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Suggest Treatment For Viral Fever In A Child

Posted on Mon, 25 Jul 2016

Question: Hi, My daughter is five an half years old. She is suffering from viral fever... Doctor suggested MEFTAL-SPAS and Microcef 50 as we complained of Fever and stomach pain.... Fever is not going down at all... right now its 103F... I have given one more dose of MEFTAL SPAS now... if I want to give MEFTAL P because of high fever, after how many hours I need to give MEFTAL P. (OR) Suggest alternative

Answered by Dr. Pradeep Kumar Jain (28 minutes later)

Brief Answer:
Meftal Spas also contains mefenemic acid an antipyratic present in Meftal P

Detailed Answer:
Hello

Thanks for asking on this platform

Meftal Spas contains Mefenemic acid(250 mg) an antipyratic to bring down the temperature and Dicyclomine an antispasmodic(helps in relieving the pain).
Meftal P contains Mefenemic acid(100 mg).
So I wont suggest you to give Meftal P as you have already given the Meftal spas.
Even the dose of mefenemic acid is more in meftal spas(2.5 times)which is adequate for about 25 kg's child(Dose is 10 mg/kg/dose at an interval of 8 hours).
If you want to repeat the dose you may repeat after 8 hours of previous dose.
Other option is to give paracetamol an another antipyratic as mefenemic acid is not working.The dose of paracetamol is 10-15 mg/kg/dose and it can be given at an interval of 6-8 hours.Also do tepid sponging as it helps in bringing down the temperature.
If fever persists even after giving meftal spas and paracetamol or general condition of the child worsens,consult your pediatrician immediately.
I hope this helps.
Please let me know if you have any more query.
Regards

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

Follow up: Dr. Pradeep Kumar Jain (29 minutes later)

Thank you for the information. I thought Meftal P contains Paracetamol... with your comments I understand that Meftal P doesn't contain Paracetamol. Can we give Ibugesic Plus (Ibuprofen and Paracetamol Suspension)?

Also as I added before we have already given a does of Microcef 50... should it doesn't have any side effect if we give Ibugesic Plur or Paracetamol?

Appropriate you for your quick answer.

Answered by Dr. Pradeep Kumar Jain (15 minutes later)

Brief Answer:
Better to give paracetamol only

Detailed Answer:
Hi

Thanks for follow up

I can understand your concern.But as you have already given one antipyratic I won't suggest you to give Ibugesic plus as it is a combination of ibuprofen and paracetamol(both are antipyratic).
Better to give paracetamol alone and watch for response as injudicious use of antipyratic may cause hypothermia(undesired fall in temperature).

Regards

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

Follow up: Dr. Pradeep Kumar Jain (26 minutes later)

Appreciate your quick answer DR. XXXXXXX

I will stop Meftal-SPAS and use only Paracetamol along with antibiotic Microcef 50.

Its been an hour we gave a does of Meftal-SPAS, when should I give Paracetamol to my kid?

Answered by Dr. Pradeep Kumar Jain (6 minutes later)

Brief Answer:
You may give paracetamol right now

Detailed Answer:
Thanks for appreciation

If the child is still running fever and you think that meftal spas is not working effectively,you may give paracetamol right now.Also do tepid sponging for better result.
Mefenemic acid is more effective antipyratic and used as a second line medication(if paracetamol does not work).So continue giving paracetamol with Microcef and if fever persists even after giving paracetamol(6-8 hourly),you may also give mefenemic acid(8 hourly).
In case of deterioration in general condition please consult a physician.

Wishing for your child's rapid recovery and good health.
Regards

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