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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fever And Convulsions At High Temperature

hello, Doctor, myself dr. Rajib, Pathologist. My son wt 21kgs having fever n cold since last night. He used to have febrile convulsion at high temp. So his paeditrician advised him frisium n meftal p whenever fever is above 100 d F. He has taken both 1 hr back but fever is not coming down in spite of cold sponging. What to do now?
Thu, 8 Jan 2015
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Pediatrician, Pulmonology ,  's  Response
Hi...Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.

Paracetamol can be given in the dose of 15mg/kg/dose (Maximum ceiling dose 500mg per dose) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.

Meftal-P contains Mefenamic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Meftal-P.

As you are a doctor I am herewith providing a link to a publication of mine i a reputed journal regarding not to use Mefenamic acid.

http://medind.nic.in/ibv/t10/i5/ibvt10i5p453.pdf

Regards - Dr. Sumanth
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Suggest Treatment For Fever And Convulsions At High Temperature

Hi...Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15mg/kg/dose (Maximum ceiling dose 500mg per dose) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Mefenamic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Meftal-P. As you are a doctor I am herewith providing a link to a publication of mine i a reputed journal regarding not to use Mefenamic acid. http://medind.nic.in/ibv/t10/i5/ibvt10i5p453.pdf Regards - Dr. Sumanth