What Dosage Of Meftal P Can Be Given For Persistent Fever In A 6-year-old Diagnosed With Stomach Infection?

Posted on Fri, 18 May 2018

Fri, 18 May 2018 Answered on

Fri, 16 Feb 2024 Last reviewed on

Question : 6 year old boy diagnosed with stomach infection yesterday afternoon. Having high fever 101-102 . Meftal p dosage of 12 ml was keeping fever down . But given one hour before., fever still not subsided. When can we give it again. How much dose we can give in a day and what should be minimum interval. We are also giving ondem and rinisol twice a day

Answered by Dr. Diptanshu Das (40 minutes later)

Brief Answer:
Stomach infections are usually self limiting. Apply tepid sponging.

Detailed Answer:

Hi,

I have gone carefully through the details and understand your concern. Most often such symptoms are due to viral infections and antibiotics are ineffective in such cases. Irrespective of treatment it usually spontaneously resolves in 5-7 days. If your child has fever with temperature more than 100°F, you need to give paracetamol or acetaminophen (P-250, Crocin or Tylenol) to it bring down. Also use tepid sponging. If paracetamol is not effective in bringing down the temperature, you need to use Meftal-P (mefenamic acid) which is more effective. The minimum gap between two doses of Crocin is 4-6 hours. The doses of Crocin and Meftal P are independent of each other. Minimum gap between doses of Meftal P is 6-8 hours. However, I do not think that they would be needed to be used simultaneously.

Regarding the requisite dose, I need to know the body weight of the child. I will await your response.

Regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Diptanshu Das (37 minutes later)

Body weight is 24 kg. Only concern even after giving meftal p , if temperature doesn’t comes down, then what to do. Also what should be given to child for eating or drinking . Banana, probiotic , curd we avoid as he gets cold n cough instantly.
Regards

Answered by Dr. Diptanshu Das (6 minutes later)

Brief Answer:
Check if the dose is adequate

Detailed Answer:
The right dose of Metal P is 180 mg per dose i.e. 9 ml of 100mg/5ml syrup (or 18ml of 50mg/5ml syrup) per dose. A lower dose will not be effective. Also make sure to apply tepid sponging to bring down the temperature.

Regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Diptanshu Das (25 hours later)

Today his temperature shot up to 103.70-80 twice . We washed his head and applied tepid sponge to bring down the temperature. Is this type of temperature abnormal doctor. Do we need to take any precautions or steps in this type of temperature. Regards

Answered by Dr. Diptanshu Das (29 minutes later)

Brief Answer:
The temperature needs to be kept in control

Detailed Answer:
A temperature above 100°F cannot be considered normal. You have done the right thing by giving tepid sponging. Also, give him Meftal P if necessary.

No other precautions needed with respect to temperature.

Regards

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Arnab Banerjee