Perusing
the “Things That We Once Thought Were Good For Kids But Now Have
Decided They Aren’t” shop provides for some interesting browsing.
There’s
the “Babies Should Sleep On Their Stomachs” department (they
shouldn’t). And there’s the “A Little Alcoholic Beverage
Is Good for Breastfeeding” boutique (probably not a good idea).
Well,
add syrup of ipecac to the aisle.
For
years, doctors have recommended that parents keep a bottle of ipecac handy
in case their children accidentally swallowed something poisonous. The
ipecac would induce vomiting, clearing the stomach of the poison.
Recently,
the American Academy of Pediatrics (AAP) has reversed this long-standing
position, now recommending that instead of using syrup of ipecac, parents
should first call their nearest poison control center.
The
AAP felt the use of ipecac was based more on intuition that it should
work, rather than it actually did work. It was thought if there was poison
in a child’s stomach, the best thing to do was to get it out. And
ipecac was shown to cause vomiting 85 to 100 percent of the time.
Over
the years, evidence against ipecac seemed to mount:
•
The list of medications where vomiting a poison would do more harm than
good grew bigger and bigger. Some chemicals were found to damage the lining
of the throat.
•
People were abusing ipecac, using it to vomit and control their weight.
•
Activated charcoal became the standard of treatment for poisonings. Poisons
would cling to the charcoal and pass though the body without being absorbed.
Ipecac could get in the way, at times, causing children to throw-up the
charcoal.
•
Ipecac itself is not without its own set of side effects. It can cause
prolonged vomiting as well as sleepiness. This could complicate diagnosis
and delay treatment.
Over
the past 15 years, the use of ipecac as recommended by regional poison
control centers has declined by 95 percent.
Today,
the use of ipecac is being reviewed by the Food and Drug Administration
and it may lose its over-the-counter status. If that’s the case,
the day will have passed when bottles of ipecac sit in the cupboards of
parents with young children.
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