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Calpol

Calpol

Childhood illnesses

 

Guiding parents through the health milestones of a baby’s first year

Illness in a child is a worrying time for parents and carers, particularly as young children get colds quite often. As valued health professionals, practice nurses are ideally situated to offer reassurance to anxious parents and provide practical advice about how to help their child feel better.

Most babies will encounter 4 key health milestones in their first year
 

 

Practice nurses have an important role in empowering parents to confidently manage their child’s symptoms

Calpol® have developed a range of resources to support your discussions about symptom management with parents

 
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Immunisation

 

Reassuring anxious parents about immunisation

Nurses have a major role in promoting and advising parents about routine childhood immunisations:

Describe how immunisation works.

Explain how the vaccine will stimulate their child’s immune system to produce antibodies to fight the disease. This helps their child to be protected should they come into contact with the infection in the future.

Explain why immunisation is so important.

If their child is not immunised they will be at increased risk of catching serious diseases. There are some diseases that can kill children or cause lasting damage to their health.2

Talk parents through the immunisation schedule.

Explain that a baby needs to be immunised at the right age. The first ones are given at two months, with further doses at three months and four months.2

Effective communication with parents

The importance of constructive dialogue between a practice nurse and a parent is of particular importance at the point of immunisation. It is natural for parents to be concerned for the safety of their child. To address their anxieties effectively it is essential that the appointment is long enough to enable you to sensitively:3

  • Reinforce the importance of immunisation
  • Provide advice and reassurance about the management of possible side effects
  • Answer any queries that parents may have.
The makers of Calpol® understand that parents will be looking to you for reassuring advice on how to manage the side effects of immunisation. That’s why Calpol® have developed an immunisation support pack updated with the latest information about the Meningitis B and Meningitis C vaccines.

Within your immunisation support pack you will find the following materials:

For health professionals:

  • Waiting room poster
  • Your guide to the CALPOL® range
  • Your guide to conversing with anxious parents about immunisation

For parents/children:

  • Immunisation: A Guide for Parents
  • “I’ve been very brave today” stickers

Order your FREE pack today!
To request your free immunisation support pack you can either contact CALPOL® customer care line on 01344 864 042 or email calpoluk@its.jnj.com, available while stocks last.

Helping parents manage immunisation-related side effects

Help prepare parents for the common side effects associated with immunisation:3

Side effects

Explain that infant paracetamol can help if their child has a temperature and is distressed or uncomfortable after a vaccination (e.g. Calpol® Infant Suspension suitable from two months, for babies weighing over 4kg – detailed dosing instructions and advice on managing fever can be found on the cold and flu tab).

Meningitis B advice

Taking the time to advise parents about fever prevention is particularly important ahead of the Men B vaccines at two and four months4,5

Explain that the Men B vaccine has a higher risk of fever but that the benefits of vaccination far outweigh the risks

Guide parents through the recommendations for post-immunisation fever prevention using paracetamol:

  • Advise parents to buy infant paracetamol in advance of their child’s two month and four month vaccination appointments.
  • Make sure parents understand how paracetamol should be dosed (see table)4
  • Explain that by the age of 12 months the fever risk after the Men B vaccine is the same as other vaccines and no routine fever prevention is required,5 although paracetamol may help if side effects such as injection site pain or fever occur after vaccination.6
Dosage and timing of infant paracetamol suspension (120mg/5ml)
for the routine immunisation programme at 2 and 4 months
Age of baby Dose 1 Dose 2 Dose 3
2 months One 2.5ml as
soon as possible
after vaccination
One 2.5ml
4-6 hours
after 1st dose
One 2.5ml
4-6 hours
after 2nd dose
4 months One 2.5ml as
soon as possible
after vaccination
One 2.5ml
4-6 hours
after 1st dose
One 2.5ml
4-6 hours
after 2nd dose
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Managing cold and flu symptoms

 

Common childhood infections -
Supporting parents

Relieving the symptoms of children’s cold and flu (e.g. nasal congestion, coughs, pain and fever) is a common preoccupation for parents. Some parents may feel unsure about which products are appropriate to use in babies and when to seek professional help.

Why is my baby getting one cold after another?
Help reassure parents by explaining that children get more colds than adults because their immune system is still developing - while an adult might get two to four colds a year, children can pick up eight to twelve7

By communicating some key information, practice nurses are ideally placed to help parents feel more confident about managing their child’s symptoms:

Treatment options for young children
Pain and fever:
paracetamol (from 2 months, e.g. Calpol® Infant Suspension) or ibuprofen (from 3 months, e.g. Calprofen® Ibuprofen Suspension)
Cough:
cough syrup linctus containing glycerol are suitable from 3 months to 6 years (e.g. CalCough® Infant Syrup)
Nasal congestion:
saline nasal drops and
vapourisers (e.g. Calpol®
Vapour Plug & Nightlight)
can help ease breathing
Self-care tips7
Plenty of rest and fluids
For a blocked nose, raise pillow-end of cot by putting books under the legs to help make breathing easier (only suitable for children over one year old)
A warm, moist atmosphere can help breathing (take child into the bathroom and run a hot bath or shower)
Keep a child with fever at a comfortable temperature by keeping the room well-aired, using a lightweight sheet or letting them wear just a nappy or underwear
When to get help from a health professional:8

Fever with other signs of illness, e.g. floppiness, refusal to feed, drowsiness or persistent vomiting

Fever with febrile convulsion9 (loss of consciousness and becoming stiff with twitching arms and legs). Emergency services should be called or child should be taken to the nearest hospital if9

  • it is their first convulsion
  • it lasts longer than 5 minutes with no signs of stopping
  • there are also signs of serious illness, like meningitis
  • the child appears to have breathing difficulties.

Temperature of or above 38°C (101°F) if under three months

Temperature of or above 39°C (102°F) if three to six months

To support your discussions with parents about treating childhood cold and flu, expert videos, created specifically with parents in mind, are available on the CALPOL® website
Click here
  • Do not give more than 4 doses in any 24-hour period
  • Leave at least 4 hours between doses
  • A child should not be given this medicine for more than 3 days without referral to a doctor or pharmacist

Simple paracetamol dosing guidance can be shared with parents

Calpol Infant Suspension (paracetamol 120mg/5ml)
Age Dose How often in 24 hours
2-3 months* 2.5ml If necessary, repeat
once after 4–6 hours
3-6 months 2.5ml 4 times
6-24 months 5ml 4 times
2-4 years 7.5ml 4 times
4-6 years 10ml 4 times

*weighing more than 4kg and not a premature baby

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Calpol product range

 

CALPOL® - Treating childhood illness for half a century

For generations Calpol® have been developing medicines to effectively treat the illnesses and symptoms that most commonly affect children. Each product is the fruit of years of experience, research and knowledge.

Tailoring treatments to symptoms

This information about the Calpol® range will help you explain to parents which products, or combination of products, could treat their child’s symptoms most effectively:

CALPOL® Infant Suspension
(Contains paracetamol)

  • For babies and children aged 2 months to 6 years weighing more than 4kg and not premature
  • Tough on pain and fever. Gentle on the tummy
CALPROFEN® Ibuprofen
Suspension (Contains ibuprofen)

  • From 3 months
  • Ibuprofen-only medicine for pain and fever relief
CALPOL® Soothe
& Care Saline Nasal
Spray & Drops
(non-medicine)

  • From birth
  • Natural relief from
    nasal congestion
  • This product can
    be taken alongside
    CALPOL® Infant
    Suspension if pain
    and fever relief is
    also needed
CALPOL® Vapour
Plug & Nightlight
(non-medicine)


  • From 3 months
  • Soothing vapours for easy breathing
  • This product can
    be taken alongside
    CALPOL® Infant
    Suspension if pain
    and fever relief is
    also needed
CALPOL® Blocked
Nose Spray
(non-medicine)


  • Suitable for adults and
    children over 3 years
  • Natural relief from
    nasal congestion
  • This product can be
    used effectively in
    conjunction with other
    CALPOL® medicines.
    Age ranges vary
CALCOUGH® Infant Syrup
(Contains glycerol)

  • From 3 months
  • Soothes & relieves dry, tickly coughs
  • This product can be taken alongside
    CALPOL® Infant Suspension if pain
    and fever relief is also needed
CALCOUGH® Children’s Syrup
(Contains glycerol and sucrose)

  • From 1 year
  • Effectively relieves dry, tickly coughs
  • This product can be taken alongside
    CALPOL® Infant Suspension if pain
    and fever relief is also needed
CALGEL® Teething Gel (Soothing dual active relief -
contains an anaesthetic and antiseptic)

  • From 3 months
  • Rapid relief from teething pain
  • This product can be used alongside
    CALPOL® Infant Suspension if fever
    relief is also needed
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References

 

Essential information and references

References

  1. NHS Choices. Baby teething symptoms. Available at http://www.nhs.uk/conditions/pregnancy-and-baby/pages/
    teething-and-tooth-care.aspx
    . Accessed January 2017
  2. Public health England. Immunisation against meningococcal B disease for infants aged from two months.
    Information for healthcare professionals. https://www.gov.uk/government/uploads/system/uploads/attachment_
    data/file/501588/PHE_MenB_informationforhealthprofessionals_FINAL_18022016.pdf
    . Accessed January 2017
  3. NICE CKS Immunisations-childhood. Available at: https://cks.nice.org.uk/immunizations-childhood#!scenario
  4. NHS Choices. Fever in Children. Available at: http://www.nhs.uk/conditions/feverchildren/pages/introduction.
    aspx
    . Accessed January 2017
  5. NHS Choices. Febrile seizures. Available at http://www.nhs.uk/conditions/Febrile-convulsions/Pages/Introduction.
    aspx
    . Accessed January 2017.

Resources from the makers of Calpol® to support your consultations with parents

More information on symptoms of childhood illness and the Calpol® range available to parents on our website
The Calpol® app provides handy advice on-the-go with features including symptom checker, dosage diary, immunisation calendar and much more
 

Meningitis B Vaccine

Men B Information Paracetamol Protocol Public Health England: Immunisation against Meningococcal B disease for infants aged from two months, Information for health professionals
 

NICE CKZ Immunizations - childhood NHS Choices: Men B Vaccine

 
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The information contained on this site is brought to you by the makers of Calpol®. To receive more information and resources click here to register

Product Information

CALCOUGH® Infant Syrup:
Presentation: Syrup containing 0.75ml Glycerol per 5ml (15%v/v). Uses: Relief of dry tickly coughs. Dosage: Children aged 1 – 5 years: 10ml 3 to 4 times daily; Children 3 months – 1 year: 5ml 3 to 4 times daily; Children under 3 months: not recommended. Contraindications: Hypersensitivity to ingredients; fructose intolerance. Precautions: If symptoms persist for more than 3 days consult doctor. Pregnancy and Lactation: Not applicable. Side Effects: Possible mild laxative effect. RRP (ex-VAT): 125ml: £3.08 Legal cat: GSL. PL Holder: McNeilProducts Ltd, Foundation Park, Roxborough Way, Maidenhead. SL6 3UG. PL No: 15513/0168. Date of prep: July 2015
CALGEL® Teething Gel:
Presentation: Topical gel containing Lidocaine hydrochloride 0.33% w/w and Cetylpyridinium chloride 0.1% w/w. Uses: Relief of teething pain. Dosage: Children over 3 months: gently rub one third of an inch (7.5mm, 0.22g) of gel onto affected area of gum up to 6 times a day. Do not reapply within 20 minutes. Contraindications: Hypersensitivity to ingredients. Precautions: Do not exceed stated dose. Avoid in patients with rare fructose intolerance. Fertility, pregnancy and lactation: Not applicable. Side effects: Not known frequency: hypersensitivity reactions or allergic reactions. RRP (ex-VAT): 10g £2.38. Legal category: GSL. PL holder: McNeil Products Ltd, Maidenhead, Berkshire, SL6 3UG. PL number: 15513/0015. Date of preparation: September 2016
CALPOL® Six Plus Suspension, CALPOL® Six Plus Sugar Free
Suspension and CALPOL® Six Plus Suspension Sugar Free:
Presentation: Suspension containing 250mg paracetamol per 5ml. Uses: Treatment of mild to moderate pain and as an antipyretic. It can be used in many conditions including headache, toothache, earache, sore throat, colds and influenza, aches and pains and post-immunisation fever. Dosage: Adults and Children over 16 years: 10 ml to 20 ml; Children 12-16 years: 10 ml to 15 ml; Children 10 to 12 years: 10 ml; Children 8 to 10 years: 7.5 ml; Children 6 to 8 years: 5 ml; Children under 6 years: not recommended. Do not give more than 4 doses in 24 hours. Leave at least 4 hours between doses. Contraindications: Hypersensitivity to paracetamol or other ingredients. Patients with rare hereditary problems of fructose intolerance, glucose-galactose malabsorption or sucrose-isomaltase insufficiency should not take this medicine (Six Plus Suspension). Precautions: Taking more than the recommended dose (overdose) may cause liver damage. Caution in severe hepatic or renal impairment. Interaction with domperidone, metoclopramide, colestyramine, anticoagulants, alcohol, anticonvulsants and oral contraceptives. Sorbitol may have a mild laxative effect (Six Plus Suspension), sorbitol and maltitol may have a mild laxative effect (sugar free). Patients should be informed about the signs of serious skin reactions, and use of the drug should be discontinued at the first appearance of skin rash or any other sign of hypersensitivity. Fertility, pregnancy and lactation: Consult doctor before use during pregnancy. Side effects: Very rarely hypersensitivity and anaphylactic reactions including skin rash. Very rare cases of skin reactions. Blood dyscrasias, chronic hepatic necrosis, papillary necrosis and low level transaminase elevations have been reported. RRP (ex-VAT): Six Plus Suspension 200ml bottle, £5.63; Six Plus Sugar Free Suspension, 100ml bottle, £3.49, 200ml bottle, £5.63, 12 x 5ml sachets, £3.77; Six Plus Suspension Sugar Free, 80 ml bottle £2.91. Legal category: Six Plus Suspension 200ml bottle: P; Six Plus Sugar Free Suspension 100ml and 200ml bottle: P; Sachets: GSL and Six Plus Suspension Sugar Free 80 ml bottle: GSL. PL holder: McNeil Products Ltd, Maidenhead, Berkshire, SL6 3UG PL numbers: Six Plus Suspension: 15513/0002; Six Plus Sugar Free Suspension 100 ml and 200 ml bottles & sachets: 15513/0003, Six Plus Suspension Sugar Free 80 ml bottle 15513/0164. Date of preparation: September 2016
CALPOL® Infant and Sugar-free Infant Suspension:
Presentation: Suspension containing 120mg Paracetamol per 5ml Uses: Treatment of mild to moderate pain and as an antipyretic. Can be used in many conditions including headache, toothache, earache, teething, sore throat, colds and influenza, aches and pains and post immunisation fever. Dosage for the relief of fever after vaccinations at 2,3 and 4 months; 2.5ml up to 4 times a day starting at the time of vaccination. If your baby still needs this medicine two days after receiving the vaccine talk to you doctor or pharmacist. Dosage for the relief of pain and other causes of fever in babies aged 2-3 months (if your baby weighs over 4kg and was born after 37 weeks); 2.5ml. If necessary give a second dose after 4-6 hours. Dosage for Children over 3 months; Children 3 to 6 months: 2.5 ml. Children 6 to 24 months: 5 ml. Children 2 years to 4 years: 7.5 ml. Children 4 to 6 years: 10ml. Do not give more than 4 doses in 24 hours and leave at least 4 hours between doses. Contraindications: Hypersensitivity to paracetamol or other ingredients. Precautions: Caution in severe hepatic or renal impairment. Interactions with domperidone, metoclopramide, colestyramine, anticoagulants, alcohol, anticonvulsants and oral contraceptives. Patients with rare hereditary problems of fructose intolerance should not take this medicine. Due to the presence of sucrose and sorbitol in the Infant Suspension, patients with glucosegalactose malabsorption or sucrose-isomaltase insufficiency should not take this medicine. Maltitol may have a mild laxative effect (Sugar-Free only). Parahydroxybenzoates and carmoisine may cause allergic reactions. Patients should be informed about the signs of serious skin reactions, and use of the drug should be discontinued at the first appearance of skin rash or any other sign of hypersensitivity. Fertility, pregnancy and lactation: Consult doctor before use. Side effects: Very rarely hypersensitivity and anaphylactic reactions including skin rash. Very rare cases of skin reactions. Blood dyscrasias, chronic hepatic necrosis, papillary necrosis and low level transaminase elevations have been reported. RRP (ex- VAT): 100ml bottle: £2.91; 200ml bottle: £4.86; 12 x 5ml sachets: £3.11; 20 x 5ml sachets (sugar free only): £5.00. Legal category: 200ml bottle: P; 100ml bottle: GSL; Sachets: GSL. PL holder: McNeil Products Ltd, Maidenhead, Berkshire, SL6 3UG. PL numbers: Calpol Infant suspension: 100ml bottle: 15513/0122; 200ml bottle: 15513/0004; Sachets: 15513/0154. Calpol Sugar-free Infant Suspension: 100ml bottle: 15513/0123; 200ml bottle: 15513/0006; Sachets:15513/0155. Date of preparation: Jan 2016
CALPOL® Infant Sugar Free Colour Free 120mg/5ml Oral Suspension:
Presentation: Suspension containing 120mg Paracetamol per 5ml Uses: Treatment of mild to moderate pain and as an antipyretic. Can be used in many conditions including headache, toothache, earache, teething, sore throat, colds and influenza, aches and pains and post immunisation fever. Dosage for the relief of fever after vaccinations at 2,3 and 4 months; 2.5ml up to 4 times a day starting at the time of vaccination. If your baby still needs this medicine two days after receiving the vaccine talk to you doctor or pharmacist. Dosage for the relief of pain and other causes of fever in babies aged 2-3 months (if your baby weighs over 4kg and was born after 37 weeks): 2.5ml. If necessary give a second dose after 4-6 hours. Dosage for Children over 3 months; Children 3 to 6 months: 2.5 ml. Children 6 to 24 months: 5 ml. Children 2 years to 4 years: 7.5 ml. Children 4 to 6 years: 10ml. Do not give more than 4 doses in 24 hours and leave at least 4 hours between doses. Contraindications: Hypersensitivity to paracetamol or other ingredients. Precautions: Caution in severe hepatic or renal impairment. Interactions with domperidone, metoclopramide, colestyramine, anticoagulants, alcohol, anticonvulsants and oral contraceptives. Patients with rare hereditary problems of fructose intolerance should not take this medicine. Maltitol may have a mild laxative effect. Parahydroxybenzoates may cause allergic reactions. Patients should be informed about the signs of serious skin reactions, and use of the drug should be discontinued at the first appearance of skin rash or any other sign of hypersensitivity. Fertility, pregnancy and lactation: Consult doctor before use. Side effects: Very rarely hypersensitivity, anaphylactic reactions including skin rash. Very rare cases of skin reactions. Blood dyscrasias, chronic hepatic necrosis, papillary necrosis and low level transaminase elevations have been reported. RRP (ex VAT): 100ml bottle: £2.91; Legal category: GSL PL holder: McNeil Products Ltd, Maidenhead, Berkshire,SL6 3UG. PL numbers: 15513/0300. Date of preparation: Jan 2016 Sachets:15513/0155. Date of preparation: Jan 2016 September 2016
CALPROFEN® 100mg/5ml Oral Suspension Ibuprofen, CALPROFEN®
100mg/5ml Ibuprofen Suspension and CALPROFEN® Ibuprofen Suspension:
Presentation: Sachets and suspension containing 100mg Ibuprofen per 5ml. Uses: Treatment of mild to moderate pain, headache, fever, post-immunisation pyrexia, symptoms of colds and flu and minor aches and pains. Dosage: For Pain and Fever: Infants 3-6 months, weighing over 5kg: One 2.5 ml dose may be taken 3 times in 24 hours; Infants 6-12 months: 2.5ml three times a day; Children 1-2 years: 2.5ml three to four times a day; Children 3-7 years: 5ml three to four times a day; Children 8-12 years: 10ml three to four times a day. Post-immunisation fever: 2.5ml (50mg) followed by one further 2.5ml (50mg) dose six hours later if necessary. No more than 2 doses in 24 hours. Leave 6 - 8 hours between dose. Contraindications: Hypersensitivity to ingredients, or to aspirin or other NSAIDs. Peptic ulceration/haemorrhage, perforation or GI bleeding. Concomitant use with NSAIDs. Severe hepatic, renal or heart failure. Women in the last trimester of pregnancy. Precautions: The elderly; women tying to conceive; dehydrated children; history of GI toxicity; concomitant medications increasing the risk of GI toxicity; hepatic or renal dysfunction; bronchial asthma or allergic disease; hypertension or heart failure; SLE and mixed connective tissue disease. Should be used with caution in patients receiving anticoagulants, antihypertensives and diuretics, corticosteroids, antiplatelet agents, cardiac glycosides, lithium, methotrexate, ciclosporin, mifepristone, tacrolimus, zidovudine, and quinolone antibiotics. Pregnancy and lactation: Not recommended. Side effects: Uncommon: Hypersensitivity reactions with urticaria and pruritus, abdominal pain, nausea and dyspepsia, Headache, various skin rashes. Rare: diarrhoea, flatulence, constipation and vomiting. Very rare: Severe hypersensitivity reactions. Symptoms could be: facial, tongue and laryngeal swelling, dyspnoea, tachycardia, hypotension (anaphylaxis, angioedema, or severe shock). Exacerbation of asthma and bronchospasm, peptic ulcer, perforation or gastrointestinal haemorrhage, melaena, haematemesis. Ulcerative stomatitis, gastritis, exacerbation of colitis and Crohn’s disease. Acute renal failure, papillary necrosis especially in long term use, associated with increased serum urea and oedema. Liver disorders, haematopoietic disorders, severe forms of skin reactions such as bullous reactions, including Stevens-Johnson Syndrome, erythema multiforme and toxic epidermal necrolysis. Price (ex-VAT): Sachets: 12 x 5ml: £3.45, Bottle 200ml: £5.04; 100ml: £3.16. Legal category: Sachets: GSL. 200ml bottle: P. 100ml bottle: GSL. PL holder: McNeil Products Ltd, Maidenhead, Berkshire, SL6 3UG. PL numbers: Sachets: 15513/0158. 200ml bottle: 15513/0120. 100ml bottle: 15513/0147. Date of preparation: March 2014
CALCOUGH® Children’s Syrup:
Presentation: A dark red, blackcurrant flavoured syrup containing glycerol 0.75ml, sucrose 1.7g and liquid glucose 2.15g per 5ml. Uses: For the relief of irritating, tickling dry coughs and sore throats. Dosage: Adults, elderly and children over 5 years: 10ml. Children 1 – 5 years: 5ml. The dose may be repeated three or four times a day. Contraindications: In children under 1 year. Hypersensitivity to the active substances or to any of the excipients listed in SPC section 6.1. Warnings and Precautions: Diabetics should take note of the carbohydrate content of this product. Patients with rare hereditary problems of fructose intolerance, glucose galactose malabsorption or sucrase-isomaltase insufficiency should not take this medicine. Fertility, pregnancy and lactation: The safety of this medicine during pregnancy and lactation has not been established, but is not considered to constitute a hazard during these periods. Side-effects: hypersensitivity reactions, including anaphylaxis. RRP (ex-VAT): 125ml, £3.40. Legal category: GSL. PL holder: McNeil Products Ltd, Maidenhead, Berkshire, SL6 3UG. PL numbers: 15513/0392. Date of preparation: 30 Mar 2016.