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Is Zifi Advisable For High Fever In An Infant?

Posted on Thu, 19 Jan 2017

Question: My Baby is 9 Months old. She is suffering from fever from past 2 days. Mediactions going on are Ziffi 100 2 times in a day 3 ml for 5 days and T-98 parcetamol drops 1.5 ml , 3-4 times in day for 1-2 days. Today she is well , but she is getting high body temperature in sleeping mode (101-102degree F). Can I give Ziffi 100 for 3 times or there is a need to change mediation . Paracetamol I have stopped As It was for 2 Days only.

Answered by Dr. Sumanth Amperayani (32 minutes later)

Brief Answer:
Please stop antibiotic Zifi and five only Paracetamol - looks like viral

Detailed Answer:
Hi...Thank you for consulting in Health Care magic.

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 and it doesn't require antibiotics (like Cefixime) at all.

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 of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.

Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.

Regards - Dr. Sumanth MBBS., DCH., DNB (Paed).,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (45 minutes later)

Can I give Meftal-P for Fever. If yes then what should be the dosage? Please tell me in ml . Age is 9 months old. Also she is having growing upper teeth.T-98 tastes very bad to her n usually she vomits it while taking medicine.

Answered by Dr. Sumanth Amperayani (8 minutes later)

Brief Answer:
Do not use Meftal-P - side effects are more, it is an NSAID

Detailed Answer:
Hi... I understand your concern about fever. Please do nto use Meftal-P. 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.

Use only T-98 or if the taste is a problem, please use P-250 instead.

Doses in pediatrics are not age based. They are weight based. Please get back to me with weight of the kid and I will suggest you the appropriate dose of P- 250

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (2 minutes later)

weight is 10 KG

Also Many Doctors on Healthcare magic are suggesting Meftal-P . I am just confused.. what should I give and don't give?

Answered by Dr. Sumanth Amperayani (44 minutes later)

Brief Answer:
SUGGESTIONS ON MEFENAMIC ACID

Detailed Answer:
Hi....I I can understand your confusion. This is not my individual opinion. I have even published a paper regarding the usage of mefenamic acid and its side effects in a reputed XXXXXXX paediatric Medical Journal. I am here by giving you the link to read it. Please go through the publication and you can follow what is best for your kid.

https://www.ncbi.nlm.nih.gov/pubmed/0000

Regarding the dose of suspension P- 250 for your child, you need to give 3 ml of the suspension every 4 or 6 hourly only if temperature is more than 100 degrees Fahrenheit.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (14 minutes later)

Ok Sir thanks and What would be dosage of T-98 ? and Is It safe to give paracetamol for 4-7 days to 9 month baby?

Answered by Dr. Sumanth Amperayani (1 hour later)

Brief Answer:
T-98 dose is 6ml....T-98 DS dose is 3ml

Detailed Answer:
Hi....T-98 (strength 125mg/5ml) dose is 6ml.

T-98 DS (strength 250mg/5ml) dose is 3ml.

It is safe to give Paracetamol provided you give in the appropriate dose and give its only when temperature is above 100 degrees Fahrenheit, after checking with a thermometer.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (1 hour later)

One last question 100 Degree F is Armpit one right?

Answered by Dr. Sumanth Amperayani (37 minutes later)

Brief Answer:
Yes please and you need not add 1 to it

Detailed Answer:
Hi....you are absolutely right. You have to check in armpit and you need not add 1 to it.

I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link.

Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it.

In this way even in health care magic you can follow up always with a single doctor who knows the history of your kid completely. Please find the link below -

www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (2 minutes later)

Thanks Sir

Answered by Dr. Sumanth Amperayani (1 minute later)

Brief Answer:
My pleasure... Happy that my suggestions helped you

Detailed Answer:
Hi...I am happy that my suggestions helped you.

Regards - Dr. Sumanth

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar