Children and Toddlers’ Liquid Antihistamine

Children and Toddlers’ Liquid Antihistamine

There are lots of choices when it comes to hay fever symptoms and skin reaction treatment for children and toddlers. Most antihistamines are available for an adult population to exist in liquid form. The following are some of the Liquid Antihistamines for children and toddlers:

  • Diphenhydramine
  • Promethazine
  • Chlorphenamine
  • Loratadine
  • Cetirizine

As with other medications, precautions must be taken before use. Check for special warning, product information, and interactions with other drugs where necessary. Antihistamines discussed in this post are generally divided into first and second-generation antihistamines. The new second-generation antihistamines are unlikely to cause drowsiness. However, there is a small risk of experiencing drowsiness with the least sedation.

Liquid Antihistamines

1. Diphenhydramine

Diphenhydramine is the first-generation antihistamine. This is a pharmacy-only medication that is approved for use in adults and children from 16 years of age.

The recommended dosage for children over 16 years of age and adults is 10 to 25 ml to be taken at bedtime. It has a limit to one dose per night. Common side effects of this medicine may include fatigue, dry mouth, dizziness, or feeling sleepy.

2. Promethazine Liquid

Promethazine is another first-generation antihistamine. This is licensed in the management of:

  • Allergic conditions such as hay fever
  • Nausea (antiemetic effect)
  • Rashes (hives or nettle rash)
  • Short-term management of insomnia

This medication can be used in children from 2 years of age. The recommended dose depends on the intended use. The dose is different when used as an antihistamine and when used as a sedative on a short-term basis. Promethazine possible side effects may include:

  • Dry mouth 
  • Nightmares
  • Headaches
  • Drowsiness

3. Chlorphenamine Liquid

Chlorphenamine is also on the first generation of antihistamine. This is mainly used for the management of:

  • Hay fever symptoms
  • Reactions to insect bites, food, or medicines
  • Allergic rashes
  • Reactions to insect bites

Chlorphenamine Liquid is licensed for adults and children from 1 year of age. The recommended dosages are:

  • Children 1 to 2 years: 2.5 ml dose to be taken twice a day. Maximum of 2 doses in 24 hours if needed.
  • Children 2 to 5 years: 2.5 ml dose to be taken every 4-6 hours up to a maximum of 6 doses in 24 hours as required.
  • Children 6 to 12 years: 5 ml dose to be taken every 4-6 hours. Maximum of 6 doses in 24 hours if necessary.
  • Children over 12 years of age: 5 ml doses to be taken every 4-6 hours. Maximum of 6 doses in 24 hours.

4. Loratadine Liquid

Loratadine is used for:

  • Relieving the symptoms of hay fever
  • Management of skin allergies

The recommended dose:

  • Children age 2 to 12 years of age: 5-10 ml taken once daily.
  • Adults and children 12 years and above: 10 ml taken once daily.

This medication is classified as a non-drowsy antihistamine, but sedation may still occur. Other side effects may include:

  • Difficulty sleeping
  • Headache
  • Tiredness
  • Nervousness
  • Increased appetite

5. Cetirizine Liquid

Cetirizine is one of the most popular second-generation antihistamines for hay fever symptoms. This medicine can also be used for symptoms of urticaria and skin rashes. The recommended doses are:

  • Children age 2 to 6 years: 2.5 mg to be taken twice a day.
  • Children age 6to 12 years: 5 mg to be taken twice a day.
  • Children and adults over 12 years of age: 10 mg to be taken once daily.

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