What is best to give a newborn for fever? Antipyretics for newborns - when and how to take them? Antipyretic drugs for newborns with sore throat

It is important for every mother to be aware of what to do if the baby has a fever: in what cases it needs to be lowered, what medications are allowed to be used, what dosage will not harm the baby’s health. At the moment, Paracetamol is considered the most harmless drug for reducing fever in children. It is presented in the form of suppositories, suspensions, syrups and tablets.

Which form of antipyretic is best?

Antipyretic drugs for children are presented in a wide variety and it is not easy for parents to make a choice. When choosing, you must take into account the child’s age, predisposition to allergic reactions, and also pay attention to how quickly a certain form of the drug and the substance it contains act.

Forms of children's antipyretic drugs:

1. Suspension. Good for children under 12 years of age. If the temperature rises very quickly, it is best to choose a remedy in the form of a syrup, since the liquid medicine is absorbed more actively and its effect is noticeable after 20 minutes. Children of any age category, even infants, are allowed to take the drug. The disadvantage is that allergies to fruit additives and dyes are common.
2. Rectal suppositories. Ideal for infants. Their action begins after 40 minutes. It is advisable to use at night. Among the advantages, it is worth highlighting the long-lasting effect, the ability to put it in a sleeping state, and can be used during nausea, vomiting and regurgitation.
3. Antipyretic for children in tablet form. Their use is allowed only if the baby is able to swallow the tablet. While taking the medicine, you need to drink a lot of water. You can also crush a paracetamol or ibuprofen tablet, dissolve it in water and give it to your child to drink.

Don’t forget - by reducing your temperature with antipyretics, you only eliminate the symptoms of the disease. It is important to identify the cause of hyperthermia in time and begin the required treatment.

Any antipyretic drug for children should be used only with the permission of a doctor. Before using the medicine, you must first read the instructions and find out the recommended dose, taking into account the age of the baby. The pediatrician has the right, if necessary, to prescribe a different dose of the drug. The drug can be taken a second time 4 hours after the initial dose, if the temperature has risen above 38.5⁰C and the baby is not feeling well.

All approved pediatric antipyretics

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A complete list of antipyretic drugs that can be given to children:

• Paracetamol. Among similar products are Panadol, Calpol, Efferalgan, Dofalgan, Tylenol, Mexalen, Dolomol. After taking paracetamol, the temperature drops by only 1-1.5 degrees and does not rise for 4 hours, and with high hyperthermia, relief lasts only two hours. The baby may be at risk of individual intolerance to the drug.
• Ibuprofen (more details in the article:). Among the analogues are Ibufen and Nurofen. The product has the greatest effect and does not pose a danger to the child’s health.
• Viburcol. Has a homeopathic effect.

Prohibited antipyretic for children:

• Aspirin (Acetylsalicylic acid), as well as Analgin, Antipyrin and other drugs based on them, are prohibited from being given to children (we recommend reading:).
• Rubbing with alcohol and vinegar. This method is widespread among the people, but poses a great danger, especially for newborns and children under three years of age. A harmful substance can penetrate the delicate skin of a child, which will lead to alcohol or toxic poisoning.

To make your baby feel better during a fever, it is necessary to give him plenty of fluids. In addition to water, you can offer your baby to drink juice; the most useful are cherry, orange, cranberry and lingonberry juice, as well as raspberry jam and an infusion of medicinal herbs.

The drug Viburkol is created on the basis of exclusively natural raw materials

Preparations for reducing fever based on paracetamol

Paracetamol has antipyretic and analgesic effects. It is used during diseases characterized by high hyperthermia - influenza, ARVI, colds, otitis media, teething in infants. Paracetamol is not allowed to be used in infants up to one month (up to three months, take precautions) and in case of individual intolerance to the drug. It is also necessary to take precautions when taking it in children suffering from Gilbert's syndrome, diabetes mellitus, viral hepatitis, liver and kidney failure.

Negative effects include itching, rash, angioedema, anemia, methemoglobinemia, thrombocytopenia. In case of overdose, nausea, vomiting, pale skin, liver problems, and loss of appetite may occur within a day.

Paracetamol for children

Children's paracetamol is produced in the form of a suspension and syrup. The suspension can be used from one month, and the syrup from three months. Give the drug according to the instructions, never exceed the indicated dose for the baby. The recommended dosage depending on age and the rules for taking the drug are presented in the table.

Form of the drug		Admission rules
Syrup for oral administration 2.4% 50 ml, 100 ml	from three months to one year - 2.5-5 ml (1/2-1 teaspoon); from 1 to 6 years - 5-10 ml (1-2 teaspoons); from 6 to 14 years - 10-20 ml (2-4 teaspoons).	Take orally before meals 3-4 times a day, every 4-5 hours. Infants are allowed to add to a bottle of water or tea.
Suspension 120 mg/5 ml 100 ml	from 1 to 3 months. - 2 ml (50 mg); from three months up to one year - 2.5-5 ml (60-120 mg); from 1 to 6 years - 5-10 ml (120-240 mg); from 6 to 14 - 10-20 ml (240-480 mg).	Do not dilute, take orally before meals with water, 3-4 times a day every 4-5 hours.

If the child does not want to drink the syrup separately, you can add it to tea

Panadol for children

Panadol for children has an antipyretic and analgesic effect. Widely used for colds, flu, earache, otitis media and teething in young children. Children aged two to three months, as well as premature babies, are allowed to use the drug strictly on the recommendation of a doctor.

Form of the drug	Child's age and recommended dose	Admission rules
Suspension 120 mg/5 ml, 100 and 300 ml	from three months to six months with a weight of 6-8 kg - 4 ml; from six months to 12 months with a weight of 8-10 kg - 5 ml; one to two years with a weight of 10-12 kg – seven ml; two to three years with a weight of 13-15 kg – 9 ml; three to six years with a weight of 15-21 kg - 10 ml; six to nine years with a weight of 21-29 kg - 14 ml.	Shake the bottle with the contents well before use. Children over three months old need to take the medicine at a dose of 15 mg/kg based on body weight 3-4 times a day.
Rectal suppositories 125 mg	from 3 months to 3 years – one suppository	Administer rectally after 4-5 hours, the permissible rate is 3 times a day.

Tsefekon D

Cefekon D has an antipyretic, analgesic and anti-inflammatory effect and is used for acute respiratory infections, influenza, infectious diseases in children and reactions after vaccinations. Available in the form of rectal suppositories in dosages of 50 mg, 100 mg and 250 mg. One dose is 10-15 mg/kg, used two to three times a day every 4-6 hours:

• 1-3 months with a weight of 4-6 kg - 1 suppository of 50 mg;
• 3-12 months with a weight of 7-10 kg - 1 suppository of 100 mg;
• from one to 3 years – 1-2 suppositories of 100 mg each;
• 3-10 – 1 suppository of 250 mg.

Cefekon D suppositories are effective for acute respiratory infections, influenza, and a number of infectious diseases (we recommend reading:)

It is allowed to be used once in children aged one to three months with hyperthermia after vaccination. The drug can be used as an antipyretic for three days, and as an analgesic for five days.

Calpol

Calpol helps bring down the temperature and reduce pain. Produced as a suspension of 120 mg/5 ml; 70 ml, 100 ml. It is allowed to be used in newborns from the third month of life (in younger children, use the drug only if prescribed by a doctor):

• 3-12 months - 2.5-5 ml (60-120 mg);
• 1-6 years - 5-10 ml (120-240 mg).

It should be taken orally after meals, one to two hours later, with plenty of water. There is no need to dilute the baby suspension.

Efferalgan

Quite an effective analgesic and antipyretic for infants and older children. To achieve a faster antipyretic effect, it is advisable to use the drug in the form of a syrup, and the use of Efferalgan in the form of suppositories does not raise the temperature for a longer time.

Efferalgan for children is considered one of the most effective antipyretics

Ibuprofen-based medications to reduce fever

If paracetamol does not give the desired effect or the child has an allergy, ibuprofen-based drugs are used to bring down the temperature. Their use is prohibited in the following cases:

• for allergic rhinitis;
• with urticaria;
• for allergic cough and bronchial asthma;
• up to three years of age;
• in the presence of blood diseases;
• with improper functioning of the kidneys and liver;
• for stomach ulcers;
• for hearing impairment.

Side effects include:

• diarrhea;
• vomiting;
• nausea;
• stomach pain.

Side effects may include gastrointestinal problems

Allergic manifestations may also occur in the form of urticaria, rash, itching, bronchospasm, insomnia, headache, dizziness, excessive excitability, cystitis, malfunction of the kidneys, anemia, leukopenia and thrombocytopenia. Signs of overdose include:

• low blood pressure;
• headache;
• abdominal pain;
• metabolic acidosis;
• tachycardia;
• vomiting;
• renal failure;
• noise in ears.

Nurofen for children

Nurofen for children has antipyretic, analgesic and anti-inflammatory effects. Its use is often resorted to in cases of acute respiratory infections, influenza, infectious diseases in children, and reactions after vaccination.

Form of the drug	Child's age and recommended dose	Admission rules
Suspension 100 ml	three to six months – 2.5 ml three times a day; six months to 12 months - 2.5 ml 3-4 times a day; 1-3 years - 5 ml three times a day; 4-6-7.5 ml three times a day; seven to nine - 10 ml three times a day; 10-12 - 15 ml three times a day.	Take orally. The dose volume is affected by the age and weight of the child.
Rectal suppositories 60 mg	3-9 months with a weight of 5.5-8 kg - 1 suppository three times a day; 9 months to two years with a weight of 8-12.5 kg - 1 suppository 4 times a day	Suitable for babies from three months of age to two years. Administer rectally after 6-8 hours.

Nurofen is often prescribed to children after vaccination

Used as an antipyretic, analgesic and anti-inflammatory agent. Produced in the form of a 100 ml suspension. Permitted dosage:

• if the temperature is less than 39.1°C, then 4 times a day: 13 months to six years with a weight of 10-20 kg, 2.5-5 ml; 6-12 with a weight of 21-41 kg, 5-10 ml;
• if the temperature is above 39.1°C, then twice a day: 13 months-3 years with a weight of 10-15 kg, 5-7.5 ml; 3-6 with a weight of 16-20 kg, 7.5-10 ml; 6-9 with a weight of 21-30 kg, 10-12.5 ml; 9-12 with a weight of 31-41 kg, 15-20 ml.

Shake the bottle with the contents well before use and take after meals. The medicine does not need to be diluted with water, but it is allowed to be washed down after administration. The drug should not be used by children under 12 months of age and weighing less than 7 kg.

To make the suspension homogeneous, Ibufen must be shaken before use (we recommend reading:)

Homeopathic medicines

Viburkol is a homeopathic remedy that achieves anti-inflammatory and antipyretic effects. The drug is used in the complex treatment of childhood respiratory diseases. It contains: conja, chamomile, pulsatilla, belladonna, dulcamara and plantago.

Viburkol should not be used only if you are individually intolerant to its components. The drug in the form of suppositories is administered rectally:

• in case of severe condition, one suppository 4-5 times a day, after normalization - one suppository two to three times a day;
• for children under six months of age, one suppository twice a day.

Viburkol is used in the complex treatment of respiratory diseases as an antipyretic and anti-inflammatory agent. In addition, it is used to alleviate the condition during teething.

Antispasmodic agents

Antispasmodics cannot relieve fever, but the doctor may prescribe them along with medications for fever. This occurs when white fever occurs, in which the blood vessels narrow and the body is unable to cope with the heat. White fever is characterized by the following symptoms:

• paleness of the skin;
• nails and lips blue;
• cold extremities;
• maintaining hyperthermia above 39°C for a long time;
• the temperature rises quickly and is difficult to reduce;
• the child is shivering;
• the occurrence of febrile seizures;
• rave.

Among the antispasmodics, “No-shpu” and “Papaverine” are distinguished. They help relieve vascular spasms and enhance the effect of antipyretic drugs. When taking it, you need to pay attention to the age of the baby, whether he has any pathologies or chronic diseases. The required dose must be calculated based on the child’s weight after reading the instructions.

The drug Papaverine can be used in combination with antipyretic drugs

Lytic Blend Review

The lytic injection consists of an analgesic, antispasmodic and antihistamine. This injection is given to a child in the following situations:

• the temperature rises quickly and is not reduced by paracetamol and ibuprofen;
• the child’s inability to take the drug due to vomiting, loss of consciousness or unwillingness to take the medicine;
• deterioration of condition, febrile convulsions.

Precautionary measures:

• Frequent use of the lytic mixture is not allowed, only in extreme cases;
• suspicion of appendicitis;
• babies under one year of age.

The required dose of the injection is calculated by the doctor. As a rule, emergency teams resort to lytic agents.

In what cases is an antipyretic drug required?

In case of viral and infectious diseases, the presence of hyperthermia is a favorable sign. This indicates good immune function. If a child feels normal during a fever, then it is advisable not to lower the temperature.

Cases when it is necessary to give a child a drug to reduce fever:

• at a temperature above 38°C in babies under three months of age;
• at a temperature above 39°C in babies over three months of age;
• if the child has heart or lung disease, with the permission of the cardiologist, if the temperature is above 38.5°C;
• when febrile convulsions occur, if the temperature remains 37.5-38°C.

Rules for taking antipyretics

When giving your baby any drug to reduce fever, you must follow some rules, do not neglect the instructions and follow all the doctor’s instructions:

Normally, antipyretics for newborns are prescribed by pediatricians, regardless of the nature of the pathological or physiological condition. But it happens that help needs to be provided urgently, so parents should know what means and in what form can be used in an emergency, how to give them correctly, and how they differ from each other.

For the most part, the effect of specialized drugs is aimed specifically at eliminating the signs of fever in children, but some of them also have additional properties. It is strictly forbidden to independently decide on treatment for a baby under one year of age, even if his temperature has already risen, and the parents remember what the doctor prescribed for him.

Drugs allowed and prohibited in infancy

Modern antipyretics for newborns most often belong to one of the following large groups according to the type of active substance:

1. Paracetamol-based products (Panadol, Paracetamol, Efferalgan). Available in the form of suspensions, rectal suppositories and tablets. Prohibited only for infants in the first month of life. Contraindicated for children with diabetes mellitus, viral hepatitis, liver and kidney diseases, hypersensitivity to the main component.
2. Compositions based on ibuprofen (Ibufen, Ibuprofen, Nurofen). They have the same release forms, but they can only be used from the third month of a child’s life. Prohibited for use in cases of asthma, kidney and liver failure, hearing loss, gastritis, peptic ulcers, and blood diseases.
3. Combined products that contain both paracetamol and ibuprofen (Ibuklin Junior). Tablets that can be switched to when the child turns 3 years old. Contraindications are the same as for monocomponent drugs.

Advice: It is strictly forbidden to deviate from the recommendations for age groups specific to the specified active substances, even if something different is stated on the product packaging and instructions. The action of the listed components is particularly specific and can cause irreparable damage to a developing organism and provoke a number of side effects.

In addition, there is a separate group of medicines for children - homeopathic in nature (Viburkol). Available in the form of temperature suppositories for newborns, they have no age restrictions or contraindications. Prohibited for use only in case of individual intolerance, which is extremely rare even in infants.

In pediatrics, it is prohibited to use antipyretic drugs familiar to adults:

• Analgin. Causes many side effects (dizziness, anemia, nausea). Long-term use of the composition is especially dangerous. The reaction of infants and even children older than one year can be the most unexpected, up to anaphylactic shock.
• Aspirin. Strictly prohibited for children under 12 years of age in any shape or form. This is due to the high risk of complications. For example, with fever associated with chickenpox, there is a high probability of developing deadly pathologies.

When choosing the optimal remedy, it is necessary to take into account not only its statistical indicators, but also the individual characteristics of the child’s body and the severity of the condition. For this reason, it is better to first see a doctor and do tests that will allow you to choose the right drug.

Overview of popular children's products

To decide on a reliable and safe antipyretic for a newborn or to choose an effective remedy for a child a little older than one year, you need to understand the features of existing products:

• Compositions with paracetamol. They are used against the background of fever caused by viral and bacterial infections, teething, inflammatory processes (for example, otitis media). They are considered one of the safest remedies for treating young children, especially under the age of one year. Often used as an indicator to quickly diagnose the nature and severity of the disease. Thus, for acute respiratory viral infections, the drugs give a quick and pronounced effect, but for influenza, bacterial and fungal infections, their effect is blurred and does not last long.
• Formulations with ibuprofen. Not only do they relieve fever, but they also actively fight inflammatory processes and dampen the severity of pain. Most often they are used in cases where paracetamol does not cope with fever or an integrated approach is needed to treat certain conditions in children. In the case of babies under one year old, it is advisable to combine products with analogues based on paracetamol. In this case, ibuprofen is given to the baby at night, and paracetamol is used during the day. At least 6 hours must pass between doses of these medications!
• Viburcol. It is often used by mothers in the complex treatment of teething complicated by temperature, for ARVI, colic, and overexcited baby. Candles relieve fever, eliminate spasms and inflammation, and muffle pain.

Each of the listed products has its own specific properties and qualities, which are not always written about in the instructions (or they use language understandable only to medical professionals). Therefore, despite the fact that the products can be purchased without a prescription at the pharmacy, this should only be done with the permission of a doctor.

Antispasmodics as a remedy for “white” fever

It happens that antipyretics do not give the desired effect, even when used correctly and combined with each other. The reason may be vascular spasm, due to which the child’s body (especially under the age of one year) cannot get rid of the fever. This condition is called “white” fever and requires the use of antispasmodics.

A dangerous phenomenon in children is characterized by the following symptoms:

• Very pale, almost.
• Blueness of lips and nail plates.
• Coldness in upper and lower extremities.
• The temperature is above 39ºС and is not affected by anything.
• If the temperature can be brought down, the effect is very short, after which the indicator rises rapidly again.
• Severe chills may be accompanied by convulsions and delirium.

Products such as Papaverine and No-Shpa help eliminate vasospasm and quickly reduce temperature. Given the complexity of the condition, such manipulations can only be entrusted to a doctor. Before the specialist arrives, parents should, if possible, clarify the child’s weight, which will be needed to calculate the exact dose of medication.

When choosing the composition of a medicine, we must not forget about its form. When treating children, it is advisable to use suppositories and suspensions. The first ones are best placed at night, you can even do it while you sleep. They have an increased duration of action and very rarely cause allergies. The latter have rapid action and are indispensable when the temperature rises rapidly. True, they add sweeteners and dyes, which often provoke allergies in children.

All antipyretic drugs are stored in a dark and cool place; depending on the shape of the product, it must either be carefully closed (suspension) or the packaging (suppositories) must be sealed. If a baby has a violent reaction to an increase in temperature (convulsions, vomiting), then therapy should be started as early as possible.

As soon as parents notice that the child has a fever, they begin to get nervous and do something. Of course, they are doing the right thing, because it is the temperature that indicates that something is wrong with the child’s body, that some kind of infection has entered and it is necessary to urgently begin treatment. If the children are already several years old, then of course the problem here is not so big, because the parents already know which products are suitable for the child. But what to do if the temperature rises in a newborn baby? What antipyretics are suitable for such babies?

Antipyretics are prescribed exclusively by a doctor

It is imperative to find out the cause of the high temperature.

If you still need to use antipyretics, then you should always remember certain rules that will help you not make mistakes. It is worth remembering that there are no completely safe medications and any of them can have some specific complication on the child’s body; it is also necessary to take into account that all medications have certain contraindications. There is also another important point: the basis of any antipyretic drug will be paracetamol, which is not entirely beneficial to the child’s body and therefore it can only be used in extreme cases, namely when the child’s temperature has exceeded 38.5 degrees.

Compliance with the rules when using antipyretics

In addition, you should always adhere to the basic rules that will help you avoid complications. You should not give your child an antipyretic drug very often. Use it only if the baby’s temperature is too high and his body can no longer independently maintain it within the required limits. It is best if, of course, you do not give your child antipyretic drugs at all, but if such a need arises, then taking the medications should not exceed twice in one day. Also, under no circumstances should you give your child antipyretic and antibacterial drugs at the same time, because this can cause very serious complications.

Today there are a huge number of different medications and the doctor can prescribe any of them for you, but still remember that you cannot give your child Analgin, Nimesulide or Acetylsalicylic acid, because they can cause very severe liver diseases, especially in a newborn.

When a newborn baby has a fever, it comes as a real shock to parents. After all, we all know that infants’ temperature can rise for many reasons, but not all of us can accurately determine what exactly caused the jump. At the same time, parents also understand the fact that taking antipyretics only helps to get rid of the temperature, but does not help eliminate the cause of its increase. And given the fact that on the modern pharmaceutical market today there are many means to reduce fever, parents are completely stupefied, not knowing what to choose.

That is why every mother should know as much information as possible about temperature and antipyretic drugs. After all, an increase in body temperature is a protective reaction of the human body, which is activated when various viruses and bacteria enter it. When a temperature jump occurs, the body begins to produce protective antibodies, which help naturally cope with uninvited “guests”. At the same time, it is also important that an increase in body temperature can be a kind of signal that a malfunction has occurred in the body or some kind of inflammation has occurred. Therefore, taking antipyretic drugs uncontrollably is fraught with harmful consequences.

Normal temperature in a baby

In newborn babies, body temperature can vary from 36 degrees to 37.4. Moreover, these indicators are the norm for a healthy baby. Parents may notice that in the evening the temperature rises slightly, and in the morning it is at its minimum value. By the age of one year, the body temperature is set at 36-37 degrees.

If there is a temperature jump above 38 degrees, you should definitely consult a doctor. This phenomenon indicates the presence of problems with the baby’s health. If the temperature reaches 39 degrees, then you need to give an antipyretic drug or call an ambulance.

When a child's temperature rises, he becomes restless, lethargic and moody. His breathing becomes rapid and difficult, and he refuses to eat. If the temperature goes through the roof, the baby may vomit and diarrhea may begin. In infants, a sharp increase in temperature can also cause seizures. In this case, you will notice that the baby's palms and feet are cold, and the skin is white and even bluish. This picture indicates a circulatory disorder.

Reducing temperature using folk remedies

Doctors advise that before giving your baby antipyretics, try to reduce the temperature using non-drug methods - rubbing with water or cooling. Top tips to use:

1. Drink plenty of water (water, breast milk, tea for older children).
2. Peace.
3. Normalization of temperature by removing excess clothing from the baby.
4. Wiping with an aqueous solution of vinegar (proportion 1 to 1) or vodka (1 to 1).
5. Warm your feet and hands if you experience severe chills. This will help you reduce the intensity of the seizures until the ambulance arrives.

Reducing temperature with medications

If you have tried the above methods, but the temperature has not decreased after half an hour, then it is time to give antipyretics. Today, parents have the right to choose. You can buy suppositories for fever for newborns and older children, a mixture (suspension) or tablets. However, it is worth remembering that not all children tolerate tablets and the consistency of the suspension well, so it is better for them to use suppositories.

Paracetamol

The safest and most effective remedy for fever is paracetamol and products based on it. It can be given from the first month of life, however, it can also be used from birth, but only after consultation with a doctor.

You can find drugs such as Panadol, Efferalgan, Calpol, etc. in the pharmacy. Paracetamol-based products are available in various forms - syrups, suspensions, suppositories, granules for preparing suspensions, etc. Each remedy has its own advantages and disadvantages in terms of administration. For example, you can mix the suspension and syrup with milk, water or formula, and suppositories can be inserted into those children who refuse to take any medications orally.

You should not give your baby “adult” pills. It is better to use children's medications. This way you can calculate the required dose, because often all medications are sold together with measuring spoons or caps.

Before giving your baby an antipyretic, read the instructions. Typically, the total daily dose of paracetamol should not exceed 60 mg/kg. And you need to give an antipyretic no more than every 4 hours. The duration of action of paracetamol in the form of a solution is about 3-4 hours, but the effect occurs after 40 minutes. Suppositories last longer, the effect of which is observed only after an hour and a half, but lasts up to 6 hours. That is why doctors advise inserting candles at night so that the baby can sleep peacefully until the morning. The exception to the rule is Tsefekon-D suppositories, which act within half an hour, but also remain effective for a long time. This drug has been approved since one month.

The downside of suppositories is the unnatural nature of administering the drug and the long wait for the effect to occur. Another disadvantage is that suppositories for fever are made on the basis of glycerin, which can cause irritation of the intestinal mucosa and even stool disturbances.

Ibuprofen

Another remedy that will help a child if paracetamol-based drugs do not have the desired effect is ibuprofen. In the pharmacy you can find 2 products based on it - Ibufen and Nurofen.

They also come in various forms - candles and syrup. You can give candles to your baby from three months, but syrup can only be used from six months. Ibuprofen reduces fever quickly (within 30 minutes), and its effect lasts for 8 hours. Remember that these drugs can be used no more than 4 times a day, and the daily dose should not exceed 30 mg/kg. Basically, drugs based on Ibuprofen are prescribed when the baby needs not only to bring down the temperature, but also to relieve inflammation.

If you gave your baby an antipyretic drug, but the effect did not come, be sure to call 03. The emergency doctor will examine the baby and, if necessary, give an intramuscular injection. Usually analgin is injected in combination with papaverine, suprastin or diphenhydramine. Sometimes an ambulance paramedic may advise you to give your baby an antipyretic in liquid form, that is, a drug for intramuscular administration is given orally from a spoon.

Antipyretic for a newborn - rules of administration

In order not to harm the baby, but to really help, you need to know how to properly give your child antipyretics.

1. This type of medication should not be given in courses. That is, a remedy for fever should be given only if it rises.
2. Antipyretics should not be given as a preventative measure. The only exception is taking these drugs after vaccination.
3. The maximum permissible daily dosage of the drug should not be exceeded. In this case, you need to be especially careful when using paracetamol-based products. This is due to the fact that this drug accumulates in the body and negatively affects the kidneys and liver.
4. If the child has been prescribed antibiotics, the antipyretic should not be given for long. After all, by lowering your body temperature, you “blur” the picture of the action of the antibacterial drug, which should reduce the temperature in a couple of days. If you continue to lower your temperature with antipyretic drugs, the doctor will not be able to adequately assess the prescribed antibiotic treatment, and you will waste time by advancing the disease.

Prohibited products

There are also a number of remedies that parents should not use. These include:

1. Aspirin. This drug has a strong effect and quickly reduces the temperature, but in children it can cause irreversible consequences, including Reye's syndrome (damage to the brain and liver).
2. Analgin. This remedy should only be used intramuscularly. Analgin has a detrimental effect on the baby's hematopoietic system, causing serious complications.
3. Nimesulide. Children under two years of age are prohibited from giving drugs such as Nimulid and Nise.

Remember that you only need to lower the temperature when necessary. If the baby’s temperature stays around 38 degrees and the baby feels good, let the body fight on its own. If the baby is very ill even at 37.5 degrees, then in this case it is advisable to give him an antipyretic in order to alleviate the child’s condition and prevent seizures.

Elevated body temperature during the onset of the disease is a rather unpleasant phenomenon, but necessary for the body to defeat the virus. Surprisingly, the same fighting mechanism will work in the body of seemingly helpless babies.

In recent years, pediatricians have increasingly said that the mother’s main task in such a situation is not to “bring down” the temperature, but to create the necessary conditions for destroying the virus. We get used to this idea with difficulty and continue to give antipyretics to improve the well-being of the children and our own peace of mind.

How to do this with the least harm, in what situations antipyretics are necessary, and how to choose the appropriate drug - you will learn from our article.

Antipyretics for newborns

In medicine, newborns are considered to be infants aged from birth to 4 weeks. As for older children, the rule applies here - do not lower the temperature until it is below 38 or 38.5 degrees. But if you have to do this, only the doctor should make the decision!

No pharmacy can sell an antipyretic drug approved for newborns up to 1 month (and even for infants 2 months). Until the doctor arrives, you need to make sure that the child is in a cool, damp room and is not dressed too warmly. It is necessary to give it water often and give breastfeeding as often as possible if the baby is breastfed. Additional measures may include wiping the body with warm water (about 37 degrees) and a wet compress on the forehead.

Antipyretic for children under one year old

Most often, when parents say “antipyretic for newborns,” they mean drugs for infants up to six months of age. From 3 months, the child is allowed to be given antipyretics based on paracetamol.

The best option for such small children are antipyretic suppositories for newborns or suppositories. They are best used after bowel movements and at night. Most suppositories begin to help within 40 minutes. Although syrups and suspensions are absorbed and act faster, they contain dyes, sweeteners and flavorings that improve the appearance and taste of the medicine for the convenience of the child, and they may cause allergies in some children.

Antipyretic suppositories for children under one year of age are inserted into the baby's anus when he lies on his stomach. The buttocks are squeezed a little so that the butt “swallows” the candle. Both syrups and baby suppositories are used no more than twice a day if absolutely necessary, when the baby’s body temperature is more than 38.5.

From 6 months, infants can be given antipyretics based on ibuprofen. This drug has a stronger effect, but it helps faster and its effect lasts longer. Its main disadvantage is its higher price.

Advice! An antipyretic in liquid form will work faster if you heat it before giving it to the child, for example, in your hands.

Both paracetamol and ibuprofen are not prohibited for self-prescription by parents when the temperature rises (for any disease), and if doses and standards are observed, they are relatively harmless to the child’s body. Relatively - since there are no absolutely harmless drugs, and therefore they must be used very carefully, especially at such a tender age. The option of simultaneous use of both drugs is practiced, but is too dangerous for infants.

Doctor speaking! Dr. Komarovsky teaches that it is incorrect to dose antipyretics according to age, since all children are of different weights; it is much more reasonable to give them based on the number of mg per kg of weight. Paracetamol is given at 10-15 mg per kg of weight, the period between doses is 4 hours (up to 90 mg per 1 kg per day), ibuprofen - 10 mg per 1 kg, after 6 hours (up to 40 mg per 1 kg per day).

Important! If an hour or two after using an antipyretic for infants, the temperature does not begin to decrease, this may mean:

1. The child has an unusual acute respiratory infection or ARVI, which needs to be reported to the doctor urgently,
2. The conditions are not met, and the child has nothing to sweat with or the room is too dry and hot.
3. There is a possibility that you have come across a fake.

Antipyretic after vaccination

Many pediatricians advise giving an antipyretic immediately after vaccinations to prevent a possible increase in temperature. But recently, this approach has not been welcomed and it has already been proven that such actions have a bad effect on the development of immunity after vaccination. The use of the drug makes sense if the temperature has really risen and the baby is suffering.

Which antipyretic is best for a newborn?

So, the safest for young children, starting with infants, are antipyretics based on paracetamol and ibuprofen. There are now a lot of such drugs with different names.

It is most reasonable to ask the pharmacy for the most inexpensive option for children's suppositories or syrup with paracetamol or ibuprofen, without overpaying for useless additives or a “promoted” name; the main active ingredient will still reduce the temperature. And yet the most popular today are:

Antipyretics for children list

• based on paracetamol: Paracetamol (syrup, suspension), Tylenol (suspension, suppositories, solution), Panadol (suppositories, suspension), Efferalgan (syrup, suppositories, solution), Tsefekon (suppositories), Calpol (suspension), Dolomol (suppositories, suspension), Daleron (suspension), Ifimol (solution),
• based on ibuprofen: Ibuprofen (suppositories), Ibufen (suspension) and children's Nurofen (suspension, suppositories) is especially popular among mothers.

Prohibited for children

• aspirin,
• analgin,
• nimesil.

Urgent use of antipyretics

Parents should urgently give antipyretics if:

1. temperature is more than 39 and a half degrees,
2. the child has a fever,
3. additional fluid loss occurs - vomiting, diarrhea,
4. the baby has already had seizures due to fever,
5. he doesn't tolerate high temperatures well and it shows
6. Children with pathologies and developmental problems have fever.

Unfortunately, the availability of powerful drugs makes the medical commandment “do no harm!” relevant for caring parents. Knowing the basic rules of behavior when the baby’s body temperature rises, the mother will be able to maintain the health of the child and the nerves of herself and her entire family.

Do not self-medicate and give your baby medicine only when it is really necessary!

Komarovsky about antipyretics (video)

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