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re: Giving Toddlers Tamiflu and the Flu - Any advice?

Posted on 12/21/14 at 12:56 pm to
Posted by tigerbandpiccolo
Member since Oct 2005
49284 posts
Posted on 12/21/14 at 12:56 pm to
quote:

Compared with a placebo, taking Tamiflu led to a quicker alleviation of influenza-like symptoms of just half a day (from 7 days to 6.3 days) in adults, but the effect in children was more uncertain. There was no evidence of a reduction in hospitalisations or serious influenza complications; confirmed pneumonia, bronchitis, sinusitis or ear infection in either adults or children. Tamiflu also increased the risk of nausea and vomiting in adults by around 4 percent and in children by 5 percent. There was a reported increased risk of psychiatric events of around 1 percent when Tamiflu was used to prevent influenza. Evidence also suggests that Tamiflu prevented some people from producing sufficient numbers of their own antibodies to fight infection.


quote:

Dr David Tovey, Editor-in-Chief, Cochrane, said: “We now have the most robust, comprehensive review on neuraminidase inhibitors that exists. Initially thought to reduce hospitalisations and serious complications from influenza, the review highlights that Tamiflu is not proven to do this, and it also seems to lead to harmful effects that were not fully reported in the original publications. This shows the importance of ensuring that trial data are transparent and accessible.”

This post was edited on 12/21/14 at 12:59 pm
Posted by tiger91
In my own little world
Member since Nov 2005
36739 posts
Posted on 12/21/14 at 7:23 pm to
Not a toddler situation but my husband was swabbed and tamiflu started Monday night ... Fever at the time was 102.6. 8 am Tuesday am was the last time he had a temp. Tamiflu is the bomb.

17 yo son started with fever/aches/headache Wednesday night but started Tamiflu on Thursday am ... By noon on Friday he was much much better.

I totally credit Tamiflu no matter what any study said. And yes they were both positive swabs. shite works.
Posted by tigerbandpiccolo
Member since Oct 2005
49284 posts
Posted on 12/21/14 at 7:42 pm to
I wasn't saying it wasn't safe in grown human beings.

For an infant or toddler? Or even a kid? I will absolutely never give it to my child or future children again. They can do it on their own when they're of age to make those decisions. But I also have an organic nanny who is against most medicine/antibiotics for kids, so I get an earfull. I take about 50% in because a lot of what she says is truth. Our pediatrician is also not a fan of tamiflu for infants or children. But I begged her for it because my baby had the flu twice within a month and I was at my wit's end for both he and I. Not a good situation to be in with an 8 month old. Needless to say, he got the flu shot (totally against the will of my anti-vaccination nanny) the first week it was offered this year. He ought to have a badass immune system at this point, however.
Posted by tiger91
In my own little world
Member since Nov 2005
36739 posts
Posted on 12/21/14 at 7:48 pm to
I just in my experience disagree with what they say the benefit is ... I see it as Way more than a half day. That's all. I'll give it to mine every time until the FDA pulls it.

Posted by tigerbandpiccolo
Member since Oct 2005
49284 posts
Posted on 12/21/14 at 7:56 pm to
No I agree it can be good for older folks. I took it when I was a freshman at LSU, got flu, and I recall it helped me after 3 days of feeling like death.

From want you said your kid was/is the same age I was when I took it as a freshman at LSU. But I took it in second grade (I guess I was actually closer to 7-8) and had severe projectile vomiting, diarrhea, and bad hallucinations that I still remember to this day. After my parents stopped dosage I was back to "normal" sick after 10-12 hours.

I wish they would do more research/studies on it's effect specific to infants through elementary age children. But that won't happen, pharma lobby in too deep.
Posted by LSUERDOC
Member since Jul 2013
2608 posts
Posted on 12/21/14 at 7:56 pm to
I didnt read the entire thread. Tamiflu is generally recommended for young children, elderly and immunocompromised patients...which are patients at a higher risk of complications from influenza. But, it is best if started within 48hrs of symptoms onset and is supposed to decrease symptoms by about 24hrs.

I dont even prescribe this med to otherwise young healthy patients.

The flu vaccine is a yearly guess based on previous years strains...this year they guessed wrong. I work in the ER and never get the vaccine, and have yet to get sick.

I would recommend being aggressive with keeping the fever down and ensuring the child stays hydrated. I would just go to the ER if the child gets worse or for any concerns.
Posted by StringedInstruments
Member since Oct 2013
18447 posts
Posted on 12/22/14 at 3:05 pm to
Update -

Never got the Tamiflu.

He was miserable for two days (Friday, Saturday), and honestly, we ended up going to the ER not too long after I made this thread. His fever spiked to 105.2 and that was an hour after Tylenol and four hours after Motrin. We gave him a cool bath, which helped for about 30 minutes, but it spiked to 105 again, so we went to the ER, and I could have killed myself for not getting the Tamiflu.

But once we got him in the cool air outside and once we got to the hospital, he perked up. His fever was still high - 104.5 - but his funny personality was back in full force. The nurse gave him a dose of Motrin, and the Nurse Practitioner talked to us about his demeanor and said that because he was drinking so many fluids that there wasn't much they could do besides monitor him. We stayed at the ER for another 45 minutes, and his temp was down to 103.5, so we went home.

He slept well that night but he still had a 103 temperature in the morning and was still extra-cuddly. But yesterday after his nap, it was like he left the flu in his dream.

We checked his temp every 30-45 minutes until bedtime, and he never had a fever. His Motrin wore off at 4pm. He didn't want to go down for bed at 7pm because he was too hyper. Ended up staying up until 9pm until he crashed. Slept until 8am this morning, and as of ten minutes ago, still no fever or illness signs.

Hopefully he doesn't have any secondary infections, but considering the flu only lasted two days, I'm glad we didn't get the Tamiflu. The nurse PA at the ER also agreed that the most it would have done is shorten the span of the flu, which in his case wasn't too long at all.

Posted by yankeeundercover
Buffalo, NY
Member since Jan 2010
36376 posts
Posted on 12/22/14 at 3:07 pm to
quote:

He then told me that it could cause violent vomiting as a side effect and that we should stop giving it if that happens.
That's what 8 years of school gets you.
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