Oct
01
2008

Go Easy On Tempra And Tylenol In Young Kids

With cold and flu season around the corner, the medicine shelf will fill up with remedies that provide symptomatic relief for those who caught a bug. Children who have an elevated temperature will very likely receive over the counter medication such as Tempra drops or Tylenol for children. These preparations have been around for decades, and parents are usually confident that they are harmless.
A Lancet article points out that there are certain risks associated with them, and the most sensitive age group are the youngest children. A study documented that the mother’s use of paracetamol (identical to acetaminophen or Tylenol) during pregnancy can be associated with the development of asthma in 6 to 7 year old children. More recently 205,487 children in the age group of 6 to 7 were included in a survey. The children were from 73 centers in 31 countries. In the analysis of data the use of paracetamol in the first year of life was checked against the risk of asthma symptoms once the children were 6 to seven years old. Paracetamol use in the first year of life also played a role in the increased risk of rhinoconjunctivitis and eczema.

Go Easy On Tempra And Tylenol In Young Kids

Go Easy On Tempra And Tylenol In Young Kids

With these results, parents should resort to the children’s’ Tylenol and Tempra drops only, if fairly aggressive intervention is necessary. Too often over the counter meds are used “just in case he or she is coming down with something”. Symptomatic home remedies in children such as lukewarm baths to bring down an elevated temperature, cool fluids bring relief, and ice packs still have their place in the control of mild febrile symptoms.

The Lancet 2008; 372:1039-1048

Last edited December 3, 2012

Jun
01
2004

Eczema – More Than Skin Deep

Dermatologists have seen more than a threefold increase of eczema in the last thirty years. The condition is common especially in childhood. Skin irritants can play a role. Dr. Harvey Lui, Professor for Dermatology at the University of British Columbia in Vancouver, Canada, also observed, that eczema is much more common in the Asian population. Patients who came from the warmer climate of Southeast Asia and are exposed to a harsher, colder climate will get into trouble more easily, as dryness of the skin will aggravate the skin condition.

Dr. Lui also stresses, that patient education about sensible skin care is of great importance. Fighting fire with fire – like taking a hot shower to combat itchy and dry skin- will make things worse in the long run. Inflamed skin needs to be kept cool. Dr. Lui also stresses that skin has to be kept from drying out. These simple measures for which no prescription is needed are often neglected.

In severe cases the traditional steroid cream has been replaced by preparations, which have an effect on the immune response. Dr. Lui explains that eczema is partially an exaggerated response of the immune system to whatever is noxious or irritating in the environment. The medication tacrolimus (Prograf) is a naturally derived compound that makes the immune cells (T-cells) less active, as they are responsible for the overactive response. It is called an “immunomodulator”.

Eczema - More Than Skin Deep

Eczema – More Than Skin Deep

Due to this knowledge more treatment options are available than in the past. Atopic eczema is very often combined with asthma and allergies and tends to run in families. As the immune system gets strengthened during childhood, eczema tends to be worse in the young person, and time can be the greatest ally in the healing process.

More info on skin rashes: http://nethealthbook.com/dermatology-skin-disease/skin-rash/

Reference: 1. The Medical Post, March 2, 2004 (p.2 and 65) 2. “Guidelines of care for atopic dermatitis”
Hanifin J – J Am Acad Dermatol – 2004 Mar; 50(3), p.391

Last edited Oct. 26, 2014