
How Safe Is Paracetamol For Fever And Cold In A Child?

CAN PARACETAMOL IS ADVISABLE OVER CROCIN PLEASE SUGGEST WITH MEDICINE NAMES.
Dose of paracetamol depends on weight
Detailed Answer:
Hello
Thanks for asking on this platform
Most common cause of fever with cough and cold in this age is some viral infection.Here fever remains of high grade for initial 3-4 days.
In most of the cases fever can be managed well with paracetamol. If fever does not respond to paracetamol even when given in appropriate dosage and frequency another medication like mefenemic acid may need to be added.
Crocin contains paracetamol(125 mg/5 ml) and the dose is 60 mg/kg/day and can be given at an interval of 4-8 hours depending on the frequency of fever.
The average weight of 12 years old child is about 40 kg.So each dose should be of 500 mg when given 6 hourly.
Currently you are giving 15 ml that is equal to 375 ml.I did not find the weight of your child but assuming it to be 40 kg the dose needed is more than what you are giving now.
So please adjust the dose according to weight and better consult a pediatrician for proper prescription.
Do sponging with lukewarm water as it helps in bringing down the temperature.
Your another query is that whether you may give paracetamol along with Crocin. As Crocin itself contains paracetamol there is no need of giving adding paracetamol.Better is to give mefenemic acid if fever does not respond to proper dosing of paracetamol and sponging.
Mefenemic acid is a prescription medicine so I request you to get a prescription from physician if it is needed.
I hope this helps.
Please let me know if you have any more query.
Regards


But donot know if it gets repeated in evening so how long are we suppose to give medicine even if fever subside. please help with all details & precautions urgently.
You may repeat the dose after 6 hours
Detailed Answer:
Thanks for follow up
As the weight is 31 kg,you may give 15 ml of crocin at an interval of 6 hours.
Decreased appetite is very common complaint during any febrile illness.
Once the fever subsides appetite increases.
Meanwhile encourage the child for easily digestible less spicy/less oily food.
Try to give fluids in sufficient amount to avoid dehydration.
Please feel free to ask if you have any more doubt.
Regards


Please reply urgently.
You may give tablet paracetamol 500/paracetamol suspension 250 mg/5ml
Detailed Answer:
Hi
You may give paracetamol tablet 500 mg,3/4 tablet at an interval of 6 hours.Alternatively you may give double strength suspension of paracetamol like crocin ds which contains 250 mg/5 ml;7.5 ml at every 6 hours.
Fever usually starts decreasing within 24-48 hours.The frequency can be decreased accordingly with same dosing.As fever gets controlled paracetamol needs to be given only when required.
Regards


Please reply urgently with details.
Can you please reply.
Mefenemic acid may help in controlling the temperature
Detailed Answer:
Hi
Fever may remain of high grade during intial 3 days in viral infection.The dose your are giving that is 5 ml(250 mg) is less.For 31 kg child the dose should be 7.5 ml(375 mg) 6 hourly as I have mentioned earlier.
If fever persists even with this dose mefenemic acid may be needed. Mefenemic acid is more effective medication for controlling the temperature.
Please consult a physician for prescription of mefenemic acid if fever is not controlled with paracetamol.Also if fever persists for more than 72 hour I would request you to revisit your physician to rule out bacterial infection or evaluation of cause of fever.
Regards

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