Nonsteroidal anti-inflammatory drug administration in children with history of wheeze

Insights

Nonsteroidal anti-inflammatory drugs (NSAIDs) can be safely given to children with asthma, even those who wheeze, unless they have a history of NSAID-exacerbated respiratory disease (NERD). NSAIDs are effective pain relievers for children.

Area of Science:

  • Pediatric Pharmacology
  • Allergy and Immunology

Background:

  • Asthma is a common condition in children.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) are frequently used for pain and fever.
  • Concerns exist regarding NSAID use in children with asthma due to potential respiratory reactions.

Purpose of the Study:

  • To determine if asthma is a contraindication for NSAID use in children.
  • To investigate the existence and prevalence of NSAID-exacerbated respiratory disease (NERD) in pediatric populations.

Main Methods:

  • Literature review on NSAID use in pediatric asthma.
  • Analysis of case reports and studies on NSAID-exacerbated respiratory disease (NERD).

Main Results:

  • NSAIDs are effective analgesics and antipyretics.
  • NSAID-exacerbated respiratory disease (NERD) is well-documented in adults but not clearly described in a large number of children.
  • No clear contraindication for NSAID use in children with asthma exists unless a history of NERD is present.

Conclusions:

  • NSAIDs can be recommended for children with known wheeze and asthma.
  • Caution is advised for children with a prior history of NSAID-exacerbated respiratory disease (NERD).
  • Asthma itself is not an absolute contraindication to NSAID administration in children.
Abstract

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