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Pediatrics/Pentaxim and Easy 5


Hi Puneet
My son is 3 months old. At 2 months he was given Easy 5, Synoflix & Rotarex and Polio drops.

When he is 4 months old, can we give him Pentaxim instead of Easy 4, Synoflix & Rotarex. My basic query is, can 1st dose be of EASY 5 vaccines and 2nd/3rd dose be of Pentaxim for covering DPT & Hib.

I am more interested in the future doses of Pentaxim because of the following reasons.
1. Less chance of fever
2. IPV instead of OPV

Kindly guide.

Hi Rukmesh,

Yes, future doses can be of Pentaxim (All the brands of Dtap? DtwP and Hib are interchangeable)

In fact as per latest (July 2012) recommendations of IAP, IPV must be given at 6, 10, 14 weeks (even if one goes for DTwP containing vaccines like Easy four/ Easy five: IPV is available as separate vaccine also) followed by OPV at 6 and 9 months of age. In addition OPV must be preferably be given at all rounds of Pulse Polio from nearest Govt. dispensary.

However, please note that although 3 doses of IPV are recommended (at 6, 10, 14 weeks); for a 3 month old baby, 2 doses of IPV (as a part of Pentaxim) would be sufficient; no need for "third" dose of IPV. Booster of IPV (along DTP and Hib Is given at 16-18 months of age.

You can see latest immunization schedule at official website of Indian Academy of Pediatrics:

Please feel free to ask for any further clarification.

Best wishes,
Dr. Puneet Kumar,
Kumar Child Clinic, Dwarka,
New Delhi, India



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Dr. Puneet Kumar


I would be happy to answer general queries on prevention and treatment of ailments in newborn, infant, toddler, child or an adolescent. Needless to say, it will not be possible to answer any query that requires diagnosing, since it is not possible to examine a child online.


I have worked in various capacities (medical officer, resident, senior resident, consultant) in public as well as private sector in Pediatrics and Neonatology. Today, I have over 17 years of experience in the field.

Currently, I am running my own clinic (Kumar Child Clinic) in Dwarka, New Delhi and am attached to Lifeline Hospital, Dwarka as consultant pediatrics and neonatology. I am also developing my clinic website into a comprehensive child health/ parenting website (

(a) Chapter "National Immunization Schedule" in Frontiers of Social Pediatrics, Jaypee Publishers: 2nd edition, 2016. (b) Article, "All about Pertussis vaccines" in special issue of Indian Journal of Practical Pediatrics, July-Sept 2015 (c) Three chapters (DTP vaccines, Pneumococcal vaccines and Poliovirus vaccines) in "Textbook of Pediatrics for Post-graduates" First edition: 2015. (c) Chapter: "Alternative delivery methods of vaccines" in IAP textbook of Vaccines, First edition, 2014 (published by IAP/ Jaypee Brothers) (d) Special Article: "50 years of Immunization in India: Progress and Future" in January 2013 issue of Indian Pediatrics (e) Four chapters in "FAQ: Book on Vaccines and Immunization Practices" First edition, 2011 AND 2nd edition, 2015 published by Jaypee Brothers. (f) Three articles in special issue of Journal of Pediatric Sciences on “Controversies and Challenges in Pediatric Vaccination Today" in Sept, 2010. Co-edited the series also. (f) Regular column, “How do I treat” in Pediascene ( (g) Review article, “Role of Anti-Poliovirus Agents in Polio eradication and beyond” in Polio Pulse, April, 2008. (h) Chapter on “Acute Infectious Diarrhea” in Textbook of Infectious Diseases in Children. (An IAP Publication), 2007. 2nd edition in 2011. (i) Book-Review (IAP Pediatric Drug Formulary, 2004) in Pediascene, March 2005 ( ) (j) Case-report on Osteopetrosis. Jharkhand Journal of Pediatrics, Dec-2002.

After MBBS, I have done DNB residency in Pediatrics.

Awards and Honors
Winner of IAP practising pediatrician's quiz in 2001.

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