WonderBaba

Healthcare by a Pharmacist mum!


Leave a comment

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

 


1 Comment

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


Leave a comment

Measles – A WonderBaba Guide!

Baby was receiving his scheduled vaccine injection in his left tMeasles is a contagious viral illness which is most common among children age one to four years of age.  The MMR vaccine is the most effective way to protect your child against measles and due to its success Ireland has a very low level of measles cases.  However in recent years controversy surrounding the vaccine which included an association with autism has resulted in some parents choosing not to vaccinate their children.  The World Health Organisation state that ‘no evidence exists of a causal association between MMR vaccine and autism or autistic disorders’.  In addition the HSE website shows a quote from Autism Speaks (2015), the world’s leading autism science and advocacy organisation has stated, “Over the last two decades, extensive research has asked whether there is any link between childhood vaccinations and autism. The results of this research are clear: Vaccines do not cause autism. We urge that all children be fully vaccinated”

The inaccurate link between autism and the MMR first came about in the late 1990’s and the children who were not vaccinated then would now be approximately 18 years of age….it seems no surprise to me that the current outbreak of measles in Ireland is affecting the 15-19 year age group mostly. The majority of the recent cases of measles were in patients who had not been vaccinated with the MMR.

The MMR vaccine should be given when your child is 12 months of age as a part of the childhood vaccination schedule and then a second dose is given when they are 4-5 years of age.  To read my blog all about the childhood vaccination schedule just click here!

Once you have had the vaccine or the virus it is very rare for you to get the infection as your body will then be immune and resistant to the virus.

 

What are the symptoms of the Measles?

  • Cold like symptoms including runny nose, sneezing, dry cough and sore eyes.
  • A mild to severe temperature which may last for several days.
  • Small white/grey spots in the mouth and throat.
  • Lack of energy and fatigue.
  • Lack of appetite.
  • measles rashA red-brown spotty rash which appears two to four days after the initial symptoms occur.  The rash can last for up to eight days and usually starts at the top of the head and works its way down the body.

It can be hard to differentiate measles rash from some other childhood rashes but the measles rash often starts as small spots which quickly get bigger and then join together.  Measles is not just defined by its rash but also by the symptoms that accompany it so if your child has a rash which sounds like this you should phone your GP to discuss it and arrange to visit at a time that other vulnerable patients will not be in the waiting room.

 

How is the measles virus spread?

WONDERBABA COUGHThe measles virus is spread by coughing and sneezing as it is present in the tiny water particles which are expelled by an infected person. If an infected person coughs or sneezes in close proximity to you, or you touch something which they have coughed or sneezed on, you may ingest the virus and thus become infected.  The measles virus can survive on surfaces for a couple of hours.  Symptoms of the measles start to appear about ten days after you have caught the infection.  You are contagious and can spread the virus from two to four days before the rash appears to about five days after.

How do I treat the measles?

The treatment of the measles simply involves the treatment of the symptoms.  The virus itself is self-limiting and will normally clear by itself within a couple of weeks.  To read my blog on managing a high temperature click here!

  • Paracetamol (calpol) or ibuprofen (nurofen) can be given in the case of a high temperature, aches or pains.
  • Soothe irritated eyes by cleansing with gauze dipped in boiled cooled water.  Use one piece of gauze as a single wipe from the inside of the eye outwards and then dispose of it.
  • To learn more about the treatment of coughs and what cough bottle can be used click here!
  • Ensure your child stays hydrated.  Tips on how to spot dehydration and how to prevent it can be found by clicking here!

doctor-logo-red-white-mdWhen to contact the doctor?

  • If measles is suspected phone your GP.
  • If you cannot alleviate the symptoms of measles using over the counter remedies.
  • If complications occur such as croup, bronchitis, a squint of the eye, ear ache, febrile convulsions, symptoms of meningitis, drowsiness, severe headache and vomiting.

 

websitefeetlogoI 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.who.int/vaccine_safety/topics/mmr/mmr_autism/en/

http://www.hse.ie/eng/services/news/media/pressrel/furthermeasles.html

http://www.nhs.uk/conditions/measles/Pages/Introduction.aspx

https://www.hpsc.ie/A-Z/VaccinePreventable/Measles/Publications/MeaslesPublicationsArchive/File,938,en.pdf