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Safety 0f Dimetapp for babies

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My daughter is only 5 months old can i give her dimetapp for the cold and runny nose?


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replied December 21st, 2009
Infants Answer A8614
Hi, welcome to the ehealth forum and I am glad to help you.
Your question seems to be about the safety and efficacy of Dimetapp for a 5 month baby.
There is no evidence for either the efficacy or safety of cough and cold medications in children less than 2 year old. Dimetapp contains Pseudoephedrine as the active drug constituent which is a sympathomimetic and is used in adults for cold because of its decongestant action. No FDA-approved dosing recommendations exist for administering over-the-counter cough and cold medications to children aged <2 years, and proper dosing for children in this age group has not been studied. They can cause life threatening complications in children <2 years and even some deaths have been attributed to cough and cold medications in infants. Most of these had Pseudoephedrine as their constituent and levels of Pseudoephedrine in post mortem samples were extremely high ranging from 4,743 ng/mL to 7,100 ng/mL. In pharmacokinetic studies of children aged 2--12 years, the mean maximum plasma concentrations of pseudoephedrine after therapeutic doses ranged from 180 ng/mL to 500 ng/mL and were comparable to adults with current dosing regimens (FDA, unpublished data, 2006).
In children aged <2 years, systematic reviews of controlled trials of over-the-counter cough and cold medications have concluded they are not more effective than placebo in reducing acute cough and other symptoms of upper respiratory tract infection. Because of the unproven efficacy of the cough suppressants codeine and dextromethorphan in young children and the potential for adverse events, in 1997 the American Academy of Pediatrics issued a policy statement advising that parents should be educated regarding the lack of antitussive effects, risk for adverse events, and potential for overdose in children from these medications.
Hope that you have got your answer. Take care.
Note: This post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.


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