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For the common cold, less is more

Friday, October 3rd, 2008

So cold meds are out. For kids, they not only don’t help, they can be dangerous. Pediatrician groups want the the Food and Drug Administration to just out and out ban marketing antihistamines, decongestants and cough suppressants to kids through age 6, but so far health officials are balking at that.

You gotta’ love their reasoning. The head of the FDA’s office on new drugs says that without drugs aimed at kids, parents might just end up doing something worse –  they’d give adult cold medicines to their kids instead.

Never mind the FDA. .

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Dr. Karl Chun

There’s is a growing body of research that  over-the-counter medications are not effective for colds anyway, or at least no more effective chicken-soup. Dr. Karl Chun, a pediatrician at Fairview Children’s Clinic, says he prescribes the least medical remedies of all.

Here are his tips for helping little kids (or not so little) through a cold, just in time the sneezy season.

Keep their heads up in bed.  That reduces the cough reflex. And secretions won’t pool in the back of their throats. Sleeping on the stomach can do the same thing.

Get steam to back of their throats. That means chicken soup, or broth, herbal teas, and a humidifier. That helps loosen things up.

Lemon and honey for a cough. Warm, diluted lemonade can help coughing spasms.  So does honey, but don’t give it to kids under the age of one year. Honey could carry spores from the bacteria that causes tetanus, but unlike older kids, infants don’t have the right stomach acids to kill them.

That’s the basic list. Do you have any tips you can share?

Talk to the FDA

Wednesday, April 2nd, 2008

Did you know that you, the consumer, can report a bad drug reaction directly to the Food and Drug Administration? It’s a little known fact that Consumers Union and Kim Witczak think should be advertised alongside each and every TV ad for the drugs that could cause them.

Consumers Union is the national consumer advocacy group that publishes Consumer Reports. Kim Witzcak, who just happened to be sitting in an office at Consumers Union when I called there today, is a south Minneapolitan who came up with the idea of advertising the reporting system directly to consumers.
She said she wishes she’d known that such a reporting system existed five years ago when her husband, Woody, committed suicide in their garage. She’s always been as certain as only a wife can be that it was the drug, Zoloft, that caused him to take his own life.

After his death Witczak became a passionate and articulate advocate for the black box warning about the increased risk for suicide that is now required on all of the antidepressants known as SSRIs. She also launched a drug safety advocacy group called WoodyMatters. Which is what brought her to Consumers Union.
Last fall, congress passed a law requiring print drug ads to include a phone number and web address that patients can use to report adverse events to the FDA. But their use on the far more influential TV ads will only be studied.

“It’s a stall tactic in my mind,” Witczak said. Consumers Union is pushing the FDA to enact the TV ad requirement now.

Collecting drug reaction reports from consumers is the fastest way to signal a drug safety problem, it says. But at the moment few people even know that such a reporting system exists. It’s called MedWatch. In 2004 it collected about 423,000 adverse reports. But nearly 700,000 people a year end up in an emergency room because of a drug reaction, Consumer Union says. “This is so simple,” Witczak .”It takes advantage of what the FDA has in place.”

You can also call MedWatch at 1-888-INFO-FDA (1-888-463-6332)