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Daily Dose

Teething Pain & Recalled OTC Products

Do OTC teething products really work? Which ones have been recalled? WHat parents need to know.I am getting a lot of questions from patients related to teething, pain, and the recall of over the counter teething products that contain benzocaine.

The FDA recently issued a warning to parents who use OTC products like Oragel and Anbesol on their infant’s gums for relief of teething pain. These products come as both liquids and gels, and benzocaine is the active pain reducing ingredient. It has now been found that excessive amounts of benzocaine may lead to a very rare, condition called methemoglobinemia. (Hemoglobin is the molecule in the red blood cell that carries oxygen). With methemoglobinemia there is a reduced amount of oxygen that is carried in the bloodstream which may lead to a bluish gray discoloration to the skin, shortness of breath, a rapid heart rate and fatigue and lethargy. Although the FDA did not withdraw these products from the market, they did recommend that they not be used in children under two, and then should be used “sparingly”. Unfortunately, the benzocaine containing products do not yet contain warning labels. I have never recommended using these products in the first place. I always wondered if they really helped a baby who was teething, as I am not sure you can tell when a baby is teething in the first place. If you watch any infant over the age of 4 months, their hands are always in their mouths, and they are constantly drooling!  Does that mean they are getting teeth? Unlikely, as most babies don’t even cut their first tooth until about 6 months, so they have been drooling and putting anything they can in their mouths for months prior. The drooling and “gnawing” on their hands (and sometimes feet too) is rather a developmental milestone and not always a sign of teething. My theory is let the baby chew on a teething ring, a frozen piece of a bagel (cut into quarters, good for gnawing and can throw out when used), or rub their gums with a cold washcloth if you think your child has discomfort. Babies will get teeth for many years to come and once the first several have broken the skin we don’t seem to pay as much attention anyway, right?  I mean, who is going to worry about a child cutting their 2 year old molars, there are way too many other issues to deal with (tantrums, climbing, throwing food) than if their molars are erupting. So, save your money and don’t buy teething products. Now the FDA even agrees! What do you think? I look forward to your feedback.

Your Baby

Recall: 86,000 Osprey Poco Child Backpack Carriers

1:30

Osprey Child Safety Products is recalling 82,000 Poco child carriers after receiving reports that children have fallen from the seats.

Osprey has received four reports of children falling through the carrier leg openings, resulting in one report of a skull fracture and one report of scratches to the head.

This recall involves all models of Poco, Poco Plus and Poco Premium child backpack carriers manufactured between January 2012 and December 2014.  The nylon child carriers were sold in three colors: “Romper Red,” “Koala Grey,” and “Bouncing Blue.” They have a metal frame and a gray padded child’s seat inside. The production date is stamped on a black label sewn into the interior of the large lower zippered compartment on the back of the carrier.

Recalled carriers have a production date code of S12SBPR1, S12SBPR1B, S12SBPR2, S12SBPR3, S12SBPR4, F12SBPR1, F12SBPR2, S13SB IPO, S13SBPR1, S13SBPR2, S13SBPR3, S13SBPR4, F13SBPR1, F13SBPR2, F13SBPR3, S14SBPR1, S14SBPR2, S14SBPR3, S14SBPR4, S14SBPR5. “Osprey” is printed on the fabric above the kickstand. The model name is printed on the back at the bottom.

Consumers should immediately stop using the recalled carriers and contact Osprey for a free Seat Pad Insert for use along with the existing safety straps to secure the child in the carrier. Consumers who previously received and installed the free Seat Pad Insert in their carriers are not required to take further action.

The child carriers were sold at REI and specialty outdoor stores nationwide and online at Amazon.com from January 2012 to December 2015 for between $200 and $300. 

Consumers can contact Osprey, toll-free ,at 866-951-5197 from 8 a.m. to 5 p.m. MT Monday through Friday, email at pocoseatpad@ospreypacks.com or online at www.ospreypacks.com and click on “Poco Safety Notices” on the navigation bar at the top right hand corner of the page for more information.

Story source: https://www.cpsc.gov/Recalls/2017/osprey-recalls-child-backpack-carriers#

Daily Dose

Rotarix Vaccine Temporarily Suspended

The FDA suspends Glaxo Rotarix vaccine I received the CDC Health Alert yesterday afternoon notifying physicians to “temporarily suspend the usage of GlaxoSmithKline (GSK) Rotarix (rotavirus) vaccine. Rotarix was licensed for use in 2008 to prevent rotavirus disease, which typically causes fever, vomiting and diarrhea in infants and young children.

Prior to this Merck’s vaccine RotaTeq had been licensed for us in 2006. Both of these vaccines are given orally. Both RotaTeq and Rotarix were found to prevent serious rotavirus illness and hospitalizations for dehydration. The GSK product, Rotarix, which is a “live attenuated” vaccine, has been found to contain DNA from porcine circovirus type 1 (PCV 1). PCV 1 virus is not known to multiply in human cells or to cause illness.  According to the FDA, “all available evidence indicates that there had been no increased risk to patients who have received this vaccine”.  The GSK vaccine, Rotarix, is made in a different manner than the Merck vaccine RotaTeq.  Preliminary studies by the FDA on RotaTeq vaccine have not shown the presence of PCV 1 DNA. Preliminary data reported to the FDA  by GSK related to PCV 1 being in the vaccine seems to suggest that it has been present since the early stages of the vaccine’s development.  Studies on Rotarix, both before and after the approval of the vaccine, have shown it to be extremely safe and no unusual adverse events have been reported.  At the same time, the vaccines that have been given are presumed to be effective. In the interim, while futher studies are being completed, it is recommended that children continue to receive RotaTeq vaccine.  The FDA plans to convene an advisory committee to look into how the DNA components came to be present in this vaccine. They are also going to look into the use of new techniques for identifying viruses in vaccines.  After this meeting, the FDA will make further recommendations about the use of rotavirus vaccines in the United States. This recall was limited to the United States, and children in other areas or the world are continuing to receive Rotarix, as the available evidence suggests that the benefits of the vaccine outweigh the risks, especially in areas where rotavirus disease causes severe disease and even deaths. I would not be alarmed if my baby had received this vaccine as it does not cause disease in animals or humans.  I would also complete my child’s vaccine series with the Merck product which is available.  We will all have to stay tuned for further details,  but this should also make parents aware that the safety of vaccines continues to be monitored, even after they have been approved. That's your daily dose for today.  We'll chat again tomorrow! Send Dr. Sue your question now!

Parenting

Cashews Recalled Due to Glass Pieces

1:30

Nuts have become a go-to snack for many families looking to live a healthier life. If you’ve purchased cashews from an ALDI grocery store recently, be sure to check and see if the brand is Southern Grove Cashew Halves and Pieces with Sea Salt.

The recall was initiated after the company received consumer reports of glass found in the product. To date, there have not been any reported injuries. Potentially impacted product has been removed from store shelves.

This recall affects the Southern Grove Cashew Halves and Pieces with Sea Salt sold in 8-ounce (227-gram) canisters, labeled with UPC No. 041498179366. The affected cashews have best by dates of 11/27/18 and 11/28/18.

The cashews were sold by ALDI stores in 29 states: Alabama, Arkansas, California, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Michigan, Minnesota, Mississippi, Missouri, Nebraska, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Virginia, Washington, D.C., West Virginia, and Wisconsin.

Consumers who have purchased the product in question are urged not to consume this product and may return the product to their local ALDI store for a refund or dispose of the item.

Consumers with questions may contact Star Snacks at 201-882-4593 or RecallFEQ01@gmail.com, Monday-Friday 9 am – 2 pm EST.

Story source: https://www.fda.gov/Safety/Recalls/ucm562129.htm

Your Child

Recall: Children’s Cough Syrup

1:30

Parents are being urged to check their medicine cabinets as two batches of generic children's cough syrup are removed from pharmacy shelves across the country. They have been recalled due to overdose risk.

The voluntary recall was initiated after it was discovered the dosage cups included in the box had incorrect markings, leading to fears that children may be given too much medication, according to a statement from the manufacturer.

The products in question are:

·      Children's guaifenesin grape liquid (100mg/5 mL)

·      Children's guaifenesin DM cherry liquid (100mg guaifenesin and 5mg dextromethorphan HBr/ 5 ml) sold in 4 oz. bottles

Each includes a small plastic cup.                  

The over-the-counter cough syrups are sold generically nationwide, under different brand names:

GUAIFENESIN GRAPE LIQ 4 OZ

·      H.E.B

·      CVS

GUAIFENESIN DM CHRY LIQ 4 OZ

·      Sunmark

•       Rite-Aid

•       Topcare

•       Kroger

•       GoodSense

•       Dollar General

•       Care One

•       CVS

The U.S. Food and Drug Administration said it is aware of the voluntary recall and urged consumers who bought the batches listed above "to discard the dosing device and product."

While there have been no reported overdoses related to the medication, the Perrigo Company said side effects of an overdose can include "hyperexcitability, rapid eye movements, changes in muscle reflexes, ataxia, dystonia, hallucinations, stupor and coma," adding that other effects have included "nausea, vomiting, tachycardia, irregular heartbeat, seizures, respiratory depression and death."

Source: Amy La Porte, http://www.cnn.com/2016/01/12/health/childrens-cough-syrup-recalled/

Parenting

Samsung Recalls I Million Galaxy Note 7 Smartphones

1:00

According to the Pew Research Center, 9 out of 10 Americans own a cell phone. That includes adults, teens and children. If you or a family member owns a Samsung Galaxy Note 7 smartphone, you need to stop using it and contact your wireless carrier or a Samsung retail outlet.

Samsung issued a warning about a week ago warning U.S. consumers to stop using the new Galaxy Note 7 smartphones.

Today, the Consumer Product Safety Commission (CPSC) announced a recall of about 1 million of the smart-phones because the lithium-ion battery in the Galaxy Note7 smartphones can overheat and catch fire, posing a serious burn hazard to consumers.

Samsung has received 92 reports of the batteries overheating in the U.S., including 26 reports of burns and 55 of property damage from fires in cars and a garage, the agency said.

This is “such a serious fire hazard I urge all consumers to take advantage of this recall right away,” Elliot Kaye, chairman of the CPSC told a news conference late Thursday. 

This recall involves the Samsung Galaxy Note7 smartphone sold before September 15, 2016.  The recalled devices have a 5.7 inch screen and were sold in the following colors:  black onyx, blue coral, gold platinum and silver titanium with a matching stylus. Samsung is printed on the top front of the phone and Galaxy Note7 is printed on the back of the phone. 

To determine if your phone has been recalled, locate the IMEI number on the back of the phone or the packaging, and enter the IMEI number into the online registration site www.samsung.com or call Samsung toll-free at 844-365-6197.

The smartphones were sold at wireless carriers and electronic stores nationwide, including AT&T, Best Buy, Sprint, T-Mobile, US Cellular, Verizon stores and online at www.samsung.com and other websites from August 2016 through September 2016 for between $850 and $890.

You can find a list of the wireless and retailer phone numbers and websites at http://www.cpsc.gov/en/Recalls/2016/Samsung-Recalls-Galaxy-Note7-Smartphones/

 

 

 

Parenting

Recall: Cracker Barrel’s Animated Toy Monkey Due to Burns

1:45

Giggles International is recalling about 13,000 of their Animated Sing Along Monkey toy due to the possibility that the battery compartment can reach temperatures up to 230 degrees Fahrenheit, posing a burn hazard for children.

This recall involves Giggles International Animated Sing-Along Monkey toys. The monkey is made of brown and beige plush material and is about 9 inches tall. The toy is designed to hold a songbook titled "5 Little Monkeys" and to sing the song when activated. A red music note is on the bottom of the monkey's right foot and the face of a child with its hands covering its eyes are on the bottom of the money's left foot. Recalled sing-along monkeys were manufactured between 6/7/2014 and 7/5/2014 and have batch code GP1410028.  

The manufacture date in the M/D/YYYY format and batch code are printed on the bottom of a white fabric label attached near the base of the monkey's tail. The monkey toys came in a tan colored box with words "Animated Sing-Along Monkey," "Sing along with me!" and "I play peek-a-boo with you!" on the front. The age advisory "For ages 3+" and the warning that batteries are included are also on the front of the box.

Giggles International has received two reports of toys overheating and melting their battery compartments.

The toy is sold exclusively at Cracker Barrel Old Country Stores nationwide from September 2014 to October 2014 for about $25.

Consumers should immediately take the animated monkey away from children, remove the batteries and return the toy to any Cracker Barrel Old Country Store or contact Giggles International for a full refund.

You can contact Giggles International at (800) 738-6018 from 9 a.m. to 6 p.m. ET Monday through Friday or online at www.LoveMyGiggles.com and click on Recall at the top of the page for more information.

Toy monkey recall

Your Child

Recall: CLIF Bars, Due to Possible Nut Allergens

2:00

If your child has a nut allergy, and eats CLIF bars, they could accidently ingest one of an assortment of nuts that may have slipped through the manufacturing process.

CLIF Bar and Company is voluntarily recalling 12 of its products that are primarily marketed for children because they may contain several nut allergens.

The bars might contain peanuts, walnuts, almonds, hazelnuts, cashews, Brazil nuts, macadamia nuts, pecans and coconut.

As you know, serious or life-threatening allergic reactions are possible for those with severe allergy to nuts or peanuts. As this time, there have been no reports of illness from this recall.

The bars were sold online and at retail stores throughout the United States. The affected products can be identified by the “Best By” date code found on the back of the individual packaging. You can check the lot codes below:

  • CLIF BUILDER'S 18-count Variety Pack Chocolate Peanut Butter and Chocolate Mint: Lot Code FROM: 24MAR16M; Lot Code TO: 08FEB18M
  • CLIF Kid Zbar Protein 30-count Variety Pack -- Lot Code FROM: 31MAY16M; Lot Code TO: 15OCT17M
  • CLIF BUILDER'S Chocolate Mint 12-count -- Lot Code FROM: 05APR16M3; Lot Code TO: 23APR18M3
  • CLIF BUILDER'S Chocolate Mint 6-pack -- Lot Code FROM: 05APR16M3; Lot Code TO: 23APR18M3 
  • CLIF BUILDER'S Chocolate Mint 7-pack -- Lot Code FROM: 05APR16M3; Lot Code TO: 23APR18M3 
  • CLIF BUILDER'S Snack Size Chocolate Mint 200-count -- Lot Code FROM: 05APR16M3; Lot Code TO: 23APR18M3 
  • CLIF Kid Zbar Protein Chocolate Chip 10-pack -- Lot Code FROM: 05APR16M3; Lot Code TO: 23APR18M3 
  • CLIF Kid Zbar Protein Chocolate Chip 150-count -- Lot Code FROM: 05APR16M3; Lot Code TO: 23APR18M3 
  • CLIF Kid Zbar Protein Chocolate Chip 5-pack -- Lot Code FROM: 05APR16M3; Lot Code TO: 23APR18M3 
  • CLIF Kid Zbar Protein Chocolate Mint 10-pack -- Lot Code FROM: 05APR16M3; Lot Code TO: 23APR18M3 
  • CLIF Kid Zbar Protein Chocolate Mint 150-count -- Lot Code FROM: 05APR16M3; Lot Code TO: 23APR18M3 
  • CLIF Kid Zbar Protein Chocolate Mint 5-pack -- Lot Code FROM: 05APR16M3; Lot Code TO: 23APR18M3 

All other CLIF Bar and Company products are not affected by this recall.

The company is asking people to return the products to where they bought them for a refund or exchange. People with questions can call 866-526-1970 or visit the company’s website here.

Story source: Brunilda Nazario, MD http://www.webmd.com/diet/news/20170706/clif-bars-recall

http://www.clifbar.com/text/june-2017-recall

Your Baby

49,000 Britax B-Ready Baby Strollers Recalled

1:45

About 49,000 Britax B-Ready strollers have been recalled because the foam padding on the stroller’s arm bar can come off in fragments if the child bites the arm bar, posing a choking hazard.

This recall involves Britax B-Ready strollers and B-Ready replacement top seats that were sold separately. The B-Ready strollers have a silver or black frame with a solid-colored top seat in a variety of colors. The Britax logo is on the stroller’s side hinges and foot rest. B-Ready is printed on the sides of the stroller frame.  The stroller’s model number and date of manufacture are printed on a label on the stroller’s frame between the front wheels or on the inside frame that connects to the back right wheel. The replacement top seats were sold separately in a variety of colors and fit into the stroller’s frame. The replacement top seat’s model number and date of manufacture are printed on a black label on the right side tube above the adjuster button, under the fabric cover.

Britax has received 117 reports of children biting the arm bar foam padding, including five reports of children choking or gagging on foam fragments.

Consumers should immediately remove the arm bar from recalled strollers and replacement top seats and contact Britax for a free black, zippered arm bar cover and a warning label to apply to the strollers and replacement top seats. Consumers can continue to use their strollers without the arm bar attached.

The strollers were sold at Babies R Us, buybuy Baby, Target and other stores nationwide and online at Amazon.com, Diapers.com and other websites from April 2010 through January 2016 for about $500 for the stroller. Britax sold the replacement top seats from April 2010 through January 2016 for about $150.

The model numbers for the B-Ready Strollers are:

U281767, U281768, U281771, U281772, U281773, U281774, U281784, U281792, U281793, U281794, U281795, U281796, U281797.

The B-Ready replacement top seats model numbers are:

S845600, S845700, S845800, S845900, S855000, S855100, S856600, S870200, S870300, S870600

These models were sold April 1, 2010 (2010/04/01) through Dec. 31, 2012 (2012/12/31).

 Consumers can contact Britax at 800-683-2045 from 8:30 a.m. to 5:45 p.m. ET Monday through Thursday and from 8:30 a.m. to 4:45 p.m. ET on Friday, by email at Britax.Recall@britax.com or online at www.us.britax.com and click on Safety Notice at the top right, or  www.B-ReadyRecall.com for more information.

Source: http://www.cpsc.gov/en/Recalls/2016/Britax-Recalls-Strollers-and-Replacement-Top-Seats/

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