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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Having High Fever Up To 102 Degrees. Giving Ibugesic, Meftal-P, Cold Water Sponge. Is The Doctors Prescription Of Naprosyn Safe For Children?

My daughter is 1.10yrs old, she has been suffering from High Fever since 2 days. Last night the fever rasied till 102 degree... to control the fever we gave her Ibugesic and the Meftal-P in the interval of 5 hrs but none of them work... we tried cold water sponge as well... the fever came down only after 4-5 hrs Today when we met the doctor he prescribed Naprosyn Suspension (2.5ml thrice a day) Is it safe to give to kids upto 2yrs?
Sun, 31 Mar 2013
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Pediatrician 's  Response
Dear Parent,
This medicine belongs to' Non-steroid anti-inflammatory drugs group'which is mainly used to treat inflammation. The long term use of these medicines causes microscopic hematuria and analgesic nephropathy. However after ruling out other renal diseases,this medicine can be given for short term treatment under medical supervision to reduce the fever,because high fever may lead to febrile convulsion.Please don't use the same prescription for all type of fever frequently without medical advise.
Regards
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Pediatrician, Critical Care Dr. Tejas Shah's  Response
Thanks for posting your query here.



It seems your daughter is suffering from infection, most commonly virus infection.



There are few anti-fever medications, Ibugesic and Meftal-P amongst them. I am not sure whether your doctor has prescribed Paracetamol- which is safer anti-fever medications as comapred to Naprosyn. Paracetamol can be given maximum 4 times a day & Ibuprofen maximum 3 times a day. Meftal-P can be used as and when needed, however not more than 3 times a day. If there is poor response after giving combination of anti-fever medicine, I would seek medical help.



Most Pediatricians try to avoid using Naprosyn except in small number of patients where fever is not responding very well. It is quite possible she has ongoing infection, the source of which could be throat, ear, chest or urine and that may need concurrent antibiotic treatment to control the infection.



I would agree with Dr Thirupathi about short term use of Naprosyn only in very few selected cases.



Hope things settle with your daughter very soon.



Regards

Dr Tejas Shah

Pediatrician
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Child Having High Fever Up To 102 Degrees. Giving Ibugesic, Meftal-P, Cold Water Sponge. Is The Doctors Prescription Of Naprosyn Safe For Children?

Dear Parent, This medicine belongs to Non-steroid anti-inflammatory drugs group which is mainly used to treat inflammation. The long term use of these medicines causes microscopic hematuria and analgesic nephropathy. However after ruling out other renal diseases,this medicine can be given for short term treatment under medical supervision to reduce the fever,because high fever may lead to febrile convulsion.Please don t use the same prescription for all type of fever frequently without medical advise. Regards