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Need opinion regarding combined vaccine for my baby - Online Doctor Chats

Date : 25-Jan-2014
User rating for this question
Very Good Posted in: Vaccinations
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2307 Questions
User:Good Morning Doctor,
I have some queries regarding the vaccination of my new born baby born on 21-October-2013.
1. On 09-Nov-13, he was given BCG + 1 dose of OPV
2. On 11-Dec-13, he was given 1st dose of HepB + 2nd dose of OPV
3. Now on coming 11-Jan-14, the scheduled vaccine is DTap-1 + Hib-1 + HepB-2+ OPV-3. Now here some one suggested to go for combined vaccine as it is painless and no fever will come. Also some Ped. suggests that DTap should not be combined with HepB vaccine and to be administered separately. Now considering the above doses which are already given please suggest me the best option for combined vaccine for upcoming doses.
User:Hello Dr. Good morning
Doctor:is this your query
Doctor:Have you posted a query for the same?
User:yes as mentioned above
Doctor:Would you like to wait for an answer and continue the chat here?
User:yes yes
Doctor:would you like to continue the chat here?
User:yes waiting for your suggestion on my query
Doctor:please wait while I read your query completely
Doctor:all right
Doctor:you can combine the doses and give
Doctor:no harm in it
Doctor:Both Tdap and Hep B can be given to gether
User:but some pediatrician suggests not to combine this two
User:that why i am confused
Doctor:I do not see any harm in combining the both
Doctor:D tap is inactivated vaccine
Doctor:containing dead bacteria
Doctor:So is Hep B vaccine
Doctor:There is no harm in combining the both
Doctor:fever will occur following any vaccination due to immune generation process
User:as i told 1st dose of HepB is already given so next i can combine with DTP which is due on 11-Jan-13. and on next schedule which will be due on 11-feb-13 only DTP-2+ HIB-2 shall i give?
Doctor:Are you there?
Doctor:you got it exactly right
User:and HepB-3 after 6 months right?
Doctor:yes, that is right
User:and in all schedules 1 OPV should also be administered?
User:2 dose is already given.
Doctor:3 doses of 1 OPV in the first 3 months
Doctor:you can give the third dose as scheduled
Doctor:and another two times any time until the age of 5 years
User:ok thanks Dr.
Doctor:thank you too
Doctor:any more queries for now?
User:one more doubt Dr.
Doctor:ask me
Doctor:are you there?
User:My baby is getting achne from his first 15 days of life.. its gets cured and again appears
User:mainly on his face
Doctor:it should go away by 6 months of age
Doctor:nothing to worry
User:first we thought that it might be due to oil message... then we stopped applying any cream or oil but the pimples are coming and going... and his face is not baby smooth...
User:any medication required?
Doctor:you can use XXXXXXX and XXXXXXX baby oil to massage the face
Doctor:use mild baby soap on the face to gently clean it
Doctor:Do not use anything else
User:we applied but no improvement...
Doctor:it takes 6 months for the baby's skin to become normal
Doctor:Is there any visible rashes?
User:not exactly rashes but pimple kind
Doctor:then nothing to worry
Doctor:follow my earlier suggestions
Doctor:any thing else?
User:and belly botton is also potruding out...
User:will it go inside by itself
Doctor:sometimes yes
Doctor:sometimes no
Doctor:please get it examined by the pediatrician
User:i know my queries are silly.... first first experience na... thats why bit concious
Doctor:if it is reducing by itself, you can wait and watch
Doctor:If it is not reducing by itself then surgery would be required
Doctor:are you there?
Doctor:are you there?
Doctor:it seems like you are not responding
Doctor:are you there?
Doctor:please respond
Doctor:I am sorry
Doctor:I shall close the chat window now
Doctor:please log in to chat again
Doctor:Bye for now
Doctor:are you there?
User:sorry connection problem... any thanks for your suggestions and time....
Doctor:my pleasure
Doctor:any more queries for now?
User:nothing else for now dr. thanks... have a nice day
Doctor:you too
Doctor:have a good day ahead
Doctor:Bye for now
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