Is aspirin contraindicated in children, and why?

• A. No, it is safe for children.
• B. Yes, because they can develop Reye syndrome.
• C. Yes, because it causes stomach ulcers in children.
• D. Only if given with ibuprofen.

Answer: (B)

Aspirin is avoided in children because of the risk of Reye syndrome, a rare but serious condition that can occur when salicylates are given during a viral illness. In kids with infections like influenza or varicella, aspirin has been linked to acute brain swelling and liver dysfunction. That potential for a life‑threatening outcome makes aspirin contraindicated for fever or pain relief in pediatric patients. Safer alternatives for children include acetaminophen or ibuprofen, used appropriately. If aspirin is ever needed for a specific pediatric condition (such as Kawasaki disease) it should only be under strict medical supervision.