|SSM Cardinal Glennon Children's Medical Center|
Medications: Using Them Safely
Giving kids medicine safely can be complicated. And many parents feel the pressure when a young child needs certain medications, knowing that giving too much or too little could cause serious side effects.
But with a little knowledge and a lot of double-checking, you can give your kids medicine safely and prevent dangerous reactions.
Using medications safely means knowing when they're necessary — and when they're not. Always check with the doctor if you're unsure whether symptoms require treatment with medication.
In many cases, non-medicinal treatments may be the best bet for a quick recovery, especially with cases of the flu or the common cold. Getting enough rest will allow the body to recover, and plenty of clear fluids (such as water, juice, and broth) will help kids avoid dehydration from body fluids lost through vomiting, diarrhea, sweating, and nasal secretions.
If your child has congestion and a stuffy nose, saline (saltwater) drops can thin nasal secretions. A cool-mist humidifier or a warm-air vaporizer keeps moisture in the air, helping to loosen congestion. If you use a humidifier or vaporizer, though, be sure to thoroughly clean and dry it every day to prevent bacteria and mold from developing.
What to Know
To ensure the safe use of prescription or over-the-counter (OTC) medicines, discuss your child's symptoms with your doctor and pharmacist.
When giving your child medicines, you'll need to know:
Because the dosages of prescription and OTC medicines depend on a patient's weight, make sure the doctor and pharmacist have updated information about your child's size. Too little medication can be ineffective and too much could be harmful. Also, different medicines have different concentrations of ingredients, so always check the bottle and ask the pharmacist if you have any questions.
Make sure the doctor and pharmacist know if your child has allergies or takes other medications regularly.
Sometimes, medicines should be given on an as-needed basis (only when a child needs them for certain symptoms, such as pain or discomfort). OTC drugs that relieve symptoms like aches, pains, or fever (such as acetaminophen and ibuprofen) should only be taken as your doctor recommends. Over-the-counter cough and cold medications are not recommended for children under 6 years. It is very important to talk to your doctor first to be sure an over-the-counter medication is safe for your child.
Many medicines, though, should be taken until finished as prescribed by the doctor — even if your child begins to feel better before that. For example, antibiotics help to kill bacteria, so it's important to finish all doses even after symptoms stop, otherwise the infection could return.
Never give aspirin to kids, especially during viral illnesses. Using aspirin during an illness caused by a virus (such as the flu, chickenpox, or an upper respiratory infection) can cause Reye syndrome, a potentially life-threatening disease with symptoms such as nausea, vomiting, and extreme fatigue that progresses to a coma.
Because some OTC medicines (including some that treat headache and nausea) contain aspirin, you should always read labels and check with your doctor before using them. Be aware that some aspirin-containing medications use words other than aspirin (such as salicylate or acetylsalicylate), so avoid those, too.
For safe medication use:
Giving Medicines to Kids
After leaving the pharmacy, you'll still need to take a few precautions. First, check to make sure you have the correct prescription. Many prescription and medicine bottles look the same, so make sure your child's name is on the label and it's the medicine that the doctor recommended or prescribed.
Be especially careful when reaching into the medicine cabinet in the middle of the night — it's easy to grab the wrong bottle when you're sleepy.
Read all instructions. Both prescription and OTC medicines usually come with printed inserts about common side effects and further instructions on how to take the medicine. Be sure to read all information carefully before beginning the medication, and call the doctor or pharmacist if you have any questions.
With or without food? All prescription medicines have labels or instructions about how to take them. For example, "take with food or milk" means the medicine may upset an empty stomach or that food may improve its absorption. In this case, your child should eat a snack or meal right before or after taking the medication.
Another common instruction on prescription medicines is "take on an empty stomach," in which case your child should take the medicine 1 hour before or 2 hours after a meal because food may prevent the medicine from working properly or may delay or reduce its absorption. Some medicines interact only with certain foods or nutrients, such as dairy products, so be sure to check the label for any additional instructions.
The label may instruct you to shake a liquid medicine before using so that the active ingredients are evenly distributed throughout it.
The right dose. Giving the correct dose is important because most medicines need to be taken in a certain amount and at certain times to be effective. The dose will be written on the prescription label or, on OTC medications, should be printed on the package insert, product box, or product label.
In general, use caution when giving OTC medications to young kids. Cough and cold medicines are discouraged in children younger than 6 years old due to potential side effects. Consult your doctor if you have any questions.
You can dispense medicine in a variety of ways, and the best choice depends on your child's age and willingness to take medicine. For babies who aren't yet able to drink from a cup, try a calibrated dosing syringe, which lets you dispense the medication into your baby's mouth, making it less likely to be spit out. Be careful when using a syringe, though — many come with a small cap on the end that can be a choking hazard to young children. Store a medication syringe in a safe place out of the reach of kids.
Other options for young kids are plastic droppers; cylindrical dosing spoons (these have a long handle that's easier for children to grab); and, if your child can drink easily from a cup without spilling, the small dosage cups that come with many medications.
Some medicine dispensers are fashioned like pacifiers and proved effective with infants and toddlers. With these, you put the medicine in a small measuring cup attached to a pacifier, and then give the pacifier to the baby to suck — most of the medicine slips past the taste buds, making the medication go down easily.
Whatever method you use, it's important that your child takes all of the medicine each time it is given.
Never use tableware or a kitchen spoon to measure medication because these don't provide standard measurements. Instead, visit your local pharmacy or drugstore to find a measuring device designed to deliver accurate medication doses.
"But It Tastes Yucky"
Try these tips to get kids to take "yucky" medications willingly:
Never try to entice a child who balks at taking medicine by saying that it's candy. This tactic can backfire, and a child could accidentally overdose by ingesting dangerous medicine mistaken for a tasty treat. Instead, explain that medicine can make your child feel better, but it should never be taken without a parent's supervision.
If your child spits out or vomits medication, don't give another dose — call your doctor for instructions.
And, if your child isn't getting better or is worsening despite taking the medicine, talk to your doctor.
After giving your child a dose of medicine, be on the lookout for side effects or allergic reactions. The pharmacist or product packaging may warn you about specific side effects, such as drowsiness or hyperactivity.
If your child has side effects such as a rash, hives, vomiting, or diarrhea, contact your doctor or pharmacist. Penicillin and other antibiotics are among the most common prescription drugs to cause an allergic reaction.
If your child develops wheezing, has trouble breathing, or difficulty swallowing after taking a medication, seek emergency help by calling 911 or going to the emergency department immediately. These could be symptoms of a serious allergic reaction that requires emergency care.
You'll need to be as vigilant about storing medications as you are about giving the correct dose. Read the medication's instructions — some drugs need to remain refrigerated, but most should be stored in a cool, dry location away from direct sunlight.
Despite the convenience of your bathroom's medicine cabinet, it's a poor choice for storing most medicines because of the humidity and moisture from the tub or shower. Instead, store medicines in their original containers in a dry, locked location that kids can't reach.
Child-resistant caps can be difficult even for adults to open, but make sure to protect your kids by re-locking and recapping child-resistant bottles properly. Because kids can sometimes open the cap, it’s still important to lock away all medicines. If any visitors to your house have medicine in their bags, purses, or coat pockets, make sure they put those out of site and out of reach.
If your child accidentally takes medicine, call the Poison Control Center right away for guidance at 1-800-222-1222. Keep this number posted in an easily visible place in case you need it.
Do not give leftover medicine to others. When disposing of medications, make sure they stay out of the reach of children and don't contaminate the environment. Check the package for specific instructions on how to dispose of the medication. Do not dispose of medicines in the toilet unless the package says it’s OK.
If there are no instructions with the medication, keep these suggestions in mind:
Reviewed by: Rupal Christine Gupta, MD