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QUESTION: Dear Dr. Puneet,
My daughter is due for her Pentaxim booster. She is 18 months old now.
We are presently residing in China and Pentaxim is available here.
Her 3rd dose of Pentaxim was given when she was 3 months old in China. Earlier 2 were given in india.
I would like to know what is the difference between Pentaxim (3 months)and the Pentaxim booster which will be given at 18 months age?
Thank you.

ANSWER: Hi Mr. Marwah,

I would like to inform you that PENTAXIM and other brands that have DTaP (so called "gentle" or "painless" DTP) are not recommended by IAP (Indian Academy of Pediatrics) in India after October 2013, since it was found that DTaP is much less effective (and much costier) than DTwP ("normal" DTP or whole cell DTP) containing vaccine. Subsequent recommendations of IAP in November 2014 and September 2016 have also endorsed this.

Hence, I have been recommending only DTwP containing vaccine to all my patients since October 2013.

The recommendations and availability of brands vary from country to country. Hence, I would recommend to check local recommendations and brand details etc.

As far as the vaccination schedule is concerned, it is generally recommended to follow LOCAL schedule (in the country/ region where child usually resides....rather than the country of origin.

Please feel free o ask for any further clarification.

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

+91-9818356846, +91-11-45535647  

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

QUESTION: Dear Dr. Puneet,
Thank you for your response.
We have already given 3 doses and this information was not provided to us by our doctor when we were in india.
I want to know what is the difference between Pentaxim and Pentaxim booster. Are they both the same or different.
We are following the indian schedule as we will soon be going back to india.


Hi Mr. Mawah,

There is no difference between Pentaxim and Pentaxim booster. Both are not recommended in India.

The Indian (IAP) guidelines are clear: Even if baby has receieved DTaP in the past, all subsequent doses should be of DTwP containing vaccine. There is no need to repeat/ give extra doses of DTwP to such infants/kids.

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

+91-9818356846, +91-11-45535647  


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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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