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Medication Every Parent Should Have: A Nurse Mom's Guide to Building the Perfect Medicine Box for Your Babies and Children

Updated: Apr 7

My worst nightmare: We're out with friends, it's 21:00, and my child cries. I hurry into the room where they're sleeping, and it's hot. They're hot, the room is hot, and I'm even hot. But it's late, and I can't get to a pharmacy. What now?


If thinking about this gives you some kind of PTSD, you're probably a parent, and this has probably happened to you at least once before. This is why I travel with my children's medication box, even just down the road to a friend's house. So what have I got in mine and why is it important?


👉🏻 If you're wondering about the dosage for any of these medications, see our post on the dosages for common pediatric medications.

 


Medication For Pain and Fevers in Babies and Children:


The most important thing that any good medication box for children needs is a good quality thermometer. This doesn't need to be expensive, but it needs to be trustworthy. I personally prefer a digital thermometer because it is easier to read in the heat of the moment (no pun intended). Another personal preference is a thermometer that doesn't need a probe cover to function (a piece of soft plastic that covers the part that goes against the baby is disposable and should be changed after each use). Just because the time you need to use it usually happens to be the same time you cannot find a probe cover.


Paracetamol/Panado For Babies and Children


As a nurse, I can't overstate the value of paracetamol-containing medication. These medicines are the first line for fever management. They include Calpol (for babies over the age of 3 months), panado syrup (the green one can be used from birth), and other generics such as Painmol.


What's great about a paracetamol-containing medication is that it is actually designed for pain with an off-label use for fever. That means that any pain caused by whatever is making your little one sick will also help with pain management. I've personally found that Calpol works the best for my kids, but this is something that is personal to each child, and I would recommend testing this out for your kids.


Calpol Pediatric Syrup Strawberry
Image: https://clicks.co.za/

Anti-Inflammatory For Babies and Children


An anti-inflammatory is a great second-line option for a fever if a paracetamol-containing medication isn't effective in lowering a fever and/or pain. These are medications like Neurofen Pediatric Suspension (which can only be given from 2 years old). Another great option is Panamor suppositories, which are also only suitable for children above the age of 2 years old but require a prescription.



Neurofen Suspension for Children Strawberry
Image: https://clicks.co.za/

Combination of Paracetamol and Anti-inflammatory For Babies and Children


These are medications for children, like Myprodol Syrup, which contains a mix of an anti-inflammatory and Paracetamol. These work really well for a higher fever or extreme pain. However, they can only be given to children over the age of 2. Medicines like Myprodol Syrup also contain codeine, which is an opioid (the same class of drug as morphine). Codeine makes kids pretty tired, so bear that in mind when giving these.



Myprodol Suspension
Image: https://www.canva.com/

Medication For Coughing in Children:


Cough Syrup For Babies and Children


Cough syrup is quite a toughy for the very little ones because there aren't very many that are safe for under 3 year olds. Many pharmacies have brands that contain ammonium chloride, but research has found that there isn't much evidence to suggest that this really works. Cough syrups that contain dried ivy leaf, on the other hand, have been proven to reduce mucus in the airway. Cough syrups such as Prospan are herbal combinations that include dried ivy leaf and are safe from birth. This is something that I definitely always have in my medicine box.



Prospan Cough Syrup
Image: https://www.dischem.co.za/


Nebulizer and Saline For Babies and Children


Nebulizing is something that is best left for scheduled medications prescribed by your doctor, but I definitely think that each family needs to invest in a good nebulizer. If your little one has a bit of a tight chest, though, starting to nebulize while you wait for your doctor's appointment could help. Never nebulize with medications not prescribed for your baby as these may be unsafe, rather stick to sterile saline until something is prescribed.


Handheld Ultrasonic Nebulizer
I love these handheld nebulizers - they're super quiet and convenient (Image: https://www.dischem.co.za/)

Medication For a Blocked Nose in Children:


Blocked noses and babies go hand in hand. Most new babies and even older babies struggle with blocked noses. Therefore, we need something that we can use often with minimal side effects. While things like Otrivin Paed work SO well for a blocked nose during an illness, they are known to cause rebound congestion (meaning they block the nose) after 5 days of repeated use.


FloBaby Saline Nasal Spray
Image: https://svmoregroup.com/product/flo-baby-saline-nasal-spray/

Medication For Tummy Troubles in Children:


Cramps Medication For Babies and Children


Buscopan Syrup is a must-have for any medicine box. It works for relieving stomach cramps in our littles. This medicine can be bought over the counter and given to babies older than one month. It can be used for anything from small baby cramps to full-on stomach pain in older children. While this medicine tastes horrible (I challenge you to have a little sip), there really isn't anything else that works as well, in my opinion.


Buscopan 0.1% Syrup
Image: https://paedsoffering.co.za/

Nausea & Vomiting Medication For Babies and Children


Valoid works like a bomb for nausea and vomiting in children over the age of 2. Valoid is also available in suppository form, which is sometimes a lot better if your child is vomiting to make sure that it is not being vomited out again. This is definitely something that will come in handy, as little ones can dehydrate so quickly. If your child has repeated vomiting, it's always best to seek medical advice.


Valoid Pediatric Syrup
Image: https://medsinfo.sahpra.org.za/

Diarrhea Medication For Babies and Children


My go-to for diarrhea is Pectrolyte, and this is something that I always have in my house for adults as well. This can be given to children above the age of 3 years old. There are other medicines that can be given to children under the age of 3 (such as Smecta), but my personal feeling on this is if a child has bad enough diarrhea to need medicine, it is safer to take them to a doctor because they can become severely dehydrated incredibly quickly.


Pectrolyte Syrup
Image: https://www.saffas.co.za/

Reflux Medication For Babies and Children


Reflux is also quite a tough one to treat, and it's something that a baby usually grows out of rather than gets treated for. There are some medications that can aid your baby's comfort, though. Bearing in mind these won't take the reflux away. They will just make it less acidic. One that I really love is Milk of Magnesia. The reason is that it reduces acidity but also draws water into the gut, therefore reducing the risk of constipation that so many anti-reflux medications and formulas cause.


Phipp's Milk of Magnesia
Image: https://clicks.co.za/

First Aid Essentials for Bumps and Scrapes in Children:


Wound Cleaning For Babies and Children


It's always handy to have a good wound cleaner for those minor bumps and scratches. Please remember that for bigger, deeper wounds, it's always best to seek out medical help, as wound-cleaning solutions may hamper wound healing. In terms of those minor cuts, though, I love the Elastoplast Wound Spray. I love that it's a spray bottle, which reduces the risk of further infection from a cotton ball, etc.


Elastoplast Wound Spray
Image: https://www.dischem.co.za/elastoplast-antiseptic-wound-spray-50ml-906

It's always good to have gauze, bandages, and plasters handy for minor bumps and scrapes. Sometimes, little hearts also just need a plaster to feel better.


Medication to Pack For Children When Going on Holiday:


👉🏻 See our blog post on activities to keep your kiddies busy on a long car trip.


Sun Screen For Babies and Children


The last few things are a must for any travel medicine box. A good HIGH SPF sunscreen (SPF >50). Research has found that less than three sunburns a year are associated with the development of skin cancer. It's our responsibility to protect our children's skin for when they are older. Any brand of sunscreen will do. Make sure you're applying every couple of hours, keep your kiddos in the shade, and make sure they're wearing hats and long costumes.


Our sun is vicious. Remember that babies under the age of 6 months cannot process sunscreen, so you cannot put it on them. It's safest for them to keep indoors or in the shade.


Mozzie Repellent For Babies and Children


This always comes in handy at home or away. A mozzie bite is not usually not serious, but it can be irritating and itchy for our little ones. Remember that, as with sunscreen, there aren't very many insect repellents that are safe for children under the age of 6 months old, so for them, it's better to keep them covered and use a mosquito net for sleeping. For the older kiddos, I absolutely love the Purity Insect Repellent, which comes in a lovely spray bottle, which makes application MUCH easier.


Purity Insect Repellent for Babies
Image: https://www.babycity.co.za/purity-elizabeth-anne-s-baby-insect-repellent-spray-125ml-164871?
 

I have that in my medicine box. It's a great little plastic box with handles, and I carry it with me wherever I go.


👉🏻 Remember to see our post on the dosages for common pediatric medications.


Let us know what else you have in your medicine box.

 


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About Our Author

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Sr Samantha Pieterse is the Owner of Mums & Bum Mother and Baby Clinic in Centurion and a Registered Nurse. She has a passion for healthcare and writing. This blog is where she shares expert tips and guidance on all things baby, parenting, and female health.

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