I got my 6 weeks old daughter vaccinated for DTaP with Pentaxim. She is due for her next vaccination at 10th week in 10th of September. Pentaxim is not available where I live so please suggest a substitute for the same and also advise if I can switch over to DTwP wholecell vaccine for DTP like Pentavac SD from DTaP vaccines like Pentaxim considering its cost and effectiveness. Please also suggest some good vaccines pneumonia.

Dr. Jinendra Kumar JainPediatrician50yrs exp

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Still it is not very clear that dtap can be replaced by" w" or vice versa during primary vaccination for maintaining its efficacy but may be replaced for booster doses. I suggest since you are not living at place where" a" is not available, switch over to vaccine which is available at your place and continue as per schedule. There may be substitute for maker of vaccine but not for vaccine. Your query about difference of two vaccine is very pertinent in today's scenario. Dtap (a) v/s dtwp (w)- both are effective" a" is slightly lesser painful, causes low fever but immunity is shorter and is costly to parents than" w" a" was being promoted on ground of its painless & no fever. There are specific vaccines for specific pneumonia. Every vaccine is good. For these vaccines, consult pediatrician face to face. 

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