On November 16 this year, the State Food and Drug Administration issued an announcement on the cancellation of 8 kinds of drugs such as pediatric phenol ammoniaamine granules. The announcement pointed out that in accordance with Article 83 of the Drug Administration Law of the People's Republic of China and other relevant provisions, the State Drug Administration organized post-market evaluation of 8 varieties of pediatric hydramine granules, pediatric compound aspirin tablets, and ammonia non-caamine tablets.
After evaluation, the State Drug Administration decided to stop the production, sale and use of these 8 varieties in China from now on, and cancel the drug registration certificate. Products that have been marketed for sale shall be recalled by the holder of the drug marketing authorization, and the recalled products shall be the provincial-level drugs in the locality
The reason why the pediatric phenol ammoniaamine granules will be withdrawn from the market is because the drug ingredients contain an unsafe antipyretic ingredient aminopyrine, and the other is because it also belongs to the compound cold medicine that I have not recommended for children for many years.
Aminopyrine can cause severe granulocytopenia, resulting in reduced immunity in children, thereby aggravating the disease, as early as the 30s has been banned in many foreign countries. And the widespread existence of children's compound cold medicines on the market, such as pediatric aminophenol xanthamine, phenol hempamine, etc., because of its complex composition, often contain acetaminophen, chlorpheniramine maleate and other anti-fever and anti-allergic ingredients, easy to mix with drugs containing a single of these ingredients, resulting in overdose poisoning of children, but also as early as more than a decade ago by foreign countries banned in children under two years of age.
Then you may ask: What medicine should children use for colds? Cold is a respiratory disease caused by viral infection, we often say "cold medicine is good for seven days, not to use medicine for a week", which means that cold medicine usually can not shorten the course of the disease, but is used to alleviate uncomfortable symptoms, that is, "cure the symptoms but not the root cause".
With that realization, I'll tell you how to take the medication.
For fevers, headaches, runny nose, nasal congestion, coughs and other symptoms that may occur during a cold, we can use medicines containing a single ingredient for the symptoms, such as:
For a short period of 3-5 days, antipyretic drugs acetaminophen or ibuprofen are used to reduce fever. Acetaminophen or ibuprofen also have analgesic effects and can also be used to relieve sore throats and headaches.
Use physiological seawater salt nasal spray to clean the nose and moisturize the nasal cavity
Short-term use of decongestant children's oxymetazoline hydrochloride to relieve nasal congestion
When cleaning your child's nose, you should be careful not to rub your child's nose hard, and if there is a broken skin on the skin of the nose, you can apply erythromycin ointment to moisturize your child and prevent bacterial infections.
If nasal congestion is severe, children over two years of age can use a nasal spray of reducing congestion oxymetazoline hydrochloride for a short period of 2-3 days, children aged 2-6 years use a dosage form with a concentration of 0.025%, and children over 6 years of age and adults can use a dosage form with a concentration of 0.05%.
If the child is diagnosed with influenza, you also need to give the child antiviral drugs such as oseltamivir for the treatment of influenza virus in time under the guidance of a doctor, because it is a prescription drug, I will not expand here, you follow the doctor's instructions to take the drug.
Children have a cold, I know that your biggest worry is cough, afraid that the cough after the cold turns into pneumonia, which is actually a misunderstanding of cough. I often say that cough is not a disease, but a symptom, and behind this symptom, there are a series of diseases, such as colds, such as asthma, such as pneumonia. Pneumonia, like a cold, is the cause of coughing, not the result of coughing.
Cough caused by cold is a means of defense for the invasion of cold viruses in the human body, helping to clear the secretions of the respiratory tract, but it is easy to avoid colds from progressing into pneumonia, so there is such a saying abroad to describe the positive significance of cough, that is, "cough is the watchdog of the lungs". So, as long as it is not serious, the cough after the cold may last for about 2-3 weeks, and you should be patient.
However, if after 3-5 days of a cold, the symptoms of fever and cough are not significantly relieved, or further aggravated, you need to beware of pneumonia at this time. If you have ear pain or a lot of purulent nasal discharge during a cold, you need to be careful about otitis and sinusitis in the heart, and you need to take your child to the doctor in time, who will evaluate your child's condition to decide whether to use antibiotics and whether to inject fluids.
I hope you can remember that the occurrence and development of diseases often carries a lot of uncertainty, and the same is true of colds, there are many uncontrollable factors. As long as you adhere to scientific nursing and carefully observe the child's condition changes, most of the time it will heal itself, but in case the child has pneumonia, otitis media or sinusitis and other diseases after the cold, you do not have to feel guilty, it is not something you can control, and actively follow the doctor's advice.
But in the case that the child does not have a serious disease, it is you who can control the abuse of the drug without giving the child the abuse of the complex composition of the child's compound cold medicine, which is what you can do.
Finally, let me summarize two core messages for you:
In addition to the diagnosis of influenza requires the timely use of anti-influenza virus oseltamivir and other drugs, children's cold medication is basically the use of drugs containing a single ingredient for symptomatic treatment, without complex composition of compound cold medicine.
Colds are respiratory infections caused by viral infections, and antibiotics are ineffective against viruses, so antibiotics are usually not used. However, if after 3-5 days of cold, the child's fever and cough and other symptoms are not alleviated or further aggravated, at this time you must take your child to the hospital to see a doctor, if diagnosed as pneumonia, otitis media, sinusitis and other diseases, you must actively follow the doctor's instructions for treatment.