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Throat cough

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HeadDepot

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16,448 Aufrufe • vor 1 Tag •via X (Twitter)

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💎: Beside omakase you're into singing? Can i hear one verse? 🐶: He's not in good condition 💎: Sore throat? 🐶: Sore throat 💎: How would you know?! You guys boyfriends? 🐶: I take care of him everyday 💎: Then are you guys boyfriends? 🐶: I don't know~ No- he got some medicine! And sometimes ask me to give it to him- 💎: What kind? Special medicine from you? 🐶: The one that suck on 💎: That sounded dirty na 💎: Explain what sucked on 🐶: Cough drops that we suck on 💎: You need to say it like that, otherwise people gonna misinterpret it
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Who is to blame? The authorities for giving permission and allowing OTC sale, or the pharmacist handing them out without the prescription, or the parent? Victim is the baby, finally! If you ask me, if a medicine is not to be given to some one below 4 years of age, permission should not be given in the first place for these drops. If it is a schedule H drug, OTC sale should not be allowed. Ministry of Health #maxtradrops #sinarestAFdrops #solvincolddrops #zyrtecdrops #sinarestdrops There is nothing like 'cough syrup'. Cough can be because of a lot of congestion,bronchospasm, bronchiolitis, acid reflux, allergy or infection. It can be a habit cough, or due to inflammation of the throat or stress related. Address the underlying cause. Syrups available in India in the name of cough syrups contain either decongestants like phenylephrine (whose side effects are mostly due to overdosing or wrong dosing - increase in heart rate, increase in blood pressure, and arrhythmias), or anti allergy medications like chlorpheniramine and cetirizine (overdosing can cause sedation and respiratory depression- less with Levocetirizine, though), mucus breaking drugs like ambroxol and guaifenesin, bronchodilators like levosalbutamol and Terbutaline(overdosing can cause tremors, increased heart rate and arrhythmias) and cough suppressants like dextromethorphan and codeine(which can cause severe respiratory depression when overdosed). We should not suppress the cough, as it might even help in expelling the germs out. For every medicine there is a minimum age before which we can't give the medicine to the child, especially without the paediatricians's advice. For phenylephrine in India, it is now four years, though most guidelines say it is 2 years. For cetirizine, it is 6 months. In India the combination of Phenylephrine and Chlorpheniramine should not be used below 4 years of age. If a medicine is prescribed by a doctor, If the right dose is given by a mother for a right indication, problems usually don’t happen. The problem of overdosing happens when the parents go and buy over-the-counter medications, and give them randomly without knowing the doses. So, don’t buy the so called cough syrups on your own and decide to give them to the children. If they have a cough, paediatricians are there to address the underlying cause for cough and prescribe the treatment depending on the age group, symptoms, and the etiology. Stick to the doses, read expiry date. Doctors should write the prescriptions clearly, mention composition and tell the parents not to repeat the prescription, explain to them about dangers of wrong dosing, overdosing and repetition of prescription. First aid for cough mainly is compression with a warm cloth. In India many of them give steam directly. That is dangerous. If steam should be given, then the bathroom should be filled with the steam and the kid should be made to sit there.Don't give vicks,eucalyptus oil, Zindatilismath etc. In younger children they can cause seizures, and can worsen the cough and asthma symptoms. If the nose is blocked, put one to two drops of saline nose drops (from the pharmacies) in each nostril. If the cough is severe, the kid is vomiting or coughing continuously, consult the doctor. Drug regulators should avoid giving permission for drops and syrup with the same brand name, for unscientific combinations of medicines, for formulations with different components but the same brand name with a suffix or prefix. We need to have only a few standard brands or generic medicines with strong quality control. Form a panel of paediatricians for the same. Also, Terbutaline and Levosalbutamol shouldn't be part of the combinations. We have specific indications for these medicines. Safer route of administration for Levosalbutamol is using a nebulizer or MDI with or with out spacer, only if advised by the paediatrician when the child has bronchospasm. INFACT, AVOID COMBINATIONS! Dr Sivaranjani Santosh
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Who is to blame? The authorities for giving permission and allowing OTC sale, or the pharmacist handing them out without the prescription, or the parent? Victim is the baby, finally! If you ask me, if a medicine is not to be given to some one below 4 years of age, permission should not be given in the first place for these drops. If it is a schedule H drug, OTC sale should not be allowed. Ministry of Health #maxtradrops #sinarestAFdrops #solvincolddrops #zyrtecdrops #sinarestdrops There is nothing like 'cough syrup'. Cough can be because of a lot of congestion,bronchospasm, bronchiolitis, acid reflux, allergy or infection. It can be a habit cough, or due to inflammation of the throat or stress related. Address the underlying cause. Syrups available in India in the name of cough syrups contain either decongestants like phenylephrine (whose side effects are mostly due to overdosing or wrong dosing - increase in heart rate, increase in blood pressure, and arrhythmias), or anti allergy medications like chlorpheniramine and cetirizine (overdosing can cause sedation and respiratory depression- less with Levocetirizine, though), mucus breaking drugs like ambroxol and guaifenesin, bronchodilators like levosalbutamol and Terbutaline(overdosing can cause tremors, increased heart rate and arrhythmias) and cough suppressants like dextromethorphan and codeine(which can cause severe respiratory depression when overdosed). We should not suppress the cough, as it might even help in expelling the germs out. For every medicine there is a minimum age before which we can't give the medicine to the child, especially without the paediatricians's advice. For phenylephrine in India, it is now four years, though most guidelines say it is 2 years. For cetirizine, it is 6 months. In India the combination of Phenylephrine and Chlorpheniramine should not be used below 4 years of age. If a medicine is prescribed by a doctor, If the right dose is given by a mother for a right indication, problems usually don’t happen. The problem of overdosing happens when the parents go and buy over-the-counter medications, and give them randomly without knowing the doses. So, don’t buy the so called cough syrups on your own and decide to give them to the children. If they have a cough, paediatricians are there to address the underlying cause for cough and prescribe the treatment depending on the age group, symptoms, and the etiology. Stick to the doses, read expiry date. Doctors should write the prescriptions clearly, mention composition and tell the parents not to repeat the prescription, explain to them about dangers of wrong dosing, overdosing and repetition of prescription. First aid for cough mainly is compression with a warm cloth. In India many of them give steam directly. That is dangerous. If steam should be given, then the bathroom should be filled with the steam and the kid should be made to sit there.Don't give vicks,eucalyptus oil, Zindatilismath etc. In younger children they can cause seizures, and can worsen the cough and asthma symptoms. If the nose is blocked, put one to two drops of saline nose drops (from the pharmacies) in each nostril. If the cough is severe, the kid is vomiting or coughing continuously, consult the doctor. Drug regulators should avoid giving permission for drops and syrup with the same brand name, for unscientific combinations of medicines, for formulations with different components but the same brand name with a suffix or prefix. We need to have only a few standard brands or generic medicines with strong quality control. Form a panel of paediatricians for the same. Also, Terbutaline and Levosalbutamol shouldn't be part of the combinations. We have specific indications for these medicines. Safer route of administration for Levosalbutamol is using a nebulizer or MDI with or with out spacer, only if advised by the paediatrician when the child has bronchospasm. INFACT, AVOID COMBINATIONS! Dr Sivaranjani Santosh

Dr.Sivaranjini

105,928 Aufrufe • vor 6 Monaten