Every year, medication sends tens of thousands of young children to the emergency room-not because they were given too much, but because they found it on their own. In the U.S. alone, about 60,000 kids under five end up in the ER due to accidental medicine access. And here’s the scary part: in most cases, the medicine wasn’t locked away. It was on a nightstand. In a purse. On the kitchen counter. Left out for just a minute. That’s all it takes.
Medicines Are Everywhere-And Kids Know Where to Look
You might think your home is safe because you keep pills in a cabinet. But most medication poisoning incidents happen in places you’d never expect. Nightstands? That’s where 78% of incidents occur. Dressers? Same story. Diaper bags left on the floor? Purses hanging on a chair? Even the kitchen counter? Those are all high-risk zones. A child doesn’t need to climb or break into anything. They just need to reach. And they’re curious. If they see something colorful, shaped like candy, or smell sweet, they’ll grab it. Over-the-counter cough syrups, children’s vitamins, even your daily aspirin or blood pressure pill-they all look like treats to a toddler. The CDC’s "Up and Away and Out of Sight" program was created because research shows that simply moving medicine out of reach cuts poisoning incidents by nearly 30%. But "out of reach" doesn’t mean the top shelf of your bookcase. It means above counter height-48 inches or higher-and completely hidden from view.Storage That Actually Works
Child-resistant caps sound like a solution. And they are-sort of. Studies show they reduce access by about half. But here’s the truth: if the cap isn’t snapped shut every single time, it’s useless. And many kids can open them anyway. That’s why experts say: "child-resistant doesn’t mean childproof." The only real barrier is a locked container. A locked cabinet in the kitchen, a high linen closet with a latch, or a dedicated medication safe. These aren’t luxuries-they’re necessities. Safe Kids Worldwide found that locked storage blocks access in 89% of cases. Safety latches alone? Only 35%. That’s a huge difference. Don’t rely on a drawer you think is "too high" for your child. Toddlers climb. They pull chairs over. They use the couch as a stepping stone. If it’s not locked, it’s not safe.Where to Store Medications (And Where Not To)
Here’s a quick guide to safe and unsafe spots:- Safe: Top shelf of a locked kitchen cabinet, high linen closet with a lock, dedicated medication safe (sales up 32% year-over-year), locked bathroom cabinet (if out of reach and not accessible from the tub or sink)
- Unsafe: Nightstands, dressers, purses, diaper bags, kitchen counters, coffee tables, under beds, on the floor, in the car console, on a windowsill
Medication Safety Isn’t Just About Storage-It’s About Behavior
You can have the best locked cabinet in the world, but if you leave a pill on the counter while you’re giving it to your child, you’re still at risk. Sixty-eight percent of incidents happen during the brief moment when medicine is out-when you’re distracted by a crying baby, a phone call, or checking the time. The rule is simple: put it away after every use. Even if you’re going to need it again in an hour. Even if you’re tired. Even if you think, "I’ll just leave it here for now." That’s not a habit. That’s a hazard. Also, never, ever refer to medicine as candy. Not even jokingly. Saying "This will help you feel better, like candy" is a direct invitation for a child to try it. Research shows this increases accidental ingestion by 40%. Instead, say: "Medicine is not candy. It’s only for when you’re sick, and only grown-ups give it."
Dosing Mistakes Are Just as Dangerous
Storing medicine safely is only half the battle. Getting the dose right matters just as much. Kitchen spoons? Don’t use them. A teaspoon can hold anywhere from 2.5mL to 7.3mL-up to 250% variation. That means you could be giving your child 2.5 times too much-or too little. Always use the dosing device that comes with the medicine: a syringe, a cup, or a dropper. And make sure it’s marked in milliliters (mL), not teaspoons or tablespoons. Also, pay attention to the concentration. Infant and adult versions of acetaminophen or ibuprofen can differ by 300-400%. One bottle might say "160mg per 5mL"-another might say "80mg per 5mL." Read the label every single time. Don’t assume. If someone else is giving the medicine-grandma, a babysitter, a partner-write down clear instructions: what medicine, how much, when, and why. Communication errors cause nearly 18% of pediatric medication incidents.What About Over-the-Counter Medicines?
The American Academy of Pediatrics says: never give cough or cold medicine to a child under 2. For kids under 6, they’re not recommended at all. These meds don’t work well for young children-and they carry serious risks like rapid heart rate, seizures, or even death. If your child has a cold, focus on comfort: saline drops, a humidifier, fluids, and rest. Ask your pediatrician before giving anything. Just because it’s sold over the counter doesn’t mean it’s safe for little ones.Dispose of Unused Medicine Properly
Don’t keep old pills "just in case." Unused opioids, antibiotics, or painkillers are a ticking time bomb. The CDC found that 22% of households keep opioids longer than needed. And when those pills are accessible, accidental access spikes. The safest way to dispose of medicine? Use a take-back program if one’s available. But if you live in a rural area (and 68% of households don’t have easy access), follow this method:- Take the pills out of their original container.
- Crush them or dissolve them in water.
- Add something unappealing-used coffee grounds, kitty litter, or dirt.
- Put the mixture in a sealed plastic bag.
- Remove or black out your name and prescription info from the bottle.
- Throw it in the trash.