How can children’s medication be safe?
Experts say that there are two major reasons for children’s unsafe use of drugs. One is the lack of common knowledge among parents about medication, there are misunderstandings in medication, and the other is the lack of medication for children.
After your child became ill, as a parent, have you been troubled by “decreasing the dosage of children” on the drug insert?
Ever worry about “lack of data” about the safety and effectiveness of medications for children?
So how can we ensure children’s medication safety?
Recently, a “Children’s Safe Medication Survey”, which is expected to understand children’s medication habits and potential risks, was launched in Guangdong. Data show that the rate of unreasonable medication for this child is as high as 12% -32%.
The incidence of adverse drug reactions in children is about 12.
9% of newborns are up to 24.
Experts say that there are two major reasons for children’s unsafe use of drugs. One is the lack of common knowledge about medication, and there is a misunderstanding of medication, and the other is the lack of medication for children.
Improper use of medicines by children is very common. “There is always a small medicine box at home, but every time I give my child a headache, it is either a half pack or an adult supplement. It is not good and I am afraid it is not allowed.”
“Ms. Zhang, who lives in Nancheng, told reporters.
Ms. Zhang said that her daughter is one and a half years old this year, and there are many commonly used medicines in a small medicine box kept at home, but every time she encounters a sick child, she still can’t figure out how to give her medicine.
The reporter learned in the interview that many parents have the same troubles as Ms. Zhang.
“Last time, my husband and I were not at home, just in time for the child’s stomachache. The child gave the child medicine for purging fires, and he didn’t pay attention to the dose. Later, the child’s stomach pain worsened.
“Ms. Xin said that when she returned home, she found that the child was suffering from a cold stomachache, and immediately gave the child half a pack of mild tonic pills, but the child gave the child a whole pack of purgative medicine. Fortunately,It does not produce much anisotropy.
Another time, the child had a high fever, and the child’s uncle watched a TV and said that a child’s antipyretic medicine was good, so I bought it for the child. A few days later I heard that the drug was not good for the child’s development.Throw away any medicines stored at home.
“Ms. Xin has considered this.
Li Wei, director of pediatrics at Taiping People’s Hospital, said that in daily admissions, improper use of medicines by children is very common, and there are more adverse reactions caused by transformation.
Specifically, some parents give their children some pain medicines, or drugs such as quick-acting cold and cold capsules, which contain ingredients that may cause the child’s physical resistance; some antipyretics are used for babies under 3 months oldIt is very serious. Doctors generally do not use antipyretics for babies under 3 months of age. Some compound preparations contain ingredients that are not safe for the child. Because of the misunderstanding of advertising, the exaggerated drugs purchased are also beneficial to the child’s bodyImpact.
In the interview, a single reporter for children ‘s medicines found that in general, infants and children under the age of 2 will take extra care when taking medication and will repeatedly ask their doctors. For older children, if they have a cold-like illness, parents willWill relax your vigilance and “prescribe” your child.
Ms. Zhang’s son is 6 years old.
Ms. Zhang said that she would also give the child some adult medication, but she would read the instructions carefully, but only some information in the instructions, such as “Pediatric reduction”, “Please follow the doctor’s advice”, “Adverse reactions are not clear” also let herIt’s weird, I don’t know what to do.
She said that if there were medicines for children, parents’ doubts would be resolved.
In random interviews, many parents also expressed this intent, hoping for real children’s medicine.
It is understood that the so-called children’s medicine refers to the design suitable for children’s special physique and needs, using correctional flavoring agents to improve the bitter taste of the entrance, and improve children’s acceptance.
Another feature is that a dose scale or feeder is included in the package, allowing parents to easily grasp the dose.
The reporter learned in an interview with supplementary pharmacies that currently there is a single variety of children’s medicines, most of which focus on medicines such as cough and cold. Other medicines, especially topical medicines, have very few varieties.
In a pharmacy in Guantai Road, a salesperson said that the proportion of children’s medicines in all pharmacies’ medicines is very low, and most of them focus on medicines such as cough and cold. Others are some children’s health products.
The total sales of children’s medicines are average, and a few boxes cannot be sold in a month.
The child is uncomfortable. Most parents take their child to the hospital, and the ones who come to buy the medicine are also brought by the doctor.
It is difficult for parents to inject a dose. “Every time the child is sick, the most difficult thing is to take the medicine dose. You need to read the instructions and calculate at the same time.
The reporter interviewed a number of parents of children randomly and found that the estimated dose of the drug is hard for the parents.
Many parents also feel confused when faced with the words “Children take under the guidance of a doctor” and “Children’s discretion” on the drug instructions.
Many parents also said that taking medicine for their children is a headache, either because the pills are too bitter, it is difficult for the child to take them, or it is difficult to calculate the medicine dose accurately.
At least eating too little will affect the efficacy, eating too much is afraid of causing potential.
“Today, you can only read the instructions for your child’s medication, but the instructions are vague.
In this case, you can only dare to give your child medicine after repeated comparisons.
Ms. Xin reluctantly told reporters. Ms. Liu, who lives in the first city of Jiangnan, said that because she was not assured of medicines, all the medicines purchased by her family for half-year-old babies were Hong Kong medicines.
She feels more relieved that these medicines have a directed dose based on the age of the child.
In this regard, Li Wei introduced that children are not “smaller versions” of adults. They have different physiological characteristics. Taking adult medicine will damage organs. Even if the amount is reduced, there are risks, especially for children with special constitutions.May be life threatening.
Li Wei said that many domestic pharmacies currently sell over-the-counter medicines, most of which are for older children.
In comparison, the labeling of drugs purchased in Hong Kong is relatively clear, but even this is difficult to be 100% safe, because the dosage of children’s drugs prescribed by doctors is calculated based on weight, age, etc. It is difficult for parents to grasp this.
Because of the lack of child-specific medicines, children’s medications are often prescribed by children. Instead of adults, they have adopted a long-standing practice of doctors and parents giving medicines to children.The complex “mathematics problems” for children’s weight calculation also lay a hidden danger for children’s medication safety.
Because children’s physiological development is not mature, doctors are particularly cautious in taking medications. Even children, newborns, and infants of different growth stages are not the same when using certain medicines.
Li Wei said that children under the age of half should pay special attention to medication.
The first requirement for children’s medication is safety. Li Wei suggested that from the family’s standing medicine, the children’s standing medicine is usually antipyretics, colds and gastrointestinal drugs. Children with more than 3 months in the family can prepare some, specific varietiesCan fully communicate with the doctor, clear the role of prescribing, giving medicines, functions.
In this way, the child can take necessary medicines and suitable medicines, thereby avoiding secondary harm to the children.
Li Wei introduced that three steps are required to ensure the safety of medication. Before medication, doctors and pharmacists need to communicate with each other. Parents and doctors need to communicate to ensure that medications are used properly and well.
In the process of medication, because children are of different ages, the size of the dose must be calculated based on weight; at the same time, it is also necessary to pay attention to whether there is a contraindication to the use of various drugs.
After taking the medicine, pay careful attention to your child’s reaction and communicate with the doctor in time so that the doctor can make adjustments when taking the medicine.
Li Wei also suggested that parents can usually browse more professional websites to understand the concept of correct medication, such as antiviral drugs such as antibiotics and some traditional Chinese medicine preparations.
In addition, parents should pay attention to the identification of some inadequate advertisements, and do not trust them.
Pediatric medication common sense: Antibiotics: It is best to follow the doctor’s advice, and use narrow-spectrum antibiotics, single drugs, sufficient doses, and foot treatments. Do not stop using them by yourself.
1. Antitussive and antiasthmatic drugs: Infants and young children generally do not need antitussive drugs, and more expectorants are used. Asthma promotes local absorption.
2. Antidiarrheals, laxatives: No antidiarrheals are prescribed for children with diarrhea. Oral rehydration therapy, intestinal mucosal protective agents, micro-ecological regulators, etc. are usually used; most of the minor constipation is caused by fire. Generally, laxatives are not needed and can be taken appropriatelyQixing tea or diet to regulate.
3. Medication for breastfeeding: Atropine, phenobarbital, salicylic acid, etc. can affect infants through breast milk, so use it with caution.
4, sedative shock drugs: generally not used, when the diagnosis is clear, you can choose appropriately.
5, antipyretics: infants and young children less than 3 months should use physical cooling method to reduce fever, children older than 3 months body temperature exceeds 38.
Antipyretics can be used at 5 ℃. Antipyretics above 39 ℃ should be used in combination with physical methods.
6, but it should be reminded that the use of antipyretics should pay attention to: 1) children are not recommended to use analgin and aspirin; 2) against the use of glucocorticoids as antipyretics; 3) acetaminophen and ibuprofen can be used4) Be sure to carefully observe the child’s reaction and mental state after using antipyretics.