Safe Medication for Infants: What Parents Need to Know - Pediatrics

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Medications for Newborns


Dr.
Chang: Hello! My child is 40 days old and visited the clinic due to a cold.
I would like to ask if the following medications are safe for him.
Is it safe to use any that contain codeine? I'm really worried since he is so young.
1.
Secorine (Antica) syrup (Swiss pharmaceutical company cough syrup), 2.
Periactin (Cyruph) syrup, generic name: Cyproheptadine syrup, 3.
Panadol, generic name: acetaminophen.
If his ear temperature does not exceed 38 degrees Celsius, is it unnecessary to administer medication?

cynthia, 30~39 year old female. Ask Date: 2006/09/01

Dr. Zhang Guozhen reply Pediatrics


Dr.
Chang Kuo-Chen, the Director of Pediatrics at Hsinchu County Hospital, respectfully responds that the three medications mentioned in your letter are all safe.
There is no need for concern, and they do not contain codeine.
Wishing you peace and safety.

Reply Date: 2006/09/01

More Info


When it comes to administering medication to infants, especially those as young as 40 days old, parents must exercise extreme caution. The safety and appropriateness of any medication should always be confirmed with a healthcare professional, preferably a pediatrician. Here’s a breakdown of the medications you mentioned and general guidelines for infant medication safety.

1. Secorine (Antica) Syrup: This syrup is often used as a cough suppressant. However, the use of cough and cold medications in infants is controversial. The American Academy of Pediatrics (AAP) advises against the use of over-the-counter cough and cold medications in children under 2 years of age due to the risk of serious side effects and lack of proven efficacy. Therefore, it is crucial to consult your pediatrician before administering this syrup to your infant.

2. Periactin (Cyproheptadine Syrup): Cyproheptadine is an antihistamine that can be used to treat allergic reactions and is sometimes prescribed for its appetite-stimulating properties. However, it is not typically recommended for infants under the age of 2 without a doctor's supervision. The potential sedative effects and other side effects could pose risks to a young infant. Always consult your pediatrician before giving this medication to your child.

3. Panadol (Acetaminophen): Acetaminophen is generally considered safe for infants when dosed correctly. It is commonly used to reduce fever and relieve pain. However, it is crucial to ensure that the dosage is appropriate for your infant's weight and age. If your infant's ear temperature is below 38 degrees Celsius (100.4 degrees Fahrenheit), it is generally not necessary to administer acetaminophen. Fever is a natural response to infection, and unless it is causing discomfort or is particularly high, it may not require treatment. Always consult your pediatrician for guidance on the appropriate use of acetaminophen.


General Guidelines for Safe Medication Use in Infants:
- Consult a Pediatrician: Always discuss any medications with your child's healthcare provider before administration. They can provide guidance based on your infant's specific health needs.

- Dosage Matters: Infants require precise dosing based on their weight and age. Never use adult formulations or dosages for infants.

- Avoid Certain Ingredients: Be cautious of medications containing ingredients like codeine, which is not recommended for young children due to the risk of respiratory depression and other serious side effects.

- Monitor for Side Effects: If a medication is prescribed or administered, closely monitor your infant for any adverse reactions, such as unusual drowsiness, difficulty breathing, or allergic reactions.

- Use Age-Appropriate Formulations: Ensure that any medication is specifically formulated for infants or young children. Adult medications can be dangerous.

- Non-Medication Alternatives: For mild symptoms, consider non-medication approaches such as ensuring your infant stays hydrated, using a humidifier for congestion, or gentle suctioning of nasal passages.

In summary, while some medications may be safe for infants, it is essential to consult with a healthcare professional before administering any medication. Your pediatrician can provide the best advice tailored to your child's health and circumstances. Always prioritize safety and err on the side of caution when it comes to your infant's health.

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