December 19, 2008
Some Adults Cause Cough Medicine Overdoses In Children
Doctors cautioned on Thursday that some children showing up in emergency rooms with overdoses of cough or cold syrup might have been intentionally medicated to quiet them down.
The doctors reported in the Annals of Emergency Medicine that an analysis of 189 children who died from medication overdoses showed a significant percentage appeared to have been intentionally overdosed.
Dr. Richard Dart, director of the Rocky Mountain Poison and Drug Center in Denver said that in 79 of the cases, an adult gave the child nonprescription medicine. In 19 cases the adults clearly meant to help the child, but in 26 cases a panel of experts determined the intent was not to treat.
A panel of experts had to agree that the intent was clear. "They were quite certain in all the cases they decided were intentional," Dart said.
He cited some cases where the parent even poured cough medicine into the kid's mouth directly from the bottle.
The U.S. Food and Drug Administration in October urged American makers of over-the-counter cough and cold medications to advise that these drugs should not be used in children under 4 and the FDA is considering requests to ban their use in children under 12.
Complications from accidental misuse are known and dangerous, according to Dart.
"We aren't trying to say there aren't accidents. I am concerned that we have blinders on and we don't want to admit that there is a group of parents who all the warnings in the world won't help because they did it knowingly," he said.
He said it is simply a group of adults who want to control the behavior of children and do it in a variety of ways.
"Sometimes it is physical violence and sometimes it is drugs. They tend to be lower-income, under-educated parents, often with a history of child abuse or violence in the home. I think there is a clear population here for us to focus on that are involved in these events."
Dart said parents should also be aware that some of the adults who gave the medications to the children were day-care providers who probably were not malevolent in their actions but simply overwhelmed and looking for a way to quiet down their charges.
Experts say an estimated 4 million children under the age of 12 are treated with over-the-counter cough and cold products each week in the United States.
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