Rational Therapy for control of fever

1. When to use antipyretics ?

Purpose of antipyretics in fever is to prevent fever from rising and to offer comfort to the patient. Hence it is indicated only in moderately high fever and in a child who is irritable and uncomfortable due to fever.

There is no role for round the clock antipyretics, use only as per need.

Prompt usage is recommended in children with febrile seizures, especially during the first 24-48 hours.

2. What antipyretic to use ?

Paracetamol should be the antipyretic of choice in routine control of fever.

Fixed dose combinations of two antipyretics is not recommended.

Combination of antipyretics with metoclopramide or methionine is not recommended.

3. What are the non-pharmacological methods of control of fever?

• Nursing the child in a cool environment

Paracetamol, "the antipy retic" in pediatric fever.

Comment & Contribute Comments should be on the topic and should not be abusive. Comments are normally moderated and are reviewed after they are posted. Post your comments * Your comment can be maximum of 2500 characters I agree to the terms and conditions Your comments are automatically posted once they are submitted. All comments are however constantly reviewed for spam and irrelevant material (such as product or personal advertisements, email addresses, telephone numbers and website address). Such insertions do not conform to our policy and 'Terms of Use' and are either deleted or edited and republished. Please keep your comments brief and relevant.This section may also have questions seeking help. If you have the information you are welcome to respond, but please ensure that the information so provided is genuine and not misleading. If you have a question about health related issues, you can now post it in our Ask An Expert section on our community website Medwonders.com and get answers from our panel of experts. Member Comments ( 1 ) i dunno what to do my son is 6yrs and he has fever with headache,stomach ache,chest pain and frequent cold and barking cough on geting tests done his WBC and ESR is high and gastrin level is high have given a course of antibiotics but to no relief (Posted by eshan, India Date : 9/26/2009 )