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The efficacy of cough medication is questionable, particularly in children. [6] [3] A 2014 Cochrane review concluded that "There is no good evidence for or against the effectiveness of OTC [over the counter] medicines in acute cough". [1]
For children, “about the only things I’ll recommend for a cold might be some Tylenol if there’s some fever, and possibly some dextromethorphan to calm the cough, and I only do that if they ...
Paregoric was a household remedy in the 18th and 19th centuries when it was widely used to control diarrhea in adults and children, as an expectorant and cough medicine, to calm fretful children, and to rub on the gums to counteract the pain from teething. A formula for paregoric from Dr. Chase's Recipes (1865): [7]
In children half of cases go away without treatment in 10 days and 90% in 25 days. [25] According to the American Academy of Pediatrics the use of cough medicine to relieve cough symptoms is supported by little evidence and thus not recommended for treating cough symptoms in children. [5]
Each formulation also varies per dose. When purchasing over-the-counter medications, avoid purchasing multiple products with acetaminophen ingredients. The suggested maximum daily intake of acetaminophen is limited to <4 grams (4,000 mg) daily in adults or <2.6g (2,600 mg) daily in children <12 years of age to reduce the risk of liver damage ...
Evidence does not support its use for acute cough suppression in children. [7] [8] In Europe, it is not recommended as a cough medicine for those under 12 years of age. [4] It is generally taken by mouth. [4] It typically starts working after half an hour, with maximum effect at two hours. [4] Its effects last for about four to six hours.
It is not known if over-the-counter cough medications are effective for treating an acute cough. [61] Cough medicines are not recommended for use in children due to a lack of evidence supporting effectiveness and the potential for harm. [62] [63] In 2009, Canada restricted the use of over-the-counter cough and cold medication in children six ...
Codeine-based cough medications are contraindicated for children under 12 years old due to the risk of respiratory suppression and the potential for opioid toxicity. [23] Leukotriene receptor antagonist-based medications [24] and methylxanthines [25] are not recommended for treating children with persistent non-specific cough.
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