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EFAs/ side effects

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Hi Everyone,

These issues about the potential side effects of the EFAs do

frequently come up. I typically mention the anticoagulation effect to

parents b/c everyone always asks about side effects. The only way we

are going to know for sure is to do a bleeding time on a group of

kids on EFAs. It is a blood test to check how fast your blood clots.

There was one case that came up maybe 6 mos ago about a mom who

discovered increased bruising in her child. I suggested she take him

off the EFAs and get a CBC to check his platelets. The blood test was

fine and she resumed the supplement at a lower dose.

Re: seizures, I think there is probably a very small risk and a lot

to gain in a seizure prone child. I think if we suggest starting

with a low dose and building up slowing there shouldn't be a

problem. There is always the possibility of drug interactions with

the EFAs but that would be more so in the adult population. We always

need to say check w/ your doctor, even though we may know more than

the practitioner!

I summary, we should say the EFAs appear to be safe and are unlikely

to cause bleeding or seizures in seizure prone children, but we

typically advise parents to check with their pediatricians in these

situations.

Marilyn Agin MD

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