Government Panel Votes Nonprescription Cough and Cold Medicines Are Risky for Those Under 6
The FDA has been advised that children under 12
should not be recommended to take any cough and cold remedies --
that these remedies are both ineffective and unsafe.
Other than Tylenol (acetaminophen) or Children's Advil/Motrin (ibuprofen),
do not give your child anything without a prescription from your pediatrician.
My 4-year-old is currently taking respiredone .5. She is coughing with a running nose. Can I give her Dimetapp?
Do not give the Dimetapp (brompheniramine, pseudoephedrine) while taking respiredone (Risperdal), without speaking to the doctor first. Avoid cough and cold medications in young children unless prescribed by the pediatrician.
What will happen to 6-year-old taking 50mg diphenhydramine?
The FDA is still formulating a recommendation for children between 2 and 12 for cough and cold products. In October 2007, the FDA Nonprescription Drug Advisory Committee and the Pediatric Advisory Committee recommended that nonprescription cough and cold products containing pseudoephedrine, dextromethorphan, chlorpheniramine, diphenhydramine, brompheniramine, phenylephrine, clemastine, or guaifenesin not be used in children less than 6 years of age. The main side effects of short acting antihistamines in children can be opposite of adults. You could see agitation, confusion, insomnia, restlessness and tremors, as side effects of diphenhydramine.
My 6-year-old, 50-pound son has a croup cough. I gave him Dimetapp Cold and Allergy 30 minutes ago. Is it safe to give him iuprofen too?
I would not recommend giving the Dimetapp products (or any cough or cold medication) to children unless recommended by the pediatrician, especially the multi symptom medications. The ibuprofen (Motrin or Advil) will not interact with most Dimetapp products, unless they contain ibuprofen also.
Can I give my 11-year-old child Mucinex and montelukast 5mg at the same time ?
There are no direct drug interactions between Mucinex (guaifenesin) and montelukast (Singulair).
My daughter is 2-years-and-8-months old. She was having problems breathing so the doctor suggested a nebulizer but the sound from her chest was still there. He prescribed Ventolin syrup. What are the side effects of Ventolin?
Ventolin (albuterol) is indicated for asthma and bronchospasms (lung passage spasms). Not knowing what other drugs were prescribed, I cannot check interactions. The Ventolin will help keep the passages in the lungs open, so if there is fluid there, it can get out easier.
My 5-year-old, who weighs 51 pounds, took 1+D6 children's Dramamine and 9 hours later took 5 miligrams of Children's Zyrtec. Is this OK?
The FDA recommends that cough and cold products, including antihistamines, not be used in infants and small children. They are still reviewing data for children up to 11, but have not made results public. Both Dramamine (dimenhydrinate) and Zyrtec (cetirizine) are antihistamines. Do not take Zyrtec and other antihistamines together without talking to the physician. I am glad you waited several hours before giving the second product. If you are going to take both in the same day, at least the longer lasting product was given last.
My 3-year-old son is allergic to Advil. Could my 2 year-old daughter also be allergic?
I cannot answer whether your daughter would be allergic to the same medication your son is, but it is wise to be alert and watch for signs of an allergic reaction. Give the Advil with food or milk to prevent stomach upset. Please contact the child's physician if you have concerns or direct questions.
I gave my 8-month-old, 18-pound daughter 1/2 teaspoon of Children's Mucinex 1/2 of 1/2 a teaspoon of Benadry at same time. She's very restless. Is this normal?
The antihistamines like Benadryl (diphenhydramine) in young children can actually cause excitability, restlessness and agitation, whereas in adults this drug normally causes drowsiness. There are no direct drug interactions between Mucinex (guaifenesin) and Benadryl. What you are seeing is one reason the FDA does not recommend cough and cold medications to be given to young children. The side effects can be worse than what you are trying to control.
My 24-pound, 12-month-old received a steroid shot at the ED two days ago for croup and upper respiratory infection. I followed up with the pediatrician and she prescribed 15mg/5ml prednisolone. It says to give him 3/4 teaspoonful twice a day for 5 days. Is this correct or too much? She also prescribed Bromfed DM 1/4 teaspoonful by mouth 4 times a day.
First we will discuss the steroid dosing. Steroids are used frequently for upper respiratory conditions. The doctor has dosed your child correctly according to the appropriate guidelines. Secondly, the FDA does not recommend young children be given cough or cold medications as the chance of side effects outweigh any perceived benefit, unless these products are prescribed by a physician. The Bromfed DM is used to treat upper respiratory congestion and to relieve coughing. Give plenty of water with this and give only as long as needed. If you have any concerns, please contact the prescribing physician.
Can I give a 2-year-old promethazine plain cough syrup?
The promethazine (Phenergan) cough syrup requires a prescription. The FDA does not recommend young children to take promethazine due to the risk of fatal respiratory depression. Never give any medication to someone it is not prescribed for. Never give adult medications to children, unless prescribed by the pediatrician.
My son is on Vyvanse 20mg capsules once daily. Can he take Bromfed DM for a cough?
There is an interaction between Bromfed DM and Vyvanse. They should not be taken together. Discuss your son's drug regimen with his health care provider prior to taking these drugs together.
I gave my 5-year-old Claritin allergy medicine but he is running fever. Can I give him Childrens Tylenol?
There are no direct drug interactions between Claritin (loratadine) and Children's Tylenol (acetaminophen). They may be given together if needed.
I gave my 42-pound, 4-year-old loratadine and four hours later gave her Tylenol Cold plus Flu. Will she be OK?
There is a minor drug interaction between loratadine (Claritin) and Tylenol Cold plus Flu. It is a duplication of the antihistamines. Although an interaction is possible, these drugs are often used together. Your child may feel drowsy or more tired when taking these drugs together.
My 40-pound, 3-year-old, who should be taking 9ml Childrens Benadryl, took 15ml. What will happen?
The FDA does not recommend using cough and cold medications in young children unless prescribed by a physician. The 15ml of Benadryl (diphenhydramine) is higher than the single recommended dose for children. It is not more than the total maximum daily dose for a child the size of yours. The child most likely got drowsy from the dose.
I have a 4-mounth-old baby that was prescribed albuterol and now her face is bright red. Why?
There have been reports of rash (unspecified), erythema and urticaria in children after getting albuterol (Ventolin). If this is the first dose that your child has received, please contact the pediatrician. Severe side effects are rare but a rash can also be a sign of even larger problems.
My son has pulled a muscle in his neck. I have given him Nurofen and Paracetamol. He is still in pain. Can I give him some codeine to relieve the pain?
Nurofen is the UK version of Motrin (ibuprofen), an NSAID. Paracetamol is the UK version of Tylenol (acetaminophen). There are no direct interactions between either of these medications or with codeine. The codeine can cause drowsiness so be careful if he has to be alert.
Can I give my 9-month-old boy children's Wal-Zyr and then couple hours later give him infant Tylenol?
There are no direct drug interactions between Wal-Zyr (cetirizine, Zyrtec) and Tylenol (acetaminophen). They may be
taken together if needed.
How many hours apart can a 9-year-old take Benadryl?
The recommended dosing times of Benadryl (diphenhydramine) for allergies, cough, cold and vertigo (motion sickness) is every 4 to 6 hours as needed. Do not take more than 4 doses in 24 hrs. Benadryl may cause drowsiness.
Can I give my 10-year-old son 2 puffs of albuterol inhaler and 2 1/2 teaspoons of ibuprofen at the same time?
There are no direct drug interactions between albuterol inhalers (Pro-Air, Ventolin, Proventil) and ibuprofen (Motrin, Advil). You may give
one right after the other if needed. Give the ibuprofen with food or milk to prevent stomach irritation.
I have a 28-pound, 19-month-old with asthma. He is still wheezing after a nebulizer treatment and has a nasty cough. Is there anything I can give him?
Unfortunately I will have to direct you to your child's doctor. The FDA does not recommend giving children under two years any cough medications. I can suggest trying to give the child more fluids like water or juice. During the winter, when the furnace runs, the air dries out and this may lead to nasal congestion and irritation of the throat. This may be the cause of the cough.
Can I give my 2-year-old prednisolone after I gave him 1/2 teaspoonful of antibiotic?
You don't indicate what the antibiotic your child is taking. The steroid prednisolone (Prelone) does not interact with any of the most common pediatric antibiotics. Always give the prednisolone with food or milk to prevent stomach upset. Give the antibiotic as directed until the prescription is finished, unless otherwise instructed by the doctor. Some antibiotics should be given on an empty stomach. Please read the instructions completely.
Can I give my 5-month-old baby Childrens liquid Panadol after giving her liquid vitamin?
Panadol (acetaminophen) does not interact with any vitamin product. They may be given together.
I gave my 2 1/2 year-old son Histal EX. Can I give him Children's Panadol for his fever?
Histal EX is not available in the United States. From what I can find, it is an expectorant (guaifenesin) that also contains an antihistamine, (either chlorpheniramine or cetirizine). Panadol is a brand of acetaminophen found in the UK. There are no direct drug interactions between guaifenesin, acetaminophen or either antihistamine. Follow the instructions on the label for his age/weight. Give each of these only as needed.
Can I give my 12-year-old ibuprofen 100 for fever and Dimetapp Cold and Cough for other symptoms?
You do not indicate what the symptoms are that need to be addressed. The ibuprofen (Motrin, Advil) is for fever and pain. This should be given with food or milk to prevent stomach irritation. The Dimetapp Cold and Cough (dextromethorphan and pseudoephedrine) is a cough suppressant and sinus congestion combination product. There are no direct drug interactions between these two medications so they could be given together if needed.
Can I give Robitussin Total to my 13-year-old daughter? She is around 100 pounds.
This product is indicated only for adults. There are warnings on the box indicating ADULT USE ONLY. The definition of adult is 12 years and older. This drug should not be used by those with heart disease or high blood pressure without consulting their physician. These drugs are used for fever and pain (acetaminophen), cough (dextromethorphan) and sinus congestion (pseudoephedrine). If your daughter does not have all of these symptoms, it would be better to give her products to only treat her symptoms.
Can Children's Allegra and Children's Robitussin Cough be taken at the same time?
There are no direct drug interactions between Allegra for children (fexofenadine) and Children's Robitussin Cough (dextromethorphan). They may be given together if needed. Use only as needed and follow the directions appropriate for your child's age and size. Keep the child well hydrated.
I gave my 11-year-old, 98-pound son 2 1/2 teaspoons of Equate Childrens Allergy Relief when it should have been 2. Will he be OK?
You gave him about 32mg of diphenhydramine which is slightly above the recommended dose, but less than the maximum dose for this drug in a child your son's age/size. He will be fine. You may want to give him extra fluids like water.
Can my 5-year-old, 61-pound son have promethazine pill which is 25mg or do I cut it in half?
Do not give any prescription medication to someone other than the person it was prescribed for. If the child's pediatrician prescribes promethazine (Phenergan) to your son, the doctor will determine the appropriate dose.
Is it safe to give my 9-year-old son children's Sudafed PE while he is on guanfacine?
Do not give your son the Sudafed PE (phenylephrine) while taking guanfacine (Tenex) without speaking to the physician.
Taking drugs like Sudafed could increase the risk of side effects. These side effects can include: high blood pressure, nervousness, palpitations, or other serious side effects.
Can you break a Children's Tylenol Meltaway up to give to an infant that weighs between 24 and 26 pounds?
Do not give an infant the Tylenol Meltaways (acetaminophen). This can be a choking hazard. Please use the oral infant drops that are made specifically for small children and infants.
Is it OK to give PediaCare Multi Symptom cold medicine with acetaminophen with prednisolone and azithromycin?
There are no direct drug interactions between these medicines.
If a 2-year-old was prescribed Tylenol with codeine and took it at 5 p.m and then took Childrens Advil at 11 p.m. would they be OK?
There are no direct drug interactions between these two.
Is it safe to give my 13-year-old, 100-pound son Claritin D 24 hour allergy?
Yes. Claritin D 24hr (loratadine w/pseudoephedrine) is recommended for use in adults and adolescents over 12 years old.
My ex gave our 10-year-old son a low-dose asprin. Is he gonna be OK?
Most likely your son will have no problems taking the aspirin. Tylenol (acetaminophen) and Motrin (ibuprofen) would be better choices to use in children.
I gave my 2-month-old baby four drops Promethazine hydrochloride 5mg. Will it do any harm?
Never give medications to anyone they are not prescribed to. Never give a child an adult medication. Promethazine (Phenergan) is not approved for use in infants or children under 2, due to the risk for fatal respiratory depression.
My 5-year-old son is taking Zofran and has a little fever. Can I give him Motrin?
There are no direct drug interactions between Zofran (ondansetron) and Motrin (ibuprofen). Both of these should only be used as needed.
Can I give my 6-year-old son 1.5 teaspoons of his albuterol sulfate syrup twice daily instead of the prescribed 1 teaspoon three times daily?
Do not change the dosing of any medication for your child from what was prescribed. Contact your son's doctor.
Is indomethacin safe for a 7-year-old?
The anti inflammatory medication indomethacin (Indocin) is not recommended for use in patients under 14.
Is it safe to give a 12-year-old Tylenol w/Codeine only four hours after giving them Aleve?
There are no direct drug interactions between Tylenol w/Codeine (acetaminophen w/codeine) and Aleve (naproxen). If the
Tylenol w/Codeine was prescribed for the 12-year-old, then there would be no issue or problem with giving this close to the Aleve.
My grandson weighs 48 pounds and will be 6 in November. Can he take a 10mg Zyrtec tablet?
Technically, the recommended dose of Zyrtec (cetirizine) for children less than 6 years old is 2.5mg daily. Since he is less than 6, I cannot recommend giving more than 5mg daily, but I'm not going to disagree with the professional opinion of your pharmacist. The main side effects, which are dose related, include headache and drowsiness.
Can my 10-year-old take one of my Flexerils (or even part of one for back pain and muscle spasms?
According to the FDA, the safety and efficacy have not been established for Flexeril (cyclobenzaprine) for anyone under 15. Do not give any medications to anyone they were not prescribed for originally.
My 4-year-old accidentally took 2 gas relief pills. What do I do?
The most common gas relief product is simethicone. The child took two tablets which would be 160mg. This is higher than the single recommended dose but less than the daily limit. The most common side effects include diarrhea, nausea and vomiting. Have the child drink plenty of water.
If a 88-pound, 12-year-old takes 2 ibuprofens, what can happen?
Not knowing what the strength of the tablet was, I can only say that ibuprofen (Advil, Motrin) has a recommended dose for adolescents of
200mg every 4-6 hours . The main side effect of ibuprofen is stomach upset.
My 5-year-old son is complaining of stomach pains around his navel, is running a temperature and has a reddish rash on his back. What can I give him?
There are no direct drug interactions between Pamprin (acetaminophen, pamabrom and pyrilamine) and Ventolin (albuterol). They may be used together if needed.
My 5-year-old is taking Phenergan for vomiting. Can she take Tylenol for a fever?
There are no direct drug interactions between Phenergan (promethazine) and Tylenol (acetaminophen).
Can a child take Children's Claritin and prescribed promethazine DM together?
Not knowing the age of the child, I can first say that neither promethazine (Phenergan) or DM (dextromethorphan, Delsym) are indicated in children 2 or younger. If the child is older and the physician has prescribed these two to be taken together, an increased chance of drowsiness may occur.
My 65-pound, 5-year-old son may have taken 25mg diphenhydramine. Will he be OK?
He should be fine. What happened here is an example of why medications should be locked and kept out of the reach of children.
My daughter was recently prescribed 200mg of Motrin Children's. The weight guidelines suggest 150mg. Thoughts?
Motrin Children's (ibuprofen) is a safe pain and fever reducer. Give this with food or milk to prevent the stomach problems. This medication is dosed by weight. As long as you don't give so many doses to exceed the total daily recommended limit (50mg/kg), there should not be any problems. Anytime you have any dosing concerns, always ask the doctor for clarification.
My neighbor's 11-month-old daughter was given over-the-counter amoxicillin. Is that harmful?
I am not sure where you reside, but in the United States, amoxicillin (Amoxil) is a prescription medication. In a liquid form it is
only stable for 10 days after reconstitution. Never give anyone a medication that has not been prescribed for them.
My 9-year-old took two of his Concerta 54mg. Will he be OK?
The maximum daily children's dose of Concerta (methylphenidate) is 54mg. The two most common adverse reactions are nervousness and insomnia. This is a timed release drug. It will take a while to clear his system. I would suggest contacting the prescribing physician.
The Emergency Department told me to give my 2-year-old son 1 tsp total of Motrin and Tylenol. I gave him 1 tsp of each. Is that too much?
If you gave 1 tsp of each together, and the child weighs close to 22 pounds, your child should be OK. Always read the labels and double check doses for children.
My 16-year-old took 10mg Zyrtec this morning took another one this evening. Will that hurt him?
The maximum recommended dose for Zyrtec (cetirizine) is 10mg once daily. The normal dosing is 5mg-10mg daily. The biggest problem with higher doses is fatigue and drowsiness.
My 5-year-old girl has fever, her stomach hurts and she feels nauseas. Is it safe to give her anti-nausea medicine since I already gave her Motrin?
There are two common over-the-counter anti-nausea medications. These are Emetrol and Dramamine or Bonine (dimenhydrinate). Neither of these products have any direct drug interactions with Motrin (ibuprofen). If your child is nauseated, I would suggest using acetaminophen (Tylenol) for the fever. Motrin can be irritating to the stomach.
Can I give my 190-pound, 15-year-old son 10mg Flexeril for pulled muscle pain in his calves?
Flexeril (cyclobenzaprine) is a muscle relaxant. This requires a prescription. If your son has been prescribed the Flexeril by his physician, this would be appropriate for the pulled muscle. Do not give prescription medication to anyone other than the one it has been prescribed.
What will happen if I give 10-year-old son Dimetapp Cold & Flu at midnight on an empty stomach?
Assuming he received a proper dose, there should be no problems.
How much Zyrtec should I give a 58-pound, 5-year-old?
For children under 6, the only recommended Zyrtec (cetirizine) product is the syrup. The dose is 2.5mg (2.5ml or 1/2 teaspoonful) once daily. If the symptoms do no improve in five to seven days, contact the child's physician.
Can my 15-month-old daughter take a 10mg antihistamine?
There are several different antihistamines that may be given to young children, but only one for children less than 2. The only formulas approved are the liquid dosing. Zyrtec (cetirizine) -- children 1-2: 2.5mg once daily. If needed, may increase to 2.5mg every 12 hours. A pediatrician may prescribe any dose, if in their judgment, the benefit outweighs the risk.
Can my 12-year-old take Benadryl at night for allergies if he takes Concerta during the day?
There are no direct drug interactions between Benadryl (diphenhydramine) and Concerta (methylphenidate). A 12-year-old should not take more Benadryl than 25mg at a time.
Can a 14-year-old take DayQuil and Delsym together? What can she take for a headache?
There are no direct drug interactions between these medicines. Please read the label of the DayQuil you have. Have her drink plenty of water with these and if the headache continues, she can take additional Tylenol (acetaminophen) up to a total acetaminophen amount of 3000mg per day. If your DayQuil has dextromethorphan included, do not give the Delsym as this would be a duplication of drugs.
I gave my 5-year-old 4ml of Tylenol w/codeine and four hours later gave him 5ml Zyrtec. Is that safe?
The interaction between Tylenol w/codeine (acetaminophen w/codeine) and Zyrtec (cetirizine) is related to the additive side effects. If you notice slurred speech, confusion, severe weakness, or difficulty breathing while taking these drugs, contact your health care provider immediately.
My 10-year-old son has asthma and needs a breathing treatment. I have albuterol sulfate. How much can I give him?
This drug requires a prescription. Do not give to anyone or use a medication on anyone, without that person having the drug prescribed and properly dosed by that person's physician. The side effects of this medication is quite long.
Can my 12-year-old, 78-pund daughter take Flexeril 10mg for a muscle spasm in her neck?
No. Flexeril (cyprobenzaprine) is only approved for use in adults 15 and older.
Can my 10-year-old, 82-pound son take 10mg of montelukast?
The maximum dose for an adult is 10mg. I would suggest having your son's physician prescribe 5mg tablets for him.
I gave my 5-year-old Similasan for her cold. She is still running a fever. Is it safe to give her some acetaminophen?
Not knowing which specific product you gave your child, I cannot accurately answer your question. In general, acetaminophen (Tylenol) has very few direct drug interactions.
Is it safe for a 2-year-old to take liquid Tylenol and ibuprofen at the same time?
They could be given together, but I would suggest alternating doses would be more effective.
My 13-month-old, 23-pound daughter was prescribed ranitidine syrup 1 teaspoon. Is this right for her age?
A teaspoonful (5ml) of ranitidine contains 75mg of the medicine. So if your daughter is getting one dose per day she is in the middle of the range.
My 12-year-old son is nauseated and has an upset stomach. Is it safe to give him a Maalox tablet?
Maalox is indicated for heartburn or upset stomach for adults 12 and older. These should be thoroughly chewed and followed with some water.
My 6-year-old takes .2 risperidone but the pharmacy gave him 2.0. What could happen?
The safety and efficacy of risperidone has not been established. There are no indications for use in children under 10. Contact the prescribing physician immediately to inform them of what has happened.
Can my 13-year-old, 152-pound daughter take a 10mg Flexeril for a migraine?
Flexeril (cyclobenzaprine) is approved and indicated for use with musculoskeletal pain. It is not indicated for migraine headaches. Discuss this with the physician.
Can I give my 12-year-old daughter Ventolin, when her prescription is for Proventil?
Ventolin and Proventil are both brand names for albuterol. They are interchangeable.
Can my 9-year-old, 80-pound son take 5mg of cyclobenzaprine for a pulled muscle?
Do not give your child cyclobenzaprine (Flexeril). This drug has not been approved for use in children or adolescents.
My son is 15 and five days ago got a red rash over his entire body except for his face and feet. The doctor gave him Benadryl and Ranitidine. He still has the rash every five to six hours. What should I do?
If your son takes the Benadryl and the rash clears, but returns in five to six hours, it sounds like he is not taking the Benadryl frequently enough. If the rash indeed goes away for several hours, the Benadryl is doing the job. If he takes the recommended dose for 48 hours and there is no improvement, contact the doctor.
Can I mix nighttime cold and cough children's with the generic Keflex?
Yes. Give the cold medication only when needed and the antibiotic until finished.
My 4-year-old, 40-pound son has a high fever. All I have is adult Tylenol. Can I give him some?
Not knowing which Tylenol you have, I cannot recommend you giving what you have to the child. Get a child's type of acetaminophen for your son.
I'm 17. Can I take Advil Cold and Sinus and take Children's Benadryl 4 or 6 hours later?
You may take these together if needed. Take these both only when needed.
Should I be concerned if I gave my twin boys two doses of their 4mg Singulair chewable tablet today?
Since cases of Singulair overdose are rarely reported, there is no antidote or specific treatment guidelines. Be sure the children drink plenty of fluids. If they experience stomach pains or vomiting, contact their pediatrician.
My 111-pound 8-year-old has a fever, so I gave him three chewable ibuprofen tablets. The fever is not going down. Is that the correct amount for his size and and age?
Your son's weight is an adult weight. He could be given that dose up to 5 times a day if needed. If his fever does not come down after 2 or 3 doses, contact his doctor.
My daughter had an appendectomy and was prescribed Tylenol codeine for pain. Can I give her a little more because it is not strong enough?
Never give more than the doctor has prescribed. If she is not getting proper pain relief, contact the physician.
My 12-year-old, 135-pound son has problems with his feet when running in his football cleats. His physician suggested Advil. How much liquid Advil should he take?
Your son is the size of an adult. Check the label. Your son should start with 2 teaspoonfuls (10cc) and increase to 4 teaspoonfuls if needed. Give this with food or milk to prevent stomach upset.
How much Motrin can I give my 14-year-old, 150-pound son?
At his age and weight, your son would be considered an adult. The proper dose for your son would be 400mg every 4-6 hours as needed. This should be taken with food or milk to prevent stomach upset.
My pharmacist did not mix azithromycin with water, and my kids took it. What will happen?
If they took all the powder, they got all the drug, which is what you want to stop the infection. If the pharmacist doesn't talk with you, please at least read the literature that comes with the prescription.
My 10-year-old, 120-pound daughter has allergies. We are giving her 60mg Allegra but it doesn't seem to be working. Can we up the dosage? What would you recommend?
It sounds as if you have already been giving the correct dosage. If this is being taken once a day, you may want to try giving 30mg twice daily, every 12 hours. You may want to try a different over-the-counter antihistamine such as Claritin (loratadine) or Zyrtec (cetirizine) instead of the Allegra. All three of these products are long-acting nonsedating antihistamines. If these don't work, have her seen by an allergist.
My 15-month-old son does not take oral drugs like syrups. What should I do?
Several medications are available in tablets that dissolve in the mouth, as well as liquid forms. If available, this might work. Or have your pharmacy change the flavor of the medication to one your child will take. Or have the child take the dose and follow with water or juice of choice to wash the taste out of his mouth.
Can Tylenol with Codeine 220mg/6mg be given with Children's Benadryl 12.5mg? My son had surgery and has seasonal allergies.
Tylenol with Codeine (acetaminophen with codeine) and Benadryl (diphenhydramine) both may cause drowsiness. These medications should only be given if needed. The Tylenol product should be needed less and less as your child heals from the surgery.
My 2 1/2-year-old son has a bad rash. His doctor prescribed Singulair, Zantac and Zyrtec and wants him to take 1 teaspoon Zyrtec three times the first day. Is that safe?
There are no direct drug interactions between Singulair (montelukast), Zantac (ranitidine) and Zyrtec (cetirizine). They may be given together. The dose prescribed for your child is much higher than what is recommended. I would suggest speaking with the doctor regarding this dose.
My baby weighs 28 pound. What's the correct dose of Motrin and Tylenol? Her temperature is 102.9 degrees.
Either the Tylenol (acetaminophen) or the Motrin (ibuprofen) or alternating both of them can be effective in reducing most fevers. The recommended dose of Tylenol infant drops is 6ml (cc) every 4-6 hours. Do not exceed 5 doses in 24 hours. The dose of Motrin should be about 6ml (cc). You may give these both alternating every 4 hours or so. If the fever does not come down in 48 hours or if it spikes higher, contact the pediatrician or seek other medical advice.
Is it OK to give my 5-year-old daughter Allegra and Flonase at the same time?
Yes. There are no direct drug interactions between the two and both may be taken at the same time.
Can I give my 4-year-old Children's Advil for a fever and Delsym for a cough?
The FDA does not recommend giving children under 6 any cough or cold medication, without physician prescription. The Children's Advil (ibuprofen) would be fine for fever or pain. Give this with food or milk to prevent stomach upset.
My 7-year-old has a wet cough and fever. I gave him Children's Advil and Children's Delsym. Can I give him Sudafed to dry that mucus up?
There are no direct drug interactions between Advil (ibuprofen) and Delsym (dextromethorphan). Do not give Sudafed (pseudoephedrine) for these symptoms. The Sudafed will not dry up any secretions.
Can my daughter take triazolam .25 with famciclovir 500, gabapentin 100 and prednisone 20 at once?
There are no direct drug interactions between triazolam (Halcion), famciclovir (Famvir), gabapentin (Neurontin) and prednisone. The triazolam should only be given as needed at bedtime. Give the prednisone with food or milk to prevent stomach upset.
My 9-year-old son has been taking generic Concerta 18mg pills. His doctor increased the dosage to 36mg. Can I give him two of the 18 mg pills instead of one 36 mg pill?
There is no reason you could not give two 18mg Concerta (methylphenidate) to equal a 36mg dose.
My son is 10 and has poison oak or ivy and is taking citalopram and Focalin. I just gave him two Benadryl and was wondering if I could give him prednisone?
Never give anyone a prescription drug that has not been prescribed for that person. Benadryl (diphenhydramine) does not interact with any of the other medications. The antihistamine may cause drowsiness. If the child's physician has prescribed the prednisone, and if you take the citalopram (Celexa) together, you have an increased chance of developing a dangerous change in your heartbeat or heart rhythm. Please contact your son's doctor. Focalin (dexmethylphenidate) does not interact with either Benadryl or prednisone.
Can my 7-year-old take Cepastat for her sore throat?
Cepastat (menthol and phenol) is a throat lozenge that is OK for children over 2. Do not give longer than for two days without consulting the pediatrician.
My 5-year-old granddaughter threw up after taking Tylenol and Delsym. She has a 102.6 fever. Should I give her more?
I would suggest not giving another dose of Delsym (dextromethorphan) and go ahead and give a second dose of the Tylenol (acetaminophen). Follow the dosing on the label. Do not exceed 5 doses in 24 hours or a total of 2000mg.
Can I give my 2-year-old acetaminophen if she's taking azithromycin?
Yes. Be sure to give the azithromycin until it is finished. Follow the dosing instructions for the acetaminophen, it should be based on weight. Do not give more than 2000mg per 24 hours.
My 10-month-old, 28-pound son has a cough. Is it OK to give him promethazine?
Never give medication to someone it was not prescribed. The FDA does not recommend children 6 or younger be treated with cough and cold medications due to the side effects are more frequent then the benefit. It addition, promethazine (Phenergan) is never given to children less than 2 due to the risk for fatal respiratory depression. If the cough continues, take the child to the pediatrician.
What would happen if my 13-year-old, 130-pound daughter accidentally took 1200mg of Motrin and 7 tablets of Zyrtec at one time?
My first reaction would be to recommend calling the National Poison Control Center (toll-free 800.222.1222). With the Motrin (ibuprofen), 1200mg is not a major overdose. Make sure to contact your health care provider if continued nausea and vomiting problems occur. Seven Zyrtec tablets is at most 70mg. In the case of your daughter, drowsiness would be the most likely result.
Can we give Tylenol syrup with antibiotics to a 4-year-old?
Tylenol (acetaminophen) is compatible with any antibiotic. Follow the dosing instructions on the label, and give the antibiotic until finished.
Why can't I give my 85-pound 11-year-old Mucinex DM?
This timed-release product has 60mg of dextromethorphan (DM) which is more than the FDA recommends for those under 12. The chances of side effects outweighs the results. Excessive dosage may result in confusion, excitability, irritability, nervousness, restlessness, nausea and dysarthria (slurred speech). Very high doses may cause hallucinations, respiratory depression or seizures. If your tablet is scored and you can break this in half without crushing, the half strength (30mg DM) is approved for children over 6, given not more than every 12 hours. If the tablet is not scored, do not try to break this as it may damage the time release properties.
Can I give my 15-month-old Tylenol or Motrin if she is taking cefprozil?
There are no direct drug interactions between Tylenol (acetaminophen), Motrin (ibuprofen) or cefprozil (Cefzil). Give the cefprozil until finished or as long as the physician indicated.
Will it hurt my 15-year-old to take a Tylenol Cold Multi-Symptom pill and 4 hours later take a Zyrtec?
I cannot say if it would hurt or not but I would suggest waiting until the next day to take the Zyrtec (cetirizine). Do not take Zyrtec and Tylenol Cold Multi-Symptom (acetaminophen, chlorpheniramine, DM, phenylephrine) together without talking to your prescriber. This may be a duplicate therapy (both products have antihistamines). You may feel drowsy or more tired when taking these drugs together. In addition, you may experience other side effects including constipation, dizziness, difficulty with urination, dry mouth and eyes, changes in vision, fast heartbeat, or confusion.
My 2-month-old had shots and was a little fussy so we gave her Infant Advil. Is this OK?
Advil (ibuprofen) is not aspirin and does not have the same warning. Tylenol (acetaminophen) is unavailable because of manufacturing issues. You may want to consider pre-medicating the child with Tylenol or Advil, before getting the vaccinations.
Can an 18-pound, 6-month-old use an albuterol breathing treatment? She has a upper respiratory infection. I've been giving her infant Tylenol .8ml once or twice a day for a fever.
Albuterol is a bronchodilator used for asthma management or other chronic obstructive airway diseases. Its use has not been established for children under 4. This requires a prescription and proper training of the product. Do not use this drug for anyone it has not been prescribed. Keep giving the Tylenol (acetaminophen) for the fever, try to keep the child calm and well-hydrated and if she has severe difficulty breathing, seek emergency medical attention.
Can I give Delsym to my 7-year-old after giving her Triaminic Cold and Allergy medicine an hour ago? She has a terrible cough?
Yes. Have her drink plenty of water.
Can you mix ibuprofen diphenhydramine hcl, dextromethorphan hbr and guaifenesin in a 70-pound 9-year-old?
Yes. They may be given together if needed. Have the child drink plenty of water and take the ibuprofen with food or milk. These should only be given as instructed on the labels and only when needed.
Can my 8-month-old baby take chlorpheniramine and clarithromycin together?
The FDA does not recommend infants to take cough and cold medications except by instruction of the pediatrician. Give the clarithromycin antibiotic until finished and speak with the doctor regarding the allergy symptoms.
My 5-year-old son has a chest infection and is on amoxicillin. Can he have Nurofen as well? And he has a nasty cough.
Yes. Make sure your child takes the amoxicillin until finished or as prescribed by the doctor. Nurofen is primarily marketed and sold in the United Kingdom and other parts of Europe. This should be given only as needed and with food or milk, to prevent stomach upset. There are several formulas for Nurofen. Be sure to get the correct one for children.
My granddaughter is 2-1/2 and has a prescription for Zyrtec. She has a cough now. Can she take Little Colds Honey Elixir with the Zyrtec?
The FDA recommends children 6 and under not be given cough and cold medications, unless prescribed by the physician.
Can I give my 7-year-old son promethazine tabs 25mg for his vomiting?
If, and only if, the child was prescribed promethazine (Phenergan) for vomiting, the recommended dose is 12.5mg-25mg up to every 4 to 6 hours if needed. Never give medications to those it was not intended in the first place.
Can I give my child albuterol sulfate with Children's Mucinex multisymptom cold?
There can be an interaction between albuterol (Proventil or Ventolin) and Mucinex multisymptom (guaifenesin with phenylephrine). Oral decongestants like phenylephrine, taken with albuterol, can increase the risk of a fast heart rate, nervousness, palpitations, problems with sleep or other side effects. Plain Mucinex (guaifenesin) would be OK with the albuterol.
What can my son take for his vomiting and diarrhea? It could be food poisoning.
Not knowing how old your child is, the best I can do is recommend Emetrol for the nausea and Gatorade or Pedialyte for diarrhea. You want to be sure he does not dehydrate. If there is a fever, give Tylenol (acetaminophen). I would not give ibuprofen (Motrin) due to stomach irritation. If this condition continues longer than 48 hours, contact your doctor.
My 13-year-old takes fluoxetine 10mg. Can she take a cough suppressant? Her psychiatrist suggested Robitussin DM.
The most effective over-the-counter cough suppressant is DM (dextromethorphan). Although an interaction is possible between DM and fluoxetine (Prozac), these drugs are often used together for brief periods of time. Taking fluoxetine with dextromethorphan may increase the risk of restlessness, sweating, tremor, vomiting or other side effects. You may want to try a throat lozenge like Cepastat or Cepacol. These can help coat the throat and relieve the tickle that sometimes initiates a cough. Have her drink plenty of fluids.
How much Tylenol can I give my 13-month-old, 23-pound daughter?
Your child's dose would be about 100 to 150mg every 4 to 6 hours if needed. Do not give more than 5 doses in 24 hours.
Can I give my 105-pound, 12-year-old son, an aspirin for headache?
Your son may take 325-650mg of aspirin every 4 hours as needed. The maximum dose for your son would be 4000mg per day. Do not give longer than 3 days in a row without consulting his doctor.
My 35-pound, 2-year-old is prescribed 1 teaspoon of cetirizine for allergies. She accidently took two teaspoons. Is this anything to worry about?
Your daughter got the typical adult dose, 10mg of cetirizine (Zyrtec). Make sure she is well-hydrated. Give her plenty of fluids. Always double-check medication and doses for children.
How much ibuprofen can I give my 14-year-old 120-pound son?
Over the counter (OTC) is 200mg. He could take 1-2 (200mg-400mg) 3 to 4 times daily as needed. Not more than 1200mg per day unless directed by a physician. This should be taken with food or milk.
Can my 13-year-old 95-pound son take children's liquid Zyrtec?
Yes. the dose for your son is 5mg (5ml or 1 teaspoonful) of Zyrtec (cetirizine) daily. If you notice drowsiness or any other problems, stop the medication and contact the physician. This should be used as needed.
Can I give my 130-pound, 11-year-old the adult cold and cough medicine?
As long as the ingredients are the same, and nothing is in the adult formulation that the child is allergic to, this should be fine.
Is it OK to give your child acetaminophen-codeine 2.5ml and ibuprofen 5ml together?
Yes. I would suggest alternating the doses, not giving them at the exact same time. This would lessen the chance of stomach or GI irritation.
My 7-year-old, 46-pound daughter has an ear infection. The doctor prescribed cefprozil, 3 ml, twice a day. Does that dose seem too small?
The antibiotic cefprozil (Ceftin) is dosed by weight for children. If you are using the 250mg/5ml strength, the recommended amount to give would be 3 ml. The dosing for your child is right on the mark. Be sure to give this until the bottle is empty or 10 days, whichever comes first.
The doctor prescribed 4ml of Benadryl for my 6-month-old for an allergic reaction. Is that dose too high?
The recommended dose for severe allergic reactions in infants is 1mg of Benadryl (diphenhydramine) per kg (2.2pounds). Benadryl elixir is usually 12.5mg/5ml or 2.5mg/ml. The 4 ml dose has 10mg of Benadryl, which would be the recommended dose for a 20- to 22-pound child.
My child is taking Singulair and Zantac. Can he also have Delsym cough syrup?
There are no direct drug interactions between Singulair (montelukast), Zantac (ranitidine) and Delsym (dextromethorphan). If your child is over 6, they may be taken together. Do not give the Delsym if the child is 6 or less unless prescribed by a physician.
Can I give my 15-month-old daughter albuterol with her Tylenol fever reducer?
There are no direct drug interactions between albuterol (Proventil) and Tylenol (acetaminophen). As long as your daughter was prescribed the albuterol, you may give them together. The Tylenol should be limited to not more than 4 doses per day.
The doctor prescribed promethazine for my son's cough. Can I give him Tylenol?
There are no direct drug interactions between promethazine DM (Phenergan with dextromethorphan) and Tylenol (acetaminophen). You may give them together if needed.
My 50-pound, 5-year-old has developed allergies. Can I split the dose of children's Zyrtec between morning and night?
As long as the Zyrtec (cetirizine) was prescribed by the child's physician. Ask the doctor for advice, but splitting the dose to twice daily can provide better symptom control.
Can I give my 8-year-old son Robitussin with his albuterol inhaler?
Yes. There are no direct drug interactions between plain Robitussin (guaifenesin) and albuterol (Ventolin, Pro-Air, Proventil). They may be used together. Have your son drink plenty of water and take these when needed, and as directed by the physician.