Please Reply to the following 2 Discussion posts:
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DISCUSSION POST # 1 Reply to Nozomi
The 25-year-old woman stated that her 4-year-old child has been coughing and sounds congested. She wants to know if echinacea might help her child.
Q6. Is it safe for this mother to give her child echinacea?
Answer #6: Although echinacea is generally well-tolerated, it has many possible adverse effects, such as angioedema, bronchospasm, abdominal discomfort, headache, dizziness, drowsiness, and altered fertility (Williams, 2021). Additionally, some studies have shown that echinacea is associated with liver injury and toxicity (LiverTox, 2019). Nevertheless, several studies have shown the benefit of Echinacea for children, especially because approximately 30% of upper respiratory infections in children develop into bacterial complications associated with pneumonia, sinusitis, or otitis media (Ogal et al., 2021). In their study, Ogal et al. (2021) found that compared to the control group who received only Vitamin C, the subjects who used Echinacea showed significant prevention of cold days and URIs by up to 32.5%. Additionally, respiratory tract complications were reduced by 65%, and antibiotic prescriptions were reduced by 76.3% (Ogal et al., 2021). In another study by Awad (2020), the researcher found that the concomitant use of azithromycin with Echinacea resulted in decreased severity of tonsillitis compared to children who received only azithromycin. However, Ogal et al. (2021) discussed the possible variability in effectiveness depending on the products and the way they are prepared. Interestingly, lipophilic preparations, which are freshly harvested Echinacea purpurea, have been shown to be more effective than hydrophilic preparations, such as pressed juices (Ogal et al., 2021). Both of these studies suggested that Echinacea has a high safety profile, even in the pediatric population. Thus, for this patient, it is probably safe to give Echinacea to her child, but it is also crucial to obtain a thorough history and carry out a physical examination to make sure that he or she does not have other factors which may lead to adverse effects of Echinacea. Furthermore, Ogal et al. (2021) suggest that research on Echinacea is still ongoing, and it does not replace antibiotics or other conventional treatments, especially in severe cases of URIs.
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