However, today it is not recommended for children at all. Unfortunately, some people aren’t aware of the current recommendations and continue to give aspirin to their kids or grandkids when they have a fever or pain.
So why aren’t kids supposed to take it now?
Aspirin and Reye’s Syndrome
It turns out that giving aspirin to children during a viral illness—most often influenza (the flu) or chickenpox—can lead to a potentially fatal condition called Reye’s syndrome. Reye’s is defined by sudden brain damage and liver function problems. It can cause seizures, coma, and death.
The incidence of Reye’s has decreased dramatically since recommendations for giving aspirin to children were changed.
The symptoms of Reye’s syndrome include:
Vomiting Irritable and/or aggressive behavior Confusion Lethargy Mental changes Seizures Decerebrate posture Double vision Hearing Loss Speech difficulties Decrease in muscle function, weakness or paralysis of the arms or legs
What Does Aspirin Have to Do With It?
The link between Reye’s syndrome and aspirin is unclear, but the fact that the number of cases dropped dramatically once children stopped taking aspirin routinely tells us that there is a connection.
Hidden Sources of Aspirin
Avoiding aspirin in kids is not as simple as not giving them medications labeled “aspirin” unfortunately. Other ingredients you want to avoid that may be in other medications are salicylates, acetylsalicylate, acetylsalicylic acid, salicylic, salicylamide, or phenyl salicylate.
This is not a complete list—always look at the active ingredients in any medication you give to your child. Aspirin is sold under multiple brand names and in generic form. Even medications labeled “baby aspirin” are not safe for babies or children!
Alka-SeltzerBC PowderExcedrinGoody’s Headache PowderKaopectatePamprinPepto-BismolAnything containing oil of wintergreen
Other Products to Avoid
Although anti-nausea medications do not contain aspirin or salicylates, they should be used with caution in children with viral illnesses. The use of these medications can mask the early signs of Reye’s syndrome.
What Should You Give Instead?
If your child has a fever or pain, Tylenol (acetaminophen) and Motrin or Advil (ibuprofen) are both safe and effective alternatives to aspirin.
A Word From Verywell
If your child’s doctor has specifically told you to give your child aspirin due to a chronic medical condition, you should follow his instructions. If your child develops chickenpox or a respiratory infection like the flu, be sure to tell your child’s doctor as soon as possible so you can discuss whether or not you should continue giving the aspirin during the illness.
