Incorrect dosage of asthma medication?
Hello Doctor: Thank you for your response regarding the issue of administering the incorrect dosage of the asthma medication.
Since the child did not exhibit the complications you mentioned, I later gave the correct dosage for another day (I was too anxious and forgot to ask first).
Therefore, I would like to inquire whether the excess dosage will be expelled by the body on its own, and if it could affect the child's health and growth.
Additionally, since the symptoms related to the initial illness have significantly improved and are no longer severe, will we need to return for a follow-up appointment to have the doctor prescribe other medications after stopping the current one?
Miss Lin, 40~49 year old female. Ask Date: 2022/04/28
Dr. Pei Rensheng reply Pediatrics
Hello: The medication for asthma will be metabolized and eliminated quickly, so there is no need to worry about residual effects.
If symptoms improve, you can stop the asthma medication and switch to oral Montelukast or maintenance medications like Seretide for asthma management.
Wishing you health, happiness, and safety! Best regards, Rensheng.
Reply Date: 2022/04/28
More Info
When it comes to pediatric medication, especially for conditions like asthma, understanding dosage errors is crucial for ensuring the safety and well-being of children. In your case, it appears that there was a concern regarding the administration of an incorrect dosage of a medication, commonly referred to as "滅喘淨" (which translates to an asthma medication).
Firstly, it’s important to clarify that most medications have a therapeutic window, which is the range of dosages that can treat disease effectively while minimizing side effects. When a child inadvertently receives a higher dose than prescribed, the body often has mechanisms to metabolize and excrete the excess medication. However, the extent to which this occurs can depend on several factors, including the specific medication, the child's age, weight, overall health, and the duration of the overdose.
In general, if a child has taken a higher dose of a medication but does not exhibit any adverse symptoms, it is likely that their body will manage to eliminate the excess without significant harm. For example, many asthma medications, particularly those that are bronchodilators or corticosteroids, are designed to be relatively safe when used appropriately. However, if the child experiences any unusual symptoms such as increased heart rate, agitation, or any signs of toxicity, it is critical to seek medical attention immediately.
Regarding your concern about whether this could affect your child's health and growth, it is reassuring to note that most children are resilient. Short-term exposure to a higher dose of medication, especially if it does not lead to any immediate adverse effects, is unlikely to have lasting impacts on growth or development. However, chronic misuse or long-term exposure to high doses can lead to complications, so it is essential to adhere to prescribed dosages in the future.
As for whether you need to return to the doctor for a new prescription after stopping the medication, it largely depends on your child's current health status. If the symptoms that prompted the initial prescription have resolved and your child is stable, a follow-up visit may not be necessary. However, if there are lingering symptoms or if you have concerns about their asthma management, it would be prudent to consult with a pediatrician or a specialist in pediatric pulmonology. They can assess your child's condition and determine if a new medication or a different treatment plan is warranted.
In summary, while it is understandable to be concerned about medication errors, the body generally has mechanisms to handle short-term overdoses, especially in children. Continuous monitoring of your child's health and open communication with healthcare providers are key to ensuring their safety and well-being. If in doubt, always err on the side of caution and consult with a healthcare professional.
Similar Q&A
Concerns About Overmedication in Young Children: A Case Study
The little girl is currently one year and three months old, weighing approximately 9.2 kg. She visited the clinic on the 21st and was diagnosed with acute pharyngitis. The physician prescribed a three-day supply of medication to be taken three times a day, every six hours. Howeve...
Dr. Zhang Guozhen reply Pediatrics
Dr. Chang Kuo-Chen, the head of the Pediatrics Department at Zhudong Hospital, responded as follows: According to the inquiry, all three medications mentioned are generally considered safe. Pilian is an antihistamine used to treat nasal congestion and runny nose, with drowsiness ...[Read More] Concerns About Overmedication in Young Children: A Case Study
Potential Risks of Overdosing Asthma Medication in Young Children
Hello: The child is currently 2 years old. When visiting the doctor due to illness, the doctor prescribed 3cc of Montelukast twice a day. However, the family mistakenly administered 4cc for three consecutive days. Will taking too much Montelukast cause harm to the child?
Dr. Pei Rensheng reply Pediatrics
Hello: Meptin (滅喘淨) may cause side effects such as palpitations, vomiting, tremors, headaches, and rashes. If an overdose occurs, please be aware of the aforementioned complications. (In your case, serious complications are unlikely to occur.) Please discontinue the medication ...[Read More] Potential Risks of Overdosing Asthma Medication in Young Children
Concerns About Medication Dosage for Children in Emergency Care
My child went to the emergency room due to a fever of 39.1 degrees Celsius without obvious cold symptoms. The doctor only noted that the throat was red and ordered blood tests and a chest X-ray. Since my child was unable to urinate, the doctor diagnosed bronchiolitis based on the...
Dr. Xiao Kaiwen reply Pediatrics
The following are the recommended dosages for medications as per the textbook: Panadol: 10-15 mg/kg per dose, every 4-6 hours (commonly used is 60-65 mg/kg per day, every 4-6 hours). Erythromycin: 30-50 mg/kg per day, every 6-8 hours. Periactin: 0.25-0.5 mg/kg per day, ever...[Read More] Concerns About Medication Dosage for Children in Emergency Care
Safe Medication Practices for Infants: Key Considerations for Parents
Hello, doctor: My daughter is currently 10 months old and has been coughing frequently since she was 6 months old, averaging a visit to the hospital every 1 to 1.5 months. The doctor prescribes cold syrup, allergy medication, and bronchodilator syrup, each in a large bottle. Each...
Dr. Pei Rensheng reply Pediatrics
Dear Annma, Hello! 1. The safe dosage range for cold medications is relatively wide, often allowing for doses that are 1.5 to 2 times higher to still be considered safe. 2. However, taking an overdose may lead to some side effects; for example, antihistamines can cause drowsi...[Read More] Safe Medication Practices for Infants: Key Considerations for Parents
Related FAQ
(Pediatrics)
Pediatric Medications(Pharmacology)
Accidental Ingestion(Pediatrics)
Medication Consultation(Pediatrics)
Infant Formula(Pediatrics)
Pediatric Vomiting(Pediatrics)
Asthma(Internal Medicine)
Height(Pediatrics)
Nosebleed(Pediatrics)
Kidney(Pediatrics)