Crocin 240 (paracetamol) usually begins to lower fever within 30 to 60 minutes. You can give it every 4 to 6 hours as needed, but do not exceed 4 doses in 24 hours, and avoid using it for more than 3 days without consulting your pediatrician. Ensure she stays hydrated and wears light clothing. If her fever does not come down, continues to rise, or if she becomes unusually lethargic, develops a rash, or has difficulty breathing, please seek immediate medical care.

Shivering and cold hands or feet are common when a fever is rapidly rising. Please ensure her Crocin (paracetamol) dose is correct for her current weight. Dress her in light clothing and offer plenty of fluids. You can also gently sponge her with lukewarm water?never cold water or ice. Since the high fever is returning quickly, please consult her pediatrician soon for an accurate evaluation and to see if a different medication is needed. Seek immediate emergency care if she becomes very lethargic, has difficulty breathing, or cannot keep fluids down.

Since you are already taking prednisolone (Wysolone) and methotrexate (Folitrax), your doctor might consider advanced biologic therapies. These include TNF inhibitors (like adalimumab or infliximab), interleukin-6 inhibitors (like tocilizumab), or rituximab. These targeted medications help reduce severe cartilage inflammation and protect your airway and remaining vision. Please discuss these advanced options with your rheumatologist and airway specialist to see if they are suitable for your specific care plan.

Since your child vomited, please do not give another dose of the fever fit medication right away. We cannot be sure how much was absorbed, and redosing could lead to an accidental overdose. Since he has already taken Crocin (paracetamol), you can help bring his fever down safely by gently sponging him with lukewarm water. Keep him comfortable, monitor him closely, and contact your pediatrician or seek immediate medical care to guide you on the next safe steps for his seizure medication.

Crocin already contains paracetamol as its active ingredient. Giving him additional paracetamol could lead to an accidental overdose, which can be harmful to his liver. It is very important to check the labels of any other cold and cough medicines he is taking to ensure they do not also contain paracetamol. For now, keep him cool, hydrated, and rested. If his fever remains high or he feels worse, please consult a doctor.

Since her fever and cough are persisting despite supportive care, the best next step is to have her pediatrician re-evaluate her. To ensure a secondary bacterial infection hasn't developed, the doctor will likely perform a physical exam, listen closely to her lungs, and check her oxygen levels. Depending on their findings, they might consider a chest X-ray or a simple blood test. For now, please keep her comfortable and hydrated, continuing with generic antipyretics like acetaminophen or ibuprofen as directed by her doctor.