It's Your Health
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Some health products that contain camphor and/or eucalyptus oils can cause serious health problems, including seizures, if they are accidentally swallowed by children.
Health products containing camphor and/or eucalyptus oils (also referred to as aromatic oils) are commonly found as non-prescription cough and cold remedies, used as chest rubs and by steam inhalation to relieve congestion. These oils are also found in some creams and ointments intended to relieve sore muscles.
In the last decade, reports have surfaced in Canada and worldwide of side effects and reactions in children who accidentally swallow products containing camphor and/or eucalyptus oils, which are not intended for oral use. Parents and caregivers may not be aware that these products can be toxic to children. As with any other medication, it is important that these health products be used with caution and stored out of the reach of children.
The reported side effects from swallowing health products containing camphor and/or eucalyptus oils vary from minor symptoms, such as burning sensation in the mouth, headache, nausea, and vomiting, to more severe and life threatening reactions such as seizures. Parents and caregivers who suspect that their child may have swallowed these substances should take the child immediately to the doctor or to the nearest health treatment centre.
Parents and caregivers can reduce the risk of serious side effects or reactions from accidental swallowing of health products containing camphor and/or eucalyptus oils by taking the following steps:
Health Canada has responded to this issue by putting in place some key measures to reduce the accidental poisoning of children. They include:
The Food and Drugs Act and Regulations require that health products be identified with a Drug Identification Number (DIN) and be labelled with ingredients and directions for use.
In addition, since January 2004 the new Natural Health Products Regulations have been in effect. These regulations require natural health products marketed in Canada, including those containing camphor and eucalyptus oils, to list on their labels the product's medicinal and non-medicinal ingredients. As well, any potential risk information, such as warnings, cautions, contra-indications and known side effects associated with their use, must be included. This gives people ready access to the information they need to make safe and informed choices about the natural health products that they use. Natural health products that have been approved under these regulations will either have a Natural Product Number (NPN) or a Natural Product Number-Homeopathic Medicine (DIN-HM).
Consumers can reduce the risk of side effects by taking products that have been approved and designated with a DIN, NPN, or DIN-HM on the label.
More information on the safe use of medicines.
More information on natural health products, the new Natural Health Products Regulations, and how to interpret and use this information can be found on the Natural Health Products section.
To report any adverse reaction or interaction involving a health product, including natural health products, contact Health Canada at the toll-free number (866) 234-2345 or fax at (866) 678-6789 or contact your Adverse Reaction and Medical Device Problem Reporting.
Any suspected adverse reactions can also be reported to:
Canadian Adverse Drug Reaction Monitoring Program (CADRMP)
Marketed Health Products Directorate
Address locator 0701C
Ottawa, ON K1A 0L2
Telephone: (613) 957-0337
Fax: (613) 957-0335
Information on reporting adverse reactions is available at: Advisories, Warnings and Recalls
For additional articles on this subject and other issues, go to the It's Your Health Web site. You can also call (613) 957-2991.
ę Her Majesty the Queen in Right of Canada,
represented by the Minister of Health, 2004
Original: October 2004