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Effective and ineffective interventions for infant colic
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Interventions with some evidence of effectiveness for infantile colic include hypoallergenic diets and formula, soy formula, decreased infant stimulation, herbal tea, and dicyclomine (Bentyl). Reports of severe adverse effects of dicyclomine in infants younger than 7 weeks caused a black-box warning for use in those aged less than 6 months. The following interventions are essentially equal to or worse than placebo treatment: simethicone (Mylicon, Gas-X), scopolamine, lactase enzyme (Lactulose), fiber-enriched formula, increased carrying, car-ride simulators, and sucrose. (Level of evidence [LOE]=1a–)

 
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Practice Recommendations from Key Studies

Garrison MM, Christakis DA. Early childhood: colic, child development, and poisoning prevention. A systematic review of treatments for infant colic. Pediatrics 2000; 106:184–190.

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The Journal of Family Practice - 53(8)
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Practice Recommendations from Key Studies

Garrison MM, Christakis DA. Early childhood: colic, child development, and poisoning prevention. A systematic review of treatments for infant colic. Pediatrics 2000; 106:184–190.

Author and Disclosure Information

Practice Recommendations from Key Studies

Garrison MM, Christakis DA. Early childhood: colic, child development, and poisoning prevention. A systematic review of treatments for infant colic. Pediatrics 2000; 106:184–190.

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BOTTOM LINE

Interventions with some evidence of effectiveness for infantile colic include hypoallergenic diets and formula, soy formula, decreased infant stimulation, herbal tea, and dicyclomine (Bentyl). Reports of severe adverse effects of dicyclomine in infants younger than 7 weeks caused a black-box warning for use in those aged less than 6 months. The following interventions are essentially equal to or worse than placebo treatment: simethicone (Mylicon, Gas-X), scopolamine, lactase enzyme (Lactulose), fiber-enriched formula, increased carrying, car-ride simulators, and sucrose. (Level of evidence [LOE]=1a–)

 
BOTTOM LINE

Interventions with some evidence of effectiveness for infantile colic include hypoallergenic diets and formula, soy formula, decreased infant stimulation, herbal tea, and dicyclomine (Bentyl). Reports of severe adverse effects of dicyclomine in infants younger than 7 weeks caused a black-box warning for use in those aged less than 6 months. The following interventions are essentially equal to or worse than placebo treatment: simethicone (Mylicon, Gas-X), scopolamine, lactase enzyme (Lactulose), fiber-enriched formula, increased carrying, car-ride simulators, and sucrose. (Level of evidence [LOE]=1a–)

 
Issue
The Journal of Family Practice - 53(8)
Issue
The Journal of Family Practice - 53(8)
Page Number
604-612
Page Number
604-612
Publications
Publications
Topics
Article Type
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Effective and ineffective interventions for infant colic
Display Headline
Effective and ineffective interventions for infant colic
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