Suggest Treatment For Fever, Vomiting And Shivering In A Child

Posted on Tue, 17 Oct 2023

Question: My 6 year old kid weighing 22 kg is suffering from fever 101.9 started this evening after which we gave 6 ml meftal around 3 hours back and just now he vomited and fever is still at 101and shivering a bit, so wanted to check which medicine should. be given next. We have calpol and crocin at home if that need to be given.

He vomited again for the second time.

Appreciate any response.

Answered by Dr. Dr. Pradeep Kumar Jain (52 minutes later)

Brief Answer:
You may give paracetamol (Calpol or crocin)

Detailed Answer:

Hi,

Meftal p contains mefenemic acid is considered to be a second choice when paracetamol does not works. The dose of meftal P is 8 mg/kg/dose. So the dose given was less and also there is comparatively high propensity of vomiting after meftal P. I would suggest you to give paracetamol (crocin or Calpol) 250 mg to bring down the temperature.

The dose of paracetamol is 10-15 mg/kg/dose and can be give at an interval of 4-6 hours. The maximum daily dose is 60 mg/kg. Also, you can give antiemetic like ondansetron for vomiting. For this age 2-3 mg of ondansetron is okay. Tepid sponging also helps in bringing down the temperature. If high grade fever or vomiting persists despite giving medication, please consult your pediatrician.

I hope this helps. Please let me know if you have anymore doubts.

Regards

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Above answer was peer-reviewed by : Dr. Prasad