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Tuesday, July 22, 2008

From the Archives: Pediatric Robitussin Night Time Cough & Cold

First posted Dec. 20, 2007 - I've always been a rambler...
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Quinn started with a cough maybe two days ago and today he was coughing an awful lot and it seemed to get worse the closer we got to bedtime. So we made the decision to give him a decongestant. Mike was reading every inch of the bottle since there was recently some bad press about giving such medicine to children under two. Yes, Quinn is three. And yes, all of the bad side effects happened to children who were given incorrect doses. But anyway, to just be on the safe side, Mike read the bottle cover to cover and found the following to be very helpful:
When using this product do not use more than directed; marked drowsiness may occur; avoid alcoholic drinks; alcohol, sedatives, and tranquilizers may increase drowsiness; be careful when driving a motor vehicle or operating machinery.
and of course no bottle of medicine is complete without the following warning:
If pregnant or breast-feeding ask a health professional before use.
Did I mention that this is a Pediatric Decongestant?
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Mike stayed home from work today to go and watch Quinn's little Christmas Show. And by little, I mean tiny - we watched Quinn sing three songs, eat some chips, and then we left. The show was first thing in the morning and the kids stayed for their regular school time afterwards. So, after that Mike and I decided to try another trip to the mall with Liam - I had some stuff to return. And Liam had another successful trip to the mall, of course it only lasted an hour or so.
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While the kids were napping Mike and I went through all of the toys in the living room to make room for all the news toys expected to arrive in just Five Days! It's hard for me to get rid of toys. I'm always saying, "Oh, he played with that once. And he liked it." We have so much junk. So much junk.
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Quinn insists on counting the days until Christmas. He's been doing this since Dec. 1st - it's great for him - he's learning the days of the week and the concept of yesterday, today and tomorrow. It's awful for me and I swear I get a mini-ulcer each day he counts. What? Only 10 more days? Now 7? Shit - 5 more days? The shopping is done, the gifts are wrapped, now we just have to clean the house because we are hosting Christmas Day (Christmas Morning really...the guests are scheduled to arrive at 9:30 - what was I thinking?).
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There's snow on the ground here and Quinn's been out to play in it quite a few times. His favorite thing to do?

6 comments:

Rachel said...

He is just too cute :-)

You know some yahoo drank some of that pediatric robitussin either while preggers or while b/f'ding and that's why that is on there. Disturbing, isn't it.

Hope he's better now :-)

Dorene said...

Just stopped by to say I love the idea of your to do lists in the sidebars. I've been trying to put together my own summer to do list but have not gotten that far.

Anonymous said...

I wanted to let you know that this statement is inaccurate in 2 important ways:

1. Children over 2 die every year from children cold and cough medications, and
2. They have died even when given the “correct dose”.

I put Correct dose because the drug companies have never bothered to research what the correct dose is in children!

As a dad and a doctor, I find this a very scary topic. I used to think that as long as my patient’s or I dosed the children’s cold & cough medications right, then everything would be OK. But when I researched this further, it turns out that children have died from “over dose” of ALL THE MAJOR CHILDRENS COLD AND COUGH MEDICINES even when given the correct dose (http://pediatrics.aappublications.org/cgi/reprint/108/3/e52?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=cough+medications&andorexactfulltext=and&searchid=1&FIRSTINDEX=0&sortspec=relevance&resourcetype=HWCIT).

Here are a few interesting facts:

1. Last October 2008, the drug companies promised the FDA that they would change all their labeling to say “do not use” for children under the age of 2, but I was just in the store last week, and a number of packages still had the old labeling!

2. The FDA reviewed safety and effectiveness data this last fall and its expert panel said that “right now the current cold & cough medications should not be given to children under 6.” Here is a link to the FDA’s minutes, “http://www.fda.gov/ohrms/dockets/ac/07/minutes/2007-4323m1-Final.pdf”, see page 6. The FDA made a public advisory in January 2008 about never using it for children under 2, because the Drug companies are fighting them on the panels ruling to never use cold and cough medications on children under 6. Since these drugs were previously allowed by the FDA, the FDA is forced to go though due process before they are willing to make an official public statement about never giving these medications to children under 6.


3. The number of infant deaths attributed to cold and cough medicines is dramatically underreported. New research published in the Journal of the American Academy of Pediatrics demonstrated that there were at least “10 unexpected infant deaths that were associated with cold-medication” in 2006 alone in the state of Arizona. Extrapolated over the US and Canadian population, that would be over 500 deaths a year associated with cold-medication! (http://pediatrics.aappublications.org/cgi/content/abstract/122/2/e318)

The thing that the drug companies don’t want anyone to know is that these medications never underwent the rigorous safety and effectiveness studies modern medications have to go though, they we grandfathered in the early 1970’s because at that time experts felt like they seemed to work, and they seemed safe enough.

Interestingly, some researchers from Penn State have shown that Buckwheat honey is better then the OTC drugs for children’s cough. There is a web site that talks about this, and gives lots of research to help parents be better informed about how to help their kids. Check out http://www.honeydontcough.com/

-Daddydoctor

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