Can't find children's Tylenol? You might not need it, doctors say

There are growing concerns over a shortage of children's Tylenol as America faces growing cases of a common respiratory virus and the flu. On top of that, COVID-19 is still circulating through communities. 

The combination of all three viruses have been dubbed by some in the medical community as a "tripledemic," and it's driving consumer demand for children's cold, flu and pain relief products. 

However, medical professionals tell FOX Business that medicine might not always be necessary.  In some cases, it's safe to let a child ride out a low-grade fever.

Dr. Darshan Patel, section chief of pediatric emergency medicine at Maria Fareri Children's Hospital in New York, told FOX Business that the hospital typically starts seeing cases of highly contagious respiratory syncytial virus (RSV) between October and December, followed by a surge of flu cases between December through February. Now, medical professionals are now seeing both viruses at the same time, driving up the surge in viral illnesses starting in October.  

"Starting in October [and] November we started to see an increase in viral illnesses, which is to be expected," as the school year starts, Patel said. "But the numbers were much higher this year because we're seeing both RSV and flu kind of hit at the same time," he added. 

Drug manufacturer Johnson & Johnson told FOX Business that children’s Tylenol and children's Motrin "may be less readily available at some stores" due to high demand driven by the "extremely challenging" cold and flu season. 

The company says it's doing everything it can to make sure consumers have access to such products which includes maximizing production capacity, running sites 24/7 and "continuously shipping out" product, the drugmaker said. 

Ticker	Security	Last	Change	Change %
JNJ	JOHNSON & JOHNSON	148.56	-0.96	-0.64%
CVS	CVS HEALTH CORP.	67.76	-0.74	-1.08%
RAD	n.a.	n.a.	n.a.	n.a.

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CVS told FOX Business it's seeing increased demand for cold, flu and pain relief products but that it's working with its suppliers "to ensure continued access to these items." If a store has a "temporary product shortage," CVS says its teams have a process in place to replenish supply.

Rite Aid, which is facing constraints on children's Tylenol due to ingredient supply chain issue, told FOX Business that its pharmacists are readily available "to provide recommendations for equivalent products and alternative treatment options."

The drugstore chain also carries pediatric products that are not impacted by shortages such as Genexa Kid’s Pain and Fever and Kindermed Kid’s Pain and Fever. 

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Low-grade fevers

If the child has a low grade fever and is otherwise feeling OK meaning they are playing or drinking fluids, "it is OK not to treat the fever with antipyretics or fever medications such as acetaminophen or ibuprophen," Patel said. 

If "you have a viral infection, fever is your friend," he added. "The body is acting normally to increase the temperature to help fight the viral infection inside." 

Dr. Kathy Merritt, a pediatrician at Chapel Hill Pediatrics in Chapel Hill, N.C., agrees, telling FOX Business that "fevers kill germs." 

"I don't need the temperature to go lower unless the child's uncomfortable, unless the child can't consume fluids, or unless the child has a history of febrile seizures," which are seizures that are associates with an elevated temperature in an otherwise healthy child, according to Merritt.

The body of an otherwise health child will "take care of itself" and essentially "reduce the temperature enough to be safe," she said. 

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High-grade fevers

On the other hand, if a child has a high grade fever, which Dr. Patel considers to be least 101 degrees, parents should focus on keeping their child hydrated and controlling their fever, which includes using medicine. However, "antibiotics are not always necessary," he added. 

To cool a child down, parents can remove excess clothing or blankets, and they can also put cool compresses under their armpits, according to Patel. One thing he doesn't recommend, are cold baths.

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Merritt said parents can also lower the temperature in a household. 

In terms of medication, parents should keep an eye out for generic medicine such as acetaminophen and ibuprofen rather than brand names for the drugs such as Tylenol, Advil or Motrin, according to Patel. 

Merritt said generic medicine has "tended to be in better supply at some stores."

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