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Reader Remarks on:

Is Acetaminophen a Culprit in Asthma?

Acetoaminophen and asthma

Bernard Yablin, URMC Peds Retired Asst Clin Prof, 22 Dec 2011 11:11 AM EST

Competing interests: None declared

Specialty: Pediatrics

This information should be made available to college and university student health services where Tylenol may be regularly dispensed.

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Acetaminophen and asthma

Henry L. de Give, Washington state., 2 Jan 2012 9:19 PM EST

Competing interests: None declared

Specialty: Pediatrics

This discourse is beginning to look disturbingly similar to the ones that preceded the identification of aspirin as the culprit in Reyes Syndrome. It took years to reach anything like consensus on that issue. Since it is a suitable analgesic substitute for acetaminophen, I see no harm is recommending ibuprofen in children with family histories of allergies and/or asthma until the issue is settled.

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Acetaminophen and asthma

Martha Dodge, 7 Jan 2012 1:57 PM EST

Competing interests: None declared

Specialty: Inactive (Retired)

Very interesting article. I have two grandsons who have asthma and they are given Tylenol often!!

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Acetaminophen and Asthma

N. A. Zane, MD, ABIM, Bethesda Memorial Hosp, Boynton Bch, FL, 13 Jan 2012 10:26 AM EST

Competing interests: None declared

Specialty: Internal Medicine

This article is confusing since NSAIDs (of which ibuprofen is a member and is often used for fever in children) cause or exacerbate asthma in asthma prone people. The author did not explain why ibuprofen was chosen as control, nor other choices to lower the fever were given or studied. This leaves us with a therapeutic dilemma.

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