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You don't, but medicating children comes with some very serious risks, especially when those medications are SSRI's (selective serotonin reuptake inhibitors). I have added some related links which I urge you to look at before you place your child on medications. If you are referring to anti-depressants, then they should be used very rarely, for very short periods, under very close supervision. Don't use them to suppress normal teenage or childhood anxiety, or bad behavior. There are times when it is obvious that a child needs medication, such as an antihistamine like Benadryl for Allergies, a decongestant for colds, or Tylenol for fever, all of which are OTC (over-the-counter) meds. It is not recommend to give children asprin, due to the risk of Reye's Syndrome, which is a very serious and possibly fatal illness that affects children under the age of 18 if they take aspirin while they have the flu. If your child has a high, or long lasting fever, or if they are not getting better within a day or two, you need to take him/her to the doctor, as this could be a serious illness.

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Q: How do you know when to use medication for children?
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