Cafirate 20 Mg Injection 1.5 Ml

• Apnea of prematurity: Premature newborns may have pauses in breathing because breathing control is immature; caffeine stimulates breathing and reduces these episodes under neonatal care.

• Restlessness or sleep disturbance: Caffeine stimulates the baby's developing nervous system and may make settling difficult or the baby unusually wakeful. Tell the neonatal team if this is marked.
• Fast heartbeat: Caffeine can increase heart rate while stimulating breathing. The neonatal team should assess persistent fast heartbeat, pallor or worsening feeding immediately.
• Frequent urination: Caffeine may increase urine output in some babies. Staff should monitor wet nappies and fluid balance rather than giving extra fluids at home.
• Dehydration: Increased fluid loss may cause fewer wet nappies, a dry mouth or unusual sleepiness. Alert the neonatal team promptly rather than giving fluids without advice.
• Fever or unusual confusion: Fever or mild delirium can occur during treatment and may be difficult to recognise in a premature baby. Tell the neonatal team immediately.

• Cafirate injection must be given only in a neonatal intensive care setting.
• Tell the neonatologist about every medicine or supplement given to the baby.
• Do not give the baby coffee, tea or other caffeine products.
• If breastfeeding, ask the team about caffeine intake from drinks and supplements.
• Report unusual jitteriness, vomiting, fast heartbeat or seizures immediately.
• Keep follow-up monitoring appointments arranged by the neonatal team.

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