Conversation: The conversation between human and AI assistant.
[|Human|] Hello Dr. My child is 23 months old and he has high fever and has got ceasers attach twice. Once in nov. 2009 and again last week. Dr. in Chennai have given Mental P but i heard giving Meftal P for long time is very bad for kidney. Is it true and if yes what are the side effects?
[|AI|]  Hello, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day.  If the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all. Once the viral fever comes it will there for 4-7 days.  So do not worry about the duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F.  I suggest not using combination medicines for fever, especially with Paracetamol. Metal contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.