the Risks of Stopping Medication Early and Child Dosage Tips - Internal Medicine

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Ampicillin capsules


The doctor prescribed a three-day course of medication, but I stopped taking it after just one day.
What should I do? Will there be any side effects? Should I continue taking the remaining doses? Also, my child is over two years old.
Can I mix cold medicine with milk to administer it? Can Axol (a mucolytic) be mixed with milk? My child refuses to take medicine.
Is it okay to mix it with milk to help them take it?

Dàibólā, 50~59 year old female. Ask Date: 2011/09/22

Dr. Xie Rongyuan reply Internal Medicine


Hello: The doctor has prescribed 3 days of Amoxicillin, which may be for a diagnosed bacterial infection.
If there is no persistent fever or if symptoms have improved or resolved, there is no need to continue taking it.
However, if there is no improvement, you should continue taking it or see the doctor again.
Since many medications interact with milk, it should not be taken with milk; it is best to take it with plain water.
Thank you for your message!

Reply Date: 2011/09/22

More Info


When it comes to managing a child's medication, especially in the context of acute illnesses like a cold or fever, it is crucial to understand the implications of stopping medication early and the best practices for administering medication to young children.
Firstly, regarding the risks of stopping medication early, it is essential to recognize that many medications, particularly antibiotics or those prescribed for chronic conditions, need to be taken for the full course as directed by a healthcare provider. Stopping a medication prematurely can lead to several potential issues:
1. Incomplete Treatment: If the medication is an antibiotic, stopping it early may not fully eradicate the infection, leading to a resurgence of symptoms or the development of antibiotic resistance. This means that the bacteria could become resistant to the antibiotic, making future infections harder to treat.

2. Withdrawal Symptoms: Some medications, particularly those affecting the central nervous system, may cause withdrawal symptoms if stopped abruptly. This can include anxiety, agitation, or a return of the underlying condition's symptoms.

3. Increased Risk of Complications: For medications prescribed for chronic conditions, such as asthma or epilepsy, stopping them can lead to exacerbations of the condition, potentially resulting in serious health risks.

If a child has been prescribed medication for a specific duration, it is generally advisable to complete the course unless directed otherwise by a healthcare provider. If there are concerns about side effects or the effectiveness of the medication, these should be discussed with the prescribing physician, who can provide guidance on how to proceed safely.

Now, regarding the administration of medication to young children, particularly for a 2-year-old who is resistant to taking medicine, there are several strategies that can be employed:
1. Mixing with Food or Drink: Many parents find success in mixing liquid medications with a small amount of food or drink that the child enjoys. However, caution should be exercised with certain medications. For example, some medications may not be effective if mixed with dairy products like milk, as this can affect absorption. Always check with a pharmacist or healthcare provider if it's safe to mix a specific medication with milk or other foods.

2. Using Flavoring Agents: Some pharmacies offer flavoring agents that can be added to liquid medications to make them more palatable for children. This can significantly improve compliance.

3. Positive Reinforcement: Encouraging the child with praise or small rewards after taking their medication can help create a more positive experience.

4. Using a Syringe: If the child refuses to take medication from a spoon or cup, using an oral syringe can help. This allows for more control over the administration and can be directed towards the back of the mouth to minimize the chance of spitting it out.

5. Consulting with a Pediatrician: If a child consistently refuses medication, it may be worth discussing alternative formulations or medications with a pediatrician. There may be options available that are easier for the child to take.

In summary, it is crucial to adhere to prescribed medication regimens to avoid complications and ensure effective treatment. For administering medication to young children, employing creative strategies and consulting healthcare professionals can help facilitate the process. Always prioritize safety and effectiveness when considering how to give medications to children.

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