* Introduction

* Pre-Birth Mother Care

* Birth

* Bringing your New Baby Home

* Inoculations

* Feeding your    Baby

* Drugs

* Diapers

* Washing

* Clothes

* Sickness

* Babysitters

* Friends

* Walking

* Watching

* Playing,    Reading &    Teaching

* Toys

* Jewelry

* Smoking

* Body Parts

* Singing

* Pictures

* After Birth    Mother Care

* Mosquito    Spray and    Coils

* Fans

* Kids and    Animals

* Sanitation &    Cleaning

* Girls and Boys

Drugs for Baby

   Drugs (medicines) can save a baby's life or kill her. Drugs can make a baby feel better, or make her more sick.

   You need to be very careful giving your baby any medicines. A baby can't tell you always if they are feeling better or not. And they can not tell you where it hurts or where they are having a problem. Many drugs that are o.k. for an adult to take, are not o.k. for a baby to take. Some, like aspirin, can even kill your baby, even if taken in small quantities. Even for drugs that are o.k. for a baby to take, the medicine will have different dose depending on the baby's age and weight and other factors.

   All medicines have side effects, though not all the time. These side effects can cause other problems or kill a baby. Most medicines can not be taken with certain other medicines at the same time. Certain foods can make a medicine stronger or weaker in the body than it should be. Many medicines either don't work if you are in the sun, or can cause problems with sunlight. Many medicines, if not taken long enough, can cause a sickness to get worse, and can make a disease resistant to the drug in the future. Most medicines if taken too long can also have bad effects

   This book does not cover what to do if your baby is sick. However, you need to be aware of the following:

* No medicine should be taken after it's expiration date. The medicine can be ineffective or even poisonous after the expiration date.

* Since most medicines in Cambodia are improperly stored, (they are exposed to heat above the recommended level) their efficiency may be reduced or eliminated. You should always try to get the freshest medicines possible. If possible, examine the medicine carefully to make sure it at least looks fresh.

* Many drugs in Cambodia are fakes. They either have no medicine in them, they have the wrong medicine in them, or they are weaker in strength than the real medicine. You need to be careful.

   When getting a new medicine for your baby, you should know the following before giving it to your baby.

* What sickness does your baby have? Many times a doctor or pharmacists can only guess at the sickness or injury. It is not possible to know for sure. If you want better medical care, go to America, (or Thailand or Vietnam). Giving your baby the wrong medicine can not only make the sickness or injury continue longer, or get worse, the side effects can also damage you baby's health. There's no easy solution to this problem.

* Is this medicine safe for babies. Many medicines are made for adults, and are not safe for babies.

* Is the medicine that is prescribed made specifically for babies. Many are, though many are not available in Cambodia.

* Is the baby taking any other medicines at the same time that could cause side effects with the new medicine.

* Are there any foods that can not be consumed while taking this medicine.

* You should know the name of the medicine and strength. If you have this information, you can check in a drug reference book available at many pharmacies or hospitals to get all this information. Also, many medicines have strange names, but if you can find the generic name, you can find it in the drug reference. If you have access to the internet, this is usually the best source.

* Does sunlight or any other outside factor have an effect on the drug, or on your baby's body.

* What are the possible side effects to watch out for. All medicines have potential side effects. Some can be minor or unnoticeable, some are only an inconvenience, some may cause a more serious problem, but not enough to stop taking the drug, and some side effects can be deadly. You need to observe your baby closely after giving her any drug, even if she has taken it before without problems. You need to know what side effects are acceptable, and what side effects require you to stop giving your baby the drug, or go immediately to the hospital.

* What is the proper dose. You need to know exactly how many milliliters, or grams, or whatever part of a pill is appropriate. You need to know how many times a day or week to take a medicine. You need to know what time of day to take the medicine, and if it should be taken with food, or before a meal or after a meal

* You need to know what to do if you miss a dose of the medicine. Should you take the missed dose right away, take a small dose right away, wait until the next dose, or anything else.

* It's good to know what to do if your baby gets an accidental overdose of a medicine. Sometimes, it's best to make the baby throw up, sometimes not. You may need to rush your baby to a hospital if this happens also. This is why we always keep medicines out of reach of a baby.

* How should this medicine be stored. Many medicines need cooler temperatures, some need refrigeration, some need to be kept out of the light.

* What is the medicine supposed to do. Does it reduce pain, reduce fever, cure a sickness.

* How long should the medicine be taken. Some medicines are only prescribed as one pill (or liquid) or shot one time. Some medicines need to be taken until the symptoms are gone or the injury is healed. Some medicines will fix a problem quickly, but require you to take it for many days after the symptoms are gone. Failure to follow the schedule for taking a medicine can either not make a difference, or it can be deadly.

* Who is responsible for giving the baby the medicine. They should be aware of most of the above considerations, and you should make sure that the baby is not given an extra dose by someone, because they didn't know that someone else already medicated the baby. Remember, overdoses can be deadly.

* Remember, all these considerations apply to the mother of the baby also, if she is breastfeeding. Improper doses, side effects and other things can pass through the mother to the baby's milk and cause considerable problems for the baby.

* Many medicines come with information in Khmer, English and other languages. Read it. You don't always need to understand all the technical terms, because sometimes they are written for a doctor as well as the user, but this can be an invaluable source of information. Many pharmacies in Cambodia don't provide this information unless you ask for it. So don't forget to ask.

* Some babies are allergic to some medicines. That means that if they take a certain medicine, they will definitely have serious side effects. If you ever take your baby to a doctor or hospital, make sure they know what drugs the baby is allergic to.