Paracetamol for children for fever

Posted on by admin

How to give paracetamol tablets to children: correct dosage

Among the popular means of combating fever and pain in children are tablets, where the active substance is paracetamol. It is considered the most effective and safe for the child’s body.

Table of contents:

Paracetamol-based drugs have three main properties: they relieve fever, inflammation and pain.

  • Fights high body temperature during colds, ARVI or flu. It can be given to children aged 2 months, after first reducing the permissible dose.
  • The decrease in temperature begins quickly and has a long-lasting effect - no further increase is observed.
  • In some children, high fever may be accompanied by seizures. Paracetamol is also allowed for such unpleasant symptoms.
  • Reduces or eliminates pain. For example, dental or headache.
  • Other medications can be given at the same time. Nurofen contains ibuprofen as an active ingredient, so alternating them is allowed.

It should be taken into account that paracetamol eliminates only the symptoms of the disease, but is not intended for its treatment. The main cause of pain or fever should be identified and children treated with other medications.

Dosage of the drug

Paracetamol comes in three main forms: suppositories, tablets and syrups. You can buy a product at the pharmacy where this active ingredient is in its pure form - Panadol, for example. Panadol tablets, in addition to the active substance, contain sodium bicarbonate, which creates an alkaline environment in the body. Thanks to this, Panadol works faster.

Candles

They are inserted rectally into the child's anus. Before the procedure, you must first wash your hands. Place the child, turn him on his side, bend his legs and press them to his tummy. Slowly and carefully introduce the suppository. The active substance is absorbed by the intestinal walls and has a rapid effect at high temperatures. For children under three months, the dosage is selected only by a doctor.

At the pharmacy you can find the following dosage of the drug:

  • from 3 months to a year, 0.08 gram suppositories are prescribed;
  • from 1 year to 3 years – 0.17 grams;
  • from 3 years to 6 – 0.33 grams;
  • starting from 6 years and older, two suppositories of 0.33 grams are prescribed.

You should not use more than 4 suppositories per day.

Pills

They are allowed for children starting from two years old. The child is given medicine, previously crushed and diluted in water. Children's paracetamol tablets are available in a dosage of 200 mg:

  • from 2 to 6 years, 1/2 tablet is prescribed at a time;
  • from 7 to 12 years, one full tablet is allowed;
  • Children over 12 years of age are allowed to take two tablets at a time.

In some cases, this form can also be taken by children under one year of age. Especially when it comes to a very high temperature with the appearance of seizures. In such cases, the use of the medicine is allowed in the following dosage:

  • from birth to 3 months, the dosage is 10 mg per kilogram;
  • from 3 months to a year, the maximum daily dose is 120 mg;
  • from one year to 2 years, the maximum daily dose is 150 mg.

Syrup

This dosage form has a liquid consistency and a pleasant taste, so children swallow it easily. Syrup can be given as early as two months. Sometimes doctors, taking into account the child’s condition at the time of illness, can prescribe syrup in the first weeks of life.

The kit includes a convenient dispenser syringe or measuring spoon, with which the exact amount of suspension is measured. The drug should not be diluted with water; it is better to give the child something to drink after taking it.

The exact dosage is drawn according to the divisions on the syringe:

  • from birth to 6 months, the dosage is calculated by the attending physician;
  • from 6 months to one year, the maximum dosage is 5 mg, the minimum is 2.5 mg;
  • up to 3 years, the dosage is 5 – 7.5 mg;
  • from 3 to 6 years – the maximum dosage is 10 mg;
  • from 7 to 12 years – about 15 mg.

The medicine begins to act within 30 minutes after administration. At high temperatures, the syrup is given for no more than three days. As a painkiller, the drug can be taken for up to five days.

An analogue of the drug Paracetamol is Panadol. It is approved for children aged 3 months and older. Panadol Baby can be used to relieve fever, inflammation and pain. Can also be used after vaccinations.

Features of application

Before giving medicine to a child, you should consult your pediatrician. He will prescribe the correct dosage and tell you about the rules of administration.

  • The dosage of the drug depends on the age and weight of the child.
  • Paracetamol tablets should be given to relieve fever at intervals of 6 hours. No more than four times a day.
  • In children under the age of one year, the temperature should be reduced if it rises above 38 degrees.
  • Paracetamol should not be given to infants for more than three days. Their internal organs are not yet fully formed, which creates an extra load on the liver.
  • This antipyretic should not be given for prophylaxis.
  • For a small child, the tablet must first be dissolved in water.
  • You should not use a tablet intended for adults - it is impossible to accurately determine the dosage.
  • Nurofen is more irritating to the stomach than Panadol. Therefore, it is better to stop at the last drug.

Tips for taking medications that contain paracetamol

  • There are various forms of release of this active ingredient. It can be in candles, syrups or in the form of a suspension. They are best suited for children under one year old.
  • To reduce the harmful effects on the liver, the medicine should be given after meals.
  • A dosage of 150 mg per kilogram of weight is dangerous for a child’s body.
  • An overdose can be recognized by the following symptoms: the skin becomes pale, nausea and vomiting appear. In this case, you need to urgently consult a doctor.

Sometimes, when the temperature is high and falls heavily, children are prescribed two drugs at the same time: Nurofen and Paracetamol. These drugs are given at intervals. Nurofen acts quickly and the effect is longer lasting.

You can combine Nurofen with paracetamol at the same time. In this case, half the dose is taken from each drug.

Contraindications

  • Overdose of the drug and frequent use, which negatively affects the functioning of the liver, are not allowed. Nausea and vomiting appear.
  • Individual intolerance to the components of the drug. Allergic reactions may occur.
  • For children under two years of age, paracetamol should be given with caution - the drug can cause asthma.
  • Do not give two paracetamol-based medications at the same time. This will lead to poisoning of the body. Can be given with other antipyretics, for example, Nurofen.
  • An overdose can occur if the interval between doses of the medication is not observed. It is better to combine drug treatment with folk remedies.
  • The drug is contraindicated for diseases such as anemia, hyperbilirubinemia, and disorders of the kidneys and liver.

If at least one symptom appears, then this medicine should be replaced with another. Nurofen causes allergies less often and causes less harm to internal organs. Just like paracetamol, Nurofen is available in the form of suppositories, tablets and syrup.

There are many medications in pharmacies that contain paracetamol. Panadol is available in tablets, suppositories and syrups. Panadol Baby is specially produced for the little ones

Do not forget that all medications must be kept away from children. It is better to store medications for adults separately from children, so that during the period of illness the child does not mix up medications due to increased anxiety.

Before giving paracetamol to a child, you should consult your doctor. It is he who will tell you which dosage form is best to choose and whether it is worth combining it with other antipyretics. Calculate the exact permitted dosage. Only by following the rules and recommendations can you reduce side effects and overdose.

Source: http://grudnichky.ru/lekarstvo/paratsetamol-dozirovka-v-tabletkah-detyam.html

Paracetamol tablets for children with high fever

With the development of colds, the first sign in children is an increase in temperature. If pediatricians prohibit giving children antipyretics at elevated temperatures, then if the thermometer readings are above 39 degrees, you should definitely resort to medication. One of the most effective ways to reduce high fever is a medication called Paracetamol. Is it possible to give children Paracetamol in tablets, at what age should it be used, as well as the specific dosage of the drug, we will find out further.

Dosage of Paracetamol tablets

Paracetamol for fever is available in three forms: tablets, syrup and rectal suppositories. All forms of the drug are intended to reduce high fever. Paracetamol in certain dosage forms should be given to a child depending on his age.

The main advantage of the drug in tablet form is its low cost, especially when compared with syrups. Many parents resort to medication in tablets only when the child turns 5 years old. It is at this age that a baby can swallow a pill without it getting stuck in the throat. Some parents are in no hurry to resort to using the drug in tablets, and give it from the age of 6.

The instructions for use indicate that children can be given the drug in tablet form at 2 years of age and older. However, it is important to note that at 2-3 years of age it is preferable to give syrup to babies, and before 2 years of age it is best to use rectal suppositories. It is possible for young children to take Paracetamol in tablet form if they have a fever, but the tablet should initially be crushed and then given to drink with sweetened water.

It is important to know! At high temperatures, children can be given Paracetamol no more than 4 times a day. The break between subsequent doses should be 4-6 hours. The duration of therapy should not be more than 3 days.

How to give Paracetamol tablets to children depends on their age and weight. Paracetamol for children with fever should be calculated based on the following dosage: per 1 kg of baby’s body weight, 10 mg of the drug is required. For a baby whose weight is 10 kg, 100 mg of the drug will be required.

Interesting to know! The drug can bring down a child’s temperature approximately minutes after administration.

Dosage of Paracetamol 200 mg in tablet form

We have already found out whether Paracetamol can be given to children. It is only worth noting that if a child of 5-6 years old cannot swallow the tablet whole, it should be divided into parts or crushed into powder. It is not recommended to give the drug to infants in tablet form, so it is better to resort to rectal suppositories.

The drug Paracetamol 200 mg is very popular. The tablets are quickly absorbed by the body, so within 30 minutes a positive effect from its use occurs. In addition, the tablets do not contain flavorings or dyes, which can harm the baby if taken orally. You can not only bring down the temperature with the drug, but also reduce pain symptoms from toothaches, headaches, neuralgia and osteochondrosis. Let’s find out in more detail how to lower the temperature with the help of the medicine in question.

  • It is not recommended to give antipyretic tablets to children under two or three years of age. Moreover, if the doctor has prescribed the use of the drug for the baby in this form, then you can resort to such treatment.
  • Children under the age of five or six years can be given the medicine in tablet form, but only at a dosage of 100 mg. Paracetamol can be given to a child at this age no more than 2 times a day.
  • Children under 12 years of age are given the drug at a dosage of 200 mg. The dosage of Paracetamol depends primarily on weight, so before giving the medicine to your baby, you need to read the instructions.
  • Older children from 12 years of age can be given Paracetamol at a dosage of 500 mg.

The instructions indicate that children under 12 years of age can be given tablets with a dosage of 500 mg, but the dose must be calculated correctly. It is also important to note the fact that before giving medicine at a temperature of 38 and above, you should consult a specialist. Your local or attending physician will tell you how to take it, how much of the drug you need, and how often you can take it.

It is important to know! You need to lower your baby’s temperature if the thermometer shows above 39 degrees. An adult can begin to reduce the fever if the mark exceeds 39-39.5 degrees.

Can children take medicine in tablets?

Doctors say that children can take pills if certain conditions are met.

  1. If the thermometer reading is above 38.5-39 degrees. For children under 3-4 years old, it is necessary to reduce the fever above 38-38.5 degrees.
  2. There is no need to rush to bring the fever down below 38. If the thermometer readings are above 38, you should initially try using a traditional method, for example, wiping with a vinegar solution. If the fever continues to rise or lasts four hours or more after the parents have tried all methods to reduce it, then this medicine can be given.
  3. Is it possible for a child to take Paracetamol, and in what dosage should it be used for high fever, toothache and weakness. It can not only be given, but it is also necessary. If the drug does not bring down the fever, but the pain during teething has decreased, then you need to consult a specialist or replace the medication with Ibuprofen.

Paracetamol is an excellent remedy in the fight against high fever in children of all ages. With age, the form of the drug can be changed, and the name of the drug can remain the same, but on one condition that the drug gives a positive effect.

Is it dangerous to overdose on a medicine?

The instructions indicate that in case of an overdose of the drug you should consult a doctor. We found out how to give Paracetamol to children, but why is an overdose of this drug so dangerous? In fact, Paracetamol is one of the safest antipyretic drugs. In case of a slight overdose, this will not affect the baby’s health in any way, especially if the medicine is used in a single dosage.

It is important to know! Before using Paracetamol in tablets for children with fever, you should familiarize yourself with the dosage of the medicine, and then select it according to the baby’s weight.

Depending on the excess amount of the drug, the baby may experience side symptoms from an overdose. Excessive doses of the drug cause negative effects on organs such as the kidneys and liver. Most often, with a regular overdose of the drug, liver damage develops, as well as hepatic comas.

Symptoms of a Paracetamol overdose include:

  • nausea and vomiting;
  • abdominal pain;
  • problems with stool;
  • the occurrence of drowsiness.

The most dangerous sign of overdose is intoxication. In this case, you definitely need to go to the hospital for help. Therefore, the question of whether a child can take Paracetamol should be answered in such a way that the medicine is not only allowed, but also necessary if necessary. In order not to make a mistake with the dosage, you must carefully read the instructions or consult a specialist.

Source: http://temperatura03.ru/lechenie/paratsetamol-detyam-dozirovka-v-tabletkah-pri-temperature.html

Paracetamol for fever in children

Fever in babies is a very common phenomenon, so many mothers are interested in how to give Paracetamol to children so as not to cause harm. Hyperthermia is considered the very first sign that some pathological process of unknown etiology is developing in the baby’s body. The best solution in this situation would be to contact a pediatrician to determine the cause of such a pronounced symptom and prescribe adequate and effective treatment, taking into account all physiological characteristics.

It is impossible to simply reduce the temperature with Paracetamol, because this action of the mother can lead to negative consequences and further aggravate the baby’s health situation. It is especially forbidden to do this if the baby is under the age of one year. If your baby's temperature suddenly rises, you should call an ambulance.

Causes of hyperthermia in children

Children are given Paracetamol for fever, but only in cases where the cause of its occurrence is clear. Possible causes may include the following conditions:

  • viral infection (ARVI, influenza);

When to reduce fever in children

Usually, children tolerate temperatures up to 38 degrees well: they can run, jump, and only pink cheeks will tell their mother that the baby is not entirely healthy. Pediatricians around the world advise not to reduce body temperature to 38.5 degrees. This situation is due to the fact that hyperthermia is considered a kind of stimulant for the immune system. During a fever, the substance interferon is actively released, which fights a foreign agent that has entered the body.

If the temperature does not exceed 38 degrees, Paracetamol in children can reduce or even kill the ability to resist various infections. Hyperthermia, especially febrile, is an indicator that the baby’s immunity has responded correctly and is resisting.

However, after 38.5 degrees and with a further increase in temperature, many children are at risk of developing cerebral edema and, as a consequence, the appearance of seizures and confusion.

Therefore, hyperthermia above 38.5 degrees is considered an indication for the use of antipyretic drugs. Usually, the child’s temperature is brought down with Paracetamol, strictly adhering to the dose and frequency of doses indicated by the doctor or, in extreme cases, described in the instructions for the medicine.

Dosage forms of the drug

Paracetamol is considered the most popular and safe drug that effectively reduces high body temperature in people of all age groups. Experts identify the following forms as the most popular interpretations of the antipyretic drug:

  • suspension;

Paracetamol for children is usually prescribed in the form of syrup or suspension. Kids enjoy taking the medicine in liquid form with a sweetish aftertaste. It is quite simple to calculate how much you need for one dose of the drug using a special measuring spoon or cup that comes with each package of the medicine. Many pediatricians recommend using rectal suppositories at night, in case of severe hyperthermia, because this type has a more prolonged effect and does not irritate the gastric mucosa. Paracetamol in tablets or capsules is used for children under 6 years of age only in case of allergic reactions to taking syrups.

Dose and frequency of use of paracetamol

Only an experienced doctor can accurately recommend how to take a medicine with a pronounced antipyretic effect. Typically, age is taken into account when calculating the dose, but weight is considered the main indicator in children. For 1 kilogram of weight there is a mg of the drug, that is, a one-year-old baby who weighs 12 kilograms needs to be given mg of paracetamol. The antipyretic effect will last for 3.5-4 hours, then, if necessary, the dose can be repeated, but no more than 4 times a day.

Found a mistake? Select it and press Ctrl + Enter

Comments on the article

We recommend reading

IMPORTANT. The information on the site is provided for informational purposes only. Do not self-medicate. At the first sign of disease, consult a doctor.

Source: http://pillsman.org/23062-paracetamol-ot-temperatury-detyam.html

Tip 1: How to give paracetamol to children

  • paracetamol for babies

Forms of release of paracetamol for children and features of their administration

Most often on the shelves of pharmacies you can find paracetamol for children in the form of syrup or suppositories for rectal use.

Signs of paracetamol overdose

This drug has virtually no contraindications, and negative consequences from taking it appear, in most cases, as a result of its overdose.

Source: http://www.kakprosto.ru/kakkak-davat-detyam-paracetamol

Analgin and paracetamol for children based on temperature dosage

Analgin and paracetamol for children from fever - dosage and possible restrictions

When a baby has a fever, this is always a cause for parental concern. And often parents use analgin and paracetamol - but are they suitable for children for fever - and what should be the dosage? Let's go in order and try to figure this out.

Is it necessary to shoot down?

If a child has a fever, immediate medication is not always required. Sometimes fever occurs against the background of typical whims of children or banal overheating. In addition, children under one year of age, with their imperfect thermoregulation system, are, in principle, characterized by causeless and quickly spontaneous changes in body temperature, both up and down.

The next factor to consider is how high the temperature is. The fact is that fever is one of the body’s defense mechanisms that helps it fight infection. Up to 38⁰, the temperature does not cause any harm to the body. There is no need to bring it down with medication; it is enough to take care of comfortable conditions in the room and plenty of warm drinks.

But its increase to 38.5 - 39⁰ for a long time is already dangerous due to dehydration, circulatory disorders, excessive stress on the cardiovascular system and other unpleasant consequences. If the mark on the thermometer goes beyond 40⁰, then this is already life-threatening. In these cases, children must be given medications for fever.

Is it possible to knock down paracetamol and analgin?

Both of these medications are not the best option for a sensitive child’s body; there are also more gentle medications for it with fewer side effects. However, in the absence of such medications, analgin with paracetamol can only be given to a child over 3 months old.

But under no circumstances should these medications be used thoughtlessly. Before use, you should definitely consult with your pediatrician, and then strictly follow the dosage indicated by him. The fact is that paracetamol and analgin are drugs with a strong antipyretic effect. In other words, in case of an overdose, they lower the body temperature too much, which is also bad and harmful for a child’s body weakened by the disease.

Other drugs are often mentioned, for example, noshpa (aka noshpa) and suprastin, but their use is not only undesirable for children, but will only have an effect with joint therapy, for example, when paracetamol and noshpa or analgin and noshpa are used . And then this will be effective only in a number of specific cases, which the doctor will indicate. For example, suprastin and other antihistamines are effective only if the problem is of an allergic nature.

Dosage and other rules of administration

At high temperatures, it is recommended to take analgin and paracetamol about an hour after meals with water. Frequency of administration – up to 3-4 times a day, recommended course duration – no more than 3-5 days.

Acceptable doses of analgin for children:

  1. In tablets: 5-10 mg of the drug for each kilogram of the child’s weight.
  2. In the form of injections: 0.1-0.2 ml of a 50% solution or 0.2-0.4 ml of a 25% solution per kilogram of body weight.
  3. In the form of suppositories: suppositories once a day up to the age of one year; 1-2 suppositories with an interval of 4-6 hours at the age of 1-3 years; for children over 3 years old, up to 3 suppositories can be used daily with an interval of at least 4-6 hours.

Injections are made strictly intramuscularly; subcutaneous administration is unacceptable. Intravenous use is possible only in a medical facility, since it is necessary to ensure a slow supply of the medicine and closely monitor the child’s condition. When using suppositories, it is advisable to do an enema first.

How much paracetamol to give:

  • For babies under one year of age: no more than 120 mg at a time.
  • Children under 12 years of age: within mg per dose.
  • Over the age of 12 years: up to 1000 mg once.

The dosage of the drug should be adjusted according to the child's weight. An interval of at least 2-3 hours is required between doses of the drug.

If the temperature is critically high and it is impossible to see a doctor at the moment, it is permissible to give the child a mixture of paracetamol plus analgin once. Dosage: half a tablet of each drug for children under 6 years of age, one whole tablet for older children.

If no spa is prescribed, its one-time dosage is no more than 20 mg.

Contraindications

Paracetamol and analgin cannot be used to reduce a child’s temperature in the following cases:

  1. Intolerance to any of the components of these drugs.
  2. Liver or kidney failure.
  3. Pathologies of the cardiovascular system and hematopoiesis.
  4. Acute pain in the gastrointestinal tract, until its cause has been identified. They often indicate serious diseases such as appendicitis, and relieving pain in this situation can prevent a correct diagnosis.
  5. Disruption of the normal functioning of the bone marrow.

As we see, any drug, be it paracetamol, or suprastin, or analgin, or but spa, may be appropriate in some situations and inappropriate in others. So it is strongly recommended to consult a pediatrician before using them.

Can children have paracetamol and analgin for fever?

Injection of a lytic mixture: analgin + papaverine + diphenhydramine is the first remedy used by paramedics for fever. This antipyretic is allowed for children from one year of age if the numbers on the thermometer exceed 38.5° (each substance 0.1 ml).

However, some “wise” mothers come up with their own remedies. For example, Paracetamol is mixed with analgin and given to children orally for fever. The dosage is determined empirically. Some people also add No-shpu. Moreover, miracle recipes are shared on forums, misleading readers.

Our point of view on this issue:

Paracetamol plus analgin

The composition and use of the mixture are explained by the following factors:

  • the inability to purchase Diphenhydramine, which is sold in pharmacies strictly according to a prescription;
  • elementary fear of giving the baby an injection.

But is this really a justification for experimenting on your own sick child?

How to give analgin with paracetamol to a child?

Remember the answer: it is better not to give in ANY WAY and IN ANY DOSAGE. Advice like: crush ¼ tablets at a time, mix, add No-shpa and feed it all to the baby - frankly far-fetched and harmful. Pediatricians simply do not understand where the indicated components and numbers come from.

And although doctors can offer you this treatment option, it’s better to think a hundred times and here’s why. This cocktail is contraindicated for children up to the age of 6 (in fact, pediatricians do not recommend using analgin until the age of 12).

Paracetamol is a universal antipyretic, and quite powerful, and analgin has the same property, although to a lesser extent. By mixing them and giving them to the child, you risk sharply lowering the temperature (after this the child will probably “knock out” into sleep) - and here the dynamics of the decrease in temperature is important, which, if the dosage is incorrectly calculated or calculated without taking into account the properties of analgin, can continue to fall. As a result, tension in the heart muscle occurs, rapid breathing and, as a result, the development of asthma, allergic reactions, developing into anaphylactic shock (in 10-20% of cases with a fatal outcome) and complete cessation of breathing.

Modern children's medications are narrowly targeted and hypoallergenic, with a minimal set of side effects and contraindications. In febrile conditions (exclusively at high temperatures), analgin for children is used in the form of suppositories (without paracetamol) or intramuscular/intravenous injections, naturally without other antipyretic drugs.

A mixture of paracetamol and Nise (Nurofen for children, etc.) has proven itself much better. The dose of paracetamol (according to body weight and age from 3 months) is 1/4 or 1/2 tablet (over 6 years - 1 tablet), and the painkiller can be found in the instructions (do not choose the maximum allowable).

If a child has a fever, it can only be brought down using guaranteed safe and proven methods, which include:

  • rubbing the body with lukewarm water (only possible for “red” fever, if the little one is “on fire”);
  • Soldering (for the little ones, non-carbonated mineral water or rosehip infusion is suitable, after a year - unsweetened compote, fruit drinks, weak tea);
  • use of an approved antipyretic drug. The dosage is calculated individually, taking into account the diagnosis, weight and age of the baby.

Paracetamol and analgin for fever in children: what exactly to use?

You should absolutely not invent anything; you must act according to the recommendations of pediatricians.

You can use the following antipyretics on your own:

These drugs and their derivatives (Efferalgan, Nurofen) are approved for children from 3 months of age. The most convenient forms of release for the youngest patients are syrups and rectal suppositories. The former are absorbed faster and must be given during the day. The effect of the suppositories is slightly weaker, but it lasts longer, so it is more advisable to use this medicine before bedtime.

Doctors do not recommend Analgin for children with fever at all. However, this drug is still present in the lytic mixture. In pharmacies you can also buy rectal suppositories Analdim (a combination of analgin + diphenhydramine), which are prescribed according to indications for babies from one year of age.

Conclusion: amateur treatment is fraught with dangerous consequences. Doctors categorically prohibit paracetamol with analgin for children at a temperature. The dosages indicated in blogs and forums are not justified.

INFORMATIVE:

Using paracetamol to reduce fever

The analgesic and antipyretic properties of the drug have become widespread in the treatment of hyperthermia, especially in children. This is due to the fairly good tolerability of the drug, the possibility of use without side effects. Only long-term use of large doses of the drug can lead to hepatotoxic and nephrotoxic effects.

Non-steroidal anti-inflammatory drugs (for example, aspirin) have an even more pronounced antipyretic effect. However, due to the possibility of developing complications such as gastrointestinal bleeding, the development of Reye's syndrome (acute hepatic encephalopathy), its use is limited by age, and with influenza, use may be unsafe at any age. All this creates the preconditions for wider use of paracetamol for fever by adults and children.

Paracetamol can be used in the following dosage forms: tablets, capsules, syrups, rectal suppositories. Depending on the situation and the age of the child, preference is given to one form or another.

For children from one month old, as well as in the presence of vomiting that accompanies an increase in temperature, it is more convenient to use suppositories; for children up to three years old, it is more convenient to use syrup. Older patients and adults can use tablets or capsules.

Dosages

The instructions for use of paracetamol tablets indicate that in addition to the symptomatic treatment of pain syndromes of various origins, it is used as an antipyretic for temperatures of infectious and inflammatory origin. Tablet forms of the drug are intended for children aged three years and older. The dosage of paracetamol used to reduce fever in children aged 3 to 6 years is 60 mg per 1 kg of body weight. In other words, a child weighing 20 kg can receive 1.2 g of medication per day.

At fever, the dosage of paracetamol tablets increases depending on age. In children from 9 to 12 years old, the daily amount can already be 2 g, in older children and adults - up to 3-4 g.

The drug in tablets is recommended for use after meals; it should be washed down with plenty of water.

In newborns, the drug is used in the form of rectal suppositories. The daily dosage is also 60 mg per 1 kg of body weight. The drug in the form of syrup is intended for children from three months, but in the appropriate dosage it can also be taken by adult patients.

Indications for use

The use of paracetamol alone at high temperatures may not be enough. Ibuprofen derivatives are more preferable at temperatures above 39 degrees. Paracetamol is most active at low-grade or febrile temperatures.

Any colds, such as ARVI, influenza, adenovirus infection, occur with an increase in body temperature. Developing hyperthermia is a protective mechanism in the fight against infectious agents. Therefore, the use of antipyretics, including paracetamol, for colds without fever or with low-grade fever is not advisable. It is precisely such actions that often lead to a protracted course of the disease, the appearance of “temperature tails” for a long time.

The same applies to non-communicable diseases. Since the anti-inflammatory effect of the drug is insignificant, and inflammatory diseases are usually accompanied by low-grade fever that does not require correction, in this case preference is given to other more effective drugs. The most justified use of paracetamol is at a temperature of 38 degrees, caused specifically by colds.

Combination drugs

Paracetamol can be found both as a single drug and as part of many medicines, such as

They contain flavorings and dyes that can be toxic or cause an allergic reaction, so it is recommended that children use paracetamol in its pure form when they have a fever.

Treatment of white hyperthermia

What to do if paracetamol does not bring down the temperature? In some cases, a vascular component takes part in the development of hyperthermia, causing spasm of small peripheral vessels of the skin. The child is distinguished by pronounced pallor. Due to vascular spasm, the skin even acquires a marbled tint. Despite the high temperature readings, the limbs are cold to the touch. This condition is characterized by white hyperthermia.

It is for these reasons that in order to correct treatment in this case, in addition to antipyretics, drugs that relieve spasm of peripheral vessels should also be used. With such an increase in temperature, paracetamol and no-spa are used together. The use of a triad consisting of an antihistamine and paracetamol with no-shpa can be very helpful.

It is necessary to take into account the fact that paracetamol lowers the temperature rather slowly, inferior to aspirin and ibuprofen.

Its effect begins within minutes, reaching a maximum at 1.5 hours, therefore, before concluding that paracetamol does not reduce the child’s temperature, it is necessary to wait, using physical methods of combating hyperthermia at this time, and also evaluate the possibility of developing vasospasm, which prevents heat transfer.

Taking drugs together

Among medical practitioners, there are two opposing points of view about the possibility of joint use of various antipyretic drugs, for example, paracetamol and analgin, paracetamol and aspirin for fever.

Proponents of this method argue their position by the fact that since the drugs belong to the same group of drugs, their joint use, enhancing each other's actions, will lead to maximum effect. This statement is supported by numerous positive patient reviews.

Side effects of aspirin

As for the opposite point of view, the use of paracetamol with aspirin together at a temperature may be associated with a number of dangers due to a wide range of side effects from taking acetylsalicylic acid. Complications from the use of aspirin may include the following pathological conditions:

  • dyspeptic disorders;
  • development of stomach and duodenal ulcers;
  • Reye's syndrome;
  • bleeding.

The use of aspirin is contraindicated for influenza, since with this pathology the permeability of the vascular wall increases, causing the appearance of hemorrhages, and aspirin is a powerful anticoagulant. Therefore, using it for influenza may lead to bleeding. This must always be remembered, since influenza is a disease that often requires correction with antipyretics.

The issue of using aspirin in children may be especially acute. The drug is prohibited for use in children under 12 years of age due to the possibility of developing Reye's syndrome.

This is a serious disease that occurs with liver damage and encephalopathy (mortality rate is up to 20%). However, the dangerous side effects also force it to be used with caution in older age groups. In addition, the combined use of two drugs does not allow one to clearly determine the required dose.

Therefore, at a temperature, paracetamol and acetylsalicylic acid can only be used in adults in the absence of contraindications caused specifically by taking aspirin. Such contraindications are:

  • gastrointestinal diseases accompanied by the development of erosions and ulcers;
  • diseases associated with disorders of the blood coagulation system (hemorrhagic vasculitis, thrombocytopenic purpura, vitamin deficiency C, etc.);
  • hemophilia;
  • portal hypertension;
  • haemorrhoids.

Side effects of analgin

As for the combined use of paracetamol and analgin for fever by adults, the possible side effects from the use of analgin are also great. The most serious complication of this drug is changes in the blood. Developing agranulocytosis, characterized by a decrease in the level of neutrophils, leads to the development of various infections. In recent decades, the drug has been banned for use in the USA, Europe, and Japan.

Another argument against the use of paracetamol and analgin for fever in children is the lack of pharmacological drugs with such a composition. At the same time, there are combinations of paracetamol with ascorbic acid, caffeine, and ibuprofen. This fact may indicate the danger of using such a combination.

Therefore, in cases where paracetamol does not help bring down the temperature, and hyperthermia remains at the level of degrees for several hours or days, it is necessary to seek help from specialists.

In children, analgin finds its use as part of a lytic mixture. Its use together with an antihistamine and antispasmodic is due to its availability in the form of a solution for intramuscular injection, which allows you to get the effect of administration within a few minutes.

Ibuklin

Of the combination drugs used as antipyretics, ibuclin, which contains paracetamol and ibuprofen, has become widespread in recent years. It develops side effects less frequently than other representatives of the group of non-steroidal anti-inflammatory drugs, and it acts quite quickly and is most effective. There are age restrictions for it (the drug can only be used in children over 12 years of age).

The use of paracetamol at high temperatures is an important component of the complex treatment of hyperthermia, including both non-drug methods and the use of drugs. The prescribing of this drug should take into account the following:

  1. Antipyretics, including paracetamol, are prescribed when the temperature rises above 38 degrees in children and 38.5 in adults;
  2. The drug is taken after physical efforts to reduce the temperature have not achieved the desired results;
  3. The dosage of the drug is determined according to the patient’s age;
  4. Patients with renal and hepatic insufficiency should take the drug under the supervision of a physician, agreeing on the dosage;
  5. If white hyperthermia develops, antispasmodics must be used together with an antipyretic.

Antipyretics are prescribed in short courses. The duration of taking paracetamol for fever can be no more than three days, as a painkiller - no more than five.

In cases where hyperthermia persists for a longer period, urgent consultation with a specialist is necessary. In this case, we may be talking about the development of complications, and it will be difficult to manage with symptomatic treatment alone. It is important not to miss the time to correctly prescribe treatment that would act not only on the symptoms, but also on the disease itself. Paracetamol, like any antipyretic drug, is used only as symptomatic treatment.

Author: Gaevaya Natalya

Paracetamol and Analgin

If the fever is moderate, then it is better to bring down the temperature with Paracetamol without the use of other medications. Unlike such a common drug as aspirin, this drug is less toxic and has a number of advantages:

  • Quick effect (improvement in the patient’s condition is noted after 1-1.5 hours).
  • No damaging effect on the mucous membrane of the stomach and intestines.
  • No effect on the blood coagulation system (aspirin has the ability to prevent the formation of blood clots, reducing blood clotting).
  • Safe for use in children (the child is prescribed the drug under the supervision of a doctor from the first months of life).
  • Side effects after taking the medicine are very rare.

Antipyretics such as paracetamol or ibuprofen are effective in reducing fever in most cases. But if they do not help, then you can try a combination of an antipyretic with analgin. Taking Analgin and Paracetamol together is necessary in cases where the temperature could not be normalized in the standard way. Prolonged fever has a very negative effect on the condition of the entire body, and these drugs combine well with each other and enhance the antipyretic effect of each other. The analgesic properties of Analgin will also help improve the patient's condition and relieve headache, muscle and joint pain.

Read also: dosage and side effects of Paracetamol

An adult can take both drugs in standard dosages in tablet form or in injection form (considered more effective). At one time you can take 0.35-0.5 g of paracetamol and 0.25-0.5 g of analgin. The combination of these drugs cannot be used for long-term treatment, and if the temperature does not return to normal, you should consult a doctor.

Use in children

Found a mistake? Select it and press Ctrl + Enter

Did you like our site? Tell your friends about it

Young mothers with fever in children, paracetamol for children, aspirin for children with fever analgin for children with fever dosage | Tags: cold

From the user's journal Mean Girl

Colds, enuresis, jaundice, herpes, hemangiomas - treatment

18 July 2011, 16:41

Fever in a child is the most common reason for parents to visit a doctor. Definition - a temperature above 38.0 C measured in the rectum (butt) or above 37.5 in the armpit is considered elevated. Temperature itself is not a life-threatening condition unless it is higher than 41.6 C in the rectum (41.0 C in the armpit). Fever can be a sign of a serious illness, but more often it is a sign of the most common infections. There is a part of the brain called the hypothalamus, which controls body temperature. The hypothalamus raises body temperature so that the body can produce the substances it needs to fight disease. The body is capable of this only at elevated temperatures. When to contact a doctor immediately (call an ambulance) - your child is less than 2 months old. – You assume that the child is dehydrated. Signs of dehydration: – “sunken” eyes – reduced number of urinations or dry diapers – sunken fontanelle in children under one year of age – lack of tears when crying – dry mucous membranes in the mouth, dry tongue – severe drowsiness (more than usual) – severe agitation ( more than usual) - the appearance of an unpleasant specific odor from the mouth - the child has developed convulsions. – the child has a purple rash on the body or bruises appearing on the eyes. – changes in the child’s state of consciousness. The child is apathetic, sleepy, and does not respond to attempts to wake him up. – breathing becomes too slow, too fast or difficult. – the child has a very severe headache that cannot be controlled with analgesics and antipyretics. – the child has continuous vomiting. The presence of at least one of these symptoms along with a fever requires IMMEDIATE consultation with a doctor. When else to see a doctor: – child under 6 months. – You cannot control your temperature despite taking antipyretics. – You assume that the child may be dehydrated due to an insufficient amount of fluid administered (the child categorically refuses to drink, the child has diarrhea, the child drinks but vomits). – if the child has already been examined by a doctor for a current illness, but his condition worsened or new symptoms appeared. The presence of at least one of these signs along with a fever requires a conversation with a doctor and/or an examination by a doctor on the same day. What to do at home? Three main tasks that the mother of a child with a high temperature sets for herself. The first is to reduce the temperature to an acceptable level. Secondly, prevent dehydration. Third, constant monitoring of the child’s condition so as not to miss a serious or dangerous disease. Reducing the temperature: -it is best to measure the temperature with a regular mercury thermometer in the butt or armpit. You can also use digital. There is no need to use an in-ear device - its readings are unreliable. In children under one year of age, the temperature should be measured in the butt; data on measuring temperature in the armpit in such young children is unreliable. – Your task is to reduce T to 38.9 C in the butt (38.5 C in the armpit). – to reduce T, use paracetamol (acetominophen), ibuprofen. Never use aspirin, especially if your child has chickenpox. – undress the child (do not wrap him up!). Don't forget about cool, fresh air in the room. – to reduce T, you can also use cool baths (water temperature corresponds to normal body temperature). – do not use alcohol rubs, especially in young children. Remember, alcohol is poison for a child. Prevention of dehydration. – try to get your child to drink more than usual. Better juices. – tea is not the best drink for a child to prevent dehydration, because... tea contains caffeine-like substances that increase urine production, which can lead to additional fluid loss. This is not at all the effect you want to achieve. – If the child is not dehydrated, he should urinate light-colored urine approximately every 4 hours. Constant monitoring of the child. – try to keep the T below 39.0 C in the butt (38.5 C in the armpit). - drink plenty of fluids. – if, despite the presence of both conditions, the child’s condition does not improve, one should think about a more serious problem that caused the increase in temperature. Remember, most fevers in children are caused by viruses and do not require antibiotics to treat them. Most diseases that cause T in children last 3-7 days. Be healthy!

The use of antipyretic drugs in childhood.

Fever during acute respiratory diseases in children is the most common reason for calling a pediatrician at home. You need to know that “fever” in itself is not a disease, and the degrees of fever do not correlate in any way with the severity of the disease. Most common viral respiratory infections are characterized by high fever, sometimes up to 40 degrees. Fever is a response to infection, a protective mechanism that helps the body fight viruses; when body temperature rises, protective factors are produced in the body. Therefore, reducing any temperature by any means is, to put it mildly, not useful. According to foreign sources, a temperature of up to 40.5 degrees (in the armpit) is safe for an organism that does not have severe neurological disorders (epilepsy) and heart defects. It is also a mistaken opinion that when the temperature drops, recovery accelerates; taking antipyretics is just a temporary measure to alleviate well-being, but not the disease. “Classically” it is recommended to reduce the temperature above 38.5 (in the armpit), but this is a conditional figure. Some children even at 39 feel good and play, and some even at 38 feel significant discomfort. What methods are safe to reduce fever? WHO recommends, and the whole world uses, two drugs - paracetamol and ibuprofen. These drugs have shown equal effectiveness in studies. Many parents will object that these drugs “do not help” their children, and they have to call an ambulance. The fact is that all drugs in pediatric practice are calculated based on the weight of a particular child. Medicines must be taken, correctly calculating the dose for the weight of a particular child, using special measuring syringes, and not “by eye”, with a teaspoon of unknown volume, as “it helped before.” Manufacturers, especially of cheap paracetamols, for some reason underestimate the doses, and focusing on the recommendation - “from 6 months to 3 years” is also not reasonable, since one dose of the drug cannot be suitable for a child weighing from 8 to 18 kg.

Paracetamol (Panadol, Efferalgan, Cefekon D) single dose of the drug – 15 mg/kg.

That is, for a child weighing 10 kg, a single dose will be 10 kg X 15 = 150 mg. For a child weighing 15 kg – 15X15=225 mg. This dose can be given up to 4 times a day, if necessary.

Ibuprofen (nurofen, ibufen)

A single dose of the drug is 10 mg/kg. That is, a child weighing 8 kg needs 80 mg, and a child weighing 20 kg needs 200 mg. The drug can be given no more than 3 times a day. The drugs reduce the temperature within an hour and a half, by about 1-1.5 degrees; you should not expect a decrease in temperature to the “normal” 36.6. You also need to remember that against the background of an infectious disease and fever, the child easily loses fluid through evaporation and dehydration can occur. Therefore, the child must be constantly given liquid to drink, preferably plain boiled water, in a volume of at least 100 ml of liquid per 1 kg of the child’s weight per day. About other drugs, sometimes recommended in the former USSR to reduce fever:

Analgin (metamizole sodium). The use of the drug in the civilized world is not approved due to its high toxicity and inhibitory effect on hematopoiesis.

In Russia it is widely used, especially in emergency situations, as part of a “lytic mixture”. In principle, a single administration of the drug is possible in conditions where other, safer drugs are not available (in a deep forest), or administration of the drug by mouth or in suppositories is impossible for some reason, and there is no intravenous paracetamol. But frequent, constant use of analgin with every increase in temperature is absolutely unacceptable. A few words about “paramedic” methods of reducing temperature, which for some reason are popular in Russia. For some reason, there is a strong belief that syrups and suppositories do not help (why - see earlier in the text). But you have to give outlandish combinations - a quarter of a tablet of paracetamol + a quarter of an analgin tablet + no-spa + a few drops of Corvalol. Firstly, the dose of paracetamol in this combination is most often insufficient. (a quarter is 125 mg, that is, a dose for a weight of about 8 kg). Secondly, the remaining components raise many questions. No-spa is a refined version of papaverine; neither one nor the other drug has anything to do with reducing temperature. Separately, about Corvalol (Valocordin), given to “support the heart.” The drug has nothing to do with the heart. Roughly speaking, this is an alcohol solution of phenobarbital - an old, strong, unsafe sleeping pill from the group of barbiturates. This drug has no place in pediatrics, and in adult practice too. Perhaps to neutralize hysterical young ladies. Due to the peculiarities of the mechanism of elimination from the body, the drug weakens the effect of some drugs with a similar mechanism of elimination, for example paracetamol, and at the same time the toxic undesirable effects of both paracetamol and phenobarbital are enhanced. Separately about the “lytic mixture”, this is a historical concept invented long ago in the USSR. Includes analgin, pipolfen (replaced with diphenhydramine or suprastin) and papaverine. Only the first component is relevant to reducing temperature. Old antihistamines have a sedative effect; after their administration, the child usually sleeps for a long time, and then walks lethargically for a very long time.

Aspirin (Acetylsalicylic acid) - the use of the drug in children under 12 years of age for viral infections is prohibited due to the possible development of toxic encephalopathy with liver damage - Reye's syndrome.

Nimesulide (Nise, Nimulid) - several years ago was widely advertised as an antipyretic in children due to gaps in legislation. Reduces temperature remarkably. Produced only in India. In the civilized world, use in childhood is prohibited due to the possibility of developing severe liver damage (toxic hepatitis). At the moment, the use of the drug in children under 12 years of age in Russia is prohibited by the pharmaceutical committee.

The instructions for antipyretic drugs state that the drug should not be given for more than 3 days. What to do next? The fact is that this phrase is an incorrect translation from the original English instructions - this should be understood in such a way that you can take an antipyretic for 3 days without examination or a doctor’s prescription, and if the high temperature persists longer, then you should consult a doctor. And then take the drug as much as the doctor tells you. It’s just that in other countries they don’t immediately consult a doctor if they have a fever, and a recommendation is needed in order to identify complications or a serious illness in time. More about myths. There is a strong belief that after 3 days of high fever you need to take antibiotics. Who determined these 3 days? With many viral infections, fever can last longer than 3 days, and the use of antibiotics for viral infections is irrational, and with some viral infections, antibiotics contribute to the development of bacterial complications, no matter how strange it sounds. Antibiotics should be used when the need for their use is justified - a bacterial infection (pneumonia, pyelonephritis, purulent otitis, streptococcal tonsillitis). Antibiotics do not affect the temperature in any way, and should not be a sedative for the pediatrician and the child’s parents. And it is also important to remember that the use of antipyretics does not in any way affect the duration of the disease or the possibility of developing complications. This is just a temporary measure to improve your well-being and alleviate the condition.

Source: http://pediator4d.ru/temperatura_rebenka/analgin_i_paracetamol_detyam_ot_temperatury_dozirovka.html