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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can High Fever In A Child Despite Taking Dolo-650, Augpen, Montel And Ambrolite Be Treated?

My daughter is suffering with high fever from this morning doctor has prescribed dolo650,augpen, 625,monteil,ambrolite,mucinaac.she has taken one dose of all the medicine but her fever has not come down pls advise can I give her ibugesic plus for fever
Thu, 18 Oct 2018
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Diabetologist,  's  Response
Hello, Thanks for the query.
If high fever is there then a higher dose of Paracetamol (Dolo 650 ) may be needed. What is the weight of the patient? Dose can be 10 -20 mg per kg per dose for 4 times a day with a maximum of 4 g in 24 hours.
Following a single dose, one may not see sudden reduction in fever. Plus even if fever does come down on taking adequate dose of paracetamol, there is always a possibility of fever coming back after about 5 to 6 hours as the blood levels of the drug goes down. That is why dosage is advised every 6 hours initially. The antibiotic given helps to treat and remove the cause (infection) for the fever. So in that case too a single dose is not going to be helpful. A minimum of few doses of antibiotic ( 2 to 3 days, 625 mg three times a day) has to be given. To help a better recovery give a good deal of fluids along with normal food. Preferably 1 to 1.5 liters of oral re-hydration fluid should go in. This will help in better recovery. If cough is present then that will take a bit longer to get cured. DO not panic. Patient should recover in next 2 to 3 days. Thanks.
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How Can High Fever In A Child Despite Taking Dolo-650, Augpen, Montel And Ambrolite Be Treated?

Hello, Thanks for the query. If high fever is there then a higher dose of Paracetamol (Dolo 650 ) may be needed. What is the weight of the patient? Dose can be 10 -20 mg per kg per dose for 4 times a day with a maximum of 4 g in 24 hours. Following a single dose, one may not see sudden reduction in fever. Plus even if fever does come down on taking adequate dose of paracetamol, there is always a possibility of fever coming back after about 5 to 6 hours as the blood levels of the drug goes down. That is why dosage is advised every 6 hours initially. The antibiotic given helps to treat and remove the cause (infection) for the fever. So in that case too a single dose is not going to be helpful. A minimum of few doses of antibiotic ( 2 to 3 days, 625 mg three times a day) has to be given. To help a better recovery give a good deal of fluids along with normal food. Preferably 1 to 1.5 liters of oral re-hydration fluid should go in. This will help in better recovery. If cough is present then that will take a bit longer to get cured. DO not panic. Patient should recover in next 2 to 3 days. Thanks.