AgeDrugRiskStrengthEvidence quality
Avoid
< 3 years or 10 kg (22 lb)Darunavir (Prezista)Seizures, deathStrongVery low
< 6 yearsDiphenoxylate/atropine (Lomotil)Respiratory depression, deathStrongModerate
Linaclotide (Linzess)Death from dehydrationWeakVery low
Plecanatide (Trulance)Death from dehydrationWeakVery low
< 10 years or 50 kg (110 lb)LindaneSeizure, spasmModerateLow
All childrenIndinavir (Crixivan)NephrolithiasisStrongHigh
ParegoricGasping syndrome, seizures, central nervous system depression, hypoglycemiaStrongHigh
Propofol (Diprivan; avoid more than 4 mg per kg per hour for > 48 hours)Infusion syndromeStrongModerate
Caution
< 6 yearsValproic acidPancreatitis, fatal hepatotoxicityStrongHigh
< 8 yearsTetracyclinesEnamel hypoplasia, tooth discolorationStrongHigh
All childrenCamphorSeizuresWeakLow
Dopamine antagonists*Dystonia, respiratory depression, deathStrongModerate
Lamotrigine (Lamictal)Serious skin rashesStrongHigh
Meperidine (Demerol)Respiratory depressionStrongHigh
Olanzapine (Zyprexa; concern for use > 24 weeks)Metabolic syndromeStrongHigh
Opium tinctureRespiratory depressionStrongHigh
Salicylates (if suspicion of viral illness)Reye syndromeWeakVery low
TramadolRespiratory depressionWeakLow