My baby is about 2 months old and he is having cold n doc prescribed with vincia drops which is phenyepherine and chlorpheniramine maleate 0.5 ml dose 6 hourly is this dose is correct becoz some days ago doc advised with 5 drops which is 0.25 ml please let me know 0.5 ml dose 6 hourly correct or not please?
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Dr Faisal Zoheb
MBBS , MD PAEDIATRICS , PGPN (BOSTON), Neonatology fellow ( Newborn and vaccination specialist )
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For a **2-month-old baby**, medicines containing **phenylephrine and chlorpheniramine** are generally **not routinely recommended** because cold medicines are usually avoided in infants below 6 months.
Between the two doses you mentioned:
* **5 drops (≈0.25 ml)** is a **much safer and lower dose**.
* **0.5 ml every 6 hours** is relatively higher for a 2-month-old and should **only be given if the pediatrician specifically examined the baby and prescribed that exact dose**.
Most colds at this age are **viral and self-limiting**, and treatment is mainly supportive:
* Use **normal saline nasal drops** 2–3 times daily
* Keep baby slightly **head elevated**
* Continue **frequent breastfeeding**
* Use a **nasal suction bulb** if nose is blocked
Seek medical review urgently if:
* Fever ≥ 100.4°F (38°C)
* Fast breathing or chest retractions
* Poor feeding
* Excessive sleepiness or irritability
If there is confusion between **0.25 ml and 0.5 ml**, it is best to **confirm the dose again with the prescribing pediatrician before giving the medicine.**
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Dr. G. Avinash MBBS, MD (Pediatrics) Fellowship in Neonatology
For a 2-month-old infant, phenylephrine + chlorpheniramine combination drops are generally not routinely recommended for common cold. If prescribed, the dosing frequency should be used cautiously in this age group. Giving 0.5 ml every 6 hours (4 times/day) is relatively high for a young infant.
Next Steps
It would be advisable to reconfirm the exact dose and frequency with your treating pediatrician before continuing the medicine.
Health Tips
In most young infants, saline nasal drops and gentle suction before feeds provide good symptomatic relief.
In 2 months old, vincia drops are not recommended. Can give nasal saline drops for nasal congestion. Better to avoid all kinds of cough n cold medications in less than 3 months old kids. However, if your pediatrician has recommended them, you can give 2-3 drops 3 times a day
Please dont use cold / cough syrup or drops at this age..strictly to be avoided. Any fast breathing / persisting cough needs to evaluated physically by pediatrician !!
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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