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    Tuesday, April 29, 2008
    Seven medicines you shouldn't give your child
    (from Babycenter.com)

    Children are much more likely than adults to have adverse drug reactions, so giving your child prescription or over-the-counter (OTC) medication is serious business. Here are some medicines you shouldn't give your preschooler:

    Aspirin
    Never give your child aspirin or any medication containing aspirin. Aspirin can make a child susceptible to Reye's syndrome — a rare but potentially fatal illness. Don't assume that the children's medicines found in drugstores will be aspirin-free. Aspirin is sometimes referred to as "salicylate" or "acetylsalicylic acid." Read labels carefully, and ask your doctor or pharmacist if you're not sure whether a product contains aspirin.

    Over-the-counter cough and cold medicines
    In October 2007 a U.S. Food and Drug Administration advisory committee voted to recommend that these medicines not be given to children under 6 years old. Little or no testing has been done to determine how effective they are in young children (although studies have shown them to be no better than a placebo in kids under age 2) and what dosages are safe. And an overdose can cause dangerous side effects. So if your preschooler is miserable with a cold, try other options, like a humidifier and plenty of liquids.

    Anti-nausea medications
    Don't give your child an anti-nausea medication (prescription or OTC) unless his doctor specifically recommends it. Most bouts of vomiting are pretty short-lived, and children usually handle them just fine without any medication. In addition, anti-nausea medications have risks and possible complications. (If your child is vomiting and begins to get dehydrated, contact his doctor for advice on what to do.)

    Adult medications
    Giving your child a smaller dose of medicine meant for an adult is dangerous. If the label doesn't indicate an appropriate dose for a child, don't give that medication to your preschooler.

    Any medication prescribed for someone else or for another reason
    Prescription drugs intended for other people (like a sibling) or to treat other illnesses may be ineffective or even dangerous when given to your child. Give him only medicine prescribed for him and his specific condition.

    Anything expired
    Toss out medicines, prescription and OTC alike, as soon as they expire. Also get rid of discolored or crumbly medicines — basically anything that doesn't look the way it did when you first bought it. After the use-by date, medications may no longer be effective and can even be harmful. Don't flush old drugs down the toilet, as they can contaminate groundwater and end up in the drinking water supply. See what our expert says about how to safely dispose of expired medication.

    Extra acetaminophen
    Some medicines contain acetaminophen to help ease fever and pain, so be careful not to give your preschooler an additional separate dose of acetaminophen. If you're not sure what's in a particular medicine, don't give her acetaminophen or ibuprofen until you've first gotten the okay from your doctor or pharmacist.

    A cautionary note
    These two types of medications aren't 100 percent off-limits, but you should carefully consider whether and how to give them to your child:

    Chewables
    Most preschoolers can handle chewable tablets, especially those that are fast-melting. But keep an eye on your child when you give him a chewable, especially if he isn't proficiently chewing solids yet. If you think chewables might be a choking hazard for your child, crush the tablet and put it in a spoonful of soft food, like yogurt or applesauce. (Of course, you need to make sure your child eats the entire spoonful in order to get the complete dose.)

    Some herbal remedies
    Many herbal remedies are gentle and safe, but just because something is natural, or derived from a plant, doesn't mean that it's safe for your preschooler. Herbal products can cause allergic reactions, liver damage, and high blood pressure. In certain doses or when combined with the wrong medications, they can be fatal.

    Check with your child's doctor or an alternative medicine practitioner before giving your child any herbal products. And always let the doctor know about herbal remedies your child's taking before she prescribes a medication.

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