Cold Medications/Soğuk Algınlığı İlaçları

Year 2011, Volume: 18 Issue: 1, 25 - 29, 30.03.2011

Abdullah Akcan , Osman Akcan

Abstract

ABSTRACT

Colds, coughs, and upper respiratory infections are common childhood illnesses. Cough and cold medications are marketed widely for relief of common cold symptoms. However, minimal data exist to support their effectiveness. Studies have failed to demonstrate a benefit of these medications for young children. In addition, adverse effects and overdosage associated with the administration of cough and cold preparations in children have been reported. We explore the toxities of cold medications, and suggest why physicians should be more vigilant about these drugs. Education of patients and parents about the potential risks of these products is needed.

Key words: Cold medications, pseudoephedrine, cough

ÖZET

Soğuk algınlığı, öksürük ve üst solunum yolu enfeksiyonları sık görülen çocukluk çağı hastalıklarıdır. Öksürük ve soğuk algınlığı ilaçları yaygın olarak soğuk algınlığı belirtilerini hafifletmek için pazarlanmaktadır. Ancak, etkinliklerini destekleyen çok az veri vardır.
Küçük çocuklarda bu ilaçların bir yararını göstermek için yapılan çalışmalar başarısız olmuştur. Ayrıca, çocuklarda öksürük ve soğuk algınlığı preparatlarının yan etkileri ve doz aşımı rapor edilmiştir. Soğuk algınlığı ilaçlarının toksitelerini araştırdık ve bu ilaçlar hakkında hekimlerin neden daha fazla uyanık olmaları gerektiğini önerdik. Bu ürünlerin potensiyel riskleri hakkında hasta ve ebeveylerin de eğitimi gereklidir.

Anahtar kelimeler: Soğuk algınlığı ilaçları, pseudoefedrin, öksürük

Keywords

Soðuk algýnlýðý ilaçlarý, pseudoefedrin, öksürük

References

• Pappas DE, Hayden GF, Hendley JO. Treating colds: keep it simple. Contemp Pediatr 1999; 16: 109-119.
• Maiman LA, Becker MH, Katlic AW. Correlates of mothers’ use of medications for their children. Soc Sci Med 1986; 22: 41-51.
• Korppi M, Pietikainen M, Laurikainen K, Silvasti M. Antitussives in the treatment of acute transient cough in children. Acta Paediatr Scand 1991; 80: 969-971.
• Stuijvenberg van M, Vos de S, Tjiang GCH, Steyerberg EW, Derksen-Lubsen G, Moll HA. Parents’ fear regarding fever and febrile seizures. Acta Paediatr 1999; 88: 618-622.
• Impicciatore P, Nannini S, Pandolfini C, Bonati M. Mother’s knowledge of, attitudes toward, and management of fever in preschool in Italy. Prev Med 1998; 27: 268-273.
• Smith MB, Feldman W. Over-the-counter cold medications: a critical review of clinical trials between 1950 and 1991. JAMA 1993; 269: 2258-2263.
• American Academy of Pediatrics, Committee on Drugs. Use of codeine and dextromethorphan-containing cough remedies in children. Pediatrics 1997; 99: 918-920.
• Royal College of General Practitioners, Office of Population Censuses and Surveys, and Department of Health. Morbidity statistics from general practice. Fourth national study 1991-1992. London: HMSO Publications Center, 1992.
• Kogan MD, Pappas G, Yu SM, Kotelchuck M. Over- the-counter medication use among U.S. preschool-age children. JAMA 1994; 272: 1025-1030.
• Banks I. The NHS direct healthcare guide. London: Department of Health, 2001.
• Department of Health. Pharmacy in the future- implanting the NHS plan. A programme for pharmacy in the National Health Service. London: Department of Health, 2000.
• Vernacchio L, Kelly JP, Kaufman DW, Mitchell AA. Pseudoephedrine use among US children, 1999-2006: results from the Slone survey. Pediatrics 2008;122: 1299-1304.
• Sutter AI, Lemiengre M, Campbell H, Mackinnon HF. Antihistamines for the common cold. Cochrane Database Syst.Rev 2003;3: CD001267.
• Isbister GK, Prior F, Kilham HA. Restricting cough and cold medicines in children. J Paediatr Child Health 2010 Jun 27 (Epub ahead of print)
• Nine JS, Rund CR. Fatality from diphenhydramine monointoxication: a case report and review of the infant, pediatric, and adult literature. Am J Forensic Med Pathol 2006; 27: 36-41.
• Heikkinen T, Jarvinen A. The common cold. Lancet 2003; 361: 51-59.
• Lee AC, Chan R, So KT. A case of probable codeine poisoning in a young infant after the use of a proprietary cough and cold medicine. Hong Kong Med J 2004; 10: 285-287.
• Kelly LF. Pediatric cough and cold preparations. Pediatr Rev 2004; 25: 115-123.
• Taverner D, Latte J. Nasal decongestants for the common cold. Cochrane Database Syst.Rev. 2007;1: CD001953.
• Hatton RC, Winterstein AG, McKelvey RP, Shuster J, Hendeles L. Efficacy and safety of oral phenylephrine: systematic review and meta-analysis. Ann Pharmacother 2007;41: 381-390.
• Anonymous. Cough medications in children. Drug Ther Bull 1999; 37: 19-21.
• Kernan WN, Viscoli CM, Brass LM, et al. Phenylpropanolamine and the risk of hemorrhagic stroke. N Engl J Med 2000; 343: 1826-1832.
• Food and Drug Administration. Public Health Advisory Subject: Phenylpropanolamine. Available on line at:www.fdagov/cder/drug/ýnfopage/ppa/advisory.htm.
• Clemens CJ, Taylor JA, Almquist JR, Quinn HC, Mehta A, Naylor GS. Is an antihistamine-decongestant combination effective in temporarily relieving symptoms of the common cold in preschool children? J Pediatr 1997; 130: 463-466.
• Hutton N, Wilson MH, Mellits D, et al. Effectiveness of an antihistamine-decongestant combination for young children with the common cold: a randomized, controlled clinical trial. J Pediatr 1991; 118: 125-130.
• Taylor JA, Novack AH, Almquist JR, Rogers JE. Efficacy of cough suppressants in children. J Pediatr 1993; 122: 799-802.
• Rostagno C, Caciolli S, Felici M, Gori F, Neri Serneri GG. Dilated cardiomyopathy associated with chronic consumption of phendimetrazine. Am Heart J 1996; 131: 407-409.
• Cetaruk EW, Aaron CK. Hazards of nonprescription medications. Emerg Med Clin North Am 1994; 12: 483-510.
• Pentel P. Toxicity of over-the-counter stimulants. JAMA 1984; 252: 1898-1903.
• Glick R, Hoying J, Cerullo L, Perlman S. Phenylpropanolamine: an over-the-counter drug causing central nervous system vasculitis and intracerebral hemorrhage. Case report and review. Neurosurgery 1987; 20: 969-974.
• Kase CS, Foster TE, Reed JE, Spatz El, Girgis GN. Intracerebral hemorrhage and phenylpropanolamine use. Neurology 1987; 37: 399-404.
• Burton BT, Rice M, Schmertzler LE. Atrioventricular block following overdose of decongestant cold medication. J Emerg Med 1985; 2: 415- 419.
• Lake CR, Gallant S, Masson E, Miller P. Adverse drug effects attributed to phenylpropanolamine: a review of 142 case reports. Am J Med 1990; 89: 195-208.
• Conway EE, Walsh CA, Palomba AL. Supraventricular tachycardia following the administration of phenylpropanolamine in an infant. Pediatr Emerg Care 1989; 5: 173-174.
• Weesner KM, Denison M, Roberts RJ. Cardiac arrhythmias in an adolescent following ingestion of an over-the-counter stimulant. Clin Pediatr 1982; 21: 700-701.
• Veronica L. Gunn, Samina H. Taha, Erica L. Liebelt and Janet R. Serwint. Toxicity of Over-the-Counter Cough and Cold Medications. Pediatrics 2001; 108: 52-57.
• Litovitz T, Manoguerra A. Comparison of pediatric poisoning hazards: an analysis of 3.8 million exposure incidents. Pediatrics 1992; 89: 999-1006.
• Rivera-Penera T, Gugig R, Davis J, et al. Outcome of acetaminophen overdose in pediatric patients and factors contributing to hepatotoxicity. J Pediatr 1997; 130: 300-304.
• Holt GA, Hollon JD, Hughes SE, Coyle R. OTC labels: can consumers read and understand them ? Am Pharm 1990;NS30: 51-54.
• Kapasi AA, Lorin MI, Nirken MH, Yudovich M. Parents’ knowledge and sources of knowledge about antipyretic drugs. J Pediatr 1980; 97: 1035-1037.
• Bradley CP, Riaz A, Tobias RS, Kenkre JE, Dassu DY. Patient attitudes to over-the-counter drugs and possible professional responses to self-medication. Fam Pract 1998; 15: 44-50.
• Dart RC, Paul IM, Bond GR, Winston DC, Manoguerra AS, Palmer RB, et al. Pediatric fatalities associated with over the counter (nonprescription) cough and cold medications. Ann Emerg Med 2009;53: 411-417.
• Health Canada (website). Health Canada’s decision on cough and cold medicines. Ottawa, ON: Health Canada;2008.
• wwwhc-sc.gc.ca/ahc-asc/media/advisories- avis/_2008/2008_184info1-eng.php.
• Food and Drug Administration. Using over-the counter cough and cold products in children. Silver Spring. MD: Food and Drug Administration;2008. www.fda.gov/ForConsumers/ConsumerUpdates/ucm 048515.htm.
• Shefrin AE, Godman RD. Use of over-the-counter cough and cold medications in children. Can Fam Physician 2009;55: 1081-1083.
• Vassilev ZP, Kabadi S, Villa R. Safety and efficacy of over-the-counter cough and cold medicines for use in children. Expert Opin Drug Saf 2010;9: 233-242.