Cold medicines for kids: What's the risk?
Cough and cold medicines can pose serious risks for young children. Know the facts and understand treatment alternatives.By Mayo Clinic Staff
Jay L. Hoecker, M.D.
Over-the-counter cough and cold medicines are the best way to help a child who has a cold feel better — right? Think again.
Cough and cold medicines aren't recommended for children younger than age 2 years, and the jury is still out on whether cough and cold medicines are appropriate for older kids. So how can you treat a child's cold? Here's practical advice from Jay L. Hoecker, M.D., an emeritus pediatrics specialist at Mayo Clinic, Rochester, Minnesota.
What's the concern about cough and cold medicines for kids?
Over-the-counter cough and cold medicines don't effectively treat the underlying cause of a child's cold, and won't cure a child's cold or make it go away any sooner. These medications also have potentially serious side effects, including rapid heart rate and convulsions.
The Food and Drug Administration (FDA) discourages use of cough and cold medicines for children younger than age 2.
Are cough and cold medicines a problem for children older than age 2 years?
FDA experts are studying the safety of cough and cold medicines for children older than age 2.
In the meantime, remember that cough and cold medicines won't make a cold go away any sooner — and side effects are possible. If you give cough or cold medicines to an older child, carefully follow the label directions. Don't give your child two medicines with the same active ingredient, such as an antihistamine, decongestant or pain reliever. Too much of a single ingredient could lead to side effects or an accidental overdose.
What about antibiotics?
Antibiotics can be used to combat bacterial infections but have no effect on viruses, which cause colds. If your child has a cold, antibiotics won't help. It's also important to remember that the more your child uses antibiotics, the more likely he or she is to get sick with an antibiotic-resistant infection in the future.
Dec. 23, 2016
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- McInerny TK, et al. Textbook of Pediatric Care. Elk Grove Village, Ill.: American Academy of Pediatrics; 2009:1934.
- Pappas DE, et al. The common cold in children: Treatment and prevention. http://www.uptodate.com/home. Accessed Sept. 10, 2014.
- Giving medication to children. U.S. Food and Drug Administration. http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm164427.htm. Accessed Sept. 10, 2014.
- Using over-the-counter cough and cold products in children. U.S. Food and Drug Administration. http://www.fda.gov/downloads/forconsumers/consumerupdates/ucm048524.pdf. Accessed Sept. 10, 2014.
- Stopping germs at home, work and school. Centers for Disease Control and Prevention. http://www.cdc.gov/flu/protect/stopgerms.htm. Accessed Sept. 10, 2014.
- Drutz JE. Sore throat in children and adolescents: Symptomatic treatment. http://www.uptodate.com/home. Accessed Sept. 10, 2014.
- CDC says "Take 3" actions to fight the flu. Centers for Disease Control and Prevention. http://www.cdc.gov/flu/protect/preventing.htm. Accessed Sept. 10, 2014.
- Fever and your child. American Academy of Pediatrics. http://patiented.aap.org/content.aspx?aid=5107. Accessed Sept. 11, 2014.
- Sullivan JE, et al. Fever and antipyretic use in children. Pediatrics. 2011;127:580.
- Tobias JD, et al. Codeine: Time to say “no”. Pediatrics. 2016:138;1.
- Codeine cough-and-cold medicines in children: Drug safety communication - FDA evaluating potential risk of serious side effects. U.S. Food and Drug Administration. http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm453379.htm. Accessed Dec. 9, 2016.