Piccan Teething Remedy Dosage, Contraindications, Use And Caution

Piccan teething remedy is a product design for calming relief from the symptoms associated with children’s teething troubles, pain & fever. Teething is a period when a child starts to develop teeth. It comes with different symptoms of which the common ones are sore gums, upset tummy, pain and discomfort associated with teething.

Piccan Teething Remedy

Piccan is a popular product among others. It is manufactured under licence for Kensington International Marketing Co. Ltd. in Ireland.

Composition Of Piccan Teething Remedy

5ml of Piccan® Teething Remedy contains the following ingredients:

Paracetamol 120mg

Diphenhydramine Hydrochloride 12.5mg

Also contains Macrogol, Glycerol, Propylene Glycol, Sorbitol, Maltitol, Nipasept, Caramel Flavour, Annatto Extract, Purified Water.

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Piccan® Teething Remedy is a caramel flavoured oral solution, packed in 100ml amber glass bottles with a tamper evident cap.

Indications And Use Of Piccan Teething Remedy

Piccan® Teething Remedy is used to treat mild to moderate pain like teething pain, headache, sore throat, aches and pains. Piccan® Teething Remedy contains Paracetamol which is an 'analgesic' or 'pain relieving' medicine. It is used to relieve pain and reduce high temperatures as in colds and influenza. Piccan® Teething Remedy also contains Diphenhydramine Hydrochloride which is a sedating antihistamine, which helps reduce sickness and allergic reactions.

Prolonged use without medical supervision can be dangerous. If symptoms persist for more than 3 days consult your doctor. Routine use is not recommended. The product should be administered with caution to children with known liver or kidney problems.

Contraindications

Do not use it if your child is allergic to Paracetamol or Diphenhydramine or any of the ingredients.

Dosage And Administration Of Piccan Teething Remedy

The following doses of Piccan® Teething Remedy are to be taken orally.

Nigeria Piccan Teething Remedy Dosage

3 months - 1 year:2.5ml - 5ml 3 to 4 times daily

1-5 years:5ml - 10ml 3 to 4 times daily

6 years and over: 10-20ml 3 times daily

Under 3 months: Not to be used unless on doctor's advice

UK Piccan Teething Remedy Dosage

Ages 3-6 months (more than 5kg): Take 2.5ml 3 times daily

Ages 6 months – 1 year: Take 2.5ml 3 times daily

Ages 1-2 years: Take 2.5ml 3 or 4 times daily

Ages 3-7 years: Take 5ml 3 or 4 times daily

Ages 8-12 years: Take 10ml 3 or 4 times daily

Warning/precautions

1. Contains paracetamol. Do not give with any other paracetamol containing products.

2. Do not exceed the recommended dose.

3. Do not repeat the dose more frequently than every four hours.

4. Do not take more than 4 doses in a 24 hour period.

5. Do not give to children who are sensitive to any of the ingredients listed at the beginning of this leaflet.

6. Talk to your doctor or pharmacist before using this product if your child has kidney or liver problems.

7. Talk to your doctor before using this product if the child is taking other medicines including those for epilepsy or fits.

8. Talk to your doctor if your child is taking any medicines to thin the blood, control nausea and vomiting, or to reduce blood lipids.

9. Prolonged use of this product, except under medical supervision, can be harmful.

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10. The medicine contains 1.06g of Sorbitol in each 5ml spoonful. Therefore each dose supplies up to 4.3g of Sorbitol. Unsuitable for children with hereditary fructose intolerance. Can cause stomach upset and diarrhoea.

11. The effects of alcohol and other sedatives may be increased whilst taking this medicine.

12. Some drugs may affect the absorption of Paracetamol these include cholestyramine (to treat blood cholesterol), and metoclopramide and domperidone (to treat nausea/feeling sick and vomiting/being sick); the effect of warfarin and other drugs which thin the blood may be increased by Paracetamol. Diphenhydramine causes a reduction in the absorption rate of certain benzodiazepines such as temazepam.

Diphenhydramine Hydrochloride will have an additive antimuscarinic action with other antimuscarinic drugs such as atropine and some antidepressants.

Pregnancy And Lactation

The product is licensed for use in infants and children. Safety in pregnancy or lactating mothers has not been established.

Effects On Ability To Drive/operate Machinery

Piccan® Teething Remedy may cause drowsiness. If affected, children are advised not to ride bicycles.

Possible Adverse Drug Reactions

These are infrequent and usually mild including skin rashes and other hypersensitivity reactions. Haematological reactions have been reported including thrombocytopenia, leucopenia, pancytopenia, neutropenia, and agranulocytosis however these were not necessarily causally related to paracetamol.

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In Addition to the above, diphenhydramine can cause CNS depression, sleep, drowsiness & incoordination (common). Headache, dry mouth, production of phlegm, blurred vision, constipation, heartburn, cardiac arrhythmia, photosensitivity. Other side effects that have been reported include convulsions, sweating, myalgia, paraesthesias, extrapyramidal effects, tremor, sleep disturbances, depression, tinnitus, hypotension and hair loss.

Overdose

Immediate medical advice should be sought in the event of an overdose even if the child seems well because of the risk of delayed serious liver damage. Overdose is likely in adults who have taken as little as 10-16g of paracetamol (4-6 bottles) or equivalent. Prompt treatment is essential, and involves gastric lavage, followed by oral or intravenous administration of acetylcysteine or alternatively oral methionine.

If activated charcoal has been given to absorb gastrointestinal tract although high first-pass metabolism may affect systemic availability. Metabolism is extensive, with metabolites excreted in the urine. Both activities are known to cross the placenta and are excreted in breast milk.