Sitemap  

  
Home Page About ISMP ISMP Medication Safety Newsletters Teleconferences ISMP Message Board Report Medication Errors to ISMP ISMP Online Store Consulting Services Support ISMP FAQ Contact Us

ISMP Medication Safety Alert

Caution! Dose cups that come with nonprescription drugs are unique for each product

Those pesky dose caps on nonprescription medications strike again! A 56-year-old woman accidentally took two doses of Pepto-Bismol® liquid because she thought that the dose cup held one dose, but it actually held two doses. Luckily, it's not very concentrated, and that amount was not an overdose for her. In a similar case, a mother gave her 2-year-old son four teaspoons of children's acetaminophen elixir because the label said to give one dose. Thinking that the dose cup held only one dose, she gave him an entire dose cup. Again, although it was more medication than he needed, it was not an overdose. The last case has a different twist to it: a mother gave her 5- year-old son Dimetapp® elixir, but she mistakenly used the dose cup from another medication. She gave him three teaspoons instead of one teaspoon, which was just shy of an overdose. Dose cups seem to create more problems for the convenience they offer. We recommend that you keep the dose cup together with the OTC medications it came with because there is no standard size or markings for dose cups. You can also ask your pharmacist for an oral syringe, which is even more accurate.

 

 

Consumer Med Safety

Resources
Main Page
Throw away your old medicines safely
General Advice on Safe Medication Use
Lessons to Be Learned from Past Errors
Preventing Drug Errors in Children
Safe Medicine: ISMP Medication Safety Newsletter for Consumers
Consumer Alerts
 
Dontate to ISMP

 

 

Home | Contact UsEmployment  | Legal Notices | Donate to ISMP | Med-E.R.R.S.
  ISMP Canada |  ISMP Spain | Pennsylvania Patient Safety Authority

200 Lakeside Drive, Suite 200, Horsham, PA 19044
Phone: (215) 947-7797,  Fax: (215) 914-1492

© 2008 Institute for Safe Medication Practices. All rights reserved

HON @ Code
Health On the Net Foundation
Health Impact Award
Health Impact Award