Croup

Treatment Overview

Home treatment, such as using a humidifier, can help treat mild to moderate croup. Regardless of treatment, symptoms usually improve gradually within 2 to 5 days.

If your child has severe croup or has not responded to home treatment, medicines may be used to reduce airway swelling. These are usually given in a doctor's office or an emergency room. Medicines usually include:

• Glucocorticoids, such as dexamethasone or budesonide (for example, Pulmicort).
• Epinephrine.

If your child needs extra oxygen, it is given through a nasal cannula or delivered through an oxygen mask placed over the nose and mouth.

If breathing improves after one or more of these measures, your child will be observed for a short time and sent home. If symptoms do not improve, your child may need hospitalization and further testing.

What to Think About

Over-the-counter cough and cold medicines are not helpful for treating croup. Don't give these medicines to your young child unless you've checked with the doctor first. They can be harmful to children.^{1, 2} Experts say not to give them to children younger than 2.

Antibiotics, such as amoxicillin (Amoxil and Trimox) or cefpodoxime proxetil (Vantin), are not effective treatments for croup. These are only used if a secondary bacterial infection, such as a middle ear infection, develops.

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Author:	Debby Golonka, MPH	Last Updated: June 11, 2008
Medical Review:	Michael J. Sexton, MD - Pediatrics Thomas Emmett Francoeur, MDCM, CSPQ, FRCPC - Pediatrics
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