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Childhood Medications

Here is a guide to common medicines for children and their safe use. Remember that most of these medicines, especially the cold remedies, will not make your child get better any faster. They should be used only if they are making your child more comfortable and are not causing bothersome side effects. If your child is not improving after a few days of being on an over the counter medicine or if he is getting worse, you should call your doctor.

Taking medicines safely...

To ensure safety, you should store medicines in their original, child resistant containers and keep all medicines out of your children's reach. Remember that even over the counter medications and vitamins can cause serious problems and even death if your child is overdosed. Other tips include:
  • only give your child medicines that have been prescribed to him
  • use the correct dose and read the label carefully
  • follow the directions carefully, and do not confuse teaspoon (tsp.) with tablespoon (TBS.).
  • if the medicine came with a measuring device, such as a dropper, medicine cup or dosing spoon, only use it and do not substitute another device when administering it to your child
  • throw out expired medicines
  • throw out any medicine that is leftover or unused
  • if your child is already taking a medication, make sure that any other medicines are compatible before giving it to him
  • do not give aspirin containing products to young children

ingredient list

Here is a list of common symptoms and that type of medicine that will help to control or relieve it.
  • pain: acetaminophen or ibuprofen
  • fever: acetaminophen or ibuprofen
  • runny or stuffy nose (upper respiratory tract infection): decongestant
  • runny or stuffy nose (allergies): decongestant and/or antihistamine
  • cough: cough suppressant and/or a decongestant if accompanied by a runny nose or postnasal drip.
  • itching: antihistamine

antihistamines

Histamines are responsible for many of the symptoms of allergies and allergic reactions, including nasal congestion, itching, watery eyes, and hives. Antihistamines act by blocking histamine receptors, so that the histamines can not cause a reaction. While effective for a runny nose that is caused by allergies, the nasal congestion that is part of an upper respiratory infection is not related to histamine, and so these medicines are not very effective. It is the side effects of the antihistamines that can make them useful in upper respiratory illnesses, including causing drowsiness and a dry mouth and nose.

Common antihistamines include:

  • diphenhydramine (Benadryl)
  • brompheniramine (Dimetapp, Bromfed), chorpheniramine (Chor-trimeton, Pediacare, Naldecon, Rynatan, Triaminic), triprolidine (Actifed) , pyrilamine, clemastine (Tavist), and carbinoxamine (Rondec). These are usually a part of multisymptom cold relievers.
  • cyproheptadine (Periactin). A long acting prescription antihistamine, sometimes used for prophylaxis for frequent migraines.
  • hydroxyzine (Atarax or Vistaril). A long acting prescription antihistamine.
  • loratadine (Claritin), cetirizine (Zyrtec) and fexofenadine (Allegra) are newer, second generation antihistamines that are available by prescription to treat allergies.

cold remedies

Multisymptom cold remedies may include a decongestant, cough suppressant, pain or fever reliever, and/or an antihistamine. You should avoid using a multisymptom medicine, unless your child has all of the symptoms that it relieves. If the product contains acetaminophen (Tylenol), be sure that you do not administer an additional acetaminophen product, or you may cause an overdose.

cough syrups

Cough syrups contain ingredients to help suppress your child's cough. It is not always possible or necessary to suppress a cough, but if the cough is interfering with sleep or your child's daily activities then he may benefit from a cough suppressant. In general, you do not want to use a cough suppressant if your child is having an asthma attack or has pneumonia. Check with your doctor if your child is coughing and is having any difficulty breathing.

Common cough suppressants include:

  • dextromethorphan (DM)
  • codeine and hydrocone. Prescription cough medicines that can cause drowsiness.

decongestants

Oral decongestants can help relieve the symptoms of a runny or stuffy nose that can accompany an upper respiratory tract infection or allergies. Products with oral decongestants can be found by themselves or with other ingredients as part of a multisymptom medicine. Topical decongestants can also safely be used in older children for short periods of time (3-5 days).

Common decongestants include:

  • phenylephrine
  • phenylpropanolamine (Dimetapp, Entex, Triaminic, Naldecon, etc.) - warning: on November 6, 2000 the FDA recommended that consumers not use medications with this ingredient because of the risk of stroke. For more information see the Phenylpropanolamine Information Page.
  • pseudoephedrine (Pediacare, Rondec, Sudafed, Triaminic)
  • oxymetazoline (Afrin topical decongestant)
  • phenylephrine (Neo-synephrine topical decongestant)

expectorants

Expectorants usually contain guaifenesin and are supposed to help loosen mucus. They have never been proven to be helpful in children and are probably unnecessary.

fever and pain reducers

The main fever and pain reducers in children usually contain either acetaminophen or ibuprofen. Aspirin should never be used in children, as it can be associated with Reye syndrome.

Acetaminophen containing products include Tylenol, Tempra, Feverall, and aspirin free Anacin.

Ibuprofen containing products include Motrin, Advil, and Nuprin.


gastrointestinal medicines

Except for medications for constipation, most of the other over the counter medications used to treat stomach problems are not usually necessary. Especially avoid medications used to treat diarrhea or vomiting without consulting your doctor.

insect repellents

Insects (mosquitoes, gnats, chiggers, ticks, etc.…) commonly bite children and can make them miserable. There are many safe and effective insect repellents that you can use to protect your child, including those that use deet, citronella, or soybean oil. Remember to only use products that are approved for children, follow the manufacturer's instructions and wash off the insect repellents when you return indoors.

Insect repellents with deet are probably the best and most commonly used. Although it is absorbed through your child's skin, it is generally safe as long as the product has less than 10% deet. You should apply the deet product to all exposed skin, except near the eyes, mouth, open cuts or hands of small children (who may rub their eyes or put their fingers in their mouth). Deet is absorbed through the skin, so you may want to limit how much you put on younger children, wash it off as soon as possible, and apply it more to clothing than skin.

Although deet insect repellents are effective for several hours, they do wash off with water and sweat, and you may have to reapply them to be most effective (follow the product's instructions to be safe).

Other insect repellents that are generally safe in children include those made with Citronella (Avon's Skin-So-Soft) and soybean oil (Bite Blocker).

Remember that insect repellents do not protect against most stinging insects, including wasps, bees and fire ants.

To keep your children safe from insect bites, you can also:

  • Make sure to keep as much of her skin covered with clothing as possible, including long sleeve shirt, long pants, socks, and a hat.
  • Wear light colored clothing, so as not to attract bugs.
  • Avoid using any scented soaps or other products on your baby, since the fragrances can also attract insects.
  • Apply insect repellents to clothing instead of to skin so that it won't be absorbed.
  • Wash off insect repellents as soon as possible.
  • Avoid areas with insects nest.
  • Follow the instructions, including age restrictions on any insect repellent you are considering using.

skin creams

An over the counter 1/2% or 1% hydrocortisone cream can help relieve itching from insect bites, mild poison ivy, eczema and other mild rashes. Avoid using hydrocortizone on burns or infections. Calamine lotion can also help relieve itching. Antibiotic creams can be helpful to prevent and treat minor skin infections.

sunscreen

It is now well known that exposure to sun puts people at risk for skin cancer and premature aging and that most of that exposure comes during childhood (80% of a person's lifetime sun exposure occurs before they are 21). Regular use of sunscreen in children can lower their risk of skin cancer by almost 78%.

There are many sunscreens available for safe use in children over six months old. Pick one that offers UVA and UVB protection and that has a SPF of 15 or higher (especially if your child has light skin). Apply the sunscreen in a thick coat at least 30-45 minutes before going outside and reapply every two hours (or more often in he is swimming or perspiring heavily).

Here are some other tips to protect your child from the damaging effects of the sun.

  • Wear protective clothing, including a hat and long sleeve shirt and long pants. Keep in mind that most clothing only has a SPF of 5-9, so you can still get sun damage with a shirt on.
  • Limit exposure to the sun when it is at its strongest (10am-4pm).
  • Protect your child's eyes with sunglasses that protect against UVA and UVB radiation.
  • Use sunscreen daily, even if it is cloudy, since most of the sun's radiation penetrates clouds and can still cause sunburn.
  • Consider using a sunscreen with ingredients (such as zinc oxide or titanium dioxide) that physically block the sun's radiation if your child has sensitive skin.
  • Deet lowers the effectiveness of sunscreens, so use a higher SPF if you are using a combination product that has both a sunscreen and an insect repellent.



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Important disclaimer: The information on keepkidshealthy.com is for educational purposes only and should not be considered to be medical advice. It is not meant to replace the advice of the physician who cares for your child. All medical advice and information should be considered to be incomplete without a physical exam, which is not possible without a visit to your doctor.