Rotarix vaccine protects babies from infection with Rotavirus, an intestinal virus causing vomiting and diarrhea which can be severe.  Since the introduction of Rotarix (and a similal vaccine, RotaTeq, from another manufacturer), rates of infection and hospitalization from Rotavirus infection have dropped significantly.

The contaminant is a virus that infects pigs and other animals, but not people (as far as we know).  There have been no reports of illness, and I have heard no complaints from my patients about side effects from Rotavirus vaccine.  However, it is possible that the current batch of Rotarix may eventually be recalled.  (Currently, doctors are being asked to refrain from using their stores, but we’re not yet being asked to return it to the manufacturer.)

For more information, please see the “News” section on the front page of our website,  www.dmpKids.com.

–  David Epstein, MD

Of course, to be certain about a drug reaction, the child should be examined.  However, if the child seems otherwise well (no fever, acting ok etc.), you can wait until regular office hours.

The most common reaction to amoxicillin is a red bumpy rash.  We call it an “amoxicillin reaction” or an “Amoxil reaction” (named for the original “brand” of amoxicillin).  Do you see little red raised bumps, like mosquito bites, all over the trunk or limbs?  It may look very dramatic, but it probably doesn’t itch or bother the child.  It usually starts about 5-7 days after the amoxicillin was begun; it fades after a few days with no treatment, even if the amoxicillin is continued.

This “Amoxil reaction” is not dangerous, and is not an allergy.  It is also not a reason to avoid amoxicillin in the future.  We think that it may be an interaction between the amoxicillin and another virus temporarily in the child’s immune system.

Of course, any child might develop a true allergy to amoxicillin (or any drug) that might require stopping the drug or giving further treatment.  If you see coin-sized (or bigger) blotches, especially if they’re itchy, this is of more concern.  If there is any question, give us a call or schedule an appointment.  And of course, if there is wheezing or other symptoms of concern, call right away!

–  David M. Epstein, MD