Baby’s First Controlled Substance

Baby’s First Controlled Substance

One of Niko’s prescriptions is Codeine, which is a controlled substance – it’s an opiate, and it’s habit forming, and it can also be dangerous (especially in little kids). When we dropped it and his two antibiotic prescriptions (one for his general lung funk and one for an unrelated butt rash) the pharmacist gave it a good long side eye.

“He’s just got a cough?” he asked.

“He’s got a cough that keeps him up at night, makes it hard for him to breathe, doubles him over, and causes him to vomit,” I answered.

After typing in a bunch of stuff on the computer, he informed me that our insurance wouldn’t cover it until Niko was 5 years old, which seems odd to me but WHATEVER. Although it wasn’t too expensive, it was still more money than we really had at the time (it was the day before pay day and we’ve had a series of unexpected expenses) so we elected to pick it up the next day. I spent the rest of that day, that night, and the next day doubting myself for two reasons: both for not picking it up right away even though that would have left us with absolutely no money at all in case of emergency, and for having it filled because Niko is FOUR do I really want to dose him with an opiate?

Nesko picked up the codeine last night on his way home from work. It was a bigger bottle than I expected. I opened it and sniffed it because I was curious. I remember taking codeine syrup and having it be a sickly chemical-y fake cherry This codeine smelled… wrong. Bad. I stuck a finger in the bottle and licked it. Nesko laughed at the face I made, then he did the same.

“Oh, that’s not so… URGH.”

It takes awhile for the flavor to really bloom on the tongue and throat, you see.

I am a person– a weirdo, you might say– who does not find the taste of NyQuil or Robitussin objectionable. Part of this is because I was so sick so often as a younger person and those medications made me feel better, if even a little bit, so I have a positive reaction to them. But this codeine? blargh.

Nikola, as I think I’ve mentioned, is A Delicate Flower, and certain textures AND TASTES cause him to gag and sometimes vomit. So we prepared him for the bad taste.

“This tastes bad,” we said. “This does not taste good. But it is medicine and will help you feel better, and after you have it you can have an ice cream sandwich.”

Nikola took it, agreed that it was DISGUSTING, and then ate an ice cream sandwich. And then he turned into a horrific whine beast, staggering around the living room and finding fault with everything. Was it the codeine, we asked ourselves, or was it simply a sick four year old who was up too late waiting for his medication to come home? We all tucked ourselves into bed, him wedged between me and Nesko, and he was Full! Of! Comments! And! Commands! for about five minutes while Nesko and I both advised him to shut up shut up shuttt upppppppp already. Five minutes later, he was sacked out.

Niko slept, without coughing, for twelve hours and woke up chipper and alert and in a great mood.

After eating breakfast, he joined me in the kitchen, and was seized by spasms of coughing. I asked him if he wanted more cough medicine. He shook his head no, then yes. He calmed down. I asked him if he wanted more cough medicine. He said no. He started coughing again. I asked him if he wanted more cough medicine. He nodded yes. When he’d calmed down again, I asked if he still wanted cough medicine. He looked. so. sad. but said yes. I gave him some more and he drank a bunch of water and had a piece of candy and bopped off. I heard him coughing a few times, although not as bad, and have heard no coughs at all for the past hour which is amazing.

For a long period in my life, I would get bronchitis 2-3 times a year. Each time, I’d be sick for 2-4 weeks and would miss at least a week of school. I’d cough until I puked. I’d cough my throat raw and bloody. I’d pull muscles. I’d get so tired from coughing that I was no longer able to really cough and would make pathetic almost-cough sounds and people would mock me for faking it and acting pathetic for attention, while I struggled to breathe. Super fun! I spent a lot of time sleeping sitting up in chairs because lying down resulted in suffocating on my own snots.

This is absolutely not something I want my kid to experience.

On the one hand, I don’t give him fever reducers when he runs a fever. I want his body to fight off the illness, and for the most part it does. I’m very aware that antibiotics don’t do anything for viral infections and if Niko’s doctor said “Welp, this is viral, only thing we can do is wait it out and keep him hydrated,” I’d be fine with that. On the other hand, good lord this cough. It’s gone on so long and it’s so rough on him and he has asthma so I worry about him being able to breathe.

So I filled his codeine prescription, and I’m super glad that it seems to be working for him. The deep shadows under his eyes are much lighter than they were, he’s got a lot more energy today. He could just be improving on his own, sure. But this really seems to be helping him.

He’s already missed a week of school. I’ll be glad to see Monday.

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