NEW YORK (AP) - When
Christy Olson's daughter developed asthma as a toddler 12 years ago, she was
reluctant to put her on prescription drugs.
"I was so worried about side effects. I didn't want to give it to her unless
I had to," said Olson, who lives in Rochester, Minn., and is a nurse herself.
She decided it was a necessary move, and her daughter, now 15, still takes
medicine for her condition.
While parents then and now are often nervous about medicating children, it is
becoming more common. Use of prescription drugs is growing faster among children
than it is among senior citizens and baby boomers, the two traditionally high
consumer groups, according to a new study.
Spending on prescription drugs for those under 19 grew 28 percent last year,
according to the survey by Medco Health Solutions, a Franklin, N.J.-based
pharmacy benefits manager.
Meanwhile, spending per patient rose 23 percent for those between the ages of
35 and 49 and less than 10 percent for those above 65.
Children are also spending 34 percent more time on medication than they were
five years ago, the study found.
Treating children is still relatively inexpensive, costing an average of
$84.72 per patient each year. That compares to an average expense of $944.40 per
year for people aged 65 to 79.
The Centers for Medicare and Medicaid Services, a government agency,
estimates that overall spending on prescription drugs rose 16.4 percent to $142
billion last year.
Among children, the most prescribed drugs were for allergies, asthma and
infections. Prescriptions for Ritalin and other medicines for neurological and
psychological disorders were also substantial - a finding that renewed concern
among some experts who worry that such drugs may be over-prescribed for
children.
Some doctors also were alarmed that spending on prescription drugs to treat
heartburn and other gastrointestinal disorders surged 660 percent over five
years, according to the study. The jump was seen as linked to the increasing
number of overweight children in the United States.
Some of the findings on prescription drugs mirrored trends seen in disease
patterns. For example, the incidence of asthma and allergies are generally
increasing, so doctors said it wasn't surprising that children's prescriptions
for such ailments would also grow.
"It is good news that more kids are getting treated for asthma because it
means less trips to emergency rooms and hospitals," said Dr. Robert Epstein,
chief medical officer of Medco Health.
About 7 percent of children have asthma and 25 percent have allergies,
approximately double the incidence 25 years ago, according to Dr. Michael Blaiss,
a pediatrician who specializes in such ailments.
Olson, the Minnesota nurse, also has a 13-year-old son who has asthma and is
receiving medicine. She suffers from asthma herself.
Medicating her children has at times been a difficult process. Her daughter,
when she was 9, had a severe reaction to steroids she was taking and went into
shock. It took 18 months of experimenting to find a correct dosage.
Even so, she's more comfortable now than she was at first with having her
daughter taking drugs. "I feel differently now because I see that she needs it
and she is better because of it," Olson said.
"I know things have gotten better since that time, but drugs are such an
important part of treatment that we need more studies," she said.
The survey also found that spending on antibiotics among children increased
42 percent. Doctors say antibiotic resistance is a widespread problem.
Spending on drugs for Attention Deficit Hyperactivity Disorder increased 122
percent over the past four years and accounted for 8 percent of the total spent
on prescription drugs for children, up from 7 percent in 1997. Spending for
depression medicines held steady at 5 percent of the total.
Dr. Lawrence Diller, author of "Should I Medicate My Child?" worries that
such drugs are over-prescribed. He also pointed out that, while Ritalin and
other drugs for ADHD are generally seen as safe for children, there haven't been
many studies of the effects of antidepressants on children.
"The antidepressants are known to have sexual side effects. I wonder what the
long-term effects of that is going to be on adolescents," Diller said.
The vast majority of prescription drugs are developed for adults, and drug
makers are not obliged to test them on children. In 1997, Congress passed
legislation that gave drug companies an additional six months of market
exclusivity if they tested their drugs on children. That has sparked more tests,
but experts say more studies are needed.
"I think practitioners feel more confident now that there is more data to
back up prescription patterns," said Dr. John Ring, who sits on the American
Academy of Pediatrics' Committee on Drugs.
But he said most of the prescriptions written for children are still written
for drugs that haven't been approved for youngsters.
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