I read through some of the most interesting comments on social media, as regards the 71st edition of our CAN YOU DELIVER series.Sincerely, I learnt one or two things.
The answer to that question is very simple to explain,and it is straight forward.
In this part of the world,most of our paracetamol syrup comes in strength of 125mg/5ml, while the drop comes in 100mg/ml. Therefore, when an a concerned parents who has be wrongly thought in the clinic gets to the pharmacy, the cobwebs should be cleaned,even if they refused and insist on buying the syrup for their infant (as some do), at least, you have explained the rationale for your decision.
A typical scenario is what we saw on the that 71st question,in such cases most times, the buyer feels since syrup is ”bigger” than drop,then it is “stronger” that it. Most times, they were advised (wrongly) to give 2.5mls of the syrup as against 1ml of the drop. Now let’s explain. Madam, if you withdraw 1ml of this drop, you will get 100mg of this paracetamol, but if you withdraw 5mls of this syrup,you will get 125mg of paracetamol, therefore,if you withdraw 2.5mls of this syrup, you will get 62.5mg of paracetamol, so,as you can see, 100mg and 62.5mg, which is more and also, with dropper,it is easier to administer. Most of them will be like…ahhh, is that so,..yes ma,that is so.
What did I learn? One of the greatest community pharmacist I know, Pharmacist Wale,posted something,peharps of international standard in response to to this question,and I quote.
Dosage information FOR PARACETAMOL/ACETAMINOPHEN ( para-acetyl amino Phenol)
There are seven age bands for dosage, as outlined below:
3 months to 6 months: 2.5ml of infant paracetamol suspension, given up to four times per day
6 months to 24 months: 5ml of infant paracetamol suspension, given up to four times a day
2 years to 4 years: 7.5ml of infant paracetamol suspension, given up to four times a day
4 years to 6 years: 10ml of infant paracetamol suspension, given up to four times a day
6 years to 8 years: 5ml of paracetamol six-plus suspension, given up to four times a day
8 years to 10 years: 7.5ml of paracetamol six-plus suspension, given up to four times a day
10 years to 12 years: 10ml of paracetamol six-plus suspension, given up to four times a day……………….pharmacist ugwuleke clement chijioke – I think more information may be needed to justify any comment however find above the standard Paracetamol dosage for various pediatric group -This is base on a a Paracetamol concentration of 120mg/5ml for UNDER 6 YEARS and 250mg/5ml for OVER 6-YEARS ….It might helps to know the Brands of drops and Suspension been dispensed at the said Gen. Hospital and the Brands of Drops and Suspension in the Pharmacy. Are they same Brands? Are they Different Brands of Same strength/concentration? …>
If You missed the question click can you deliver
Do not forget to like our page on facebook, tell your pharmacist friends about us and Follow us on twitter @futurerxdream , you can also join our bbm channel @C002D3B6D
Join us every Monday to Tuesday for can you deliver series,and Friday through Saturdays for here comes the answer series,we expect your replies to the questions and your criticisms to our answers.
If you have any experience as a pharmacist, a medical doctor,a nurse, scientist,physiotherapist etc that you think will help improve learning ,you can email them to us at firstname.lastname@example.org for publication.
Futher reading see