New Cough and Cold Guidelines
  Contributed by: Amanda William, Pharm.D. Candidate
                        UMKC School of Pharmacy

In January 2008 the FDA recommended that over-the-counter cough and cold products should not be used in children under 2 years of age. The FDA's new recommendation is that OTC cough and cold products should not be used in children under the age of 4 unless your doctor has told you to use these products. The original recommendation was made because there is a lack of evidence to prove the effectiveness of these products in children less than 2 years of age and because there are a variety of rare, but serious side effects caused by these medications. Some of these side effects include death, convulsions, rapid heart rates, and decreased levels of consciousness.

OTC Cough and Cold ingredients in question:

  • Decongestants (Pseudoephedrine and phenylephrine)
  • Expectorants (Guaifenesin)
  • Cough Suppressants (Dextromethorphan)
  • Antihistamines (Benadryl (diphenhydramine), chlorpheniramine, brompheniramine)
  • THESE ARE THE ACTUAL IN

GREDIENTS IN OTC COUGH AND COLD PRODUCTS THAT ARE BEING CALLED INTO QUESTION.

FDA's recommendations:

  • Do not use over-the-counter cough and cold medications in children under the age of 4 unless a doctor tells you to.
  • Never give adult medications to a child. Only use medications specifically designed for children.
  • Use the enclosed measure spoon, dropper, or dosing cup to make sure you are giving the correct dose of medication to your child.
  • Carefully follow the instructions for dosing on the box.
  • Check the Drug Facts label to learn what active ingredients are in the products because many OTC cough and cold medications contain more than one active ingredient.

  • Do not use two medications that contain the same ingredients at the same time.
  • If you have questions on how to treat a child with a cough or cold contact a physician, pharmacist, or other health care professional.

What can you give your child for a cough or cold?
  • Use Tylenol® or Motrin®(if your child is over 6 months of age) to reduce a fever if present. Never give aspirin to a child due to the risk of Reye's Syndrome.
  • Try saline drops or saline nasal irrigation
  • Keep your child hydrated. This will help to thin the mucus.
  • Use a humidifier
  • Use a suction bulb in infants to help clear mucus

Balls Hen House Pharmacies

8120 Parallel Parkway
Kansas City, KS 66109
(913) 334-1660

6238 N. Chatham Road
Kansas City, MO 64151
(816) 746-1475

1015 N.E. Rice Road
Lee's Summit, MO 64086
(816) 525-1479

13600 S. Blackbob
Olathe, KS 66062
(913) 782-2039

2724 W 53rd St
Fairway, KS 66205
913-236-4983

6900 W. 135th Street
Overland Park, KS 66223
(913) 814 WELL (9355)

Sprint Campus
6450 Sprint Parkway
Overland Park, KS 66251
(913) 315-8646

Merriam Town Center
5800 Antioch Rd.
Merriam, KS 66202
(913) 831-4140

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