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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

  • Switching on the fan or the air-conditioner.

  • Remove tight or excessive clothing or cover.

  • Tepid sponging with luke warm water (Use of cold water or ice promotes vasoconstriction and does not allow the heat to dissipate, hence avoided).

Paracetamol, "the antipy retic" in pediatric fever.

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calyn, Malaysia

My son fever for 6 days and nearly finish 2 bottles of paracetamol, I'm so worried. Took blood test shown viral infection. Lost, what should I do instead of just continue giving medicine only from 3 bottles increase to 9 bottles now.

banketiwari, India

very educative

dom21, United States

My 2 year old son exoeriences periodic high fever spell associated with vomiting about every 3 weeks or so. His first episode was in Oct 2012. His doctor states it seemed like a bacterial infection but the symptoms would reoccur every 3 weeks, skipping the month of december and jan now resurfacing in february. Im worried that this seems to be happening in patterns. Could this be a sign of something more serious?

eshan, India

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

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