Real Consequences: Trump’s Bullshit Claim About Tylenol Is Seeing Real World Results
There’s this insane subset of people who, when they talk about Donald Trump, I’ll never understand. It’s the ones who claim that taking what Donald Trump says seriously is a mistake that most people are unlikely to make. It’s also expressed by the crowd that claims something to the effect of: you shouldn’t take Trump literally, but you should take him seriously.
That this is said about the most powerful single individual on the planet is bonkers. This is typically how I’ve talked about my own kids when they were toddlers. Inevitably, one of my kids would be trying to say something entirely innocuous, only to have what came out of their mouth be some horrible word or swear or something. And I would hand-wave that away. C’mon, I’d tell people, you know that’s not what he meant to say.
Donald Trump is, unfortunately, the President of the United States of America. When he speaks, people listen. And a percentage of those listening will take him both literally and seriously. And when Donald Trump told American women last year to not take Tylenol, or give it to their young children, because it would give their kids autism, well, they listened.
Researchers found that in the wake of that batshit crazy announcement, use of Tylenol and its generic equivalents dropped significantly in use in emergency rooms and prescriptions written for children.
For nearly three months after that, new research found, Tylenol orders for pregnant women showing up in emergency rooms dropped and prescriptions of the generic drug for children rose. This happened despite sharp criticism of the president’s message from doctor groups saying that the drug, leucovorin, shouldn’t be broadly used for autism and Tylenol is safe during pregnancy.
“It just shows that in our country right now, health care has been politicized in a way that political messages are driving and impacting care — and not always for good,” said Dr. Susan Sirota, a pediatrician in Highland Park, Illinois, who wasn’t involved with the research.
The research suggested something like a 10% drop in measurable use of acetaminophen or paracetamol in the wake of Trump’s announcement. That doesn’t tell the whole story, of course, since so much of the use of Tylenol occurs through over the counter purchases at drug stores and the like. Based on market research, however, Tylenol specifically saw a nearly identical 11% or so drop in OTC sales as well back in November.
But that isn’t all. With all of this attention on a common drug supposedly giving children autism, parental anxiety about the condition has shot up as well. And, as a result, parents are turning toward experimental drugs for that that defy expert recommendations. That’s where leucovorin comes in.
Leucovorin is a derivative of folic acid used for, among other things, reducing the toxic side effects of certain chemotherapy drugs and treating a rare blood disorder. It has also been studied for a neurological condition known as cerebral folate deficiency and for a subset of autistic children, according to the American Academy of Pediatrics.
The pediatrics group doesn’t recommend routine use of the drug for autistic children. Early, small-scale studies have explored its use, “and some findings suggest potential benefit in carefully selected cases,” the group said.
Still, after the federal announcement about the drug, Sirota said some families in her practice asked about getting it for their autistic children. She educated them about the evidence, told them about the potential for side effects and didn’t prescribe it. Potential side effects include irritability, nausea and vomiting and skin issues like dermatitis.
This may sound melodramatic, but there is real psychological harm being done to those just starting families in this country. For most parents, their children become their entire world. Their raison d’etre. And if you scare the shit out of them about Tylenol giving their kids a disorder, they’re going to stop taking the common drug and turn to any hair-brained lifeline they can find to try to keep their children from that disorder.
Does leucovorin do anything at all for anyone with autism? I don’t have the slightest clue. And neither does the Trump administration. I’m quite confident that there is no current reason to see Tylenol as a danger to the general populace, however, and that didn’t stop Trump from going on television and playing doctor.
“It feels like a pattern with our government, right? They keep building on these houses of cards that just fall down,” she said. “This politicizing of medicine just in general, and moving away from science, has been so challenging.”
The consequences of this sort of thing are going to span decades. Let that sink in.