Skip to main content
Erschienen in: Clinical Drug Investigation 2/2019

01.02.2019 | Short Communication

Drugs that Can Kill a Toddler with One Tablet or Teaspoonful: A 2018 Updated List

verfasst von: Gideon Koren, Ari Nachmani

Erschienen in: Clinical Drug Investigation | Ausgabe 2/2019

Einloggen, um Zugang zu erhalten

Abstract

Background and Objective

Young children may be accidentally exposed to adult dose forms of medications, some of which can be fatal, even with a single dose. As numerous new medications have been introduced, we herein update a 2004 list of potentially toxic drugs that can be lethal for toddlers when taking one adult dose unit.

Methods

We reviewed all medications available in North America and identified their reported fatal doses per kilogram in children, or in adults if no pediatric data were available. For each drug we identified the largest dose unit available on the market and calculated how many dose units would be fatal to a 10 kg toddler.

Results

Since 2004, the list of potentially fatal drugs for toddlers has doubled and now includes new anticoagulants, a phosphodiesterase-5 inhibitor, new antiepileptic drugs, antidiabetic medications, drugs for multiple sclerosis, and second-generation antipsychotic drugs, among others.

Conclusion

With the development of potent new medications, an increasing number of drugs are dangerous upon accidental exposure to toddlers and young children. The present 2018 list of documented fatal drugs has doubled compared with 2004, and special labeling of these medications is urgently needed to avoid such calamities.
Literatur
1.
Zurück zum Zitat Gummin DD, Mowry JB, Spyker DA, et al. 2016 annual report of the American Association of Poison Control Centers’ National Poison Data System: 34th annual report. Clin Toxicol (Phila). 2017;55:1072–252.CrossRef Gummin DD, Mowry JB, Spyker DA, et al. 2016 annual report of the American Association of Poison Control Centers’ National Poison Data System: 34th annual report. Clin Toxicol (Phila). 2017;55:1072–252.CrossRef
2.
Zurück zum Zitat Koren G. Medications which can kill a toddler with one tablet or teaspoonful. J Toxicol Clin Toxicol. 1993;31(3):407–13.CrossRefPubMed Koren G. Medications which can kill a toddler with one tablet or teaspoonful. J Toxicol Clin Toxicol. 1993;31(3):407–13.CrossRefPubMed
3.
Zurück zum Zitat Bar-Oz B, Levichek Z, Koren G. Medications that can be fatal for a toddler with one tablet or teaspoonful: a 2004 update. Paediatr Drugs. 2004;6(2):123–6.CrossRefPubMed Bar-Oz B, Levichek Z, Koren G. Medications that can be fatal for a toddler with one tablet or teaspoonful: a 2004 update. Paediatr Drugs. 2004;6(2):123–6.CrossRefPubMed
Metadaten
Titel
Drugs that Can Kill a Toddler with One Tablet or Teaspoonful: A 2018 Updated List
verfasst von
Gideon Koren
Ari Nachmani
Publikationsdatum
01.02.2019
Verlag
Springer International Publishing
Erschienen in
Clinical Drug Investigation / Ausgabe 2/2019
Print ISSN: 1173-2563
Elektronische ISSN: 1179-1918
DOI
https://doi.org/10.1007/s40261-018-0726-1

Weitere Artikel der Ausgabe 2/2019

Clinical Drug Investigation 2/2019 Zur Ausgabe