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Are Colimex, VE-COLD and Paracetamol safe for a 47 days old infant?

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Posted on Mon, 9 May 2016
Question: Hi,

My baby is 47 days old. His birth weight = 3.75kgs & height = 54cms.

Following is his medical history till now:
(1) Developed fits on day 3 of life. Treated in NICU for an week & then asked to continue the medicines:
(i) Phenobarbitone Syrup (Gardenal) - This was stopped on day 45 as per advice from the doctor
(ii) Zenoxa - 0.5ml twice a day is followed

(2) Diagnosed with hydronephrosis on right kidney before birth. DTPA scan on day 28 shows renal function as 37% & the doctors advice regular follow up before going for surgery. No medications taken for this.

Apart from this he is taking vitamin supplements below:
(1) Amino Rich - 8 drops in morning
(ii) Calcimax - 2ml twice a day

Please help me understand if it is safe to use the following medicines:
1. Colimex - 5 drops advised if the baby cries for hours in evening due to colic
2. VE-COLD-Phenylephrine with Chlorpheniramine Maleate Drops - Doctor advised this 6 drops twice a day for cold
3. Paracetamol pediatric oral suspension - If he gets fever (8 drops thrice a day)

We gave 5 drops of colimex yesterday for stomach pain & we found him sleeping for more than 4 hrs in the night. Since he is seen to have cold today morning we gave him VE-COLD 6 drops & he is found sleeping most of the time today day time and looks tired. Except this there is nothing strange seen. He passed urine, motion freely on time.

Please advice the side effects if any while using these medicines provided his medical history.

Also is it advisable to give him cow milk/powder milk now when mothers milk is not sufficient due to his height & weight. If yes, how many times a day & how much quantity each time.

Thanks,
XXXX
doctor
Answered by Dr. Deepak Patel (44 minutes later)
Brief Answer:
It is safe to give above drugs

Detailed Answer:
Hi XXXXXXX
Welcome to HCM.
can understand your concerns.

It is safe to give colimex, VE-COLD and paracetamol in your child in appropriate doses.
Your doctor has prescribed the correct doses according to weight so i think that you don't have to worry about this.
The fact that child is sleeping more is because now he is feeling better and taking some rest which he was not able to take earlier.

Since, your child renal function is 37 %, i suggest you to give only breastmilk.
Breastmilk is easily digestible and is light on kidneys as compared to cow or formula milk.
Kidney function tests should be monitored regularly every 3 months.

I hope this will help you.
Take care.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Deepak Patel (18 minutes later)
Thanks doctor for the information. Since breastmilk is not enough for him all the time, what can be the alternative? It goes like once in 30-45 min he wakes up for food.

We started cow milk properly diluted - 1:1 ratio from a week before twice a day 30-40 ml after bath in the morning & before bed in the night. Is this considered safe?

Thanks,
XXXX
doctor
Answered by Dr. Deepak Patel (11 minutes later)
Brief Answer:
Formula milk will be better

Detailed Answer:
Hi,
Welcome once again.

You are endangering your child by feeding cow's milk. There is nothing called insufficient milk production, the problem is usually the constant negative drivel by the people around you and faulty feeding technique.

Please learn the proper feeding technique, (easily available on YouTube), search for "proper position and attachment for breastfeeding".. https://www.youtube.com/watch?v=7aKt2IV0a68 watch this video published by WHO on breastfeeding training.

You can read this, http://www.nhs.uk/conditions/pregnancy-and-baby/pages/breastfeeding-positioning-attachment.aspx

You child does not require even a drop of additional top feeds till the age of 6 months, trust me, you can and will produce more than enough milk for your baby.

The most important thing to remember is, do not let your elders and others influence you negatively, just because your baby cries does not mean he/she is hungry.

The more you feed your baby, more milk will be produced, the single most important thing responsible for producing enough milk is complete emptying of the breasts each time you feed your baby.

For this you must feed your baby from only one side each time, you should not change to opposite side after 5 minutes.

If you feed only from one side for at least 20 minutes, then your baby will get the hindmilk(thick milk rich in fats and proteins which is essential for your baby), if you change every 5 minutes, your baby will only get the foremilk (thin, watery milk, that is not rich in nutrition), and this will cause your baby to become hungry very soon and start crying.

Formula feeds or cows milk is not a substitute for breast milk, please understand this clearly, breast milk is the best food you can give your baby, and any amount of top feeds are going to increase the risk of infections and malnutrition in your child. And it will also keep reducing the milk production in you because of negative feedback.


(This above answer is added by the moderator who checks the quality of the answer, I have added this information because I found the below answer by the specialist lacking, you can read what the specialist has to say, but remember, my above answer is based on extensive research and WHO guidelines).

Breast milk is easy to digest and as a result the baby becomes hungry early.
Cow milk and formula milk takes more time to digest than breastmilk so the baby feels hungry after some time.
Each time you breastfeed, the duration should be around 20 minutes.
Formula milk is more preferred to cow milk in your child as cow milk is heavy on kidneys.
In my opinion, you should start Lactogen 1 (around 50 ml)once a day, only if you feel that the child is not satisfied fully after breastfeeding.
Take care.


Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Deepak Patel (3 hours later)
I understand the issue here, but we are not giving it as a substitute always as mentioned above.

Breast milk is always given to him except only twice a day 30-40 ml after which also i breastfeed him since that is not sufficient to him. And the cow is brought up in our home (no injections for producing more milk) & is not of Sindhi cattle type.

I have seen the video - the position & my kids behavior while having milk is same as the kid with light blue striped shirt and hence i think the position is proper.

Thanks,
XXXX
doctor
Answered by Dr. Deepak Patel (49 minutes later)
Brief Answer:
Formula milk will be a better option than cow milk

Detailed Answer:
Hi,

Most important thing is that you should give top feed only when breastfeeding is not sufficient.
Formula milk is more closer to breast milk than cow milk.
Cow milk require more function of kidney for clearance.
I suggest you to start formula milk with proper dilution.
Take care.
Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
Answered by
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Dr. Deepak Patel

Pediatrician

Practicing since :2000

Answered : 1304 Questions

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Are Colimex, VE-COLD and Paracetamol safe for a 47 days old infant?

Brief Answer: It is safe to give above drugs Detailed Answer: Hi XXXXXXX Welcome to HCM. can understand your concerns. It is safe to give colimex, VE-COLD and paracetamol in your child in appropriate doses. Your doctor has prescribed the correct doses according to weight so i think that you don't have to worry about this. The fact that child is sleeping more is because now he is feeling better and taking some rest which he was not able to take earlier. Since, your child renal function is 37 %, i suggest you to give only breastmilk. Breastmilk is easily digestible and is light on kidneys as compared to cow or formula milk. Kidney function tests should be monitored regularly every 3 months. I hope this will help you. Take care.