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How safe is Tamiflu for your kids? The treatment has its own risks and benefits

As always, it’s best to consult with your own doctor or child’s pediatrician.

How safe is Tamiflu for your kids? The treatment has its own risks and benefits

This year’s flu season is already the worst North America has endured in a decade—which is, of course, a concern for parents of young children, who are more likely to experience serious complications from the illness.


If you or your children are struck by the flu, your health care provider is likely to write up a prescription for Tamiflu: If taken within 48 hours of symptom appearance, the antiviral drug may lessen the duration and severity of the flu. This application is recommended by both the American Academy of Pediatrics and the Centers for Disease Control and Prevention for use in infants as young as 2 weeks old.

It is also approved for preventative treatment, meaning it may help other members in the household avoid the flu if a member of the family has already been diagnosed with the illness.

For parents of young children or those at higher risk for flu complications, this makes Tamiflu a particularly good option, says Allan Greissman, MD, a pediatric critical care specialist at Pediatric Critical Care of South Florida.

“Unfortunately this year we are seeing a large number of flu-positive pediatric patients having a very serious strain of the flu. We are also seeing many more deaths from the flu and many kids with other significant problems related to the flu,” Greissman tells Motherly. “So for that reason, getting a flu shot and treatment with Tamiflu should strongly be considered.”

As with any medication, individuals should weigh the potential benefits versus risks.

“For a very mild case, especially after the first 24 to 48 hours, then taking Tamiflu may not be worth the risk of the side effects,” Greissman says. “But I want to stress that the side effects are not common and typically not serious.”

As Greissman notes, it’s always best to consult with your own doctor or child’s pediatrician. To help guide your questions, here’s a primer for what parents should keep in mind about Tamiflu.

How effective is Tamiflu?

According to a 2014 report in the British Medical Journal that reviewed results from 83 clinical trials, Tamiflu was shown to alleviate symptoms an average of 17 hours earlier for adults and 29 hours earlier for otherwise healthy children.

Tamiflu also had demonstrable benefits as a preventative treatment by reducing “symptomatic influenza in participants by 55%” if the participant was in close contact with someone who already had the flu.

The key, Greissman says, is beginning course of treatment within 48 hours of flu symptom appearance. “After that, it loses its effectiveness,” he says. “So it’s hard to say that for a child sick for a few days, that then sees his doctor, whether or not starting it is indicated. While typically we say, ‘It can't hurt to try it,’ the late effect is typically not helpful.”

What are the side-effects of Tamiflu?

According to the CDC, the most common side-effects of Tamiflu are nausea and vomiting. Specifically among children, one clinical study cited by the CDC found that 14% of adolescents who took Tamiflu had vomiting compared with 8% who took a placebo.

The studies aggregated for the British Medical Journal also noted increased risks headaches and renal or psychiatric syndromes—with the researchers noting data remains limited “because of rarity of such events and problems with study design.”

About the threat of psychiatric symptoms

The latter potential side-effect—“psychiatric symptoms”—has been the most newsworthy through the years.

In 2007, there was significant backlash to the drug following reports that 12 children in Japan died after experiencing “abnormal behavior,” such as jumping from tall balconies, following use of Tamiflu during the 2005 flu season. Although the number of deaths was statistically small—with 16 million people in Japan taking Tamiflu that season—the fatalities were understandably concerning.

As a result, Tamiflu manufacturer Roche began a new series of trials. Federal investigations were also launched in Japan, the United States and Canada.

According to a Roche document released by the Food and Drug Administration, follow-up studies found no link between the use of Tamiflu and psychiatric incidents—noting instead that the behavior was more likely a side-effect of the flu. (According to experts from the Mayo Clinic, one of the leading causes of delirium among children is high fever, which is also a symptom of the flu.)

“Roche concludes from the body of all available data that, based on the temporal relationship of the neuropsychiatric adverse events both to influenza and Tamiflu, it is difficult to distinguish between drug and disease. The relative contribution of Tamiflu to the incidence or severity of the neuropsychiatric events seen in influenza patients is unknown.”

A similar conclusion was reached by the FDA:

“Review of the available information on the safety of Tamiflu in pediatric patients suggests that the increased reports of neuropsychiatric events in Japanese children are most likely related to an increased awareness of influenza-associated encephalopathy, increased access to Tamiflu in that population, and a coincident period of intensive monitoring adverse events. Based on the information available to us, we can not conclude that there is a causal relationship between Tamiflu and the reported pediatric deaths.”

Health officials in Japan still took a cautious approach by banning the prescription of Tamiflu among people aged 10 to 19 starting in 2007, although Japan’s Ministry of Health, Labor and Welfare moved toward lifting the ban in 2016. More recently, The Japan Times reported officials from the Ministry found “multiple instances of adverse events were also reported among people who had not taken flu drugs,” which suggested “a potential link between adverse events and high fever” was stronger than the potential link with Tamiflu itself.

This is all reflected in a warning on the Tamiflu label, which reads, “Patients with influenza, including those receiving Tamiflu, particularly pediatric patients, may be at an increased risk of confusion or abnormal behavior early in their illness. Monitor for signs of abnormal behavior.”

Although Greissman says he has not seen any serious side-effects to Tamiflu that would cause him to recommend cessation, he says decisions about treatment are best left to your child’s prescribing physician.

The Motherly Shop is here 🎉 (and it has exactly what you need, mama)

We did the hard work for you, hand-picking the things you want and need and ensuring we only bring you the best—so you can take one thing off that full plate of yours.

Since the beginning, Motherly has existed to help mamas of all experiences feel seen, understood and supported. Through expert and mom-to-mom advice and information we've been here to help you along the motherhood journey.

With that same ethos, we've created The Motherly Shop—an online collection of products curated for every stage of motherhood. We did the hard work for you, hand-picking the things you want and need and ensuring we only bring you the best from brands and makers that really care—so you can take one thing off that full plate of yours.

To make browsing a little easier, we curate the products based on mama needs + pain points. For example, here's our newest collection created to gather everything a pregnant woman needs.

Check out some of our favorites from our Becoming Mama collection and get shopping!

The sleep support

Belly Bandit SOS pillow

Finding the right position for sleep can feel like an Olympic sport when you've got a baby belly to accommodate. Belly Bandit, masters of creating wearables that support pregnant bodies, also managed to create the ideal tool for side sleeping.

$80

The wear-anywhere maternity dress

Stowaway Collection Maternity Becca dress

Finding clothes that still make you feel like yourself isn't always easy. With their premium fabrics and universally flattering cuts, we can't get enough of the maternity wardrobe essentials from Stowaway Collection maternity. Even better? They sew everything in Long Island City, NY and source USA-made fabric whenever possible.

$80

The chic but practical shoe 

OSAY the label slip on

Bending over to put shoes on is so overrated. We've got you covered with the most stylish and obsession-worthy handmade loafers with a secret. Just fold down the back, and BAM! slip-ons. Additionally, the La Babouche Loafer + Slip-On OSAY the Label beauties are made from recycled leather that literally forms to your feet.

$135

The delicate reminder

Whether it's whispered sweetly, shrieked from the top of the big slide, or echoed through the phone from thousands of miles away, 'mama' is the name you'll respond to for the rest of your life. Like all the Tiny Tags necklaces, this sweet reminder is laser engraved by highly skilled artisans in the USA.

$105

The stylish diaper bag that doesn't look like a diaper bag

Mina baie vegan stevie

When leaving the house requires as much prep as an international flight (ah, remember those?) having a spacious bag you can depend on is key. Mina Baie bags not only deliver on a space for everything, but also manage to do it in style. They're the kind of bags you'll carry even when you manage to leave your little one behind.

$178

The elegant baby book

Echo Art Bindery Baby Memory Book

From the minute they're born there are so many milestones and memories to capture. We hand-picked the gorgeous clothbound baby memory book from Echo Art Bindery for its small batch-feel and attention to detail. Made from high-quality paper it features colorful custom illustrations, a silver-stamped endive cover, and questions and prompts to help you remember those magical first days and beyond.

$62

The empowering accessory

Sontakey 'I was made for this' bracelet

Words are powerful. Reminding yourself that you can do hard things can go a long way in giving you the energy and confidence to do so. The beautiful mantra bands from Sontakey were created by two mamas who have made it their mission to empower others with these words of encouragement.

$35

The most delicious way to celebrate

Tost non-alcoholic refresher

Time to raise a glass, mama! We've long since had a crush on TÖST's non-alcoholic sparkles. The gingery cranberry tea blend is delicious on its own or even as a mixer. From baby showers to toasting an ordinary Tuesday that went off without a hitch, we think you'll be crushing on it too.

$50

The pampering belly oil

Esker belly oil duo

Moisturizing, soothing, and totally divine, Esker's belly oil duo is formulated with only the cleanest botanical essential oils. One for morning and one for nighttime, they're ideal for pampering that beautiful belly of yours around the clock.

$75

The hydration-friendly water bottle

Welly traveler water bottle

Meeting those daily hydration needs can be a challenge. (So can making it to the bathroom 700 hundred times a day, right?) We're big fans of Welly reusable bottles which not only look super sleek with their stainless steel and bamboo combo, but also include a removable infuser to brew tea or flavor your water.

$30

The pre-packed hospital bag

Belly and Bag fully prepared

Leave packing your hospital bag to the pros. After all, you have plenty of other things to think about right now, right? The brilliant women at Belly and Bag have truly thought of everything and packed it up just for you.

$225

We independently select and share the products we love—and may receive a commission if you choose to buy. You've got this.

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12 outdoor toys your kids will want to play with beyond summer

They transition seamlessly for indoor play.

Without camps and back-to-school plans still TBD, the cries of "I'm bored!" seem to be ringing louder than ever this summer. And if you're anything like me, by August, I'm fresh out of boxes to check on my "Fun Concierge" hit list. It's also the point of diminishing returns on investing in summer-only toys.

With that in mind, we've rounded up some of our favorite wooden toys that are not only built to last but will easily make the transition from outdoor to indoor play.

From sunny backyard afternoons to rainy mornings stuck inside, these toys are sure to keep little ones engaged and entertained.

Meadow ring toss game

Plan Toys meadow ring toss game

Besides offering a fantastic opportunity to hone focus, coordination, determination and taking turns, lawn games are just plain fun. Set them up close together for the littles and spread them out when Mom and Dad get in on the action. With their low profile and rope rings, they're great for indoors as well.

$30

Balance board

Plan Toys balance board

Balance boards are a fabulous way to get the wiggles out. This one comes with a rope attachment, making it suitable for even the youngest wigglers. From practicing their balance and building core strength to working on skills that translate to skateboarding and snowboarding, it's a year-round physical activity that's easy to bring inside and use between Zoom classes, too!

$75

Sand play set

Plan Toys sand set

Whether you're hitting the beach or the backyard sandbox, this adorable wooden sand set is ready for action. Each scoop has an embossed pattern that's perfect for sand stamping. They're also totally suitable for water play in the wild or the bathtub.

$30

Water play set

Plan Toys water play set

Filled with sand or water, this tabletop sized activity set keeps little ones busy, quiet and happy. (A mama's ideal trifecta 😉). It's big enough to satisfy their play needs but not so big it's going to flood your floors if you bring the fun inside on a rainy day.

$100

Mini golf set

Plan Toys mini golf set

Fore! This mini golf set is lawn and living room ready. Set up a backyard competition or incorporate into homeschooling brain breaks that shift focus and build concentration.

$40

Vintage scooter balance bike

Janod retro scooter balance bike

Pedals are so 2010. Balance bikes are the way to go for learning to ride a bike while skipping the training wheels stage altogether. This impossibly cool retro scooter-style is built to cruise the neighborhood or open indoor space as they're learning.

$121

Wooden rocking pegasus

plan toys wooden rocking pegasus

Your little will be ready to take flight on this fun pegasus. It gently rocks back and forth, but doesn't skimp on safety—its winged saddle, footrests and backrest ensure kids won't fall off whether they're rocking inside or outside.

$100

Croquet set

Plan Toys croquet set

The cutest croquet set we've ever seen! With adorable animal face wooden balls and a canvas bag for easy clean up, it's also crafted to stick around awhile. Round after round, it's great for teaching kiddos math and problem-solving skills as well.

$45

Wooden digital camera

fathers factory wooden digital camera

Kids get the chance to assemble the camera on their own then can adventure anywhere to capture the best moments. With two detachable magnetic lenses, four built-in filters and video recorder, your little photographer can tap into their creativity from summertime to the holidays.

$189

Wooden bulldozer toy

plan toys wooden bulldozer toy

Whether they're digging up sand in the backyad or picking up toys inside, kids can get as creative as they want picking up and moving things around. Even better? Its wooden structure means it's not an eye sore to look at wherever your digger drops it.

$100

Pull-along hippo

janod toys pull along hippo toy

There's just something so fun about a classic pull-along toy and we love that they seamlessly transition between indoor and outdoor play. Crafted from solid cherry and beechwood, it's tough enough to endure outdoor spaces your toddler takes it on.

$33

Baby forest fox ride-on

janod toys baby fox ride on

Toddlers will love zooming around on this fox ride-on, and it's a great transition toy into traditional balance bikes. If you take it for a driveway adventure, simply use a damp cloth to wipe down the wheels before bringing back inside.

$88

We independently select and share the products we love—and may receive a commission if you choose to buy. You've got this.

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The new top 100 American baby names, according to the Social Security office

Did you have a baby in 2018? Did your name make the top 10?

kasietannerphotography.com

[Editor's note: We know that being pregnant can be, well, a lot. And understanding what you really need versus what's just a nice-to-have takes time . With your needs in mind, we've selected the best products for pregnancy in The Motherly Shop. We've got you, mama.]

No one can beat Emma when it comes to naming babies in America. This week the Social Security Administration announced its annual list of the most popular baby names in America and Emma has the top spot on the girls' side for the fifth year in a row. On the boys' side Liam took the top spot for a second consecutive year.

According to the Social Security Administration, these were the top 20 baby names in America in 2018:

Girls: Emma, Olivia, Ava, Isabella, Sophia, Charlotte, Mia, Amelia, Harper and Evelyn

Boys: Liam, Noah, William, James, Oliver, Benjamin, Elijah, Lucas, Mason and Owen

How do those top 10 lists compare to the top baby names of 2017? Well, the girls' list is nearly the same except that Mia and Charlotte switched spots, and Harper (a name that fell out of the top ten the previous year) is back and has ousted Abigail. On the boys' side, Lucas kicked Jacob out of the top 10.

The real changes happened lower down in the data. Let's take a look at the popular baby names that were trending hard in 2018:

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