Trend Watch

Google
 

DR HENRY LEE RECOMMENDS CRYPTOMONADALES

Tuesday, May 6, 2008

APPROPRIATE USE OF COUGH AND COLD PRODUCTS



Health Canada and the U.S. Food and Drug Administration (USFDA) have raised concerns over the safety of cough and cold medicines (which are sold over-the-counter in these countries), especially in children below 2 years of age, and whether the benefits justify any potential risks from the use of such products.
In August 2007, US federal health advisors also recommended to the USFDA that such medicines do not work and should not be used by children aged below 6. Such cough and cold products typically contain one or more of the following ingredients: decongestants, antihistamines and anti-tussives. Although cough and cold medicines may also contain expectorants, current concerns do not apply to this ingredient.
Recently, the USFDA issued a Public Health Advisory for parents and caregivers, recommending that Over-the-Counter(OTC) cough and cold products should not be used to treat infant and children less than 2 years of age because serious and potentially life threatening side effectd can occur from such use. The adverse events reported with these products include death, convulsions, rapid heart rates and decreased levels of consciousness. However, USFDA are still evaluating the safety of these products in older children.

Both regulatory authorities are in the midst of determining if the labeling of these cough and cold products is sufficient to ensure that parents, caregivers and prescribers have enough information to make an informed decision regarding the safe use of these products.

In Malaysia, cough and cold products such as decongestants, antihistamines, and anti-tussive are classified as Group C Poison.

In May 2006, the Drug Control Authority (DCA) instructed that all products containing promethazine should not be used in children less than 2 years old due to reports of serious adverse events in this group of children and a warning statement to that effect was included for such products. The DCA is currently undertaking a review of scientific data and evidence on the use of cough and cold products in children and is also monitoring the regulatory moves of other agencies on this matter.

The DCA recommends all healthcare professionals to use cough and cold products containing decongestants, antihistamines and anti-tussives as a single ingredient or in combination when benefits have been assessed to outweigh the risks. The following recommendations need to be considered when prescribing or dispensing these products to patients:

Children <>
  • Not recommended in children less than 2 years of age because of serious and potentially life threatening side effects.

  • Children of all ages:

    • If it is necessary to give a cough and cold product to a child, make sure all labels and instructions are read before doing so. If the product does not contain dosing information for children then it should not be used in children.


    • Do not give a child a larger dose or more frequently than it is recommended in the labeling and instructions.


    • Take note of the medicinal ingredients in the product especially if more than than one product may be given to a child. Be aware that many products contain the same medicinal ingredient(s) and combined use could lead to overdose. Some herbs used in cough and cold products and some over-the-counter products used to control fever may also have medicinal ingredients similar to those in other cough and cold products.


    • It is advised not to give more than one cough and cold products to a child as cough and cold products often contain multiple ingredients.


    • There is no cure for the common cold. Children will usually recover from coughs and colds in time on their own. The common cold is a mild,viral infection that can be managed by rest, sufficient fluid intake and comfort measures.


    • In young children and babies, it is sometimes important to rule out serious illnesses (for e.g. pneumonia or other infections) which may present with cold-like symptoms; this is especially important if symptoms persist or if the child's condition deteriorates.




    3 comments:

    doron said...

    In some cases Viagrais the best solution
    Viagra Alternativemany people use
    Buy xanax
    and other try Xanax
    you can Buy xanaxand also try to use
    Phentermine
    yes many pepole try
    Buy Phentermine Online
    and many others use
    Propecia
    another drug you is
    Cialis also called a hypnotic.
    Cialis affects chemicals in your brain Buy Phentermine Online unbalanced and cause sleep problems
    cialis that causes
    cialis dose-related depression
    Alprazolam
    is useful in treating anxiety
    cialis and muscle spasms
    cialis Brand name is
    Phentermine A generic version
    Percocet is a combination of
    viagra is a Schedule
    Buy Percocet to discuss what
    Phentermine These would include
    Percocet recreationally rather than
    Buy Phentermine Online either an Addict
    Valium yes this is the best website for
    Valium here you can purchase
    Valium online without prescription,
    Valium from USA pharmacy
    Valium for Anxity, or
    Buy Phentermine Online on how best to deal
    Phentermine No prescription specifically developed to allow Phentermine No prescription for office-based treatment Buy Ativan is in a group of drugs
    Ativan is used to treat anxiety disorders.
    Klonopin is in a group of drugs called benzodiazepines
    Xanax online offers
    Xanax online sale
    Ambien best price
    Ambien best choice Ativan also here Ativan No Prescription Klonopin best price Xenical best prices Ultram online pharmacy Ambien Online best price.

    doron said...

    here you can find Viagra the best solution for ED treatment ,
    Viagra every 6 hours every day. Buy Viagra

    yes or no Viagra

    There are many online pharmacies were you can find

    Viagra
    online and prices will be much cheaper
    , Generic Viagra more over you can always Viagra On the street, Viagrafor money to
    Buy Viagra Online is the best.viagra no prescription

    In adition you can use Cheap Viagra you can buy Cheap Viagra online yes now you can buy Cheap Viagraor you can look forCialis for the same and some times Buy Cialis a longer lasting result!

    Cialis in fact is similar to viagra in it’s affect.
    Cialis is one of the most effective meal
    Buy Cialis Online enhancement medications online ! Buy Cialis Online with most online pharmacies. Buy Phentermine Online it is a worldwide known drug Buy Phentermine Online
    can be found on the web on numerous locations.
    Buy Phentermine Online

    More over yes now Buy Phentermine Online is known for it’s results
    Xanax Online
    is an anti anxiety medication Xanax is a short-acting drug
    Buy Xanax is used to treat anxiety Buy Xanax online. best online pharmacy for you.

    Vicodin Online narcotic analgesic product

    Buy Vicodin relieve moderate to severe pain
    Viagra Alternative You can find Buy Vicodin and
    Buy Valium to treat anxiety disorders. Ultram on sale Ultram best price Ultram cheap pharmacy Ambien best price Cialis online today Cialis is known for it’s results Valium online sale Valium online sale Buy Valium
    today Buy Xanax Online cheap prices Buy Xanax online today.

    doron said...

    Many pepole use Ambien Online Today.
    viagra no prescription the popular insomnia relief,
    viagra without prescription also no you can buy Cialis without prescription
    yes it is true Cialis without prescription

    is now available Viagra Online
    Find the most competitive online Ambien
    Online Pharmacies Ambien lowest prices Viagra is a semi-synthetic opioid Buy Phentermine Online naturally occurring opiates Buy Hydrocodone can be found online Hydrocodone is very effective !

    Hydrocodone is an FDA approved medication.

    Oxycodone narcotic pain-reliever.

    Oxycodone Online for sensation of pain.

    Oxycodone should be stored between 15 to 30 C
    Buy Oxycodone relief of moderate to severe pain.
    Oxycontin tablets is 5 to 30 mg every 4 hours. Buy Oxycontin
    narcotic pain-relievers Oxycontin may lead to increased Levitra is formulated as orange Phentermine cross debossed on one side
    Ambien only for you Ativan here also Oxycontin best price Adderall online sale Loeazepam for you Hydrocodone for pain Hydrocodone on sale today Buy Hydrocodone Online here. Buy Cialis online today Buy Phentermine Online big sale Buy Phentermine in UK pharmacy Buy Cialis cheapest prices Buy Valium today Hydrocodone Online pharmacy Adipex best offers Ambien online pharmacy Meridia best offer Buy Meridia trusted source Meridia online options Meridia best pharmacy Lorazepam best offer Alprazolam best choice accutane online here.