Accidental Ingestion of Mosquito Repellent: What Parents Should Know - Pediatrics

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Ingestion of mosquito repellent?


Hello, my child is over five years old.
This morning, while applying mosquito repellent, it accidentally got sprayed on his face.
He mentioned that it also got on his lips.
I wiped it off at the time, but I'm unsure if he ingested any of the repellent.
The brand is Ding Ning mosquito repellent, which states that it does not contain DEET.
The bottle mentions that if ingested, one should go to the hospital for evaluation.
He currently has no symptoms.
How should I monitor my child's condition to determine if he needs to go to the hospital?

Fang Cun, 30~39 year old female. Ask Date: 2023/05/29

Dr. Xiao Kaiwen reply Pediatrics


The main ingredient of mosquito repellent is picaridin, which is relatively environmentally friendly and has lower toxicity.
If a small amount is accidentally sprayed on the lips, it should not pose a serious health risk, so there is no need to be overly concerned.

Reply Date: 2023/05/29

More Info


Accidental ingestion of mosquito repellent can be concerning for parents, especially when it involves young children. In your case, your child accidentally sprayed mosquito repellent on his face and possibly ingested some. The brand you mentioned, Ding Ning, claims to be DEET-free, which is a positive aspect since DEET can be more toxic if ingested. However, it’s essential to understand that even non-DEET mosquito repellents can contain other chemicals that may not be safe for ingestion.


Immediate Actions to Take
1. Assess Symptoms: Since your child currently shows no symptoms, it’s a good sign. However, you should monitor him closely for any signs of distress or adverse reactions. Symptoms to watch for include:
- Nausea or vomiting
- Diarrhea
- Abdominal pain
- Dizziness or lethargy
- Skin irritation or rash
- Difficulty breathing
2. Rinse the Area: If you haven’t already, gently wash the affected area with soap and water to remove any residual repellent. This is particularly important if the repellent was sprayed on his face.

3. Hydration: Encourage your child to drink water. This can help dilute any potential toxins in his system if he did ingest some of the repellent.


When to Seek Medical Attention
You should seek medical attention if:
- Your child develops any of the symptoms mentioned above.

- He appears unusually drowsy or lethargic.

- You have any lingering concerns about the amount ingested or the specific ingredients in the repellent.


Contact Poison Control
It’s also advisable to contact your local poison control center for guidance. They can provide specific advice based on the ingredients in the mosquito repellent and the amount your child may have been exposed to. They can also help assess whether a visit to the emergency room is necessary.


Preventive Measures for the Future
1. Read Labels: Always read the labels of any insect repellent products before use. Look for warnings about ingestion and follow the manufacturer's instructions carefully.

2. Supervision: Ensure that children are supervised when using any products that could be harmful if ingested. It’s best to apply mosquito repellent in an area where children cannot easily access it.

3. Storage: Store all chemicals, including mosquito repellents, out of reach of children. Consider using child-proof locks on cabinets where such items are stored.

4. Education: Teach your child about the dangers of ingesting non-food substances. While they may not fully understand, simple explanations can help them learn to be cautious.


Conclusion
In summary, while your child currently shows no symptoms, it’s essential to monitor him closely and be aware of any changes in his condition. Contacting poison control can provide you with peace of mind and specific recommendations based on the product used. Always prioritize safety by supervising children during the use of potentially harmful products and educating them about the risks associated with ingestion. If you have any doubts, it’s always better to err on the side of caution and seek medical advice.

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