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Results of the study were released online Nov. 11 in the journal Pediatrics.

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The drop in kids' illnesses came about after drug manufacturers voluntarily withdrew Nike Metcon Grey Volt cough and cold medications Nike Lebron 12 Low Performance Review

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Another expert explained why toddlers are at risk for accidental ingestion.

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By Serena GordonMONDAY, Nov. 11 (HealthDay News) Restrictions placed on cough and cold medicines may be working, with fewer young children ending up in the ER because of bad side effects tied to the drugs, new research shows.

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To see what effect these changes had on related emergency department visits, Hamilton and his colleagues reviewed information from a nationally representative injury surveillance project.

for this age group from the market in 2007, and after drug labeling changes put in place in 2008. The labeling changes advised that the products were not for use in children under 4. Centers for Disease Control and Prevention.

The researchers looked for any emergency department visit related to the use of a drug that didn't result in the patient's death. They collected information from January 2004 through December 2011 so they could see if the labeling changes and the withdrawal of the infant formulations of cough and cold medications had made an impact.

"We saw that in children under 2 years old, adverse events from cough and cold medicines dropped from one in 25 of all emergency department visits for adverse drug events to about one in 40 [such visits]," Hamilton said. "In the 2 to 3 year olds, adverse events from cough and cold medicines dropped from one in 10 of all emergency department visits for adverse drug events to about one in 15."

Fewer ER Visits for Kids After Cold Medicine Restrictions

They also wanted to understand how these young children who ended up in the emergency room were still getting the drugs, and found overwhelmingly that it was through unsupervised ingestion. In the under 2 group, 64 percent took these medications unsupervised. And, in the 2 to 3 year old age group, 89 percent took the drugs without parental knowledge.

The researchers also looked to see if rates of adverse drug events rose for other medications or alternative therapies, which might have indicated that parents were substituting another treatment for cough and cold medications. But, Hamilton said, they saw no shifts to other drugs or therapies.

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"The vast majority of emergency department visits in recent years Nike Metcon 3 Black White

"Over the counter medications may seem benign to the average person, but they can be dangerous, especially in small children. The highest number of unsupervised ingestions was in 2 to 3 year olds. These are kids that are beginning to be mobile and may start climbing and getting into more. And, these medications are sweet and good tasting. This is the age group that parents really need to be monitoring," said Dr. Bradley Berg, medical director of Round Rock Pediatrics at Scott and White Healthcare, in Texas.

was due to kids getting into them without supervision," Hampton said. He said that packaging changes, such as putting a low flow filter on bottles to limit how much someone can consume could help, and he said parents have to remember to put the child resistant cap back on the bottle every time and turn it till it clicks, and then put the bottle on a high shelf, out of sight.

Manufacturers of over the counter oral infant cough and cold medications voluntarily withdrew these products from the market in 2007 amid concerns that the drugs were causing significant numbers of emergency department visits Nike Zoom All Out Flyknit

In those aged 2 to 3, emergency room visits due to cough and cold medications made up 9.5 percent of all adverse drug event admissions before the change. After the changes, that proportion dropped to 6.5 percent.

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Nike Metcon Grey Volt

and in rare cases, infant deaths. The following year, manufacturers changed the labeling on over the counter cough and cold medications to state that they should not be given to children under 4.

In children under 2, adverse events related to cough and cold medications made up 4.1 percent of all adverse drug event admissions before the changes took effect. After the changes, that rate dropped to 2.4 percent, according to the study.

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