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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Small child, fever, severe cough, lack of sleep. Prescribed prednisolone. Safe to give?

my kid had fever for the past 4 days & yesterday and today he is having severe cough . he didn t sleep properly &he didn t eat anything & His temparature was fluctuating to 102,101...continuously like that now my doctor asked me to give azithromycin -5ml & prednisolone 5ml.Is it ok to give that. seeing all online reviews about prednisolone i am worried
Wed, 12 Dec 2012
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Pediatrician 's  Response
Hi

You have not mentioned the age or weight of your child.

Prednisolone is usually given in cases of severe wheeze if there is no response to bronchodilators alone. Given for a short duration and then tapered and stopped, it does not cause problems. But its better to use in severe wheeze. And better to avoid when child is having fever.

What are the cough preparations you are giving him? Is he a known wheezer?

You may give him Paracetamol in a dose of 15mg /kg/dose repeated every 6 hrs for his fever.
For his cough, depending on the type of cough, depending on the presence or absence of chest signs, medications have to be chosen.

You may speak to your doctor again.
Hope my answer helps you.
Wish a speedy recovery for your kid.
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General & Family Physician Dr. Neelam Ashish Vanjari's  Response
Hi Rashmi,

Thanks for writing in.
I understand your concern. Prednisolone is usually not recommended until and unless necessary. Your doctor may thinking it like asthma, so may be he have added it.
Otherwise azithromycin and cough suppressants like cosome cough syrup are usually enough for treating cough.
You can give your baby steam inhalation. Simple milk with haldi also helps alot in cough. You can have a word with your doctor. I hope I have answered your query. In case of any doubt, You can revert back.
Best regards,
Dr. Neelam.
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Small child, fever, severe cough, lack of sleep. Prescribed prednisolone. Safe to give?

Hi You have not mentioned the age or weight of your child. Prednisolone is usually given in cases of severe wheeze if there is no response to bronchodilators alone. Given for a short duration and then tapered and stopped, it does not cause problems. But its better to use in severe wheeze. And better to avoid when child is having fever. What are the cough preparations you are giving him? Is he a known wheezer? You may give him Paracetamol in a dose of 15mg /kg/dose repeated every 6 hrs for his fever. For his cough, depending on the type of cough, depending on the presence or absence of chest signs, medications have to be chosen. You may speak to your doctor again. Hope my answer helps you. Wish a speedy recovery for your kid.