My Doctor Online The Permanente Medical Group
Are you having back pain with any of the following?
- Severe pain, weakness or tingling in your leg(s).
- Difficulty stopping urination or loss of control of bladder or bowels.
- Unexplained fever, nausea or vomiting.
- A history of cancer or unexplained weight loss.
We understand that you are experiencing one or more of the health issues that might be impacting your back pain.
We recommend that you discuss these health issues with your doctor before proceeding with this program.
Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.
Mark Sloan, MD
Pediatrics Hospital Medicine
Welcome to My Doctor Online, a web site that my colleagues and I developed to make it easier for you to take care of your healthcare needs. On this site you will find answers to many of your questions about my clinical practice. Also included are several online features that will allow you to e-mail me, check your laboratory results and refill prescriptions. I hope you find its content informative and useful.
Quick Links
- Cold, Flu and Cough
- Recommended Immunization Schedule
- Vaccine Information Statements
- Car Seat Safety for Children
- Pediatric Acetaminophen (Tylenol) and Ibuprofen (Advil, Motrin)
- Online Newsletters for Parents
- HealthyChildren.org (AAP)
- Prepare for Your Procedure - Emmi
- Young Adult Health
- Anatomical Charts
General References
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Acetaminophen (Tylenol) Dosage Change
Before you give your child any kind of over-the-counter acetaminophen* (Tylenol) for pain or fever, we want you to be aware of an important medication change.
Concentrated infant acetaminophen drops are being phased out and will no longer be produced by manufacturers. Instead, a new liquid formula will soon be available.
The new liquid formula has a different concentration (strength) than the infant drops (older formula). Infant drops are 3 times more concentrated than the liquid suspension, so dosing directions will be different.
If you give your baby any form of acetaminophen please use extra caution. You may have concentrated infant drops on hand at home. These drops are still safe to use as long as you use the correct dose for your baby’s weight.
Follow these safety tips
The following tips can help you be sure that you are giving the correct amount of medicine:
- Know how much your child weighs. The correct dose for your child is based on weight (not age).
- Double check to see which concentration of medication you have – the older infant drops (80 mg/0.8mL) or the new infant liquid formula (160 mg/5mL).
- Read and follow all package directions carefully.
- Use only the measuring device (dropper, syringe, or cup) that came with the medication – not a kitchen spoon.
- Always dispense medication in a well-lit area where you can clearly see the measurements.
- Do not give your child more than 5 doses in 24 hours.
Please contact the Appointment and Advice Line if you have any questions. We can help you:
- Decide whether to give acetaminophen to your child.
- Figure out which concentration you have.
- Follow correct dosing instructions.
Please call us right away if your baby is less than 2 months old and has a rectal temperature of 100.4 ° F or higher.
*Acetaminophen is sold under several brand names: Tylenol, Triaminic, Good Sense, Panadol, PediaCare, Little Remedies, and Tempera are among the most popular.
Additional References:
- External Link to Reducing Fever in Children: Safe Use of Acetaminophen - FDA
If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.
This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.