The Do's and Don’ts for Children's Meds
There are some simple rules for using over-the-counter (OTC) medicines for children. The first and most important: never give any OTC medicine to children 2 years and under without consulting a health care provider, says the U.S. Food and Drug Administraion (FDA). But what about older children, those between 2 and 12? Here is some advice:
Don't give aspirin to a child under the age of 19 without consulting with your health care provider first. Use of aspirin in sick children has been associated with Reye's syndrome, a potentially fatal illness.
Acetaminophen and ibuprofen
Acetaminophen and ibuprofen are usually safe alternatives to aspirin for children. They relieve pain and reduce fever as effectively as aspirin. Both are available under various brand names. Some brands are available in baby and junior strengths. Be sure to follow the dosages on the container because the strength of each preparation is different. The doses for children under 2 are not given on the package and you should consult your child's health care provider before giving any OTC medication.
Decongestants can shrink swollen mucous membranes, relieving stuffy noses and clogged ears. They're sold as tablets, liquids, nose drops and nose sprays. Be sure to check with your child's health care provider before giving a decongestant.OTC decongestants should not be given to children younger than 2 years of age unless directed by a health care provider. In fact, many of these OTC products are not meant to be given to children younger than 4 years of age. In any case, don't give a child decongestants by mouth for more than 5 to 7 days. If symptoms last longer than that, talk with your child's health care provider. Sprays and drops should not be used for more than 3 days because a "rebound effect" may occur. When the effect of a decongestant spray wears off, membranes swell to even greater levels. The nose and ears become severely clogged. Using a spray or drops for a longer time may permanently damage the mucous membranes. Use saline (salt water) nasal drops or sprays instead. In addition, cool mist humidifiers may also help.
A cough is the body's way of clearing mucus secretions from the throat and bronchial tubes, so you should encourage your child to cough rather than suppress it. But OTC cough medicines can temporarily reduce discomfort, especially at nighttime and may help with dry or nonproductive coughs. OTC cough medications contain dextromethorphan as the active ingredient. Always consult a doctor or pharmacist to determine which preparation is best for your child's condition. Expectorants are used to help clear mucus secretions from the airway by loosening or liquefying secretions and making them easier to cough up. The only available OTC expectorant is guaifenesin. To be effective it should be taken with plenty of water.
Give your child oral rehydration solution or clear liquids to replace any fluids they lose due to diarrhea. Most diarrhea disappears without treatment. If it does not improve in a few day, or your child's behavior changes, or he or she has bloody stools or a high fever, consult your health care provider.
Kaopectate. Kaopectate is not recommended for children younger than 12 years, because it contains a salicylate, which is like aspirin. Aspirin should not be given to children or teenagers under 19 years old because of its association with Reye syndrome.
Imodium. The manufacturer of Imodium recommends that this preparation be used with caution in young children because of the risk of dehydration. Always consult your health care provider first.
Both Kaopectate and Imodium relieve diarrhea although neither cures the cause of the diarrhea. They are for symptomatic relief only.
These sometimes are helpful for treating severe or long-lasting cases of constipation, but should not be given without first consulting your child's health care provider. To treat most cases of constipation, add fiber (fruits, vegetables, bran and other whole grains), water and juices to your child's diet. Never give your child an enema unless instructed to do so by a health care provider.
- MMI board-certified, academically affiliated clinician
- Sather, Rita, RN