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View Document - Parliament of South Africa

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685 WEDNESDAY, 22 OCTOBER 2008<br />

686<br />

These cases have occurred as a result <strong>of</strong><br />

incorrect dose or dosing frequency as well as<br />

the use <strong>of</strong> more than one cough and cold<br />

preparation at a time. In addition, cases <strong>of</strong><br />

overdose occur when these medicines are<br />

not stored out <strong>of</strong> reach <strong>of</strong> children.<br />

In response to these concerns, the MCC has<br />

requested all manufacturers <strong>of</strong> these products<br />

to provide information on the safety <strong>of</strong><br />

the ingredients in their preparations in children<br />

under two years. Some manufacturers<br />

have already taken steps to discontinue the<br />

use <strong>of</strong> their products in these young children.<br />

Once the MCC has reviewed all available<br />

information, regulatory actions will be taken<br />

to improve the safe use <strong>of</strong> cough and cold<br />

medicines in <strong>South</strong> <strong>Africa</strong>.<br />

While these investigations are under way the<br />

MCC urges parents and caregivers to heed<br />

the following warnings and advice before<br />

using cough and cold preparations in children:<br />

● Avoid the use <strong>of</strong> cough and cold medicines<br />

in children under the age <strong>of</strong> two years<br />

unless instructed to do so by a qualified<br />

doctor or pharmacist. A health care pr<strong>of</strong>essional<br />

should be consulted even if the<br />

product information in the package insert<br />

or patient information leaflet allows the<br />

use in children under two years <strong>of</strong> age.<br />

● If it is necessary to give a cough and cold<br />

medicine, be sure to read the active<br />

ingredients carefully. These products <strong>of</strong>ten<br />

have many ingredients, therefore it is<br />

advisable not to give more than one cough<br />

and cold product to a child. If you use two<br />

different cough and cold medicines or a<br />

medicine for fever that has the same or<br />

similar active ingredients, the child could<br />

get an overdose which can harm the child.<br />

● Read the dosing instructions carefully to<br />

check that you are not giving a larger dose<br />

than is recommended. Also do not use the<br />

medicine more <strong>of</strong>ten than is recommended.<br />

● Ask a healthcare pr<strong>of</strong>essional for advice<br />

if you have questions about these medicines<br />

or are not sure how to use these<br />

medicines properly.<br />

● Only use the measuring spoons or cups<br />

that come with the medicine or those made<br />

specially for measuring medicines. Do not<br />

use common household spoons to measure<br />

medicines for children because they are<br />

usually not accurate and can lead to<br />

incorrect dosing.<br />

● Choose OTC cough and cold preparations<br />

with childpro<strong>of</strong> safety caps, when available,<br />

store these medicines out <strong>of</strong> reach <strong>of</strong><br />

children.<br />

● It is important not to use these medicines<br />

to sedate your child or make children<br />

sleepy.<br />

● It is important to understand that cough<br />

and cold medicines do not treat the cause<br />

<strong>of</strong> the symptoms and do not shorten the<br />

length <strong>of</strong> time your child is sick. They only<br />

relieve symptoms and make children more<br />

comfortable. These symptoms can also be<br />

managed by rest, sufficient fluid intake and<br />

by making the child feel comfortable and<br />

comforted.<br />

● If symptoms persist beyond a few days or<br />

worsen, this may suggest a more serious<br />

problem that needs to be seen by a<br />

healthcare pr<strong>of</strong>essional. In addition, if you<br />

are concerned about the health <strong>of</strong> the<br />

child, the child should be brought to a<br />

healthcare practitioner for medical evaluation.<br />

Parents and caregivers are urged to report<br />

any problems they experience when using<br />

medicines in children to their healthcare<br />

pr<strong>of</strong>essionals.<br />

For more information contact Charity<br />

Bhengu 083 679 7424<br />

Issued by:<br />

National Department <strong>of</strong> Health

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