In teething management for a 3-month-old infant, which OTC treatment would be the least appropriate to recommend?

• A. Calpol Teething Gel
• B. Nurofen Teething Pain
• C. Gripe Water
• D. Bonjela Cool Mint®

Answer: (D)

The key idea here is safety and age-appropriateness of teething remedies for very young infants. Benzocaine-containing teething gels are not recommended in babies this young due to the risk of methemoglobinemia, a serious condition where the blood’s ability to carry oxygen is reduced. Bonjela Cool Mint Teething Gel uses benzocaine, so it isn’t suitable for a 3‑month‑old.

Other options listed are generally considered safer for infants around this age when used as directed or are non-drug approaches. For example, an ibuprofen-containing product is typically used from about 3 months of age with appropriate dosing and weight, and non-pharmacologic measures (cool teething rings, gentle gum massage, comfort) can help with teething discomfort without meds. So the benzocaine-containing gel is the least appropriate choice for a 3‑month‑old. If in doubt, consult a healthcare professional before giving any OTC product.