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Perspective
Volume 357:2321-2324 December 6, 2007 Number 23
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Over the Counter but No Longer under the Radar — Pediatric Cough and Cold Medications
Joshua M. Sharfstein, M.D., Marisa North, B.A., and Janet R. Serwint, M.D.

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In recent weeks, over-the-counter cough and cold medications for children have received unprecedented attention from regulators, physicians, the media, and parents. This scrutiny represents a long-overdue reassessment of products that were purchased by 39% of U.S. households during the past 3 years.1 It also reflects an important evolution in the standard of evidence for medications used in children.

Over-the-counter cough and cold preparations include various combinations of antihistamines, decongestants, antitussives, and expectorants. There is no standard for describing these products; two products marketed similarly may have different types of ingredients (see table). Consumers purchase about 95 million packages of . . . [Full Text of this Article]


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Dr. Sharfstein is the commissioner of health for Baltimore; Ms. North is a medical student at the Johns Hopkins School of Medicine, Baltimore; and Dr. Serwint is a professor of pediatrics at the Johns Hopkins School of Medicine, Baltimore. The authors are the lead signers of the petition to the FDA on over-the-counter cough and cold medications.


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