<s>[INST] a baby 3 yrs has fever ,tept 101, has given meftalp 5 ml 6 hourly for 3 days and valium 2mg twice daile for 3 days as she has febrile fits earlier . now she hs energetic for sometimes and suddenly bocomming gloomt. is it something need medical consultation? [/INST] Hi, 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 viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Mefenamic acid which is an NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Meftal-P. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology </s>