Safe Medication Practices for Preschoolers: Expert Advice on Dosage and Packaging - Family Medicine

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Pediatric medication


Hello Dr.
Liao: My child has a cold and is currently attending kindergarten.
I need to ask the teacher to administer medication while at school.
The medication administration form from the kindergarten states that I only need to prepare a day's worth of medication.
However, I remember that medications should not be divided, so I looked up the Ministry of Health and Welfare's medication handbook, which states, "Medications should not be repackaged and should remain intact." I would like to ask: 1.
Is it really acceptable to provide only the amount needed for that day at kindergarten? Can I use a previously used and cleaned empty medication bottle to store the liquid medication? 2.
I prefer to provide the entire package of medication to the kindergarten, so I would like to ask an expert whether repackaging medications or liquids like that is compliant with regulations and if it is professionally advisable to do so.
Thank you for your clarification.
^^

Miss Lin, 30~39 year old female. Ask Date: 2023/03/11

Dr. Liao Yaopan reply Family Medicine


Hello, if you have any concerns regarding medication dosage, you can consult a pharmacist at a nearby National Health Insurance pharmacy or the prescribing medical institution for assistance.
Please be aware that different medications may have varying storage requirements, and also take note that Changhua Hospital cares about you.

Reply Date: 2023/03/11

More Info


When it comes to administering medication to preschoolers, especially in a school setting, safety and adherence to best practices are paramount. Here are some expert insights on safe medication practices for preschoolers, particularly regarding dosage and packaging.


1. Medication Dosage for Preschoolers
It is generally acceptable to provide the exact dosage of medication that a child needs for a single day, especially if the medication is to be administered at school. However, this should be done with caution. The medication should be clearly labeled with the child's name, the name of the medication, the prescribed dosage, and the time it should be administered. This ensures that teachers or caregivers can easily identify and administer the medication correctly.


2. Packaging of Medications
Regarding the packaging of medications, it is crucial to follow safety guidelines. The Ministry of Health and Welfare's recommendation against repackaging medications is based on safety concerns. Medications should ideally be kept in their original containers, which are designed to protect the integrity of the medication and provide essential information, including expiration dates and storage instructions.
Using an empty medication bottle that has been cleaned may not be advisable, as it can lead to confusion or misidentification of the medication. Additionally, if the medication is a liquid, transferring it to a different container can increase the risk of contamination or degradation. Therefore, it is best to use the original packaging whenever possible.


3. Self-Packing Medications
While it might seem convenient to prepare medication packets or doses in advance, this practice is generally discouraged unless done under the guidance of a healthcare professional. Self-packing can lead to errors in dosage, especially if the medications are not properly labeled or if there is a mix-up with different medications.
If you are considering sending medications to school, consult with your child's pediatrician or pharmacist. They can provide guidance on how to prepare the medication safely and may even offer pre-packaged options that are compliant with safety regulations.


4. Communication with Caregivers
It is essential to communicate with the teachers or caregivers at the preschool about the medication your child will be taking. Provide them with written instructions from your healthcare provider, and ensure they understand how to administer the medication correctly. This includes discussing any potential side effects and what to do in case of an adverse reaction.


5. Monitoring and Follow-Up
After starting any new medication, monitor your child for any side effects or reactions. If you notice anything unusual, contact your healthcare provider immediately. Regular follow-ups with your child's doctor can help ensure that the medication is effective and that any necessary adjustments can be made.


Conclusion
In summary, when preparing medications for preschoolers, it is crucial to prioritize safety by using original packaging, providing clear instructions, and maintaining open communication with caregivers. Always consult healthcare professionals for guidance on medication administration and packaging to ensure the well-being of your child. By following these practices, you can help ensure that your child receives their medication safely and effectively while at preschool.

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