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What options are still available to treat cold symtoms in children under 4?

Recently, the Consumer Healthcare Products Association, in a move supported by the Food and Drug Administration, announced the voluntary modification of over-the-counter cough and cold products such as cough suppressants, decongestants, antihistamines and combination products intended for use in children to state “do not use in children under 4 years of age”. Previously, many of these products stated they were not for use in children under 2 years of age. The change was made in order to prevent accidental and intentional misuse of these medications and because there is little evidence showing their effectiveness in children. As a result, parents may be left wondering what options are still available for treating their sick children.

Alternatives to over-the-counter cough and cold remedies include:
· Humidifiers and canned peach syrup: Effective for reducing coughs and sore throats, especially during dry winter months. Cold viruses find moist nasal passages less hospitable.
· Vick’s Vapo-Rub: Effective for reducing coughs and congestion. Only use Vicks Baby Rub on infants and children under 2.
· Popsicles and warm salt water gargles: Effective for soothing sore throats.
· Saline drops or sprays and hot packs around congested sinuses: Effective for reducing nasal congestion. Saline drops and sprays are non-medicated and can be used as needed. Avoid using hot packs on a child with a fever.
· Plenty of fluids and rest: Water, juice and clear broth are good choices. Warm liquids can soothe sore throats. Chicken soup may provide anti-inflammatory and decongestant properties and is also a good choice.

Pain relievers such as ibuprofen (Motrin or Advil) and acetaminophen (Tylenol) are still indicated for use in infants and children to reduce fever and aches and pains. Fevers are a natural defense against infection and should only be treated if a child is uncomfortable or if the fever is 102°F or higher. A doctor should be consulted if an infant under 6 months of age has a fever of 101°F or higher, an infant 6 months of age or older has a fever of 104°F or higher or if an older child has a fever of 103°F or higher. Aspirin, another over-the-counter pain reliever, should never be used in children with a potential fever. Always follow the dosage guidelines provided with the medication package and use the dropper or cup provided.

By choosing appropriate cold and cough treatments for your child, not only will you help them feel better but you can reduce the possibility of an adverse effect or toxicity. If you have questions about cough and cold treatments for children or you need a recommendation ask your doctor or pharmacist.

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