Forty percent of parents are still giving children under the age of 4 cough medications they should not receive, according to a University of Michigan poll. Despite doctors’ advice, many parents still turn to OTC (over-the-counter) cough medicines for their very young kids.

It is not surprising that parents get medications for their young children, especially as most of them catch colds from five to ten times per year. The problem is that 40% of parents are giving these little ones drugs they should not be taking, researchers from the University of Michigan wrote.

In the “University of Michigan C.S. Mott Children’s Hospital National Poll on Children’s Health”, over 40% of parents said they give their child under 4 years of age cough medicines or multi-symptom medications. Twenty-five percent of respondents said they gave their young kids decongestants.

The FDA (Food and Drug Administration) issued an advisory in 2008 that these OTC medications should not be given to infants and kids under two. These drugs have not been proven effective for very young children and are associated with serious side effects, said Matthew M. Davis, M.D., M.A.P.P., director of the C.S. Mott Children’s Hospital National Poll on Children’s Health.

Cough and cold OTC drug makers responded to the FDA’s advisory by changing their labels, stating that their products should not be used for kids under four years of age.

Davis said:

“These products don’t reduce the time the infection will lasts and misuse could lead to serious harm.

What can be confusing, however, is that often these products are labeled prominently as ‘children’s’ medications. The details are often on the back of the box, in small print. That’s where parents and caregivers can find instructions that they should not be used in children under 4 years old.”

Very young children who take cough and cold medications may experience the following side effects:
  • convulsions
  • allergic reactions
  • arrhythmia
  • confusion
  • constipation
  • drowsiness
  • hallucinations
  • nausea
  • shallow and slow breathing
  • sleepiness
No differences were found between fathers, mothers, and parents of all races/ethnicities regarding their likelihood of giving their very young children OTC cough and cold medications; the same patterns were found across all household incomes.

Davis said “Products like these may work for adults, and parents think it could help their children as well. But what’s good for adults is not always good for children.”

Davis urges parents to read the directions of OTC cough and cold medications carefully. They should also contact their doctor regarding any questions about these drugs.

Davis said “Because young children often suffer from cold-like symptoms, more research is needed to test the safety and efficacy of these cough and cold medicines in our littlest patients.”



Researchers from the University of Melbourne and Royal Children’s Hospital found in 2008 that over 40% of parents had used cough medicine for children less than two years of age, even though it was not recommended.

Written by Christian Nordqvist