Viral Fever ke Liye Safe Medicines — Pharmacist Guide

Radhey Radhey, इस पोस्ट में हम pharmacist की नज़र से आसान, practical और exam-friendly भाषा में बताएँगे — viral fever के सामान्य लक्षण, कौन सी दवाइयाँ सुरक्षित होती हैं, कब doctor को refer करना चाहिए और precautions क्या रखें

1. Viral fever — अलग पहचान (Symptoms)

• बुखार (sudden onset) — 37.8°C से ऊपर
• सिर दर्द, body ache, थकान
• कभी-कभी sore throat, cough, nasal congestion
• diarrhoea या vomiting (कुछ viruses में)

2. Pharmacist की role: क्या recommend करें (General principles)

• सबसे पहले patient का history लें — age, pregnancy, comorbidities (diabetes, HTN), allergies, current meds.
• अगर symptoms mild हैं तो symptomatic treatment दिया जा सकता है; severe या red-flag symptoms पर doctor show karne ki salaah दें।

3. Safe OTC medicines (pharmacist guide)

Note: नीचे दिए गए medicines केवल सामान्य guideline हैं — patient-specific contraindications हमेशा check करें।

• Paracetamol (acetaminophen) — fever aur pain ke liye first-line. Adult dose: 500–1000 mg per dose, 4–6 hourly, max 3–4 g/24h (liver issues me kam karein).
• Ibuprofen (NSAID) — pain aur inflammation ke liye (agar gastric risk kam ho). Adult dose: 200–400 mg per dose, 6–8 hourly, max 1.2 g OTC; HTN/renal issues me dikkat.
• Cough lozenges / oral honey (above 1 year) — throat irritation me help.
• ORS — vomiting/diarrhoea me dehydration avoid karne ke liye.

4. Red flags — turant doctor ko refer karein

• Persistent high fever (>39°C) ya fever 3 din se zyada
• Breathlessness, chest pain, severe dehydration
• Altered sensorium, continuous vomiting, severe abdominal pain
• Infants (<3 months) ya elderly aur immunocompromised patients

5. Home care & preventive tips

• Rest aur adequate fluids (water, ORS, soup)
• Humidified air for cough/nasal congestion
• Hand hygiene aur mask — infection spread kum hota hai
• Vaccination: seasonal flu vaccine jahan applicable ho

6. Common FAQs (Pharmacist answers — short)

• Q: Paracetamol ka over-dose kya signs hain?
  A: Nausea, vomiting, abdominal pain; severe me liver damage. Max limit check karein.
• Q: Viral fever me antibiotic dena chahiye?
  A: Nahi, sirf jab bacterial superinfection confirmed ho.

7. Exam-friendly points (GPAT / B.Pharm)

• Paracetamol mechanism: central COX inhibition — analgesic/antipyretic.
• Ibuprofen: non-selective COX inhibitor — anti-inflammatory + analgesic.
• Always note contraindications: hepatic/renal impairment, pregnancy categories.

8. References & Useful Links

• Pocket GPAT — Free Resources (ExPharma)
• ExPharmacy Home — Library, PYQ, Important Questions pages available.