Take this medicine in the dose and duration as advised by your doctor. Check the label for directions before use. Measure it with a measuring cup and take it by mouth. Shake well before use. Alferd I Oral Suspension should be taken with or after food.

- Kidney : SAFE IF PRESCRIBED

Alferd I Oral Suspension is safe to use in patients with kidney disease. No dose adjustment is recommended. | - Liver : CAUTION

Alferd I Oral Suspension should be used with caution in patients with liver disease. Dose adjustment may be needed.Inform your doctor if you develop signs of jaundice like yellowing of eyes and skin, itching, and clay colored stools while taking this medicine.

Do not panic. The missed dose can be given as soon as you remember it. However, skip the missed dose if it is almost time for the next dose or if your child?s doctor has advised doing so. Do not give a double dose and follow the prescribed dosing schedule.

How can I know that my child has a worm infection?::: It could be a worm infection if your child complains of an itchy bottom (rectal area), difficulty sitting, fatigue, restless sleep due to anal itching, and persistent stomach pain with loss of appetite or frequent indigestion. Another sign of worm infection is pica, in which you may notice your child eating inedible substances such as mud. Speak to your child?s doctor as soon as you notice any of these in your child. The doctor may suggest collecting your child?s stool and blood samples on 3 different days for examination. Depending upon the reports, the doctor will decide upon the treatment and prescribe it.| What is the best time to give Alferd I Oral Suspension to my child?::: Alferd I Oral Suspension can be given at any time of the day; just remember to give it with a fat-containing food such as milk.| How can my child become infected with intestinal worms?::: Areas with poor sanitation may have soil that is contaminated with eggs or worms. Your child may also get infected by playing in the contaminated soil. When your child returns home after playing, ask them to clean up using soap and water. Transmission can also occur by drinking contaminated water or by eating contaminated vegetables and fruits without washing or peeling.| How should I store my child?s medicine?::: Store Alferd I Oral Suspension at room temperature in a cool, dry place beyond the reach of the children and pets to avoid any accidental intake. Do not freeze the medicine.| When should I call my child?s doctor right away?::: Reach out to the doctor if your child complains of vision problems, puffy eyes, or severe itching all over the body, or experiences trouble walking or standing, trouble breathing, or a fast heart rate. You should also not neglect if your child feels disoriented or confused, exhibits loss of bowel control, or complains of neck pain soon after the intake of Alferd I Oral Suspension.

Alferd I Oral Suspension is a mixture of two medicines: ivermectin and albendazole. Ivermectin works by binding to the muscle and nerve cells of worms, causing their paralysis and death. Albendazole works by preventing the worms from absorbing sugar (glucose), thereby depleting their energy level. This causes the worms to die, thereby treating your child?s infection effectively.

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