Nervigen syrup. Than he will guide us.

It’s understandable to be concerned about giving multiple medications to a young child. The medications prescribed—Nervigen (likely containing Vitamin B12 and other B vitamins), Health OK (a multivitamin), and Calcimax (calcium and vitamin D supplement)—are generally considered safe for children when used as directed, especially to address specific deficiencies like low Vitamin B12, which can cause symptoms such as cramps. Here’s a concise breakdown to address your concerns: 1. Safety of Multiple Syrups: • These syrups are supplements, not potent drugs, and are commonly prescribed for children to correct nutritional deficiencies. At the prescribed doses (5 ml each), they are unlikely to cause harm, as pediatric formulations are designed with appropriate dosages for children. • However, ensure the total daily intake of vitamins (especially B12, calcium, and vitamin D) does not exceed the recommended dietary allowance (RDA) for a 9-year-old. For example: • Vitamin B12: RDA is ~1.8 mcg/day; supplements like Nervigen typically provide safe amounts. • Calcium: RDA is ~1,000 mg/day; Calcimax doses are usually within safe limits. • Vitamin D: RDA is ~600 IU/day; ensure Calcimax doesn’t exceed this significantly. • If you’re unsure about the exact composition or dosages, check the syrup labels or consult the doctor/pharmacist to confirm they align with safe limits. 2. Duration (1 Month): • A month of supplementation is standard to correct deficiencies and replenish stores, especially for Vitamin B12, which can take weeks to normalize. Since your daughter is improving, this suggests the treatment is effective. • The doctor’s plan to reassess after a month is appropriate, as it allows monitoring of her progress and adjustment of the regimen if needed (e.g., stopping one or more supplements if levels are normal). 3. Precautions: • Dietary Support: Ensure she’s eating B12-rich foods (e.g., dairy, eggs, fortified cereals, or meat/fish if non-vegetarian) to prevent recurrence. If vegetarian, B12 supplementation may be needed longer-term. • Side Effects: These supplements are generally well-tolerated, but watch for signs like stomach upset, allergic reactions, or unusual symptoms. Report any concerns to the doctor. • Avoid Overlap: Confirm with the doctor that the syrups don’t have overlapping ingredients (e.g., excessive vitamins), which could lead to over-supplementation. 4. Your Concern About “Too Many Medicines”: • Three syrups may feel like a lot, but they target different deficiencies (B12, general vitamins, calcium/vitamin D), and the low doses spread across the day reduce risk. If you’re still uneasy, you could: • Ask the doctor if all three are necessary or if one (e.g., Health OK) could cover multiple needs. • Request blood tests (e.g., B12, vitamin D, calcium levels) after a month to confirm if supplementation can be reduced. Recommendation: Continue the prescribed regimen for the month as advised, since your daughter is improving, and these supplements are addressing her symptoms. To ease your concerns: • Discuss with the doctor at the next visit (or sooner if needed) about the necessity of all three syrups and whether dietary changes could reduce reliance on supplements. • Request a follow-up blood test to check her B12 and other nutrient levels after a month to guide next steps. • If you need reassurance now, contact the doctor or a pediatric pharmacist to confirm the safety of the combination and dosages based on her weight (27 kg). If you have the exact composition of the syrups (e.g., ingredients per 5 ml), I can help cross-check them against RDAs for a 9-year-old. Let me know if you’d like me

Please consult with me Dr Amit Shukla

Multiple medicines for different concerns is OK unless any interaction. The timings you mentioned are Ok. Giving it for a few months will help in stores build up and also help in child’s growth . U can start focusing on child’s diet. too many restrictions also not advised .

Continue for a month. Later you can stop until any issue .

You can go for blood tests for different vitamins if you want to make sure .

Yes 3 medicine and less dose of each So better get the test done and treat only what is less