Friday 3 August 2012

Kids are not simply small adults


This should interest all parents.

According to a recent review in the journal, Pediatrics, that investigated the use of medications in kids, research has shown that the off-label drugs in which a particular drug has only been approved for use in adults makes up nearly 80 percent of the drugs to kids in hospitals and up to 56 percent of the drugs prescribed for kids in doctors' offices.

In other words, although these drugs have not been studied enough (many not studied at all) in kids (often, interestingly, because of ethical worries about using such drugs in kids), they are still prescribed heavily for children, with the rationale that “Hey, we don’t really have anything else for a kid, and besides, a kid is simply a small adult, right?”

No, a child is not simply a small adult (although many adults are still small children, of course).

And that may be especially true for medications.

As an example, drugs widely used for ADHD treatments are stimulants when used in adults, they act to calm kids with ADHD.

All drugs that need to be used in kids should have been tested for efficacy and safety in that population and if a particular drug that you’re being advised to give to your kid hasn’t been studied in that manner, be very careful about using it.

Start by asking lots of questions about why it’s necessary to use that drug, and you’ll be quite pleasantly surprised, I think, about how often a “must-use” drug becomes a “well, maybe-it’s-not-necessary” medication.

And hey, your kid will be even more pleasantly surprised than you when that occurs.