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Can Paxlovid be given to babies?

Can Paxlovid Be Given to Babies?
Paxlovid, an oral antiviral medication developed to treat COVID-19, has been a significant tool in managing the disease, particularly among high-risk populations. However, its use in very young children, including infants, raises important questions regarding safety and efficacy.
Current Recommendations and Research
As of now, Paxlovid is not approved for use in children under the age of 12. The primary components of Paxlovid are nirmatrelvir and ritonavir, and while they have shown effectiveness in treating COVID-19 in adults and older children, clinical trials specifically targeting infants and toddlers have not been conducted extensively. This lack of data means that healthcare providers are cautious about prescribing Paxlovid to this vulnerable age group.
The FDA has authorized Paxlovid for emergency use in certain populations, primarily focusing on adults and adolescents who are at high risk for severe COVID-19. The absence of robust clinical trials for younger children means that the potential risks and benefits remain unclear.
Considerations for Infants and Young Children
Infants, particularly those under six months, are generally considered at higher risk for severe illness from COVID-19, but the treatment options available to them are limited. Current guidelines emphasize preventive measures, such as vaccination for eligible age groups, rather than antiviral treatments like Paxlovid.
Moreover, the safety profile of Paxlovid in pregnant or breastfeeding individuals has been a topic of discussion, as the effects on infants in these situations are still being studied. The potential for adverse effects in very young children, who may metabolize medications differently than adults, adds another layer of complexity to the decision-making process for healthcare providers.
Conclusion
In summary, while Paxlovid is a critical tool in the fight against COVID-19 for certain populations, its use in babies is not currently supported by clinical evidence or regulatory approval. Parents and caregivers should consult with healthcare professionals to explore the best options for protecting their children from COVID-19, focusing on preventive measures and available vaccines for older infants and toddlers. As research continues, the landscape of treatment options may evolve, but for now, caution remains the guiding principle in the administration of Paxlovid to the youngest patients.

Is remdesivir approved for infants?

On April 25, 2022, remdesivir has become the first United States Food and Drug Administration (FDA) approved COVID-19 treatment for young children, specifically ≥28-days-old children, weighing ≥3 kilograms, who are either hospitalized or non-hospitalized, showing a high risk for progression to severe COVID-19 (prone to …

Who should not use Paxlovid?

Paxlovid is not suitable for some people. Tell your doctor before starting to take this medicine if you: are pregnant, trying to get pregnant or breastfeeding. have ever had an allergic reaction to Paxlovid, or any other medicine.

What is the pediatric dosing of Paxlovid?

Pediatrics: PAXLOVID is not authorized for use in pediatric patients younger than 12 years of age or weighing less than 40 kg. The safety and effectiveness of PAXLOVID have not been established in pediatric patients.

Can infants take Paxlovid?

PAXLOVID is not FDA-approved or available under EUA for use in children younger than 12 years of age or weighing less than 88 pounds (40 kg).

How much does Paxlovid cost at CVS?

Costs and payment information
While there is no cost for the Paxlovid medication if prescribed, you may be charged up to $60 for the clinical assessment performed by the pharmacist. The $60 fee will be charged even if you are deemed ineligible for Paxlovid.

How long does COVID last in infants?

Most children who get COVID-19 have a mild infection that resembles a common cold or flu. Symptoms usually last between two to seven days. Children may also show no signs or symptoms (asymptomatic infection).

How do you treat COVID in infants?

In general, you can:

  1. Help your child stay hydrated by giving them plenty of fluids.
  2. Manage your child’s fever (ask your pediatrician before using fever-reducing medication).
  3. Encourage your child to get plenty of rest.
  4. Run a humidifier in your child’s room to help with nasal congestion.

What is the downside of taking Paxlovid?

Paxlovid can cause severe skin reactions called Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) that can lead to death if not treated. If you develop a rash, stop Paxlovid and call your healthcare provider right away.

Is Paxlovid for adults only?

Paxlovid is for adults and children 12 and older who are at high risk for developing serious symptoms of COVID-19 that may lead to hospitalization and/or death.

Will my baby be ok if he gets COVID?

Babies under age 1 might be at higher risk of serious illness with COVID-19 than are older children. This may be mostly due to the fact that babies born prematurely have the highest risk. In general, the virus that causes COVID-19 doesn’t spread from the pregnant person to the unborn baby.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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