Accidental Ingestion of Cholesterol Medication by Toddler: What to Know

A two-and-a-half-year-old child accidentally ingested clobetasol?

Currently, I am taking a cholesterol-lowering medication called "Crestor." Previously, I accidentally dropped a pill on the sofa, but I didn't think much of it when I couldn't find it at the time.
Today, my child was playing on the sofa and found that pill, putting it in their mouth.
By the time I noticed, a significant portion had already dissolved in their mouth.
I immediately took my child to rinse their mouth, but I'm not sure if they actually swallowed any (most likely they did).
Doctor, what effects could occur from a two-and-a-half-year-old child accidentally ingesting a pill of Crestor?

Ye Hsien-Yu, 30~39 year old female. Ask Date: 2022/07/28

Dr. Xiao Kaiwen reply Pediatrics

The main function of Rosuvastatin is to lower cholesterol and triglycerides.
It is metabolized by the kidneys after administration.
Rare side effects include myopathy and liver function abnormalities.
Therefore, if a young child accidentally ingests an overdose of Rosuvastatin, it would be advisable to conduct relevant tests for cholesterol, triglycerides, liver and kidney function, as well as muscle enzymes.

Reply Date: 2022/07/28

More Info

Accidental ingestion of medication by toddlers can be a concerning situation for any parent. In this case, the medication in question is "冠脂妥" (also known as Rosuvastatin), which is a statin used to lower cholesterol levels. Here’s what you need to know regarding the potential effects and actions to take after a toddler has ingested this medication.

Potential Effects of Ingesting Rosuvastatin
1. Dosage Concerns: The typical dosage for adults can vary, but even a small amount of a statin can potentially lead to side effects in a toddler due to their smaller body size and different metabolism. Statins are generally well-tolerated in adults, but children may react differently.

2. Common Side Effects: While serious side effects are rare, they can include muscle pain, weakness, or liver issues. In children, the risk of muscle-related side effects (myopathy or rhabdomyolysis) may be heightened due to their developing bodies. Symptoms to watch for include unusual fatigue, weakness, or any signs of muscle pain.

3. Gastrointestinal Symptoms: Some children may experience gastrointestinal upset, including nausea, vomiting, or diarrhea. If your child exhibits any of these symptoms, it could be related to the ingestion of the medication.

4. Allergic Reactions: Although rare, any medication can cause an allergic reaction. Signs of an allergic reaction include rash, itching, swelling, or difficulty breathing. If you notice any of these symptoms, seek immediate medical attention.

Immediate Actions to Take
1. Contact Poison Control: It is crucial to contact your local poison control center or emergency services immediately. They can provide specific guidance based on the amount ingested and your child's weight.

2. Monitor Symptoms: Keep a close eye on your child for any unusual symptoms, especially those mentioned above. Document any changes in behavior or physical condition.

3. Do Not Induce Vomiting: Unless directed by a medical professional, do not attempt to induce vomiting. This could lead to further complications.

4. Follow-Up with a Healthcare Provider: Even if your child seems fine, it’s advisable to follow up with your pediatrician or a healthcare provider. They may recommend monitoring your child for a specific period or conducting tests to ensure there are no adverse effects.

Prevention Tips
1. Medication Safety: Always store medications out of reach of children. Consider using child-proof containers and educating older children about the dangers of medications.

2. Immediate Cleanup: After taking medication, ensure that any pills or remnants are cleaned up immediately to prevent accidental ingestion.

3. Education: Teach children about the importance of not putting unknown objects in their mouths, even if they are curious.

Conclusion
In summary, while the accidental ingestion of Rosuvastatin by a toddler can be concerning, prompt action and monitoring can help mitigate potential risks. Always prioritize safety by consulting with healthcare professionals and taking preventive measures to avoid similar incidents in the future. If any symptoms arise or if you have concerns, do not hesitate to seek medical advice.

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