Posology : מינונים

4.2 Posology and method of administration
It is advisable that small amounts of Minerali be taken frequently every few minutes.
During the first 2-4 hours the following dosage is recommended: Fluid loss without dehydration symptoms (patient is alert, drinks normally, non- sunken eyes, tears present when crying, normal or reduced urine output, warm extremities, moist lips and tongue, pinched skin recoil instantly): 10 ml/kg body after each loose motion and 2 ml/kg after each vomiting episode.
In case the child weight is unknown:
Below 10 kg (below 2 years of age): 50 -100 ml after each loose motion or vomiting episode
10 kg and above (age 2-10 years): 100-200 ml after each loose motion or vomiting episode.
The patient should be encouraged to drink as much as wanted until condition is resolved.


Mild to moderate fluid loss: (patient is restless, irritable or fatigued, thirsty, slightly sunken eyes [in babies, anterior fontanel is slightly sunken], decreased tears when crying, decreased urine output, cool extremities, sticky or dry lips and tongue, pinched skin recoil slowly (<2 seconds): 50-100 ml/kg body weight.

In addition, 10 ml/kg body weight should be added after each loose motion and 2 ml/kg body weight after each vomiting episode.
In case the child weight is unknown:
Below 10 kg (below 2 years of age): add 50 -100 ml after each loose motion or vomiting episode
10 kg and above (age 2-10 years): add 100-200 ml after each loose motion or vomiting episode.

Sever fluid loss or sever illness condition (blood in stool (loose motion), loose motion for more than 48 hours, more than 5 vomiting episodes a day, temperature (fever) >39°c, apathetic, lethargic, drinks poorly or unable to drink, deeply sunken eyes [in babies- anterior fontanel is significantly sunken], no tears, dry lips and tongue, minimal urine output, cold cyanotic extremities): Refer to a physician

After 4 hours from treatment initiation, treatment and fluid loss symptoms should be re- assessed. If fluid loss symptoms still exist, treatment can be repeated until symptoms resolved. If symptoms get worse the patient should see a physician.

The solution is ready to use. No water or sugar should be added to the solution and it should not be mixed with other liquids. The solution can be refrigerated if prefer to be drank as cold solution.
The solution should be given in small amounts at short intervals. Small amount every few minutes.
Drinking the solution may causa vomiting or spitting-up. Mild vomiting doesn’t interfere proper use of the solution.
If the child vomit or spit the solution should be given using a spoon or in small sips to improve absorption.

Breastfed and bottle fed babies: It is recommended to continue with regular feeding during the treatment. Minerali should be given at the recommended dose, and regular feeding should be initiated at the time of the first rehydration treatment with Minerali or immediately at the end of it, within 4-6 hours.