Choosing The Best Cough and Cold Medicine for Kids

When it comes to treating coughs and colds in children, selecting the appropriate cough and cold medicine for kids is vital. These common childhood ailments can lead to significant discomfort for the little ones and considerable worry for parents. Navigating the pharmacy shelves, filled with lots of options, can be daunting. It's important to remember that not every medication is suitable for children, underscoring the importance of choosing with care and consideration.

Pharmacies stand as pillars of community well-being. One crucial aspect of Glovida-Rx Pharmacy is that we are committed to fostering trust among customers and contributing to the community's overall health and satisfaction. Therefore, we have made a guide for you, especially when your little one is in need. 

Understanding Coughs and Colds in Kids

Cough and cold are often interrelated symptoms that frequently occur as part of the same respiratory infection. They are commonly associated with viral infections, such as the common cold or influenza. [1]

Before we dive right into choosing medications, let's try to understand cough and cold  better. Only when we are familiar with the different types of cough then will we be able to understand and work on choosing the best products for our children’s recovery.

A cough is a rapid release of air from the lungs, serving as a natural reflex to eliminate foreign and potentially harmful particles like microbes, irritants, fluids, and mucus from the throat and respiratory passages. In summary, a cough is a defense mechanism.

Not all colds are the same. Cold and cough in children can arise from various factors, with Respiratory infections,  Allergies, and Asthma being common culprits. Respiratory infections, whether viral or bacterial, such as colds, flu, bronchitis, or pneumonia, frequently manifest as cough symptoms. Allergies triggered by substances like pollen, dust, pet dander, or certain foods can also result in coughing, often accompanied by additional symptoms like sneezing, a runny nose, or itchy eyes. Additionally, Asthma, characterized by chronic inflammation and constriction of the airways, is another prevalent cause of cough in children. [2]

A. Respiratory infections 

Do you ever wonder why it is that as parents, “Don't touch! Don’t put your hand in your mouth!”  Is this such a common phrase that is screamed out to our little mischievous ones? Today, let us understand this better.

Viral respiratory tract infections commonly spread when children's hands come into contact with nasal secretions, which contain viruses, from an infected individual. Upon touching their nose or eyes, the viruses can enter, causing a new infection. Alternatively, infections can also propagate when children inhale air containing droplets expelled by a cough or sneeze from an infected person.

Nasal or respiratory secretions from children with viral respiratory tract infections tend to contain more viruses than those from infected adults for various reasons. This elevated viral output, coupled with generally lesser attention to hygiene, increases the likelihood of children transmitting their infection to others. The risk of transmission is further heightened in settings where many children congregate, such as in child care centers and schools. It's important to note that factors like becoming chilled, wet, or tired do not induce colds or elevate a child's susceptibility to infection, contrary to common misconceptions. [3]

B. Allergies 

It is rather a misconception that Allergies are only associated with runny nose, sneezing and watery eyes. Allergen-induced coughs in children are prevalent and can cause discomfort. Allergies manifest when the immune system responds to substances like pollen, dust, pet dander, or specific foods. This reaction prompts the release of chemicals, including histamines, which in turn lead to symptoms like coughing. Below is a guide to help comprehend and address coughs related to allergies in children:

• Environmental Allergens: Common triggers like pollen, mold spores, dust mites, and pet dander can induce coughing in sensitive children.

• Food Allergies: Certain foods may cause allergic reactions in children, with coughing being one potential symptom.

• Allergic Rhinitis: Also called hay fever, this condition can result in nasal congestion, sneezing, and a lingering cough in affected children.

• Exposure to Irritants: Irritants such as tobacco smoke, strong odors, or air pollution can worsen coughing in children with allergies. [4]

C. Asthma 

It is important to recognise that Allergies can exacerbate the symptoms of Asthma, a chronic condition characterized by inflammation and constriction of the airways, leading to breathing difficulties.  

Frequent bouts of coughing, whether dry or producing mucus, serve as a key indicator of asthma in children. These coughing episodes may occur more frequently at night or during physical activities, and audible wheezing may accompany breathing. Symptoms can range from: 

• Difficulty breathing or shortness of breath
• Rapid breathing
• Low energy levels
• Chest tightness or pain

Symptoms of Cold and Cough

A cold and cough primarily affects the respiratory tract because they are commonly caused by viral infections that target the upper respiratory system especially when the entry points are the nostril(s) and mouth. Therefore, the common symptoms:

1. Runny nose
2. Sneezing
3. Coughing 
4. Mild fever 

Types of Cough

More often than not, when you pay the Pharmacy or Doctor a visit with a cough, “Is the cough phlegmy or dry.” would be the first question that your healthcare professional will ask you. How do you answer this question? It’s simple, really. If the cough is productive (has mucus) then it is a wet (phlegmy) cough. If what your little one is experiencing is non-productive (no mucus) but rather hoarse with a tickling sensation in the throat, then it is a dry cough.

Wet (Productive) Coughs

Wet coughs, also known as productive coughs, are characterized by the presence of mucus or phlegm. When the respiratory system is irritated or infected, the body's natural response is to produce more mucus to help trap and eliminate foreign particles, such as bacteria or irritants. They’re usually temporary, associated with viruses like colds and influenza and accompanied by symptoms like stuffy nose, aches/pains, sore throat and wheezing. That is also another reason why your healthcare professional will ask you if your child’s phlegm is green/yellow (Viral or bacterial) or white (Allergies). [5] However, a moist cough may persist even after overcoming a viral infection, becoming enduring. In such cases, it is advisable to consult your doctor. [6]

Dry Coughs

In contrast to wet coughs, dry coughs are Non-Productive. This is because it doesn't usually bring up mucus or phlegm since it is from the upper respiratory tract. Instead, it may be caused by irritation or inflammation in the throat or upper airways without significant mucus production. If your little one describes their cough as an “Itchy throat” or “Tickling sensation”,  then perhaps it is a dry cough. [7]

The distinction between productive (wet) and non-productive (dry) coughs are crucial in identifying potential causes and determining appropriate treatment strategies. For example, a productive cough with discolored or thick mucus may indicate a respiratory infection (P.S. This is where you seek a doctor!), while a persistent dry cough may suggest an irritation or inflammation that needs targeted management.

How to Choose the Best Cough and Cold Medicine for Kids

Now that we know the different types of cough, shall we start learning how to choose the “best cough” for our precious little ones? We know that this is for your (picky) little ones so we have ensured that our recommended list of medications is non/less-sedating and that they taste good! In addition to that, they are Over-The-Counter (OTC) medications, so you are able to contact our pharmacist at Glovida-Rx to get advice and your medications (on the same day!). How great is that!

Medicines for Cold 

1. ZYRTEC R

When your little ones' immune system takes offense to harmful particles, their body produces antibodies and releases a chemical called histamine. Antihistamines such as Cetirizine works by blocking histamine receptors, keeping their immune system from reacting to the allergen.

Zyrtec Kids Rapid Acting 12 hour Allergy & Hayfever Relief Antihistamine Oral Liquid Banana flavor is suitable for kids aged 2 and above. It contains Cetirizine which blocks the action of histamines to relieve symptoms of cold (Runny nose, sneezing, itchy and watery eyes). Fear not that your kids will  gag at the sight of this medication, as it has a favorable and flavourful banana-flavored syrup, making it so much easier for you to convince them to take it! It is sugar, lactose, gluten and dye-free so it is more than safe for your precious little one.  [8]

2. EASE A COLD KIDS COLD & FLU CHEWABLE TABLETS

Ease a Cold Kids Cold & Flu chewable tablets have been specially formulated with a blend of Black Elderberry, Echinacea, Zinc, Vitamin C, and bioflavonoids. This unique formulation is designed to diminish the duration of common colds and alleviate the intensity of cold and flu symptoms in children such as runny nose, sore throat, coughing, and congestion. Additionally, the tablets work to enhance immune function, supporting the maintenance of a healthy immune system in your child. 

These chewable tablets are suitable for children as young as 2 years old. Beyond their effectiveness in symptom relief, Ease a Cold Kids Cold & Flu chewables offer a delightful berry taste when they dissolve in the mouth. [9] 

3. Sambucol Kids Black Elderberry Cold and Flu Relief Liquid 120mL 

Come on and tell me which kid does not enjoy the sweet flavor of things they put in their mouth, those sweet tooths! Because if your kid does, they will enjoy the flavor of Sambucol Black Elderberry Cold & Flu Relief Kids Liquid! This potent remedy contains black elderberry, elderflower, honey, zinc, and vitamin C, effectively alleviating cold and flu symptoms in children. The oral liquid boasts a berry flavor derived from its primary antioxidant ingredient, black elderberries.

Contained in a 120 ml bottle, this product features all-natural ingredients that aid in eliminating free radicals, safeguarding children from viruses, and bolstering their immune systems. [10]

Medicines for Cough

1. RHINATHIOL CHILDREN COUGH SYRUP RASPBERRY & CHERRY FLAVOUR

Rhinathiol Children Cough Syrup is specially formulated for children to facilitate the loosening of bronchial secretions, aiding in the easier expulsion of mucus through coughing. Its mechanism involves the dissolution and clearance of phlegm, promoting improved breathing. This cough syrup is specifically intended for cases of bronchial congestion, particularly during acute bronchitis episodes. [11]

As long as your child is 2 years old and above, you will not have to worry about medication to soothe their cough as long as you have our handy Rhinathiol! Worried about cough syrups being drowsy? Fret not, as Rhinathiol Children Cough Syrup syrup has a non-drowsy formulation! The key features of this cough syrup are that, it: 

• Effectively treats cough accompanied by phlegm.
• Dissolves and clears phlegm to enhance respiratory comfort.
• Enjoys a kid-friendly taste in Raspberry & Cherry flavor.
• Includes a measuring spoon for convenient dosage.
• Non-drowsy formulation.  

2. SAMBUCOL KIDS BLACK ELDERBERRY COUGH RELIEF 120ML 

Sambucol Kids Cough Relief is an oral liquid designed to swiftly and effectively alleviate chesty coughs in children. This cough syrup harnesses the combined strengths of black elderberry and ivy leaf, renowned in nature for their immunity-boosting capabilities against free radicals. Delectable and well-suited for kids, Sambucol's cough relief ingredients actively combat the symptoms of coughs and flu. It effectively addresses chesty coughs by targeting dense phlegm while enhancing the immune system's capabilities. [12]

3. TUSSIDEX FORTE LINCTUS 

You may not be able to get this Over The Counter, but fear not, as now, you have Glovida-Rx! You are just one click away from a free consultation with our Pharmacists and Pharmacy staff here at Glovida-Rx. Tussidex Forte is an effective medication for resistant dry cough and is especially handy if your child needs to attend school as it is formulated to be Non-Drowsy. 

Tussidex Forte contains Dextromethorphan, which provides relief from dry, non-productive cough due to irritants, usually inhaled. [13]

Dual Action

What happens then if your little one is down with both a cold and cough, but taking 2 medications is too taxing on them? Not to worry as there are formulations that incorporate treating both cough and cold at the same time! 

Ease A COLD KIDS COLD & FLU RELIEF (BERRY FLAVOUR) 180ML 

Ease a Cold Kids Cough, Cold & Flu Relief is crafted to expedite the recovery process for children experiencing the common cold. This pleasantly flavored berry liquid incorporates Echinacea, Ivy Leaf, Zinc, and Blackberry to not only reduce the duration of the common cold but also provide relief from cough symptoms.

It aims to bolster a child's healthy immune function, thereby decreasing the frequency of cold occurrences throughout the year. Symptoms such as cough with excessive mucus and runny nose can be alleviated. [14]

Now that you know more about cough and cold, do you think that you are able to make more well-informed decisions rather than looking lost at your nearby pharmacy store? 

Conclusion

Selecting the “best” Cough and Cold Medicine for kids requires careful consideration of various factors, including the child’s age, specific symptoms and any pre-existing health conditions. It is crucial to prioritize safety and efficacy, opting for appropriate medications. Ultimately, a well-informed and cautious approach ensures that we make choices that prioritize the well-being of our children during periods of cough and cold illnesses.

Additionally, incorporating non-pharmacological measures such as hydration, rest and a well-balanced diet can complement medication and contribute to a faster and more comfortable recovery for our little ones.

Visit Glovida-Rx Pharmacy to explore various Cough and Cold Medicines for kids.  If the inconvenience of repeatedly going to a local pharmacy or clinic for a new cough syrup is a concern or if you are unsure of your child’s condition, Glovida-Rx Pharmacy offers a comprehensive e-pharmacy service. We aim to empower individuals to make well-informed healthcare decisions based on their preferences and safety. We offer both medications and expert guidance conveniently to our customers. Our friendly pharmacists are easily accessible for assistance through WhatsApp at 81015555 or via email at pharmacist@glovida-rx.com.sg. With Glovida-Rx Pharmacy, you can confidently navigate healthcare choices for yourself and your loved ones without hesitation!

Citations: 

1. Common cold. Johns Hopkins Medicine. (n.d.). https://www.hopkinsmedicine.org/health/conditions-and-diseases/common-cold#:~:text=A%20cold%20is%20caused%20by%20a%20virus%20that%20causes%20inflammation,then%20inhaled%20by%20another%20person.
2. WebMD Editorial Contributors. (n.d.). Coughs in children: Causes and treatment. WebMD. https://www.webmd.com/first-aid/coughs
3. Tesini, B. L. (2023, November 12). Overview of viral respiratory tract infections in children - children’s health issues. MSD Manual Consumer Version. https://www.msdmanuals.com/en-sg/home/children-s-health-issues/common-viral-infections-in-infants-and-children/overview-of-viral-respiratory-tract-infections-in-children
4. WebMD Editorial Contributors. (n.d.). Coughs in children: Causes and treatment. WebMD. https://www.webmd.com/first-aid/coughs
5. UNIVERSITY of NEBRASKA–LINCOLN. (n.d.). Is it allergies, COVID-19 or something else? what your mucus might mean. Is it allergies, COVID-19 or something else? What your mucus might mean | University Health Center. https://health.unl.edu/it-allergies-covid-19-or-something-else-what-your-mucus-might-mean
6. Tiberian, J. (2020a, April 21). What’s the difference between a dry cough and a wet cough? MDVIP. https://www.mdvip.com/about-mdvip/blog/whats-difference-between-dry-cough-and-wet-cough
7. Tiberian, J. (2020a, April 21). What’s the difference between a dry cough and a wet cough? MDVIP. https://www.mdvip.com/about-mdvip/blog/whats-difference-between-dry-cough-and-wet-cough
8. GSK . (2021). https://zyrtec.com.sg/foryourkids.html. Zyrtec for your kids. https://zyrtec.com.sg/foryourkids.html
9. Glovida. (n.d.). Ease-A-cold kids cold & flu chewable tablets 24’s. Glovida. https://www.glovida-rx.com.sg/products/ease-a-cold-kids-cold-flu-chewable-tablets-24-s
10. SAMBUCOL kids black elderberry cold & flu relief liquid 120ML - glovida singapore. Glovida. (n.d.-b). https://glovida.com/products/sambucol-black-elderberry-cold-flu-relief-kids-liquid-120ml?_pos=6&_sid=ab47dd024&_ss=r
11. Rhinathiol Children cough syrup raspberry & cherry flavour 125ml. Glovida. (n.d.-b). https://www.glovida-rx.com.sg/products/rhinathiol-children-cough-syrup-raspberry-cherry-flavour-125ml
12. Sambucol kids black elderberry cough relief 120ML - Glovida singapore. Glovida. (n.d.-d). https://glovida.com/products/sambucol-black-elderberry-kids-cough-relief-120ml
13. Team, C. by Mimso. (n.d.). Dextromethorphan - oral. Dextromethorphan - Oral Patient Medicine Information | MIMS Singapore. https://www.mims.com/singapore/drug/info/dextromethorphan/patientmedicine/dextromethorphan+-+oral
14. Ease-A-cold kids cough, cold & flu relief 180ml. Glovida. (n.d.-a). https://www.glovida-rx.com.sg/products/ease-a-cold-kids-cough-cold-flu-relief-180ml