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Children

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.

Could I give Lortuss to my 6-month-old baby? She has a cough?
Do not give your baby anything without advice from the pediatrician. Lortuss has several different formulations including some with the narcotic hydrocodone.

I gave my 8-year-old, 75-pound son 10ml of Dimetapp Multi Cold Symptoms. Can I give him Children Claritin?
Unless the child's doctor prescribed both to be given, I would say no. I would not recommend giving two different (at least 1 being long acting) antihistamines to an 8 year old in the same day.

We gave my 14-year-old, 111-pound child too much Motrin. We gave him 400mg at 6:30 pm and 800mg at 10 pm. Will this hurt him?
At 14, this person would be considered an adult for dosing purposes. If the 1200mg is all he got in the day, he is under the maximum recommended dosing guidelines. He may have some stomach distress.

I gave my 3 1/2-year-old loratadine and then realized she was also coughing and had a fever. I gave her a multi symptom cold medicine. Will she be OK?
I believe what you are indicating here is that you gave your child both a multi symptom cold medication as well as loratadine. The FDA does not recommend giving any child cough or cold medications. She would most likely be more drowsy or lethargic after taking these two medications. Double and triple check the drug and dose.

My daughter is five months old and has a cough. I was told a 1/4tsp of Dimetapp was fine. Is this OK?
Do not give any cough or cold medications to young children without being instructed by a pediatrician. The FDA does not recommend these products for young children.

My 14-month-old, 23-pound son took 2.5tbsp of prednisone and he's prescribed 3ml. Is he going to be OK?
Your question is problematic in several ways. Is the medication prednisone or prednisolone? Prednisolone (Prelone) is the most common liquid steroid used in pediatrics. The concentrations and dosing is different. Did the child get 2 and a half (2.5) teaspoonfuls or tablespoonfuls? There is a 3x difference in standard sizes. First, you should call the Poison Control Hotline 1-800-222-1222. Next, call the child's doctor or take him to a hospital. If the medication is prednisone, it is very infrequently used. I would suspect you have prednisolone and he was given an overdose. Please always double check the medication, directions and the dose you give for any child's drugs.

I accidentally gave my 28-month-old, 35-pound child 5ml of Bromfed instead of the 2.5l prescribed. Will he be OK?
Most likely there will be no problems. Keep the child well hydrated. Please always double check the drug and dosage when giving a child any medication. Keep all medications out of the reach of children.

Can I give my 8-year-old, 50-pound son Tylenol for fever if he takes Concerta for ADHD?
There are no direct drug interactions between Concerta (methylphenidate) and Tylenol (acetaminophen). They may be given together.

I gave my 4-year-old a Pepcid 20mg by mistake. Do I need to take him to the Emergency Department?
You do not need to take the child to the Emergency Department. Pepcid (famotidine) is a medication that is indicated for use in children. Not knowing the weight of your child, I can tell you the recommended dose is 2mg/kg (2.2lbs) per day up to a maximum of 40mg per day, divided into 2 doses.

Can I give my 8-year-old, 107-pound son Mucinex D or Sudafed for sinus congestion?
I can not recommend you give your son an adult strength medication. I would suggest trying saline nasal spray or drops (Ocean, Ayr) first, to moisturize the nasal passages and try to relieve the congestion.

I gave my grandson 1 tsp of child's ibuprofen an hour and a half ago. Can I give him children's cold and cough medicine now?
Not knowing what cold/cough medication you have, I can only say that if this has been prescribed by the child's pediatrician, and it does not
contain ibuprofen (Motrin or Advil), there would not be a problem. If the child is 6 years old or less and the cold medication was not prescribed by a physician, I cannot recommend you give this as the FDA has determined the risks of giving young children cough and cold medication outweigh the benefit.

Is it safe to give a 6 month old zzzQuil to help her sleep when she cranky?
No. The FDA recommends that over-the-counter cough and cold products not be used for sedation in children of any age. A Public Health Advisory was issued in January 2008.

My son is 18 months old. His doctor prescribed albuterol. I compared it to a prescription of albuterol that was given to me and it's the same dosage. Is his dosage correct?
You do not indicate what type of albuterol (Ventolin) you are using or the weight of your son. It is available in oral liquid or inhaled nebulizing solution or oral inhaler. I cannot answer if a mistake was made or not. If you have any questions, please contact your doctor or pharmacist.

I accidentally gave my 31-month-old, 27-pound son 3ml of family wellness nighttime cold & flu multi-symptom relief instead of his cough medicine. Will he be OK?
The product you have I believe is a generic Tylenol Cold and Flu Multi Symptom Night Time. Unless the child has difficulty breathing there should not be any severe problems. Keep him well hydrated.

I have a 4-year-old with a nasty cough. She has asthma and I wanted to know if it's safe to use her inhaler after giving her Tylenol? There are no direct drug interactions between Tylenol (acetaminophen) and albuterol (Ventolin, Pro-Air), the most commonly used asthma inhaled drug.

I accidentally gave my 3-month-old 5cc of chlorpheniramine syrup. It is safe?
Young children should not be given cough and cold medications, like this antihistamine, without being prescribed by a physician. There are many possible side effects from antihistamines. These vary in severity and intensity, most commonly dizziness, restlessness and urinary retention. Give the child plenty of water.

Can my 8-year-old take Zyrtec, Orapred and Triaminic Cold and Cough together?
The Orapred (prednisolone) has no direct drug interactions with either of the other two medications. Normally this steroid is given in the morning after food or milk. Give this exactly as prescribed. The Zyrtec (cetirizine) is a long acting antihistamine. the Triaminic Cold and Cough (chlorpheniramine, dextromethorphan, pseudoephedrine) contains a short acting antihistamine. Do not give these both the same day without consulting the child's pediatrician first.

My son is 2 months old and was prescribed albuterol for a cold, but it is causing tremors. What should I do?
You should contact the pediatrician and speak to them. Side effects of albuterol (Ventolin, Proventil, Pro-Air) include agitation, excitability, hyperactivity, restlessness and tremor among many more problems.

My 3-year-old has been taking prednisone and albuterol. Is giving both these meds every 3-4 hours too much?
This is a question that should be posed to the pediatrician that prescribed these medications. Normally oral prednisone is given once daily and albuterol can be given every 3 to 4 hours, for severe asthma. Please call the physician.

My 2-year-old was prescribed Robitussin at night for her cough. She also takes Singular, Zyrtec and Dimetapp at night time, which were prescribed for allergies. Are these OK to take together?
The only possible direct drug interaction between these medications concerns the duplication of antihistamines. Both the Zyrtec (cetirizine) and Dimetapp (brompheniramine) are antihistamines. Be sure the doctor meant for you to give both of these the same day. The Robitussin (guaifenesin) is an expectorant. Be sure to give the child plenty of water. This will help to keep the secretions loose. The Singulair (montelukast) should be given at the same time each day to work effectively. Never give more than the physician orders for the child.

Is it safe for my 9-year-old to take ondansetron for her vomiting?
Routine use of antiemetics is not recommended but single doses of ondansetron (Zofran) can be given if ordered by the physician. Do not give this to any child it has not been prescribed for. Talk to the pediatrician if the vomiting is severe.

My 100-pound, 8-year-old son took 10mg of Singulair by mistake when he was prescribed 5mg. Will he be OK?
The recommended dose for children under 15 years is 5mg of Singulair (montelukast) daily. The manufacturer (Merck) has noted that there were no side effects reported in the majority of overdose reports. The most frequently occurring symptoms reported with overdose in adults and children included abdominal pain, sleepiness, thirst, headache, vomiting, and hyperactivity. Give your child plenty of water. Make sure to keep medications out of the reach of children.

My son is 13 and weighs 170 pounds. I just learned, after giving him two aspirins, that it's not safe for kids. He is recovering from the flu and complained of soreness in his neck and throat before giving him the aspirin. Is he OK?
The commonly accepted age limit of a child is 12 years old. Generally, if you are over 120 pounds and close to 12 years, you will be dosed as an adult. Your son is over 12 and the weight of an average adult male. Do not worry about giving him aspirin. 

My daughter had her tonsils removed. She was prescribed codeine, ibuprofen and paracetamol. Last night I accidentally gave her too much ibuprofen. This morning she woke up sick and shaky. Is she OK?
The ibuprofen (Motrin, Advil) is an NSAID. These products irritate the stomach. Not knowing how old or how much the child weighs, I can only provide basic information. I believe the child just had her stomach upset as a typical side effect of the drug. Codeine can also irritate the stomach. The Paracetamol (acetaminophen or Tylenol) would not upset the stomach. Treat her as you would for any typical stomach ache.

Can I give my 15-month-old Tylenol for his fever, cetirizine for a stuffy nose and azithromycin all together?
If the cetirizine (Zyrtec) is not prescribed by the doctor, do not give this to the child. The azithromycin (Zithromax) is taken early in the morning each day, normally for 5 days. You may give Tylenol (acetaminophen) with each, if needed.

I gave my 2-year-old grandson half a teaspoon of Benadryl. Is that OK?
Do not give cough and cold medications to young children unless prescribed by the pediatrician. Always follow the directions on the label regarding the dosing on any medication.

My 4-year-old, 43-pound son has an ear infection. How much amoxicillin 125mg per 5ml should I give him? And how often?
The physician should have had the directions on the prescription for the amoxicillin (Amoxil). The American Academy of Pediatrics no longer recommends amoxicillin for moderate to severe ear infections. This is due to the resistance bacteria have developed to this drug. Augmentin (amoxicillin with clavulanate) is the suggested replacement drug. The previous recommended dosing for infants and children was 40mg per kg per day divided into 3 equal doses. Your son is about 19.5 kg so his dose would have been 250mg 3 times daily. Ten days would be the length of therapy. Please verify the dosing with the pediatrician or pharmacy you from which you obtained the antibiotic.

My son had a stomach virus 2 weeks ago. We have been to doctor twice (first time regarding sinus issue 4 days after initial stomach virus and second visit regarding extremely watery diarrhea 13 days after initial tummy issue). Today diarrhea was persistent and pharmacist advised .6 ml of Imodium once would be OK. Your opinion?
You do not say how old the child is but I will assume the pharmacist you spoke to gave you the proper dosing information. Imodium (loperamide) is the over-the-counter product for diarrhea. Generally it is very effective. About the only other things I can suggest would be to give the child yogurt, be sure that they keep hydrated, use Pedialyte to prevent electrolyte imbalance.

I mistakenly gave my 26-month-old, 27-pound son his second dosage of Bromfed 3ml two hours early. Is he going to be OK?
Hold the next dose until the correct time. Your child should be fine.

My son wight 55 pounds. How many adult Tylenol pills can I give him?
A child weighing 55 pounds is 25 kg. The proper oral dose for Tylenol (acetaminophen) is 15mg / kg twice daily for pain. The recommended dose for a child your son's size would be one adult (325mg) tablet twice daily. Do not give him more than 2 per day.

My 9-month-old son has a cold and cough, is running a fever has nasal congestion. The hospital says to give him Motrin but he keeps crying. Can I give him Equate Children's Nighttime Cough and Cold?
I cannot suggest giving young children cough and cold medications as the FDA has determined the side effects and possible risks are not worth any questionable benefit these products may provide. The hospital provided you with the best advice. Try to keep the child fever free and comfortable. You may use a saline nasal drop (not the spray) 1-2 drops in each nostril. This will moisturize the nasal passage and help relieve congestion.

What is the recommended dose of Intuniv for a 13-year-old boy who weighs 105 pounds?
Assuming the reason your child is taking this is for ADHD, it is recommended to begin dosing with 1mg daily at the same time each day. The dose is then adjusted upwards by not more than 1mg per week up to a maximum total daily dose of 4mg.

I accidentally gave my 26-pound, 17-month-old 1/2 tsp of NyQuil instead of Benadryl. Will he be OK?
There are many different types of Vicks Nyquil. I do not know what the formulation you gave so all I can basically say is to give the child plenty of water and observe for unusual reactions. Small children should not be given any cough or cold medications unless prescribed by the pediatrician.

My 2 1/2-year-old son is taking promethazine dm syrup 6.25-15mg (2)milliliters orally every 6-8 hours. His cough is to the point that he is vomiting. Is there another cough medicine that is safe to give him?
Since the promethazine dm (Phenergan DM) is a prescription product, and the 2ml dose is correct for your son's age, I will assume a doctor has prescribed this product for him. Dextromethorphan (DM) is the most commonly prescribed non narcotic cough suppressant. Other than giving him plenty of water (dry mucous membranes can be a cause for coughs) and other support, the only thing I can suggest is to contact the physician and let them know what is happening to your child.

Can I give my 3-year-old Similasan if I've given her Zyrtec and ibuprofen this morning?
Similasan is the name of a homeopathic medicine company that I believe originated in Switzerland. They have many products from eye and ear drops to cough, cold and fever liquids. Not knowing what product you wish to use, I cannot give a direct answer. I can say that the FDA does not recommend giving young children any over-the-counter cough and cold medications as the risks are greater than the benefits.

Can I give my 4.5-year-old Children's Mucinex multi-symptom cold and fever even though it says not to give to anyone under 6?
No.

My son is a 16-year-old boy with tof and pa. He has had four open heart surgeries, a central shunt, a bt shunt and now has his second Hancock valve conduit. The only medication he is currently on is a 10mg dose of lisinopril once a day. He is not sleeping and it is wearing him down. Is there a safe over-the-counter sleep aid that he can take?
With all that your son has been through, please discuss this issue with his physicians. They may indicate that melatonin or diphenhydramine (Benadryl) would be suitable for him. If so, the lisinopril (Zestril, Prinivil) will not directly interact with either one of these over-the-counter medications.

My son is taking Prozac and Klonopin. Can he take Advil?
There are no direct drug interactions between Klonopin (clonazepam) and Advil (ibuprofen, Motrin). They may be taken together if needed. There is a slight chance of a drug interaction between Prozac (fluoxetine) and Advil. While the risk is low, there may be a potential to develop stomach irritation and bleeding if any SSRI like Prozac is taken with an NSAID like Advil, on a regular basis. Tylenol (acetaminophen) may be a better choice.

Is it safe to give my 10-year-old, 125-pound son, a daytime cold and flu gel tab?
This product contains acetaminophen, dextromethorphan and pseudoephedrine. There most likely was not a children's dose provided on the package as this product is meant for adults. At the size you indicate, your son is as big as some adults. I would not think a single dose would be harmful, but you should only give medications to children that are meant for children. You do not indicate which brand of this product you had, but most of these contain 1000mg per dose of acetaminophen (Tylenol). The makers of Tylenol suggest limiting children 10 years old to not more than 2400mg in a day. Always follow directions for your child using the appropriate medications.

I accidentally gave my 4-year-old 1 1/2 teaspoon of Bromfed DM instead of 1/2 teaspoon. Will he be OK?
Your child received more than the recommended daily dose all at once. All you can do is give support, have the child drink as much water as possible. If you notice unusual reactions, please call the local poison center or take the child to the closest emergency room.

My 4-month, 16.5-pound son has RSV. His pediatrician told me to give him 1ml of plain guaifenesin. Is this OK?
Even though the FDA does not recommend giving children 6 or under any over-the-counter cough or cold medications, the use of these medications under the direction of a doctor/pediatrician is perfectly appropriate. Try to give extra water or other liquids while using this medication.  If you have further concerns or if the child is not getting better, please contact the pediatrician.

I gave my 18-month-old son a tsp of Claritin for allergies this morning. Twelve hours later I gave him the Singular his doctor prescribed. Is that OK?
There are no direct drug interactions between Claritin (loratadine) and Singulair (montelukast). They may be taken in the same day without problem.

Is it OK to give my 5-year-old daughter cetirizine and cold/cough dm elixir?
I will not recommend giving any child under 6 any cough, cold or allergy medications that have not been prescribed by the child's pediatrician.

My 12-year-old took 2 tablespoons of Tylenol Multi symptom Severe and 1 tablespoon of DayQuil. Should I worry about an overdose?
If this child is a typical normal sized 12 year old, this is actually less than the maximum single dose for acetaminophen. 12 years is the start of adult dosing. As long as this was a one time occurrence and there are no other problems with the child, particularly with the liver enzymes, then there is most likely nothing to fear.

What can happen if my 2-year-old ate half of meclizine hcl 25mg?
Meclizine (Antivert) is indicated for motion sickness and vertigo. It is not recommended for use in children under 12. The list of possible adverse reactions is quite lengthy and runs the gambit from headache and constipation to blurred vision, drowsiness to over stimulation, hallucinations and seizures. Most are rare but this medication is not used for children, especially the very young.

Can my 8-yesr-old take Bromfed DM syrup and Zyrtec 10mg tab if he takes Concerta 18mg daily?
The Zyrtec (cetirizine) does not interact with the Concerta (methylphenidate). They may be used together. The Bromfed DM can interact with both the Zyrtec and Concerta. Was the Bromfed product and the Concerta both prescribed be the same physician? If not, please talk to your doctors before giving the Bromfed product to your child. Taking methylphenidate with stimulants, like pseudoephedrine) can increase the risk of high blood pressure, nervousness, palpitations, problems with sleep, or other serious side effects.

Can I give my 11-year-old Mucinex liquid if she takes Singular?
There are no direct drug interactions between Mucinex (guaifenesin) and Singulair (Montelukast).

Can I give my son Tylenol and Tussin-DM at the same time?

There are no direct drug interactions between Tylenol (acetaminophen) and Tussin-DM (dextromethorphan, guaifenesin).

How much Promethazine plain syrup can I give my 68-pound child that has a runny nose, watery eyes and a cough caused from nasal drip?
Promethazine (Phenergan) is a prescription phenothiazine (neuroleptic) drug that is usually prescribed as an anti-emetic or for motion sickness. It is often used "off label" for allergy symptoms. Since this requires a prescription, you should give the dose the pediatrician has ordered for the child. Do not give medications to people they were not intended or prescribed for.

My 10-year-old has asthma. He is coughing pretty bad so I gave him Delsym and his prednisone. He is starting to run a fever. Can I give him Tylenol or ibuprofen?
There is a slight drug interaction between the prednisone and ibuprofen (Motrin, Advil). Although an interaction is possible, these drugs may be used together for short periods of time. Side effects from nonsteroidal anti-inflammatory drugs like ibuprofen, such as stomach upset, nausea, or heartburn may get worse if you also take prednisone. Given the choice, I would suggest trying the Tylenol (acetaminophen) first. Give the fever reducers only as needed.

My son is taking albuterol. Can I give him Robitussin cough medicine?
There are no direct drug interactions between albuterol (Ventolin, Proventil, ProAir) and Robitussin plain or DM (guaifenesin w/ dextromethorphan). Have your son drink plenty of water or other fluids. If the coughing does not stop in a couple of days, please contact the doctor.

I gave my 4-year-old son 2mg of Zyrtec and he should have only had 1. Will he be OK?
The 2mg of Zyrtec should not be a problem for your child.

Can my 4-year-old son take his ProAir and take Bromfed Syrup at the same time?
If both of these were prescribed by the same doctor, I would say that your son could take the Bromfed Syrup (brompheniramine, phenylephrine) around the same time he uses the ProAir (albuterol) inhaler. If these were prescribed by different physicians, then I would contact the doctors and ask them first.

My 4-year-old son is taking Dimetapp per MD order. When flying, can I also give him Children's Dramamine for motion sickness?
I would not suggest that you give both the Dimetapp and Dramamine in the same day, without talking to the doctor. This may be a duplicate therapy. Your son may feel drowsy or more tired when taking these drugs together.

My 9-month-old baby drank 4.0ml ibuprofen. Is that bad for him?
If your child weighs anywhere close to 15 pounds or more, there is no problem other than a possible stomach upset.
Keep all medications out of the reach of children.

My son says Brufen children's syrup is "spicy" and refuses to take it. What should I do?
Brufen (ibuprofen) is a UK brand that I would expect, like the US Motrin or Advil products, be available in several flavors. It is possible that your child does not care for the flavor of the product. Did you verify that the bottle has not expired? You could try to dilute the dose in water or juice that he will drink. May sure that he drinks the whole amount. You could also try finding a different flavor of children's ibuprofen liquid or a chew-able tablet.
Give this with food to prevent stomach upset and use only as needed.

I gave my 5-year-old daughter cetirizine 1mg because she was sneezing. Then I gave her acetaminophen 80mg tab because she had a fever. Is this OK?
The cetirizine (Zyrtec) will not have any effect on fever. This is fine to use for allergy symptoms like sneezing. The dosing of acetaminophen (Tylenol) is based on weight for children. I do not know how much your child weighs, but it is possible that 80mg is not the correct dose. The recommended dose for fever in children is 10-15mg per kg every 4 to 6 hours up to 5 doses per day. As an example, if a child weighs 44 pounds (20kg) the dose would be 200-300mg as often as every 4 hours to control the fever. Please read and follow the directions on the bottle and use as needed. If the fever continues for more than 2 days, please contact the child's doctor.

Can I give my 12-year-old DayQuil or NyQuil soft gels?
According to the manufacturer, Vicks DayQuil may be given to adults and children 12 and older, 2 capsules every 4 hours up to 4 doses per 24 hours. Vicks Nyquil may be taken by adults and children 12 and older, 2 capsules every 6 hours up to 4 doses in 24 hours. If your child is normal sized or less, I would suggest trying 1 capsule to start. If she is congested, have her drink plenty of water.

My son is 6 and I am giving him Mucinex Multi-System Cold. He has a fever. Is it OK to give him Tylenol or ibuprofen?
As long as your Mucinex Multi Symptom Cold product (guaifenesin, dextromethorphan, phenylephrine) does not contain acetaminophen, which is found in some similar products, you may give Tylenol (acetaminophen) or ibuprofen (Motrin, Advil) to your son.

My 4-year-old is currently taking risperidone .5. She is coughing with a running nose. Can I give her Dimetapp?
Do not give the Dimetapp (brompheniramine, pseudoephedrine) while taking risperidone (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 ibuprofen 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 milligrams 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 Benadryl 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.

 
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