the warning of the cold medicine

Despite safety warnings not to give sick toddlers cough and cold medications, almost half of parents in a recent survey are using the over-the-counter products anyway.

A poll released last month by researchers at the University of Michigan found that 42% of parents with children under the age of 4 gave them cough medicine, and 44% said they used multi-symptom cough and cold medications. A quarter of the parents said they used decongestants. The survey, which echoed some earlier studies' findings, arrives five years after the drugs' packages started including directions warning against their use in very young children.

Matthew Davis, a University of Michigan pediatrician who directed the survey, said he was surprised and concerned by the findings, which may show that parents aren't aware of the labeling and the history of worries about the drugs' use in young children. 'If you're a parent who doesn't know the story, you're going to think this [medicine] is for your kids, ' he says.

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The medications came under close scrutiny in 2008, when the Food and Drug Administration advised that they shouldn't be given to children under 2. That came after an agency advisory committee the previous year said children younger than 6 shouldn't take the medications. The panel concluded there wasn't evidence that the drugs helped young children, while FDA safety officials had suggested some of the drugs were associated with side effects and some deaths, mostly in very young patients and often involving overdoses.

Manufacturers agreed to put warnings on the products' boxes that they shouldn't be given to children under 4 years old. These appear today on medications that include dextromethorphan, a cough suppressant, the expectorant guaifenesin and the decongestants phenylephrine and pseudoephedrine. Medications with antihistamines warn against use in kids younger than 6. The children's cough and cold products are sold under brand names including Novartis AG's Triaminic and Pfizer Inc.'s Dimetapp and Robitussin.