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Pediatrics/can i give rotatrix second dose two week later of first dose

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QUESTION: hi sir

i have 3 month old baby. i live in netherlands. here dr. do not give rotavirus vaccine so i had to go belgium so that my baby get protected from rotvirus. baby got rotatrix at 13.5 weeks and he is due for next does as we are cooming india in next few weeks so dr. said you can give second booster after two weeks. i am not sure about this.is it safe to give rotatrix after two weeks?

ANSWER: Dear Neha,

No. You cannot give rotavirus or any vaccine within a gap of fewer than 4 weeks.This has to do with the development of immunity. Also, I would like to know why you wish to give a vaccine that is not on the programme of the country your baby is living in. In my opinion, it is not worth it, unless your baby's geographical stay is going to alter substantially in the next few months and he will be staying in India or a similar developing nation.

Taher

---------- FOLLOW-UP ----------

QUESTION: Hi sir I m going to shift India permanently m next month so I thought its important for baby to have this vaccine because he is in Netherlands only till his 3.5 month.
What if I give next booster in India ?
Ideally he is due for next booster on 13 may.
I will be in India on 1 may.

Answer
Dear Neha,

Thank you for reverting and clarifying the situation. In the circumstances, you should definitely complete the course of the rotavirus vaccine. A complete course consists of two oral doses or three, depending on the brand being used. In either case, these are parts of the primary course and not to be called boosters. Secondly, no boosters are recommended for rotavirus vaccine. Once the primary course has been completed, that is the end of the story.

As I said before, allow at least 4 weeks (28+ days) between the previous and the subsequent doses of the rotavirus vaccine. If you have waited for 28 days, then it can be given any time up to 60 days after the previous dose. Stick to that rule and you won't go wrong.

Dr. Taher

Pediatrics

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Dr. Taher Kagalwala

Expertise

I come from India, and have been practising since 29 years. I am specially interested in infections, asthma, newborn care and parenting. I have authored a book on Parenting.It is called "Child Care: From Birth to Eighteen". The e-book is now available on http://pothi.com/pothi/book/ebook-dr-taher-y-kagalwala-child-care-birth-eighteen.
and on Amazon.com and all local versions, including www.amazon.in. I have my professional site at Blogger. Here, you can read good advice and also seek a professional online consultation for a small fee. Do check out http://drtaherforkids.blogspot.com.

Experience

Qualified Pediatrician practising since 29 years.
Currently working in the United Kingdom. You may reach me on my cell number +447440622670 or email me on drtaher@gmail.com only if I have not responded to your query here in a reasonable time. If you directly call me or email me, I might not be able to respond. Thank you for understanding. Please do not Whatsapp me.

Organizations
Indian Academy of Pediatrics, life member. Mumbai Branch of the I.A.P., life member. Genetics Chapter of the I.A.P.

Publications
Indian Pediatrics, Indian Journal of Pediatrics, Toxicology Abstracts.

Education/Credentials
M.D., M.R.C.P.C.H. (U.K.), Ph. D. (U.S.A.) D.C.H.

Awards and Honors
Gold Medallist in D.C.H., April, 1985
Highest aggregate marks in University of Mumbai, for M.D. ( Pediatrics ), October 1986.
Passed out with distinction from the Royal College of Paediatrics and Child Health, U.K. in 2015.

Past/Present Clients
1. Municipal Corporation of Greater Mumbai (K.E.M. Hospital) 2. Private consulting practice. Worked as the Asst. Paediatrician and DNB Teacher at Masina Hospital. Also visiting Saifee Hospital, Mumbai. 3. Ministry of Health in Kingdom of Saudi Arabia as a Specialist Paediatrician. 4. Now with the NHS, UK as a Specialist Paediatric Registrar at Blackpool, Lancashire, UK.

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