Study finds adults unintentionally make it easy for children to eat dangerous pills

Feb. 13, 2020

A new study finds that more than half of the time when children get into prescription pills, the medication had already been removed from the child-resistant container by an adult.

The findings come from a study of calls to five U.S. poison control centers by researchers from the Centers for Disease Control and Prevention (CDC), Emory University School of Medicine and the Georgia Poison Center. The study appears this week in The Journal of Pediatrics.

“These data suggest it may be time to place greater emphasis on encouraging adults to keep medicines in containers with child-resistant features,” says the study’s senior author, Daniel Budnitz, M.D., MPH, of CDC’s Division of Healthcare Quality Promotion. “There is an opportunity here for innovative medication container options that promote adult adherence and provide portability and convenience, while maintaining child safety.”

Each year there are about 400,000 poison center calls and 50,000 ER visits as a result of young children ingesting medications when adults weren’t paying attention.

The current study found four common scenarios in which young children get into prescription pills after the pills are out of their original containers:

·        Adults put pills into pill organizers that are not child resistant.

·         Adults put pills into baggies or other small containers that are not child resistant to carry with them.

·         Adults leave pills out on countertops or on a bedside table for someone to take later.

·         Adults sometimes spill or drop pills and may miss some when picking them up.

The most common scenarios varied by type of medication. Attention-deficit/hyperactivity disorder (ADHD) medications and opioids were more often not in any container when found by young children. Diabetes drugs and cardiac medications were more often transferred to alternate containers such as pill organizers or baggies. Nonprescription medications were most often accessed from the original containers, but for many of these medications, child-resistant packaging is not required because of low potential for toxicity.

Investigators also asked whose pills the children were getting into. Most of the time, the children got into their parents’ pills. However, for some prescription medications that can be very harmful to young children in small amounts (e.g., diabetes or cardiac medications), over half belonged to grandparents.

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