WonderBaba

Healthcare by a Pharmacist mum!


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Should you give your baby calpol or nurofen before vaccinations?

This is a question that crops up time and time again – especially now since new guidance has been given with the introduction of the MenB Vaccine to the primary immunisation schedule.  I’d like to clear it up to help parents understand when you should or should not give your baby calpol or nurofen as a preventative strategy before vaccinations.

  • Ibuprofen (Nurofen) should not be given to prevent pain or fever before any vaccination on the childhood schedule.
  • Paracetamol (Calpol or Paralink) should only be given as a preventative measure at the time of the MenB vaccines only.  This recommendation applies only to the vaccines given at two and four months of age.
  • Paracetamol is recommended before the two and four month vaccines only as a result of the introduction of the MenB vaccine which may put your child at a higher risk of fever when given with the other vaccines.
  • At your child’s two or four month vaccines three doses of paracetamol should be given – the first dose of 2.5mls infant paracetamol (60mg) should be given at the time of vaccination or just after.  The second dose should be given 4-6 hours later and then the third dose should be given 4-6 hours after the second.
  • Paracetamol (calpol) does not need to be given routinely at the 12 month vaccines as your baby is less susceptible to the side effects of the MenB vaccination.

So basically other than before the two and four month vaccines you should not routinely try to prevent side effects of vaccines by giving medication.

However, it is important to stress that if your child is over six months of age and develops a fever over 39 degrees celcius or pain, swelling, headache or irritability after receiving a vaccine you can then use either paracetamol (calpol or paralink) or ibuprofen (nurofen) to treat their symptoms.

hugsOn a personal note I would recommend breastfeeding or if not bottle feeding your baby during or just after their vaccinations – and LOTS AND LOTS of cuddles and hugs…they are shocked and horrified by whats going on and a little love and reassurance is sometimes the best medicine!

cropped-websitefeetlogo.pngI hope you have found this article helpful and if you have any questions at all please don’t hesitate to contact me by sending a private message to the WonderBaba facebook page (www.facebook.com/wonderbabacare) or by calling me (Sheena) at Milltown totalhealth Pharmacy in Dublin 6 on 012600262. I’m always happy to help!

 

References

http://www.hse.ie/eng/health/immunisation/hcpinfo/guidelines/

PSI Guidance 2017

 


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Antihistamines – A WonderBaba Guide!

Here is a little guide with everything you need to know about antihistamines!

Antihistamines are medicines that treat allergic conditions. They work by relieving symptoms rather than curing conditions.  They treat symptoms like itching, rash, hives, hay fever, runny eyes or nose due to allergy, irritation from bites or stings or even food allergies.

An oral antihistamine solution may be used if your child is over two years of age. Continue reading


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Why cant I get Dentinox cradle cap shampoo?

 

***Update*** 5/4/17 – New Information in BLUE!

I Spoke to the manufacturers of the product today who said a ‘reformulated’ Dentinox shampoo will be available at the end of October 2017.  They could not confirm the date and had no further information about what the difference in formulation would be but hopefully we will have more information soon!  I’m glad its coming back as it is a great product so I just hope the reformulation does not effect its efficacy!

cradle cap brushIn the meanwhile this cradle cap brush is brilliant to help gently work away patches of cradle cap!  http://www.milltownpharmacy.ie/p/pourty_cradle_cap_massage_brush

 

uriage shampooI use it with the gorgeous smelling Uriage 1Er Shampoo – http://www.milltownpharmacy.ie/p/uriage_1er_shampoo_200ml

 

 

Have you been left frustrated by the current shortage of Dentinox cradle cap shampoo?  I have, for personal reasons as well as professional!

I have spoken to the manufacturer of the product DDD Ltd in the UK who have assured me that it has not been discontinued – the problem relates to a production delay.  They have told me that it will be available for us to buy again but so far have not been able to offer any estimation of a date.  They have taken my details and will update me as soon as they have a date and I promise to update you all at that point too!

dentinoxIn  the meanwhile I would just like to say that there is no need to be stuck – there is an excellent alternative for this product available which is known as Capasal Therapeutic Shampoo.  It is suitable for use on cradle cap on children and is safe to use regularly.

We have this available online for all of you fellow frustrated mums so if you need it just CLICK HERE 

Dentinox and Capasal are excellent at treating persistent cradle cap but there is some more gentle options also available as described in my full cradle cap blog – CLICK HERE 

I hope this helps to clarify the current situation but if you have any questions don’t hesitate to contact me in Milltown totalhealth Pharmacy on 01-2600262 (Sheena) or by messaging me on the WonderBaba facebook page!


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Candida (thrush) infection of breasts – symptoms and treatment!

Nipple pain can occur in a breastfeeding mum for many reasons.  Obtaining a correct diagnosis is critically important for a successful continued breastfeeding realtionship. Breastfeeding is recommended exclusively for your baby’s first six months and then in combination with food right up until two years of age or beyond.  This article does not serve to prove the benefits of breastfeeding – it is universally accepted as the best source of nutrition for your baby and has many benefits for mum too.  No doubt I’ll write all about that at some other stage – today I am more focused on identifying those mums who are struggling with pain during feeding and would like to highlight thrush as a potential cause.  From experience I have found it is important to know the appropriate treatment when attending the doctors so that you can discuss the best treatment options available to you. Continue reading


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A WonderBaba Guide to Asthma in Children!

child-asthmaChildhood Asthma

Around 1 in 5 of Irish children are affected by asthma with boys being more likely to suffer than girls.  Happily the odds get a bit better with age but still approximately 1 in 10 adults are asthma patients  (470,000 people!) in Ireland.

Asthma is a chronic respiratory disease which is often not diagnosed and unfortunately uncontrolled which can lead to ill health in children.  The early detection and treatment of asthma in kids is essential to reduce illness and complications and to increase the quality of life of those affected and their families. Illness from asthma can be mild and cause moderate inconvenience such as missed days from school, however it can also present in a more severe form which can be serious and potentially life threatening. Modern medicine makes asthma an extremely well controlled condition in those with appropriate action plans and I can’t stress enough how important it is to work with your child’s doctor to ensure you are keeping their condition as well controlled as possible – this proactive attitude will help your child to lead a ‘normal’ life and reduce the number of doctor and hospital visits necessary. Continue reading


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Chicken Pox -Vaccination Facts for Parents!

What is the vaccine?

The Chicken Pox vaccine contains a laboratory weakened/altered amount of the Varicella virus which stimulates an immune response in the patients body so that they will be able to defend themselves from future exposure.  It is such a weak dose that most patients (98%) suffer no symptoms afterwards – in a very small minority the patient may show a very mild form of the disease. It is usually no more than 5-6 blisters in this case. Full illness causes 200-500 blisters in most cases. This type of vaccination stimulates an excellent immune response and will leave your child approximately 90% protected against the illness. Continue reading


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WonderBaba Medication Record

We all know how important it is to give your child the right medication, at the right time, at the right dose.  I’m not writing this to give you a lecture – if you are reading this you are already interested in the responsible administration of medication to your child.  I’m writing this to help you find an easy and effective way of doing it – no matter what your family or childcare situation!

The most common reason for medication errors that I have come across is a simple lack of communication between adults. It’s so easily done, everyone is in a hurry and has an awful lot of information to provide during ‘handover’ of responsibility from one parent to another, from a parent to a childminder or from a parent to a creche or school etc.  It’s simple to forget to let someone know that you have given a dose of medication, in fact with tiredness and stress involved I’d say its near impossible to be perfect all of the time!

Rather than beat ourselves up about not being ‘WonderParents’ all of the time I feel it’s a lot more constructive to identify that everyone is only human after all, and to try and find a system to put in place to prevent any medication errors from occuring.

I have designed the following record so that it can be used in a home, childminders, creche or school environment.  Ideally it could be stored in the box of the medication so that it is easily found but can even wrapped around the bottle with an elastic band or hair bobbin if needs must!  I really hope you find it useful as the most important thing is the health and welfare of our fabulous WonderBabas and I know this is a system we will be using in our house from now on when one of our three is unfortunate enough to need medication.

The Record can be downloaded and printed off by clicking the following link:

WonderBaba Medication Record download!

wonderbaba medication record download! pic

 

 

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I hope you have found this article helpful and if you have any questions at all please don’t hesitate to contact me by sending a private message to the WonderBaba facebook page (www.facebook.com/wonderbabacare) or by calling me (Sheena) at Milltown totalhealth Pharmacy in Dublin 6 on 012600262.  I’m always happy to help!

 


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Updated Information on the Primary Immunisation Programme 2016!

Hi Mums and Dads of WonderBabas in Ireland!

There have been some recent announcements about the immunisations which your child will be offered.  It has been announced that the HSE intend to roll out a new Primary Childhood Immunisation Programme this year which will mean that all babies who are born on or after the 1st of October 2016 will receive two new vaccines as part of the programme.  The two new vaccines include MenB (at 2,4 and 12 months) and Rotavirus (at 2 and 4 months). The timing  if the 1st MenC vaccine will also change from 4 to 6 months and the timing of the third PCV will change from 12 to 13 months.  Currently Hib and MenC are given as two separate vaccines but will now change to one injection which combines the two vaccinations at 13 months.

I have updated my ‘Vaccination Schedule’ blog so that you have all of the information you need to answer any questions you may have relating to the changes and how they may or may not affect you and your baby.

The updated blog is available here:

https://wonderbaba.ie/2016/06/14/vaccination-schedule/

cropped-websitefeetlogo.pngI hope you find helpful and if you have any questions at all please don’t hesitate to contact me by sending a private message to the WonderBaba facebook page (www.facebook.com/wonderbabacare) or by calling me (Sheena) at Milltown totalhealth Pharmacy in Dublin 6 on 012600262. I’m always happy to help!


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A WonderBaba Guide to Childhood Vaccinations in Ireland!

 

It has been announced that the HSE intend to roll out a new Primary Childhood Immunisation Programme this year which will mean that all babies who are born on or after the 1st of October 2016 will receive two new vaccines as part of the programme.  The two new vaccines include MenB (at 2,4 and 12 months) and Rotavirus (at 2 and 4 months). The timing  if the 1st MenC vaccine will also change from 4 to 6 months and the timing of the third PCV will change from 12 to 13 months.  Currently Hib and MenC are given as two separate vaccines but will now change to one injection which combines the two vaccinations at 13 months. The changes are best understood by looking at the following chart:

the new pci schedule

Reference : http://www.immunisation.ie

The vaccines which are shown in yellow text are new and the ones in green text in the chart have had changes to the timings as described above.  Children who have started on the ‘old schedule’ i.e those born before the 1st October 2016 will complete the ‘old schedule’.  As a parent of three I understand that vaccination schedules will change with time and that the most relevant vaccines at the time of my children’s birth have been offered to them.  There has to be a starting point for any new vaccination schedule and I suppose this is why there is no ‘catch up’ programme planned that I am aware of. Any parent of a child born before the 1st October 2016 who wishes to get their child vaccinated against MenB or the Rotavirus will have to discuss it with their GP who may prescribe it for them privately but the parent would need to pay for the vaccinations as they will not be covered under the child’s state funded immunisation schedule.

The changes to the Primary Immunisation Programme are very likely to go ahead but the HSE have yet to engage in negotiations with the Irish Medicines Organisation (who represent the GP’s who are responsible for administering the vaccines) to form an agreed framework for the implementation of the programme. Once that has been completed then the new vaccination programme should go ahead as planned.

The Primary Childhood Immunisation programme exists to help protect our babies and children from preventable diseases.  The more we vaccinate the more we move towards eradicating these diseases from Irish health. Whilst I strongly advise vaccination it is also only fair to point out that it is optional and you should always offer your consent before a vaccination takes place.  This article aims to allow you to make that decision in a more informed manner.  I hope for you to understand what vaccines your child is receiving and for what illnesses. I also hope you will find my ‘Parents Tips’ at the end useful for making the vaccination process less scary and intimidating for your child as a relaxed and prepared parent allows a child to be confident and relaxed in your care. Continue reading


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A WonderBaba Guide to Insect Bites, Repellents and the Zika Virus!

 

This is a difficult one as the studies completed in the area are few and far between however there is current guidance from ‘bumps’ – best use of medicines in pregnancy from the UK teratology information service which is recommended by the HSE’s Health Protection Surveillance Centre.

mosquito biteDuring pregnancy or whilst trying to conceive women should follow the same recommendations as all other travellers.  If travelling to an area at risk of the Zika virus, Malaria, west nile virus, or Lyme disease it is worth postponing your trip if at all possible.  If this is not possible then every measure possible should be taken to reduce the chance of being bitten as discussed below.  I will also discuss the problems with contracting Zika during pregnancy and how it can put you and your baby at risk. Continue reading