Dec 27, 2016
Post By: Children's Health
With cough and cold season underway, you need to be aware that a time-honored, go-to treatment for children’s coughs is no longer recommended. The FDA is investigating the safety of codeine cough syrup for children younger than 18, and the American Academy of Pediatrics now recommends against codeine for children with coughs.
Cough is one of the most common symptoms children present, and over-the-counter cough and cold medications with codeine have been prescribed for decades to stop coughing. Children’s codeine cough syrup and cold remedies are still available without prescription in 28 states and the District of Columbia. But while codeine cough syrup may work well for some adults who have a cough, science now knows that it works differently in children – and can cause serious problems.
Codeine alone provides little help with coughing. It must be chemically altered by the liver to be effective. And that’s where the problem lies. When the liver processes codeine, it is altered into its active form, which is morphine. Children’s livers convert codeine into higher-than-normal levels of morphine. Morphine can significantly decrease breathing in infants and children. And children who already have breathing problems are at higher risk.
If you have been prescribed codeine cough syrup or are using an over-the-counter cough medicine containing codeine for your child, double-check with your physician about whether this is safe for your child. If your child shows these signs, seek immediate medical attention:
If you read the ingredient labels on children’s cough and cold products, you may see dextromethorphan and diphenhydramine. The American Academy of Pediatrics advises against the use of cough products containing dextromethorphan for children under 18 and for products containing diphenhydramine for children age 4 or younger.
A chronic cough makes your child uncomfortable and interrupts sleep, so it is understandable that you want to treat it. Here are cough treatment recommendations that are safe for children:
It’s never easy to know whether a cough is just a cough or a sign of something more severe. Here are some tips to help you know if you should call your doctor about your child’s cough.
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