3 imperatives to transform health care in America. You're invited to watch it live

Free

E-newsletter

Subscribe to Housecall

Our weekly general interest
e-newsletter keeps you up to date on a wide variety of health topics.

Sign up now

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
Photo of Jay Hoecker, M.D.
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, 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, Minn.

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?

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 still 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 an accidental overdose.

What about antibiotics?

Antibiotics may 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.

Next page
(1 of 2)
References
  1. Fischer H. Common cold. In: McInerny TK, et al. Textbook of Pediatric Care. Elk Grove Village, Ill.: American Academy of Pediatrics; 2009:1934.
  2. Pappas DE, et al. The common cold in children. http://www.uptodate.com/index. Accessed July 21, 2011.
  3. Giving medication to children. U.S. Food and Drug Administration. http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm164427.htm. Accessed July 21, 2011.
  4. 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 July 21, 2011.
  5. Stopping germs at home, work and school. Centers for Disease Control and Prevention. http://www.cdc.gov/germstopper/materials/home_work_school.pdf. Accessed July 21, 2011.
  6. Drutz JE. Symptomatic relief of sore throat in children and adolescents. http://www.uptodate.com/index. Accessed July 21, 2011.
  7. When to call the baby's doctor: Print-and-go guide. U.S. Department of Health and Human Services. http://www.womenshealth.gov/pregnancy/mom-to-be-tools/when-call-baby-doctor.pdf. Accessed July 21, 2011.
  8. What to do in a medical emergency: Fever. American College of Emergency Physicians. http://www.emergencycareforyou.org/EmergencyManual/WhatToDoInMedicalEmergency/Default.aspx?id=242&terms=fever. Accessed July 21, 2011.
  9. Bobb B, et al. Fever and sweats. In: Walsh D, et al. Palliative medicine. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/171587449-4/0/2038/167.html?tocnode=57251154&fromURL=167.html. Accessed Aug. 17, 2011.
  10. Rennard BO, et al. Chicken soup inhibits neutrophil chemotaxis in vitro. Chest. 2000;118:1150.
  11. CDC says "Take 3" steps to fight the flu. Centers for Disease Control and Prevention. http://www.cdc.gov/flu/freeresources/2009-10/pdf/h1n1_take3.pdf. Accessed July 25, 2011.
CC00083 Oct. 18, 2011

© 1998-2013 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "MayoClinic.com," "EmbodyHealth," "Enhance your life," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research.

  • Reprints
  • Print
  • Share on:

  • Email

Advertisement


Text Size: smaller largerlarger