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  1. #1
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    Default Antibiotics Question.

    I've three sick kids here.
    Yesterday DS1 was prescribed liquid antibiotics of which I had to add 77mls of water to, and shake vigorously.
    All well and good but the bottle they gave me won't hold and added 77mls.
    Was I to get another bottle to mix it up or do you think the antibiotic activated before I got home to refrigerate it?
    Fuming here. I've enough to deal with without having to turn chemist in my own kitchen. Why can't they just prescribe tablets for children? This refrigerated stuff is not convenient at all is it. Housebound now until he's finished the course on top of everything else.
    Oh an I'll most likely have to drag all three back out to the chemist AGAIN today.
    Last edited by Phony; 07-07-2015 at 05:04.

  2. #2
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    Doctors don't generally prescribe tablets for children, as most kids won't/can't swallow tablets.
    It's a bit odd the bottle won't hold 77mLs, as they are usually designed to do so. Anyway...take a clean container (any container from the kitchen...bottle, square container with lid, etc). Add 77mLs of water, shake well, then pour out correct dose (number of mLs) into a measuring cup, and give to bub/child.
    Water doesn't "activate" the antibiotic, it just provides a solution with a certain number of mg per mL of antibiotic.
    It is dispensed as a powder so that it lasts longer, with a longer expiry date.
    Hope this helps.
    J (doctor, and have a Pharmacy degree).

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  3. The Following 2 Users Say Thank You to J37 For This Useful Post:

    JustJaq  (07-07-2015),Phony  (07-07-2015)

  4. #3
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    Unfortunately I've had a LOT of experience with kid's antibiotics and have never, ever had to add the water - the chemist always does that as they should use sterile water.

    Did the bottle contain a powder? If it was a liquid, then they have already added the water (the pharmacist usually covers the "add water" instruction with their label, but on occasion they haven't).

    PS. How old is your child/weight? DD is 7.5y/28kg and last time she was prescribed ABs I commented on what a large dose she needed and doc replied "yes, you'll need to teach her to swallow tablets soon". So I'm guessing she's close to changing to them instead of the annoying liquid!

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    Phony  (07-07-2015)

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    If it is already a liquid then you don't need to add anything to it. If it is still a powder then take it back to the chemist, they are meant to add the 77mL

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    Phony  (07-07-2015)

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    Water doesn't need to be sterile, just clean tap water. It's not going into a vein, it is swallowed.
    But yes...Pharmacists usually make up the powder for you. And as others have said, if it's already a liquid, it is ready to use.
    And correct...doses in Paediatrics are always based on mg per kg of child's bodyweight, and not age.

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    Phony  (07-07-2015)

  10. #6
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    Ps. Phony, PM me if you need help working out dose, or if you have difficulties in the dissolution of the mixture

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    Phony  (07-07-2015)

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    Right.
    Well too late now.
    I've added 20-25mls of water as that's what it said to do and I wasn't told otherwise.
    What the heck am I to do now?

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    Not sure whether to just go ahead and give it to him. He's coughing non-stop today.

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    I'll just ring the chemist and ask, just in case they did make a mistake and I overdose him, but they also to ask if I need to adjust the dose now that I've added water or get a whole new script.
    I could really do without dressing these three and bunging them in the car today.

  15. #10
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    Yep.
    Had to get it replaced.

    Exhaustion is doing my head in with it's f@ckery of the most simple tasks!


 

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