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Claire McCarthy, M.D.

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Medications and Kids: What Not to Do

Posted: 09/08/2012 12:05 pm

Medications can make a huge difference when it comes to making kids feel and get better -- such a huge difference that sometimes we don't realize that medications can be dangerous, too. As with every medical treatment, there can be problems and pitfalls.

Here are the "medication don'ts" that every parent should know:

DON'T GIVE THESE MEDICATIONS
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  • Anything prescribed to somebody else

    It can be really tempting, especially when you know (or someone tells you) that the medication did just the trick with that somebody else. But you can't know for sure that your child has the exact same thing -- or that the dose is right, or that it isn't going to interact with something else they are taking, or cause trouble in some other way. This is a bad corner to cut. Call your doctor instead.

  • Aspirin (unless your doctor prescribes it)

    Giving aspirin to kids in certain situations can cause a scary and possibly deadly condition called Reye's Syndrome. Sure, it's rare and lots of us got aspirin as kids (I can still remember the chalky orange taste). But why take the chance? Use acetaminophen or ibuprofen instead.

  • Old liquid antibiotics

    I see this all the time. There's some leftover from last month's ear infection, Junior is pulling his ear, why not? Well, here's why not. First of all, a doctor really needs to diagnose an infection, and starting an antibiotic before we have a chance to do that can really complicate things sometimes. Second, the stuff is only good for a couple of weeks after it's mixed up at the pharmacy.

  • Ipecac

    This is the stuff that makes kids vomit. We used to tell everyone to keep a bottle of it handy in case their kid ate something they shouldn't (like grownup medications or poisons). Turns out that it's not such a great idea for various reasons (like some of the stuff kids get into can do more damage if it's vomited, and if what they took makes kids really sleepy, the vomit could go into their lungs) so we changed our minds and told everyone to throw the stuff out. Keep all medications and poisons out of reach, and if your kid gets into something, call <a href="http://www.poison.org/prepared/ipecac.asp" target="_hplink">Poison Control</a> at 1-800-222-1222 (works anywhere in the US).

  • Expired medications

    While the stuff is probably good for a little while after the date on the bottle, it's hard to know when it's not good, so better safe than sorry. Get in the habit of going through your medicine cabinet on a regular basis and throwing out expired things -- it's such a drag to reach for the fever medicine in the middle of the night, only to find it's expired.

  • Cold medicines for kids under 6

    They can have <a href="http://articles.cnn.com/2007-10-19/health/coldmed.fda_1_cold-medicines-liquid-medicines-pediatric-cough?_s=PM:HEALTH" target="_hplink">dangerous side effects</a>. They don't really work, anyway.

Don't guess at a dose.
This can be particularly important for over-the-counter medications like acetaminophen, diphenhydramine or ibuprofen. Sometimes the label will have weight guidelines, some will have age guidelines, sometimes the guidelines are only for adults. If it's not completely clear what you should do, call your doctor for help.

Don't give extra.
Just because something works well doesn't mean more of it will work better. Extra can be dangerous. Extra acetaminophen, for example, can cause serious -- sometimes fatal -- liver damage. Don't give more than prescribed and don't give it more frequently than prescribed.

Don't give herbal or homeopathic medications without checking with your doctor first.
These are mostly quite safe, and many can be helpful. But some can have serious side effects, and could possibly interact with other medications your child is taking.

Don't think that a trip to the medicine cabinet substitutes for a trip to the doctor.
Parents know their children well, and may have lots of experience when it comes to taking care of illnesses and injuries, but making diagnoses and prescribing medications can be tricky. That's why they make us go to all those years of school to be doctors.

That's the thing to remember: You and your doctor should work as a team. It's the best way to make medications -- and everything else about health care -- work as well as they can for your child.

Keep all medications and poisons out of reach, and if your kid gets into something, call Poison Control at 1-800-222-1222 (works anywhere in the US).

 

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Medications can make a huge difference when it comes to making kids feel and get better -- such a huge difference that sometimes we don't realize that medications can be dangerous, too. As with every ...
Medications can make a huge difference when it comes to making kids feel and get better -- such a huge difference that sometimes we don't realize that medications can be dangerous, too. As with every ...
 
 
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03:20 AM on 09/11/2012
I can say this from personal experience. Do not give your children any aspirin, baby aspirin, peptol Bismol or any other medications containing Salicylates. Even some mouth washes contain them. Reyes Syndrome can occur in any child up to the age of 19. I had to learn this the hard way when I lost my daughter to Reye's Syndrome when she was just 3 months shy of turning 3 years old. She had a upper respitory infection and tylenol was not controlling her fever so her physcian prescribed baby aspirin. That was a fatal mistake and we lost her in one week's time span without any warning. Know the symptoms!
10:11 PM on 09/10/2012
Any psychiatric drug, I think, should be on the list.
HUFFPOST SUPER USER
cds12765
I'm not crazy, my mother had me tested.
04:18 AM on 09/11/2012
I disagree. If used appropriately and the parent's have educated, they can be effective.
06:04 AM on 09/11/2012
Babies are in need of undivided attention; of which, mommy and daddy are giving elsewhere while trying to keep up with the fast pace lifestyles of the rich and famous.

Also please refer me to a website that provides a medical test that proves a child's brain is defected; this, just like a medical test that does scientifically prove diabetes exist.
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GOODDOC1
"civil war" is an oxymoron
05:07 PM on 09/10/2012
I would add don't give an intact adult sized tablet or capsule to a child. I have tried, unsuccessfully, to resuscitate a four year old child who had been given just one adutl size Tylenol pill. It was lodged in her trachea, only to be removed at autopsy.
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Stacy M
01:57 PM on 09/10/2012
Don't use your brain unless prescribed by a doctor!
Oh and don't forget to pay your doc that pesky $50 copay (plus another $50 at the pharmacy).
You kid does not need new shoes (they don't prevent cold, right?) He needs new non-generic cough medicine!
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HUFFPOST SUPER USER
Ryan Megan
01:54 PM on 09/10/2012
considering Homeopathic "remedies" are have NOTHING in them, it's doubtful there to be any risk in taking them. Other than a lighter wallet and a dunce cap.

Why not just inform people what it is instead of sugar coating this crank stuff?
HUFFPOST SUPER USER
cds12765
I'm not crazy, my mother had me tested.
04:19 AM on 09/11/2012
If they have herbs in them then they can be dangerous.
botazefa
Sounds like Bodhisattva
01:10 PM on 09/10/2012
"If it's not completely clear what you should do, call your doctor for help."

That sounds great. What's your phone number? Not everyone has a pediatrician who will answer a call at 2am.
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AlanDente
Noses: made to hold glasses
08:54 AM on 09/10/2012
'Don't give herbal or homeopathic medications without checking with your doctor first.
These are mostly quite safe, and many can be helpful'.

For the record, homeopathic 'medicines' are quite safe because they are sugar pills with nothing in them but the wishful thinking of the credulous.

Herbal and homeopathic medications should not be listed together. It's like saying that it's helpful to use both astronomy and astrology to tell what time it is...
06:02 AM on 09/10/2012
Calling your doctor for advice on medications is like calling an arsonist when your house is on fire.
botazefa
Sounds like Bodhisattva
01:11 PM on 09/10/2012
Congratulations!!!

That is the single stupidest comment I have ever read anywhere in my entire life.
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HUFFPOST SUPER USER
Ryan Megan
01:55 PM on 09/10/2012
That's the dumbest thing I've read today.
ThinkCreeps
Seriously, it's time.
04:13 AM on 09/10/2012
Excellent. What a rare type of list article. Every item seems to be both pertinent and correct.
10:23 PM on 09/09/2012
If people are too stupid to not realize all of these no-nos then maybe they should not have had children. Yea- think I will give my kid some of my old medicine cause it won't hurt them - duh !!
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GOODDOC1
"civil war" is an oxymoron
05:10 PM on 09/10/2012
Unfortunately, it happens all the time.
03:20 PM on 09/09/2012
I would like to add 'Symbicort' to this list. This is a prescription asthma medicine that is often given to children. I was on symbicort for a week and started to have uncharacteristic feelings of anger and rage, along with suicidal and psychotic thoughts. Being an adult I was able to recognize that this was not normal and link these feelings to the medication quickly, but a child might not be able to understand why they are thinking or feeling the way they do and may not be able to express whats going on in their head to the people that can help them. I've read many stories of children on this medication who had the same issues I had and I cant imagine how horrible that would be for a child. Symbicort is not a good idea for children.
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HUFFPOST SUPER USER
Autumn Connolly
10:29 PM on 09/09/2012
I have taken Symbicort for 3 years and never had a reaction like that to it. I didn't think they gave that to kids. I thought it was for severe asthma, COPD and Emphysema.
02:31 AM on 09/10/2012
Yeah a very small percentage has this reaction and usually not so quickly. Symbicort works really well so consider yourself lucky to not experience any of these symptoms. :) Only reason I worry about kids taking this is because most of the testimonials i found online about these negative reactions were written by parents who's children were taking it. I just feel that if there is a chance no matter how small that a child could experience these symptoms, then they should steer way way clear.
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HUFFPOST SUPER USER
Mary Blickhahn
Is this really the best we can do?
01:42 PM on 09/09/2012
They paid a doctor t write this?? Wow..most are obvious, and so they have changed their minds about treatments...what if you change it again...then what. Now we can't give our kids cold med...before it was bad to have kids with runny noses...Then he goes into herbal remedies...Dude...If your kids is already on meds, you always check with your doctor before you add any medication to prevent a reaction...not just homeopathic meds...Wow!
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GOODDOC1
"civil war" is an oxymoron
05:11 PM on 09/10/2012
You'd be surprised how many people evidently don't know this information. I used to see the kids affected by things like this in the ER all the time.
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AlamoSexual
Don't fan me because I'm beautiful.
01:05 PM on 09/09/2012
Ipecac is now a no-no because we're too stupid to know when to administer it. Call Poison Control instead. What if Poison Control tells you to administer Ipecac for what your child has swallowed? Dr. McCarthy doesn't suggest common sense and caution, she tells us to not have any on hand. Throw it away!

I suggest we get a second opinion.
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GOODDOC1
"civil war" is an oxymoron
05:15 PM on 09/10/2012
Poison control will NOT tell you to administer Ipecac. Call them an ask why not. There can be other complications from Ipecac. It's NOT to be given anymore. I'm surprised it's still on the shelves anymore.
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HUFFPOST COMMUNITY MODERATOR
Bike Commuter
No More Hurting People
01:03 PM on 09/09/2012
Re: Leftover Antibiotics

There shouldn't BE any leftover antibiotics. You are supposed to continue taking it until it is gone EVEN IF the patient feels completely well, unless a doctor tells you otherwise. 
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HUFFPOST SUPER USER
Mary Blickhahn
Is this really the best we can do?
01:46 PM on 09/09/2012
Welll.....That is what they say..but because the way its prescribed and dosed and then the size bottles it comes in, the three seldom match. Sadly I usually needed a bottle and a half go the ten days. So I would ask for one bottle to be powered still, and measured out half of it and added to the wet bottle with half of the water needed. Then I had some in case they had a relapse. And no you do not go past the 10 days.
RTIII
Poster of over 0.0135% of all HufPost comments
06:17 PM on 09/09/2012
Your first sentence makes sense. The rest illustrates a failure to understand how antibiotics work.

Rather than have me try and educate you, PLEASE talk with your Dr. about your views the next time you have a chance. You will be doing _yourself_ AND all the rest of us a lot of good!
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GOODDOC1
"civil war" is an oxymoron
05:18 PM on 09/10/2012
If they have a relapse, that means they have a resistant bacteria (or a virus, which won't be helped with antibiotics anyway), and need a different antibiotic tostop it. Continuing with the same antibiotic will do no good, and will only contribute to the formation of stronger, more residtant bacterial strains. That's how MRSA and Multi-Drug Resistant TB evolved.
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corkery
I could've been somebody not like the bum I am now
12:57 PM on 09/09/2012
More-phene is another one but Valluim is one that is heavily recommended if they go on any long term plane flights that I'm on...If you don't give it to them then I'll take it instead.
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HUFFPOST SUPER USER
Mary Blickhahn
Is this really the best we can do?
01:47 PM on 09/09/2012
I dole it out to near by passengers...the flight attendants are always so grateful! Most prefer the child over the whiny adult.
RTIII
Poster of over 0.0135% of all HufPost comments
06:22 PM on 09/09/2012
"Most prefer the child over the whiny adult."

That's a load of horsefecies. The VAST majority of adults legitimately annoyed, bothered, and upset about either screeching or badly behaved children keep their mouths shut and don't say a word, and usually privately APPLAUD the one poor soul who feels compelled to SAY SOMETHING.

Truth is, _parents_ are _used_to_ their whiny brats, and largely ignore it - don't even really hear it at all! They're almost immune and have NO IDEA what the rest of us are going through. Sounds like you're one of them.
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GOODDOC1
"civil war" is an oxymoron
05:19 PM on 09/10/2012
Do not EVER give a child -- or anyone else, for that matter -- and medication that was not prescribed for THEM!