2 month appointment today. Tylenol before?

CheezeFace · January 2012

We are going in for a well baby check as well as our 1st round of immunizations. I've been given advice to give DS some Tylenol beforehand.

Good idea? I'd like to avoid discomfort for him if possible but am I just being a paranoid FTM and giving unnecessary meds?

Any other tips for mommy? When he had jaundice and was getting pricked every other day I nearly threw up from listening to his scream. I'm sure DS will handle this better than I will.

TIA!

ateytelb · January 2012

I would give him Tylenol right after the shots. Double-check with the pedi on the dose since there are two different formulations of Baby Tylenol right now.

BrideBuddies · January 2012

Don't need to do it beforehand since it's a liquid and gets into the system so quickly. C never did have any reactions to his shots... so your LO may not need anything.

kj07 · January 2012

I'd wait until after and see if he's uncomfortable. Plus, then you'll have an accurate weight so you doc can give you the correct dosing.

If you nurse, my son wanted to nurse after his 2 and 4 month shots. And he was sleepier that afternoon. Definitely ask your doctor what to expect and what they have as their threshold for when to call about a fever.

Good luck! For us it wasn't fun, but it wasn't nearly as bad as I thought it would be.

stever · January 2012

That's what we used to do.

LauraLynneC · January 2012

We do Tylenol before hand - and then nurse him right afterwards. He spends the rest of the snuggly and a little out of sorts but not too bad. Good luck today!

Pesky · January 2012

I'd wait until after because it affect his temp and they will want to take that. Also, they will give you the right dosage info at the appointment.

LMark · January 2012

Pesky:
I'd wait until after because it affect his temp and they will want to take that. Also, they will give you the right dosage info at the appointment.

I agree with this.

newbee36 · January 2012

DS had mild fever the following day after the shots. So I wouldn't think that Tylenol before would have helped. I would wait until after the shots and give it to him if he needs it. You can always ask your Pedi what does s/he suggest.

Good luck tomorrow!

LuvinMyKids · January 2012

It's probably too late for the appt you posted this for...but FWIW, this is a FYI for future appts! This is from my BIL who is a doctor at a large hospital in Milwaukee, WI. It is from the AMA (American Medical Assoc) bullein .

"Using acetaminophen following vaccination may reduce efficacy, research suggests.

The Los Angeles Times (10/15, Maugh) "Booster Shots" blog reported, "Giving acetaminophen -- best known by the brand-name Tylenol -- to infants along with vaccines to prevent fevers from developing reduces the effectiveness of the vaccines."

A number of parents swear by the acetaminophen regimen, "and some doctors recommend" it, the AP (10/16, Marchione) points out. The "CDC's vaccine advisory panel says it is a reasonable thing to do for children at high risk of seizures, which can be triggered by fevers." However, "military and government scientists in the Czech Republic" uncovered evidence that may undermine the practice after evaluating children at 10 medical centers.

The "children were vaccinated against diphtheria, tetanus, poliomyelitis, hepatitis B, whooping cough, diarrhea-causing rotaviruses and Haemophilus influenzae type B," Bloomberg News (10/16, Fourcade) reported. Investigators then divided the 459 participants. "One group received three doses of" acetaminophen "after vaccination and the other didn't."

Investigators noted "fewer infants who received acetaminophen had a fever, but these babies also had significantly fewer antibodies against pneumococcal disease, Haemophilus influenzae type b, diphtheria and tetanus toxoids, and for one of the whooping cough antibodies compared with infants who did not get acetaminophen," HealthDay (10/15, Reinberg) reported.

After "booster doses at 12 to 15 months, children who received prophylactic acetaminophen still had reduced immune responses to the vaccines against pneumococcal disease, Hib, and tetanus," MedPage Today (10/15, Neale) reported. WebMD (10/15, DeNoon) and BBC News (10/16) also cover the story. "

AMA Morning Rounds is a digest of the most important medical news and information selected from thousands of sources by the editors of Custom Briefings. The AMA does not receive any revenue from the advertising herein. The presence of such advertising does not endorse, or imply endorsement of, any products or services by the AMA.

CheezeFace · January 2012

Thanks all. Waited until he needed the Tylenol and around 3am he had a fever (101*) so I gave him a dosage. He's still running a fever today but isn't fussy, is sleeping and waking to eat so I'm not worried and am enjoying my little cuddle bug and snuggling on the sofa.

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2 month appointment today. Tylenol before?

Re: 2 month appointment today. Tylenol before?

"Using acetaminophen following vaccination may reduce efficacy, research suggests.

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