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Ini artikel ttg bahaya kaopectate dr milis sebelah (_sehat_) juga… Smoga membantu ====================- Ditranslate dari artikel "Pepti-Bismol warning" dari www.keepkidshealthy.com ==================== Banyak orangtua yg tahu bahwa mereka tidak boleh memberikan aspirin pada anaknya. Bisa jadi mereka tidak tahu persis mengapa, tapi umumnya mereka tahu obat tsb berbahaya bagi anak. Tentu saja, alasannya adalah aspirinberbahaya bagi anak karena tingginya resiko Reye' synfrome jika anak mengkonsumsinya, spt saat mereka terkena infeksi virus spt flu atau cacar air. Ada obat2an lain yg isinya serupa dg aspirin, yaitu berisi salisilat, yg harus dihindari juga. Hubungannya dg Reye's syndrome juga masih diketahui secara teoritis. Obat2an yg mengandung salisilat tsb adalah : * Kaopectate * Pepto-Bismol Penggunaan Kaopectate sebetulnya membingungkan. Sejak awal direformulasi dith 2003 hingga kini, oabt tsb mengandung subsalisilat, sejenis non-aspirin salisilat. Dulunay kaopectate mengandung attapulgite, yg dapat diberikan pada anak > 3 th. Kaopectate versi baru, dg bismuth subsalisilat, awalnya hanya diberikan utk anak > 3 th, tetapi FDA merevisi labelnya pd tanggal 9 April 2004. Kaopectate tsb mulai dapat diberikan instruksi dosisnya hanya utk anak > 12th. Hal ini makin membingungkan, ada versi lama, versi baru dg label lama,dan versi baru dg label instruksi baru yg semuanya masih dijual hingga kini. Karena kedua obat tsb (kaopectate & Pepto-bismol) diinstruksikan utk remaja,anda harus mengikuti peringatan tsb dan hindari penggunaanya bagi anak jika anak menderita flu atau cacar air. Penggunaan Pepto-Bismol juga membingungkan. Meskipun dulunya dapat digunakan utk anak > 3th, namun aturan tsb sudah direvisi dan diubah dg label yg baru. Saat ini FDA mengubah semua instruksi dosis uk anak dari label di semua produk obat anti diare yg mengandung bismuth subsalisilat. Termasuk juga Pepto-bismol. Sehingga pada label baru akan terdapat tulisan agar konsumen berkonsultasi dg dokter sebelum memberikan pepto-bismol utk anak < 12 th. Produk baru Children's Pepto Chewable Tablet yg mengandung kalsium karbonat dapat diberkan ke anak berusia 2th semakin membuat masyarakat bingung dg penggunaan Pepto-Bismol. Krn penggunaan aspirin dan produk yg terkait relatif berbahaya bagi anak yg menderita infeksi virus (spt flua tau cacar air), adakah obat2an lain selain obat tsb yg dapat diberikan ke anak ?! Banyak sekali obat analgesik selain aspirin, spt asetaminofen dan ibuprofen. Sehingga orangtua dapat menghindari penggunaan aspirin bagi anak dan remaja. Beberapa org lainnya menghindari penggunaan aspirin dan produk serupa yg berisi non-aspirin salisilat utk anaknya. Tapi mereka seringkali menggunakan Pepto-Bismol atau Kaopectate jika anaknya menderita gangguan pencernaan atau diare, meski tidak menderita demam ataupun flu atau cacar air. Ingatlah bahwa AAP, memberikan panduan bahwa : Manajemen gastroentritis akut pada balita, terutama bayi, direkomendasikan agar tidak menggunakan produk2 farmakologis utk emngobati diare akut. Dan penggunaan bismuth salisilat secara rutin jelas tidak direkomendasikan bagi anak yg menderita diare akut. ==================== Pepto Bismol Warning ==================== Parents generally know that they shouldn't give aspirin to their kids. They may not know exactly why, but most are aware that it can be dangerous. Of course, the reason to avoid these medications is because they can increase your child's chances of developing Reye's syndrome if they take them while they also have a viral infection, such as the flu or chicken pox. There are other medicines that contain salicylates, which are related to aspirin, that you should also avoid. Their link to Reye's syndrome is just theoretical though. These include: * Kaopectate * Pepto-Bismol The use of Kaopectate is especially confusing, as it was reformulated in 2003 to now contain bismuth subsalicylate, a non-aspirin salicylate. It used to contain attapulgite, which could be given to children over age 3. The new version of Kaopectate, with bismuth subsalicylate, at first also included dosing instructions for kids over age 3, but the FDA made them change the label on April 19, 2004 so that the dosing instructions only included children over age 12. Making things even more confusing, the old version, new version with old label, and the new version with new dosing instructions are still all being sold right now. Although both medications include dosing instructions for teens, you should follow the warnings and avoid them when your child has chickenpox or the flu. The use of Pepto-Bismol is confusing too. While it used to include dosing instructions for children over age 3, they have been removed in a recent labeling change. The FDA now requires the child dosing directions be removed from the label of all anti-diarrheal products containing bismuth subsalicylate, including Pepto-Bismol, so the new dosing directions require that consumers speak with a doctor before giving Pepto-Bismol to children under 12. A new Children's Pepto Chewable Tablet that simply contains Calcium Carbonate and can be given to children as young as two years old makes giving Pepto-Bismol to kids even more confusing. Since the associated between aspirin and related medicines is when children have a viral illness, like chickenpox or the flu, can you ever give your child any of these medicines? There are so many alternatives to aspirin, like ibuprofen and acetaminophen, so most people would say no and they never give their children and teens aspirin. Other people simply avoid aspirin and advise avoiding products with non-aspirin salicylates when their child has or is recovering from a viral infection with a fever, like the flu or chickenpox, but would use something like Pepto-Bismol or Kaopectate if their older child had an upset stomach or diarrhea, but didn't have a fever and especially didn't have chickenpox or the flu. Also remember that the AAP, in the practice parameter: The management of acute gastroenteritis in young children, makes the recommendation that 'as a general rule, pharmacologic agents should not be used to treat acute diarrhea' and that 'the routine use of bismuth subsalicylate is not recommended in the treatment of children with acute diarrhea'. For more information: http://newsletters.keepkidshealthy.com/cgi-bin/knowwhat.cgi?l=medicine_cabin et/aspirin_salicylates.html More Know What topics: http://newsletters.keepkidshealthy.com/cgi-bin/knowwhat.cgi Visit keepkidshealthy.com http://www.keepkidshealthy.com Lif Rahayu <[EMAIL PROTECTED]> wrote: Mbak, Ini artikel ttg kaopectate ya, please jangan digunakan untuk anak di bawah 3 tahun. Diare muntah intinya cuma satu, jangan sampai kekurangan cairan alias dehidrasi, yang berakibat fatala dalah dehidrasinya, jadi sebisa mungkin terus masukkan minuman cairan pengganti ion tubuh, oralit, pedialyte, air gula garam, air minum..... Mbak, Tentang kaopectate, setidak-tidaknya, mohon banget untuk gak ngasih ke anak di bawah usia 3 tahun. Mohon baca artikel di bawah ini. http://uuhsc.utah.edu/pharmacy/alerts/31.html *Kaopectate and Generic Kaolin-Pectin Products - Reformulation* < Print > *August 2, 2005* FDA Safety Page - 04/19/2004 - http://uuhsc.utah.edu/pharmacy/alerts/ kaopectate.pdf Kaopectate brand products have been reformulated.1 The liquid products now contain bismuth subsalicylate instead of attapulgite. All generic attapulgite-containing medications have been discontinued. The tablets were reformulated to contain bismuth subsalicylate in 2003. Kaopectate brand products have not contained kaolin and pectin since the early 1990's when the products were reformulated to contain attapulgite. All generic pectin-containing medications have been discontinued. In 1992, the FDA banned the use of pectin in over-the-counter products, due to insufficient data about its safety and efficacy. No pectin-containing products are currently available although some marketed products may have names such as Kapectolin, Kaopek, Kaolinpec, or K-Pek. The contents of the current bismuth subsalisylate formulations are as follows: Kaopectate Regular 262 mg bismuth subsalicylate / 15 mL KaopectateExtra-Strength 525 mg bismuth subsalicylate / 15 mL Kaopectate Children's Cherry 87 mg bismuth subsalicylate / 5 mL Kaopectate tablets 262 mg bismuth subsalicylate *Precautions* - Avoid using bismuth subsalicylate in patients receiving chronic warfarin therapy and in patients who are aspirin sensitive.2 - Monitor patients on valproic acid or methotrexate therapy carefully as bismuth subsalicylate may increase the concentrations of these medications. 2 - Avoid bismuth subsalicylate in children and teenagers recovering from chicken pox or flu as these patients are at risk of aspirin-induced Reye's syndrome.2 - Bismuth subsalicylate was FDA-approved for the treatment of acute diarrhea in children as young as 3 years of age. The American Academy of Pediatrics does not recommend bismuth subsalicylate use in young children.2As of April 17, 2004, bismuth subsalicylate-containing products will no longer have FDA-approved pediatric labeling.3 - Be aware that several formulations of Kaopectate are still available. Consult with prescribers to ensure that patients receive the appropriate medication. *References* 1. Pharmacia, medical information (personal communication). March 4, 2003, and April 23, 2004. 2. Walker PC. Diarrhea. In: Berardi RR, DeSimone EM, Newton GD et al eds. *Handbook of Nonprescription Drugs*. 13th edition. Washington, DC: AphA; 2002:335-359. 3. Kim-Jung LY, Holquist C, Phillips J. Kaopectate reformulation and upcoming labeling changes. *Drug Topics*. 2004 (April 19):60-61. On 6/17/08, Lif Rahayu wrote: > > Mbak, sependek yang saya tahu, jika anak diare, jangan berikan kaopectate, > ini sangat tidak direkomendasikan untuk balita. Anak diare (disertai > muntah), biasanya karena virus, jika kurang yakin bisa cek tinja di lab, > apakah ada bakteri. Apapun penyebabnya, langkah awal adalah berikan cairan, > oralit, pedialyte, larutan gula garam untuk menghindarkna dari dehidrasi, > jika sudah menunjukkan dehidrasi, baru mungkin perlu diopname di rumkit. > Dokter anak pencernaan saya gak tahu di Jakarta Timur, tapi yang bagus, > dokter budi (lupa nama panjangnya), praktek di rs harapan kita, dari cerita > temen2 kantor saya, bagus nih dokter,. Tapi kalau muntah diare sih mostly > semua dokter anak mestinya bisa nanganin. > > Nayma dah 2 kali tuh diare muntah, jadi dah pengalaman.... > > > On 6/17/08, Hestiwulan wrote: >> >> Tanya dong, dokter pencernaan anak yg bagus di daerah jakarta timur? >> Anaknya temen ada yg diare dah ke dokter (dikasih obat anti muntah dan >> kaopectat) tp masih diare dan kalo minum susu muntah, minum obatnya juga >> gak >> ketelen krn muntah terus. >> Gimana ya, mo coba ke dokter lain. >> >> Tks, >> hesti >> > > Uci mamaKavin+Ija http://oetjipop.multiply.com S e m a r a n g --------------------------------- Yahoo! Toolbar kini dilengkapi dengan Search Assist. Download sekarang juga.
