, Nan M. Gaylord, Martha Driessnack, Karen Duderstadt
from Burns’ Pediatric Primary Care E-Book
by Dawn Lee Garzon Maaks, Nancy Barber Starr, et. al.
Elsevier Health Sciences, 2019

Furthermore, many of the pediatric cough medicines also contain potentially dangerous agents such as decongestants that, if used in excessive doses, can cause cardiac arrhythmias in children.

“Pediatric Emergency Medicine Secrets E-Book” by Steven M. Selbst, Kate Cronan
from Pediatric Emergency Medicine Secrets E-Book
by Steven M. Selbst, Kate Cronan
Elsevier Health Sciences, 2008

The American Academy of Pediatrics has highlighted the fact that the efficacy of antitussive preparations in children is lacking and that these medications may be potentially harmful.77 Their recommendation is that cough due to acute viral airway infections is self-limiting and may be treated with fluids and humidity.

“Murray and Nadel's Textbook of Respiratory Medicine E-Book: 2-Volume Set” by Robert J. Mason, V.Courtney Broaddus, Thomas R Martin, Talmadge E King, Dean Schraufnagel, John F. Murray, Jay A. Nadel
from Murray and Nadel’s Textbook of Respiratory Medicine E-Book: 2-Volume Set
by Robert J. Mason, V.Courtney Broaddus, et. al.
Elsevier Health Sciences, 2010

Based on the lack of efficacy and potential harm, the MHRA/CHM (in 2008 and 2009 respectively) recommended that cough and cold mixtures should not be used in children under 6 years of age, and should only be used in children aged 6 to 12 on the advice of a pharmacist or doctor and treatment limited to 5 days or less.

“Community Pharmacy” by Paul Rutter
from Community Pharmacy
by Paul Rutter
Churchill Livingstone, 2013

The FDA warns against using cough medications that have antihistamines and antitussives because of the high risk for potential harm in children younger than 4 years of age.

“Conn's Current Therapy 2019” by Rick D. Kellerman, David Rakel
from Conn’s Current Therapy 2019
by Rick D. Kellerman, David Rakel
Elsevier Health Sciences, 2018

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

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

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

The smaller airways and the inability to clear the airway with coughing in a very young child (up to the age of 4 years) potentiate problems with mucous obstruction more readily than those in older children and adults.

“Concise Text Book for Pediatric Nursing E-Book” by Assuma Beevi
from Concise Text Book for Pediatric Nursing E-Book
by Assuma Beevi
Elsevier Health Sciences, 2019

Parents should be educated about the fact that most of the combination cough medications that are available over-the-counter contain other drugs not necessary for treatment of the cough, which can produce significant side effects.

“Moffet's Pediatric Infectious Diseases: A Problem-oriented Approach” by Randall G. Fisher, Thomas G. Boyce, Hugh L. Moffet
from Moffet’s Pediatric Infectious Diseases: A Problem-oriented Approach
by Randall G. Fisher, Thomas G. Boyce, Hugh L. Moffet
Lippincott Williams and Wilkins, 2005

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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27 comments

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  • I have a cough maam it is more than 3 years i consulted it to the doctor but i only take medication for allergy by the way what is the treatment for my cough?

  • ive been coughing non-stop everytime i swallow i always taste a salty or sweet in my throat (its a dry cough btw) this keeps happening to me every year and im getting annoyed i srsly dont know how to stop this

  • Ive had this for a week and when i have a bad cough and when i cant breath probably i just get a glass of cold water and ice
    It helps a bit but not that much

  • I’ve been coughing for more than a month and had chest pain along with shortness of breath. I talked to my primary doctor, but haven’t seen a Pulmonologist yet to see what’s causing these issues.

  • i have a rly bad cold rn and every time i start drifting off to sleep i start coughing again. ive fallen asleep more than 10 times now and woken up 5 minutes later coughing and almost puking. idk what to do this rly sucks.

  • Excellent presentation very much useful…Thank you
    Dr.Arun Kumar Singh
    B.Sc,MBBS(KEMC),MCPS,MD Paediatics Medicine(KEMU)
    Paedatrician & Neonatologist
    Department of Paedatrics Medicine
    B.P.Koirala Institute of Health Sciences
    Daran,Nepal
    Mobile;009779803551879,9844241397
    http://www.arunsinghnepal.com.np/

  • My son is 11yrs old he has dry cough for half an hour or 1hr the moment we change his surrounding like if we take him out it stop immediate subsides but am worried we cannot take him out a’ll the time.
    Kindly help.

  • Plz help me out my mom coughs a lot she has tried everything like my mom has cough for 3 months she steams every day the cough is sooo Strong that her stomach pains a lot plz tell me a cure

  • My son 7 yrs old.He is having cough and sneezing last three months. He had moderate GER and enlarged adenoids. Now he is on inhalers and Allegra. Still he is having cough and sneezing mostly in evening. Could you please tell what consultation I should do?

  • I got cough from Air condition before 3 months ago. Still I am suffering. It attacks me mentally too. My life becomes just a hell..!!

  • Stay away from greasy oily food eat clean and sugar also drink water and and natural juice. Then try to control ur cough and it will stop for about a good 30min

  • My 7 year old always gets this chronic cough that nothinggg seems to help! I believe in many home remedies i try soooo many things, not even the cough medication from pcp works! They give him asthma pumps (albuterol) it does not work! Its been almost 3 weeks! And its every yeah! They say is asthma but he doesnt wheeze! Regardless nothing helps him it takes super long for him to get better!

  • Hi I am having cough since 2 months I consulted doctor nd took medicine as well bt no use. I am pregnant its hurting my stomach very badly. Please give some advice

  • Hello mam my baby have coughing last 1month and it didn’t go out inspite of all types of medicines prescribed by doctors. His cough starts only in night and throughout night he coughed. And in the day he becomes normal. What should I do. Plz help us

  • For me I have a cough that me and my family gave a nickname but I don’t know the actual name but it sounds like you are growling when you cough its really annoying I have experienced it a few times but I still don’t know the name

  • Great video. for general cough, here are some great home treatment that work great. https://www.youtube.com/watch?v=fCHz2BOz14I&t=339s

  • Kindly need your help…my 4year old son is suffering from cough from last 10days.
    I m giving him doctor’s prescription drugs.
    But no results..
    Cough is increased n even he can’t speak n eat…..starts coughing
    Plz reply quickly

  • Someone told me..when my son was coughing for 2weeks.some said give hime orange juice. I like uncle matts orange jucie…he was 7years at the time give to him 3times a day. Cough start to go away.by the next day..it had stop

  • My sister has been coughing for more than 2 weeks now, she had a common cold first that lasted at most 4 days but she continue coughing untill now.
    We first went to private clinics but there medicine didn’t work..so we went to a public one they too her blood a couple of time they didn’t find nothing wrong they said her throat was clear so they said she was allergic to something in the house which she been living in for 2/3 years but never had a allergic
    so we send her to my father, after a week over there she didn’t cough that much but when she came home she started coughing again like before
    she left again today to our father
    her cough is dry
    medicine seem not to work
    she aways sleep with my mum the room is small she cough the more there*
    she slept in my room which is wider and on the upper floor of the house she slept and didn’t cought while sleeping
    where we live is sunny most of the time(it raining now tho)
    her nose is block a bit
    I think she have allergy cough or habit caught

  • Can you please suggest me one of my aunt get cough from long time.i mean till six month she’s Suffering from this.we followed many remedies and visit doctors.but no use,specialy when she smell cokes or something spicy she literally get cough

  • I’ve been coughing for a long time… i went to the doctor many times but it cannot go off.. its dry cough and i do not have much nose blocks or etc, but my throat is miserable

  • My cough is almost 1 year, how can I cure it? Everytime my mother wants me to consult a doc and the doc gives me medicine, their medicines doesn’t effect well.

  • My daughter had dry caugh among 2 months…….its start when he run or walk fast or step up on stairs……its mostly common at morning…..plz reply and tell me what am i do…….

  • Dear brothers and sisters.
    Turmeric is magic medicine for cough..asthma or lungs diseases.
    But use AMBA HULDEE.( bring in raw from market herbal store and grind at home)
    Add some quantity of black pepper For fast absorption in blood.
    Method: take 1/4 teaspoon of AMBA HULDEE+ Add some quantity of grind black pepper and add warm water in cup.
    Drink like tea before 30 minutes breakfast and before sleeping at night
    FOR FAST CURE INSHALLAH
    AVOID
    RICE
    COLD DRINKS
    MILK
    YOGURT
    BANANA
    PRAY 5 TIMES A DAY AND MAKE DUA TO ALLAH SUBHANA TALA FOR FAST CURE

  • It started way back 2016 every night i got very bad cough with huge white clear pleghm its very hard to breathe due of coughing i puke a huge pleghm like a size of small plate after that i get lil bit better then tomorrow back again…. Fast foward my doctor diagnosed me as asthma he give me inhaler yeah i get better now… I can handle more when i feel my breath starts to get heavy i do inhaler….

    But now it annoys me i mean i feel im a inhaler dependent now… I cant do anything i scared too to stop taking it cuz i might experience again like before feel like breathing in straw!!! I wish i can be back to normal like before..

    And now i confuse if im really getting better or just becuz im taking inhaler thats why i feel good but if im stop it still the same…
    Thank if u notice my comment sorry for bad english…

  • you have shared such a great information. Actually my nephew was facing this problem from 3 weeks. then we started a treatment from Planet Ayurveda. Now he is fine. So, if anyone is facing this kind of issue, you should go to Planet Ayurveda.