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A dose of 2.5 Ml can be given the weight is ideal is the weight is adequate. I do not see how or why you want to give Meftal Spas for a 4-year-old child? The dosage is based on your age, medical condition, and your response to the medicine. Your doctor may direct you to start this medication at a low dose and gradually increase your dose to decrease the risk of side effects. This medicine can cause a range of anticholinergic side effects such as dizziness, weakness, dry eyes, blurred vision, dry mouth and abdominal bloating, and, at higher doses, serious effects like decreased sweating, flushed skin, irregular heartbeat, slurred speech, loss of coordination, mood changes, difficulty urinating
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