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Always read the medicine label and packaging before use. It is important to measure liquid medicines accurately using the syringe or device provided. Keep track of all medicines given to the child, and when they were given. Store medicines out of reach of children. National drug strategy household survey detailed report.

Canberra: Australian Institute of Health and Welfare, 2014. Tovell A, McKenna K, Bradley C, et al. Hospital separations due to injury and poisoning, Australia. Canberra: Australian Institute of Health and Welfare, 2012. Australian Bureau of Statistics - Deaths collection.

Broadview, South Australia: Drug free Australia, 2007. US Food and Drug Administration. New steps aimed at cutting risks from acetaminophen. Silver Spring, Maryland: US Food and Drug Administration, 2011.

Medicines and Healthcare Products Regulatory Agency. Press release: More exact paracetamol dosing for children to be introduced. London: Medicines and Healthcare Products Regulatory Agency, 2011. Maryland: US Food and Drug Administration, 2015. Expert group for analgesic. Melbourne: Therapeutic Guidelines Ltd, 2015.

Adelaide: AMH Ltd, 2015. Canberra: Therapeutic Goods Administration, 2013. Amar PJ and Schiff ER. Acetaminophen safety and hepatotoxicity--where do we go from here. King JP, Davis TC, Bailey SC, et al. Developing consumer-centered, nonprescription drug labeling a study in acetaminophen. Bower WA, Johns M, Margolis HS, et al.

Population-based surveillance for acute liver failure. Hornsby LB, Whitley HP, Hester EK, et al. Survey of patient knowledge related to acetaminophen recognition, dosing, and toxicity.

Shone LP, King JP, Doane C, et al. Misunderstanding and potential unintended misuse of acetaminophen among adolescents and young adults. Wolf MS, King J, Jacobson K, et al. Risk of unintentional overdose with non-prescription acetaminophen products. Labelling and packaging practices: A summary of some of the evidence.

Graudins LV and Gazarian M. Promoting safe use of paracetamol in children. Hurwitz J, Sands S, Davis E, et al. Patient knowledge and use of acetaminophen in over-the-counter medications. Walsh A, Edwards H and Fraser J. Over-the-counter medication use for childhood fever: a cross-sectional study of Australian parents.

Subscribe to NPS MedicineWise Date reviewed: 01 March 2017 Reasonable care is taken to provide accurate information at the time of creation. The Spanish Association of Pediatrics has as one of its main objectives the dissemination of rigorous and updated scientific information on the different areas of pediatrics. Annals of Pediatrics is the Body of Scientific Expression of the Association and is the vehicle through which members communicate. However, some authors have reported finding an association between paracetamol use in pregnant women and the development of attention-deficit hyperactivity disorder and autism spectrum disorder,3 asthma,4 criptorquidism5 and foetal ductus arteriosus closure.

The aim of our study was to describe the use of paracetamol by pregnant women in our area and assess their knowledge of the potential side effects of the drug on the foetus. A secondary objective was to analyse which health care professional provided this information. We designed a prospective study with collection of data through a questionnaire administered to women admitted to the maternity ward of our hospital over a period of 3 months. A majority of respondents had a university degree (55.

Of the total, 67. Reasons for paracetamol use in pregnant women. Our study reflects the current situation in the use of paracetamol by pregnant women and in the education given by health care providers in a metropolitan area with a population characterised by a medium-to-high educational attainment.

When it comes to the limitations of this study, given the high educational attainment of the survey respondents, most of who had a university degree, our findings may not be generalised to the general population. On the other hand, given the high response rate, our sample is representative of the population under study. Another limitation is that the items explore retrospective information, so there is a risk of recall bias. The questionnaire did not investigate how long participants consumed the maximum dose of paracetamol.

Analysing neonatal outcomes was not an objective of our study. However, it would be relevant to carry out another study with an appropriate design to assess the safety of prescribing paracetamol during pregnancy, as the current evidence on the subject is scarce.

In conclusion, use of paracetamol in pregnant women in our area was greater than reported in the literature, and the information that they received on the potential adverse effects or the dosage that is considered safe was inadequate. Until the quality of the evidence improves, public health education strategies should be implemented to guarantee delivery of sufficient information and to facilitate the search for alternatives encouraging rational use of this drug in order to control consumption during pregnancy.

Castillo Barrioa, Corresponding authorbea. Acetaminophen use in pregnancy: Examining prevalence, timing and indication of use in a prospective birth cohort. Prenatal acetaminophen use and outcomes in children.

Am J Obstet Gynecol. Prenatal exposure to acetaminophen and risk for attention deficit hyperactivity disorder and autistic spectrum disorder: a systematic review, meta-analysis, and meta-regression analysis of cohort studies. Paracetamol exposure in pregnancy and early childhood and development of childhood asthma: a systematic review and meta-analysis.