Can Kids Safely Take Lutein Supplements and Cough Syrup? - Pediatrics

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Supplements


Hello Dr.
Pei,
I would like to ask you two questions.

(1) Recently, adults in my household have been taking lutein supplements (capsules, one per day) for eye health.
I would like to know if a four-year-old child can also take lutein supplements for regular eye care.
If taken in excess, could it have any adverse effects on health?
(2) Currently, my one-year-old child is being cared for by a nanny.
Sometimes, when the child shows mild cold symptoms, such as nasal congestion or runny nose, the nanny gives him over-the-counter cold syrup (administered according to the child's age).
Is it safe for such a young child to take cold syrup purchased from a pharmacy? Are there any potential adverse effects? (Of course, if the cold symptoms do not improve, the nanny will inform us, and we will take the child to see a pediatrician).
Thank you for your assistance.

Xiao Fen, 30~39 year old female. Ask Date: 2008/12/01

Dr. Pei Rensheng reply Pediatrics


Dear Xiaofen,
Hello!
1.
Lutein is a natural carotenoid found in various fruits and vegetables.
Since the human body cannot synthesize it on its own, it must be obtained from dietary sources.
Lutein is primarily found in dark green leafy vegetables such as kale, spinach, mustard greens, and broccoli, as well as in fruits like kiwi, grapes, oranges, zucchini, and pumpkin.
Lutein is an essential component of the retina and macula.
It can absorb harmful blue light (which is emitted by computer screens, televisions, and fluorescent lights) that can damage the eyes, and it helps prevent oxidative damage from free radicals to the macula, thereby reducing the risk of cataracts and age-related macular degeneration (AMD).
The recommended daily intake for adults, based on research from Harvard University in 1994, is 6 mg of lutein, which can reduce the incidence of age-related macular degeneration by approximately 57%.
(6 mg of lutein is equivalent to one large bowl of raw spinach or one-third of a bowl of cooked spinach).
For young children, as long as they consume a balanced diet that includes a variety of fruits and vegetables, there is no need to worry about deficiency.
Additionally, lutein is water-soluble, so there is no concern about excess accumulation in the body.
2.
Since over-the-counter medications are often compounded and may not target specific symptoms effectively, it is not recommended for children to take these medications for colds.
Furthermore, taking such medications can affect a physician's ability to assess the child's condition accurately in the future.
It is advisable for children to be evaluated by a pediatrician before taking any medication, which provides greater peace of mind.
Wishing you health and happiness!
Sincerely,
Pei Rensheng

Reply Date: 2008/12/01

More Info


When it comes to the safety of children taking lutein supplements and cough syrup, there are several important considerations to keep in mind.


Lutein Supplements for Children
1. Safety and Dosage: Lutein is a carotenoid found in green leafy vegetables and is known for its role in eye health. While it is generally considered safe for adults, the research on the safety and efficacy of lutein supplements in children, particularly those under the age of four, is limited. There are no established guidelines for lutein supplementation in young children, and the appropriate dosage is not well-defined. Therefore, it is advisable to consult with a pediatrician before giving lutein supplements to a child. Overconsumption of lutein is unlikely to cause serious harm, but excessive intake could potentially lead to a condition known as carotenemia, where the skin turns yellowish due to high levels of carotenoids in the blood.

2. Natural Sources: Instead of supplements, it is often recommended to encourage a diet rich in natural sources of lutein, such as spinach, kale, and other leafy greens. This approach not only provides lutein but also other essential nutrients that are beneficial for overall health.


Cough Syrup for Young Children
1. Age Appropriateness: Many over-the-counter cough syrups are formulated for specific age groups, and it is crucial to adhere to these guidelines. For children under the age of two, most health organizations, including the American Academy of Pediatrics, recommend against the use of cough and cold medications due to the risk of serious side effects and limited evidence of efficacy. For a one-year-old child, it is essential to ensure that any cough syrup given is specifically labeled for their age group.

2. Potential Risks: Cough syrups can contain various active ingredients, including antihistamines, decongestants, and cough suppressants. Some of these ingredients can cause side effects in young children, such as drowsiness, irritability, or even more severe reactions. Therefore, it is crucial to read labels carefully and consult with a healthcare provider before administering any medication.

3. Alternative Remedies: For mild symptoms like nasal congestion or a runny nose, non-pharmacological approaches can be effective. These may include using a humidifier in the child's room, saline nasal drops, or simply ensuring the child stays well-hydrated. If symptoms persist or worsen, it is always best to consult a pediatrician for further evaluation and treatment options.


Conclusion
In summary, while lutein supplements may be beneficial for eye health, their use in young children should be approached with caution and under the guidance of a healthcare professional. Similarly, while cough syrups can provide relief for cold symptoms, their use in children, especially those under two years old, should be carefully considered, and non-medication approaches should be prioritized. Always consult with a pediatrician before introducing any new supplements or medications to ensure the safety and well-being of your child.

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