St. Mark's Hospital - May 26, 2019

Never give your child any kind of aspirin (not even “baby aspirin,” which is not for babies)

Aspirin can cause Reye's syndrome, which can affect all organs of the body and may be fatal. You might remember taking baby aspirin in your own childhood, but that was before anyone knew better. Baby aspirin is not for babies or kids under 16.

Also, don't give children medicines that contain aspirin-like compounds called salicylates. One example is Kaopectate (bismuth subsalicylate), which should not be taken by children.

Adult-strength Pepto-Bismol, used to settle an upset stomach, also contains bismuth subsalicylate, which isn't good for kids; however, Pepto-Bismol children's chewable tablets contain calcium carbonate, which is okay for kids to take.

Double-check that you're using Children's Pepto chewable tablets, because there are adult chewables, too. Always read labels, and check with your pediatrician or pharmacist if you're not 100 sure a medication is safe for your child.

Don't buy over-the-counter medicines that promise "multi-symptom relief"

It's best if you give your child a simple pain reliever with only one active ingredient rather than something with several different kinds of medicines. Why? Four reasons:

  • If you use a multi-symptom product, you'll probably give your child medicines he doesn't need.
  • Multi-ingredient products often undertreat fever or pain or overdo the decongestant, which makes the child jittery.
  • Many "multi" products contain acetaminophen, but if you don't realize that and give your child an additional dose of Tylenol (acetaminophen), you risk an overdose. Read labels!
  • Finally, if your child reacts to a multi-symptom medication, how will you know which ingredient was the culprit?

Keep it simple: Stick with single-action meds.

Avoid decongestants

They are usually given for a stuffy nose, but they contain ingredients that can actually make your child agitated, irritable or unable to sleep. Instead, try saline nose drops before bedtime, or use a cool-mist humidifier or a warm bath or shower to help your child breathe easier during the night.

Remember to "shake well before using"

Many parents don't shake liquid meds well, if at all – and that may mean your child gets either a too-weak dose (because the powerful stuff has settled to the bottom) or a too-strong one (because the potent ingredients have risen to the top). Either way, not good. Not to mention a big waste of time and money.

Check the expiration date

Most drugs only last a year – sometimes even less. That's why they're stamped with expiration dates. In some cases, drugs actually become more potent if they are used past the safe date, but more often they lose their effectiveness.

Regardless, if the date is up, toss 'em. Take five minutes right now to go through any old containers of pills, check expiration dates, and purge the old stuff.

Don't share prescription medications with your kids, relatives, or friends

Never give your child another person's medicine. Your child may have different symptoms or react to the med. Certainly, few children weigh exactly the same amount, which is what the dose for the prescription will be based on. Big problems can result.

It's much less hassle to make another trip to the doctor's office than to the emergency room. And much cheaper. And much safer.

When your child is taking a medication, jot down the time you give it to him. It's easy to wonder, “Did I give him his pill at 10 a.m., or was it 11a.m.?” Or, “Eek, did I forget it?” Writing it down also helps if both parents are dispensing medications. Keep a list that either parent completes each time a dose is given.

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