Health Equity

As respiratory infections in children dramatically rise this winter, many parents and caregivers are struggling to find over the counter (OTC) medications to help their children.

Cases of Respiratory Syncytial Virus (RSV), Influenza (the flu), and COVID-19 have all seen spikes this fall, according to the Centers for Disease Control and Prevention. This has led to the term, the “Triple-demic.”

The American Academy of Pediatrics reported at least 114,000 children have tested positive for COVID-19 in the past four weeks. We also are witnessing a tremendous increase in transmission of RSV and flu infections in children.

This rise of respiratory illnesses in children has sent parents and caregivers in search of OTC medications to help alleviate their child’s symptoms. High demand had led to shortages in some areas of commonly recognized OTC medications such as Tylenol, Motrin, and Advil.

Here are some suggestions for parents and caregivers to help relieve symptoms associated with respiratory infections such as fever, headache, and body aches.

• Seek generic versions of these medications. Generic versions are just as effective as brand name options. Acetaminophen is the generic form of Tylenol; Ibuprofen is the generic form of Motrin or Advil.
• Encourage your child to drink liquids as dehydration can lead to rising body temperature. If your child is refusing to drink liquids, ice pops are a great way to keep them hydrated.
• Apply lukewarm cloths to your child’s body or give them a lukewarm bath. Avoid cold water as the body may react by increasing the body temperature.
• Avoid overdressing or covering your child in thick blankets as this may overheat your child. Maintain the room at a cool temperature and use loose fitting clothing to help keep your child cool. 
• Never use aspirin in children as it can cause a serious condition called Reye’s syndrome that can lead to liver and brain swelling.
• Contact your pediatrician if your child is less than 8 weeks of age with fever.
• Contact your pediatrician if your child is less than 6 months of age before using Ibuprofen.
• Make sure your child is getting a lot of rest.
• Nasal saline drops can help relieve nasal stuffiness.

It’s also important that parents and caregivers remember that a fever is a sign that the immune system is working to fight the infection. It is not always necessary to treat a fever with medication, especially in children. Fever-reducing treatment should be used when your child is feeling unwell, if fevers are reaching very high levels (higher than 103.5 Fahrenheit), or if your child has other underlying conditions that can get triggered with fever such as seizures.

Finally, prevention is the best way to avoid infection. Ensure your children are washing their hands frequently, maintaining a healthy diet, getting enough sleep, and receiving necessary vaccinations.

Remember to check with your child's pediatrician if you have any questions.