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"When should I have my child tested?"
"What is the effect of promethazine on liver?"
"When should I take promethazine off in order to reduce the amount of time I use it?"
"Why does my child have promethazine in his system?"
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"How long after the dose of promethazine should I give the infant?"
"How much sleep should the infant get?"
Promethazine-induced breathing problems are very common in children younger than 3 months. There is no proven reason for a person to have child younger than 3 months, but it is possible that the child may suffer brain damage if he or she is exposed to the drug long-term. Promethazine-induced breathing problems may include:
A child that has "punch drunk" breathing pattern
A child with deep, wheezing sound to the diaphragm when a person presses down on the chest. This wheezing sound sounds similar to what a person might hear if an internal gag reflex is activated by breathing normally and a child breathes in air an unnatural way. The sound is similar to that of a child being crushed.
A child that has slowed breathing
Children between the ages of 3 and 5 who will likely have breathing problems from exposure to
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Children younger than 3 months who can develop breathing problems be evaluated at your child's pediatrician's office. In some cases a consultation with your child's doctor will require an overnight stay at a hospital. Many children whose breathing problems begin to develop in the first 3 to 5 months are treated with the following:
Promethazine: A prescription drug that is used to treat ADHD.
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A prescription or subvention program is an important decision that parents must make with the advice of their child's pediatrician.
There is no proof that a child will never breathe better after his or her treatment with Promethazine. In fact the evidence that benefits of treating this problem is not very substantial remains to be truly studied. It is important that you discuss the pros and cons of treatment options with your pediatrician.
A study (Towle et al., 1991) at the Department of Psychiatry University Virginia showed that only 5% of the parents children who had been exposed to very high levels of Promethazine had seen improvement that required no further treatment and a 20% of the children stopped treatment that required continuation for 2 years or a total of 1 year. Most the children did not stop treatment because they were concerned that it was unsafe to continue the treatment. In addition to potential risks of long term use, children with breathing problems might be more vulnerable to respiratory infections because their lungs are more open (open in the sense they have a lot of air and are not full of dead cells) to enter bacterial invasion.
A child's symptoms may indicate further development of the problem. A child that has never had a full blown asthma attack, might.
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