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Suggest dosage for Meftal-P

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Posted on Sat, 27 Jan 2018
Question: Hello Doctors, my daughter has been prescribed 7ml of Meftal-P, she is 14 kg and 2 year 4 months old. The bottle I have says
100mg of Mefenamic acid per 5ml.

Is the dose suitable for her?

I have given her 7ml 11:30pm, 7ml 10:30am, 7 ml 5:15pm and 7ml 10:45pm.

Still her fever is high and at around 10pm, she started shivering badly, her hand and feet were very cold. I layered her with clothes, held her close and started heater. Again an hour back her hands and feet were again turning cold along with high temperature on forehead.

Doctor had diagnosed for viral in today morning.

Also I want to add, around 6-7pm I had given her sponging and coconut water. Had given coconut water in morning too.

Her high fever is continuing.
doctor
Answered by Dr. Pradeep Kumar Jain (1 hour later)
Brief Answer:
Dose is right, I would have preferred paracetamol

Detailed Answer:
Hello

Thanks for asking on this platform

I have gone through the query and do understand your concern.
The most common cause of fever in this age is viral infection. In viral infection fever remains of high grade for initial 3-4 days and then starts declining. The only concern is that in few viral infection particularly in Dengue paracetamol is the drug of choice and meftal p, brufen or aspirin should be avoided.
Fever may be the only symptom during first one or two days and then other symptoms like cough, cold, pain abdomen, loose motion, rashes etc may develope.
The prescribed dose of meftal p (mefenemic acid) is OK for her.
Shivering can be there in any fever. Giving fluids or coconut water helps in maintaining hydration and also temperature. You can do tepid sponging along with for better relief.
Mefenemic acid is considered to be more effective than paracetamol. If fever persists or recur earlier than 8 hours even after giving meftal p, you may give paracetamol at a dose of 15 mg/kg/dose at an interval of 6-8 hours.
If fever persists longer or any other significant abnormality is there please consult your pediatrician immediately.

I hope this helps.
Please let me know if you have any more questions.
Wishing for your child's rapid recovery.
Regards
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
Dr.
Dr. Pradeep Kumar Jain

Pediatrician, Cardiology

Practicing since :2006

Answered : 2049 Questions

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Suggest dosage for Meftal-P

Brief Answer: Dose is right, I would have preferred paracetamol Detailed Answer: Hello Thanks for asking on this platform I have gone through the query and do understand your concern. The most common cause of fever in this age is viral infection. In viral infection fever remains of high grade for initial 3-4 days and then starts declining. The only concern is that in few viral infection particularly in Dengue paracetamol is the drug of choice and meftal p, brufen or aspirin should be avoided. Fever may be the only symptom during first one or two days and then other symptoms like cough, cold, pain abdomen, loose motion, rashes etc may develope. The prescribed dose of meftal p (mefenemic acid) is OK for her. Shivering can be there in any fever. Giving fluids or coconut water helps in maintaining hydration and also temperature. You can do tepid sponging along with for better relief. Mefenemic acid is considered to be more effective than paracetamol. If fever persists or recur earlier than 8 hours even after giving meftal p, you may give paracetamol at a dose of 15 mg/kg/dose at an interval of 6-8 hours. If fever persists longer or any other significant abnormality is there please consult your pediatrician immediately. I hope this helps. Please let me know if you have any more questions. Wishing for your child's rapid recovery. Regards