Oct
01
2008

Go Easy On Tempra And Tylenol In Young Kids

With cold and flu season around the corner, the medicine shelf will fill up with remedies that provide symptomatic relief for those who caught a bug. Children who have an elevated temperature will very likely receive over the counter medication such as Tempra drops or Tylenol for children. These preparations have been around for decades, and parents are usually confident that they are harmless.
A Lancet article points out that there are certain risks associated with them, and the most sensitive age group are the youngest children. A study documented that the mother’s use of paracetamol (identical to acetaminophen or Tylenol) during pregnancy can be associated with the development of asthma in 6 to 7 year old children. More recently 205,487 children in the age group of 6 to 7 were included in a survey. The children were from 73 centers in 31 countries. In the analysis of data the use of paracetamol in the first year of life was checked against the risk of asthma symptoms once the children were 6 to seven years old. Paracetamol use in the first year of life also played a role in the increased risk of rhinoconjunctivitis and eczema.

Go Easy On Tempra And Tylenol In Young Kids

Go Easy On Tempra And Tylenol In Young Kids

With these results, parents should resort to the children’s’ Tylenol and Tempra drops only, if fairly aggressive intervention is necessary. Too often over the counter meds are used “just in case he or she is coming down with something”. Symptomatic home remedies in children such as lukewarm baths to bring down an elevated temperature, cool fluids bring relief, and ice packs still have their place in the control of mild febrile symptoms.

The Lancet 2008; 372:1039-1048

Last edited December 3, 2012

Jan
01
2007

Acetaminophen Overdosing Hazards

The FDA has expressed some concerns about the self-medicating with acetaminophen as this can led to an acetaminophen overdose. The over-the-counter medication is commonly used and especially in the winter season many sufferers of colds or influenzas will keep it handy. It is readily available, not only in pharmacies but also in supermarkets under the generic name or under brand names such as the commonly used Tylenol. It exists in dosages for adults and there are pediatric preparations like Children’s Tylenol. Acetaminophen is also a common ingredient in cold remedies. Every vial displays a clear warning that the content is enough to cause serious harm. Dosage instructions are also clearly spelled out.
More than 200 million people take Tylenol each year and 400 people die of liver failure every year, as they have accidentally taken too much.
Dr. Charles Cain from the New York Presbyterian Hospital has cautioned that overdoses can happen relatively easy. A patient is not to exceed 4 grams of acetaminophen per day. If the pain reliever is taken every 4 hours instead of the recommended interval of 6 hours, such as 2 extra-strength Tylenol at 500 mg each and some cold medication is added to that, patients may easily reach 4-6 grams of acetaminophen per day. If this practice continues for a few days, it can lead to liver damage, because the liver cannot keep up with the elimination of the drug. Other substances metabolized by the liver such as alcohol can become a serious hazard, if they are combined with acetaminophen. The effects of alcohol slow down the elimination of Tylenol by the liver.

Acetaminophen Overdosing Hazards

Acetaminophen Overdosing Hazards

It is for this reason that it is important to observe closely how much of the medication is taken in total: if a patient is already taking Tylenol for headaches, more acetaminophen (Tylenol) in the form of an over-the-counter cold medication should not be added as  would be reached.
These medications have to be used with an eye to overall daily use and the amount used over a period of time. Used with care acetaminophen remains very safe.

Reference: December 20, 2006 online issue of Time

Last edited December 5, 2012