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#1 TeachmeMum

Posted 30 May 2011 - 06:03 PM

I took my little one to the doctor today because of a croupy cough. The doctor has prescribed Redipred but all it says is Give 2mL  by measure at once immediately after food as directed.

Is it only once a day? twice or three.

Dr is closed now.

Age is 2 and weight 12kg if that helps

#2 Bob-the-skull

Posted 30 May 2011 - 06:04 PM

once a day. I have never been told to give it more than once a day.

#3 RealityBites

Posted 30 May 2011 - 06:05 PM

Only once per day!

And usually only for 2 or 3 days.

My DDs have both been on Redipred because of asthma, it is a very strong medication.

#4 *~*Kitty*~*

Posted 30 May 2011 - 06:05 PM

It's once a day for that indication, my DD2 is 12 kgs and only has 1.5ml

#5 Isolabella

Posted 30 May 2011 - 06:07 PM

I have been directed to even give redipred just once. Usually it is once a day for 2-3 days.



#6 jojonbeanie

Posted 30 May 2011 - 06:08 PM

Why not check with the pharmacist who dispensed the medication and who will have the original prescription on hand?

#7 Helena Handbasket

Posted 30 May 2011 - 06:08 PM

DS has just finished his 3 doses. He too had croup.

He had 1.5 ml, once a day (they told me it had to be at night) for 3 days only.

He improved really quickly. Hope your son does too

#8 Jupiter

Posted 30 May 2011 - 06:10 PM

yyes.gif Please do check with the pharmacist, to be sure.

#9 Tooth-Fairy

Posted 30 May 2011 - 06:12 PM

And if you've never had this medication before, be ready for a hyped-up-unable-to-sleep child.  

Sorry to have to say.

#10 Guest_Telmatiaeos_*

Posted 30 May 2011 - 06:18 PM

Absolutely check with the pharmacist.  Please don't take opinions on medication from random people on the internet.

#11 TeachmeMum

Posted 30 May 2011 - 06:30 PM

QUOTE (jojonbeanie @ 30/05/2011, 06:08 PM) <{POST_SNAPBACK}>
Why not check with the pharmacist who dispensed the medication and who will have the original prescription on hand?



QUOTE (Jupiter @ 30/05/2011, 06:10 PM) <{POST_SNAPBACK}>
yyes.gif Please do check with the pharmacist, to be sure.



QUOTE (Telmatiaeos @ 30/05/2011, 06:18 PM) <{POST_SNAPBACK}>
Absolutely check with the pharmacist.  Please don't take opinions on medication from random people on the internet.


The pharmacist asked me ohmy.gif because that is all that was written on the script. I will only give one dose tonight and ring Dr in the morning to clarify how many days to give it.

#12 purplekitty

Posted 30 May 2011 - 06:34 PM

QUOTE (Telmatiaeos @ 30/05/2011, 06:18 PM) <{POST_SNAPBACK}>
Absolutely check with the pharmacist.  Please don't take opinions on medication from random people on the internet.


The pharmacist should have made sure the instructions were clear when they handed out the prescription. They should have contacted the doctor.



#13 *mylittleprince*

Posted 30 May 2011 - 06:38 PM

I would check with a pharmacist, even if you phone a late night pharmacy.

DS had croup twice, both times he was prescribed redipred 1ml once a day. That amount seems massive! He is 20 months and 12 kg.

#14 Jamelex

Posted 30 May 2011 - 06:52 PM

Double check with your doctor and the pharmacist (who shouldn't have dispensed the medication without a correct script), but it will only be daily.  It is usually 1mg per kg per day and pred is 5mg per ml so 2ml=10mg which is close to your DS's weight of 12kg.  HTH but please get it checked.

#15 TeachmeMum

Posted 30 May 2011 - 07:26 PM

I rang the childrens hospital and they said just to give it once at night for the 3 days. The doctor will be getting a phone call in the morning for not being clear at all on the script.

This isnt my normal doctor either. Why is it when you are slotted in with someone else they always seem to stuff things up?

#16 whydoibother

Posted 30 May 2011 - 07:31 PM

the pharmacist should ring the doctor and clarify not ask the customer!  nno2.gif

DS I think had it once or twice a day for three days only but his was for allergic reaction

#17 tenar

Posted 30 May 2011 - 07:32 PM

When DD had croup and was about that weight she was prescribed 2ml once daily.  It does apparently tend to keep them awake, though, so we were advised to give it to her in the morning if possible.  I don't think we managed that - we gave her one dose in the night when she was coughing and "crouping" and we were all totally freaked out, and the next night she was OK again.

#18 Guest_Telmatiaeos_*

Posted 30 May 2011 - 07:37 PM

I agree that the instructions from the doctor should be clearer and that the pharmacist should have checked.  Op I think you're doing the right thing in checking with the doctor in the morning.

#19 TeaTimeTreat

Posted 30 May 2011 - 07:39 PM

DS was on redipred daily for months with his CLD, when in doubt always go for the lower does, it is a strong oral steroid and long term use or overdosing can have serious side effects...

#20 lustreless

Posted 30 May 2011 - 07:46 PM

Redipred is a pretty serious medication to be giving a child. The doctor seems very complacent IMO.

I've only been prescribed it 3 times in the 10 years of my DD having pretty bad asthma. When I have been prescribed it, I've halved the dose myself as I really hate giving DD more steroids on top of what she already takes.

#21 Mumsyto2

Posted 30 May 2011 - 07:49 PM

It's once a day after/with food for 3 days. The Dr would not have written it on the script as it is standard usage (instructions would only be required if it was not standard usage for some reason). Normally the pharmacist would write the instructions on the dispensing label to clarify usage for the patient - the pharmacist should not need instruction from the Dr for Redipred via a script AND if they do they should not be practicing. I would be far more worried about the pharmacist than the Dr in this instance.

#22 Mumsyto2

Posted 30 May 2011 - 07:54 PM

QUOTE (lustreless @ 30/05/2011, 07:46 PM) <{POST_SNAPBACK}>
Redipred is a pretty serious medication to be giving a child. The doctor seems very complacent IMO.

Interesting! Very standard when asthma is uncontrolled and a child is about to get into serious trouble or is in serious trouble. Can I ask what you would suggest in the instances when a child is uncontrolled on their optimised preventer/controller combo if Redipred is not to be used?


#23 Jamelex

Posted 30 May 2011 - 07:54 PM

But a legal script should have included the frequency of administration.  IMO they are both at fault, the doctor for failing to provide all required information, and the pharmacist for dispensing the medication anyway.  He obviously knew he didn't have all the info he needed as he was asking the OP what the doctor told her!

#24 meaghanflametree

Posted 30 May 2011 - 08:00 PM

Confirming the reassurances above, OP - dose for croup is about 1mg/kg (so 2ml or 10mgs sounds fine, it's slightly rounded down but that's not important, and I suspect the prescriber has reasonably judged this less fiddly than mucking around fractional dosing) and it's generally once a day for three days, though advice on this can wiggle a bit.  

Don't be scared of it, it's magic stuff, just brilliant for the correct indications (many a frantic trip to the ED in the small hours has been averted by its timely use; it has revolutionized management of acute asthma and croup), but I agree steroids can hype some kids up.  They can get the munchies, too.

Hope you all have a settled night.

Edited by meaghanflametree, 30 May 2011 - 08:01 PM.


#25 lustreless

Posted 30 May 2011 - 08:06 PM

QUOTE
Very standard when asthma is uncontrolled and a child is about to get into serious trouble or is in serious trouble. Can I ask what you would suggest in the instances when a child is uncontrolled on their optimised preventer/controller combo if Redipred is not to be used?


The best thing to do is not let the asthma become uncontrolled in the first place. My DD has only needed it 3 times since her asthma diagnosis, all 3 times she has had an underlying illness which was causing her asthma to "play up". My DD has quite severe asthma which was diagnosed at age 4 after she had her first full blown asthma attack and nearly stopped breathing - She has never had an attack of that magnitude again because I as her parent make sure it is controlled. I don't rely on redipred to get me through.

When my DD was diagnosed I educated myself on the medications. The first time I was prescribed this medication in particular I had a chat with my doctor about what it was and its usage and have made my own decisions based on whats best for my child.

There can be long term consequences for the child if this medication is overused.

Edited by lustreless, 30 May 2011 - 08:08 PM.





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