<s>[INST] Hello Doctor, My son (3 Years Old), have high fever and cold for past 3 days. We consulted doctor here and we got below prescriptions: 1. Mefkind - P (After Food) 3.5ml - Morning, Afternoon and Night 2. ONOFF -100 (Before Food) - Morning and Night 3. Brutam (Before Food) 3ml - Morning, Afternoon and Night even after giving prescribed medicines, every 4 hours, he is developing fever and refusing to take food. He started telling he has pain on leg joints and hand. sometime he says he have pain at right hand side of chest. Please help me to understand, if these are normal symptom and above prescribed medicines will fix it or need another consultation? Pinaaki K [/INST] Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15mg/kg/dose every 4-6th hourly, that too only if fever is more than 100F (Maximum ceiling dose of 500mg). I suggest not using combination medicines for fever, especially with Paracetamol.For cold you can use Cetrizine at 0.25mg/kg/dose every 12 hourly for 3 days.For nasal block, plain saline nasal drops will do, every 4-6th hourly to relive nasal congestion.I do not recommend Mefenamic acid for fever, that too in this season of dengue where this drug can be deleterious.Mefkind-P contains Mefenamic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Mefkind-P. Regards - Dr. Sumanth </s>