A good antipyretic for children. Antipyretics for newborns - when and how to take them

While still in the maternity hospital, young mothers receive instructions from the pediatrician to collect a first aid kit for their newborn baby, which mandatory should include antipyretics. As a result of the instructions received, young mothers begin to simply buy everything possible drugs, these are suppositories, tablets, ointments, and syrups. Moreover, when choosing, they are most often guided by the advice of pharmacists, who recommend purchasing several types of antipyretics. Since it is difficult to guess when and what drug may be needed.

However, before you rush into all seriousness and buy up half of the pharmacy, think about whether this is necessary?

Baby has fever

Many parents are very panicky about the increase in their child’s body temperature. Without thinking that this symptom indicates the presence of a strong and good immune system. Mother Nature has thought of everything for us, so there is no need to panic. It should be understood that no child can be completely protected from viruses, bacteria and other bacilli. All the same, sooner or later the small organism will enter into battle with pathogenic enemies. Therefore, put aside your fears and understand that even the smallest baby is capable of defeating any infection. In fact, when a virus enters a child’s body, it begins to intensively produce a special protein - interferon, due to which the temperature rises. As a result, viruses will stop reproducing and disappear completely.

But extremely caring parents, when they see 38 degrees instead of the prescribed 36.6 degrees on the thermometer, for example, 38, immediately run for the “miracle” chest and begin to push antipyretic drugs into the child and eagerly await the “safe” numbers on the thermometer. But as a result, such behavior of parents only plays into their hands pathogenic virus, which, only after feeling the “coolness”, begins to multiply again.

Naturally, you should not wait until the temperature exceeds 40. In any case, an increase in temperature in a newborn child indicates health problems and requires mandatory monitoring. Each child's illness progresses differently. Some babies will snore calmly in their crib at a high temperature, while others will burst into continuous crying. Explaining what causes this is extremely problematic. However, parents should know how to behave correctly if their baby has a high fever. The first rule correct behavior we have already studied - this is a refusal to panic. Second, you should definitely show your child to a pediatrician. Only he can correctly determine the cause high temperature and prescribe appropriate treatment. Including antipyretic drugs. Do not think that the medications advertised today for fever are absolutely harmless and are suitable for any child. In addition, it is necessary to choose the right dosage of the drug so as not to cause even more harm to the baby’s health. In any case, if you have to give your baby antipyretic drugs, you should be extremely careful.

As mentioned above, any medicine to be taken by a newborn baby must be prescribed by a doctor. But in view of the fact that in Lately More and more parents stopped trusting modern doctors, and there was a need for parents to study the issue of pharmaceuticals. To make it easier for you to do this, we decided to offer you our help.

So, let's start by learning what to give to a baby with a fever is strictly prohibited. These drugs include: Aspirin, Analgin and Nimesulide. Please note, the data medications in a number of countries they are generally banned not only for children, but even for the adult part of the population. And the ban on them is due to the fact that they cause extremely severe damage to the liver and hematopoietic system.

By rights, the most harmless, but at the same time effective drug is Paracetamol. It is used to reduce the temperature in children of the first year of life. Naturally, it is not recommended to give pills to young children. Since they have an “adult” dosage, and dividing the tablet into fourths and eighths can be considered conditional. And not every baby will be able to swallow the medicine in this form. But this is not a problem. Such well-known drugs as Dofalgan, Panadol, Tylenol, Eferalgan, Calpol and so on are nothing more than paracetamol. The main thing is to correctly understand the release form of these drugs and dosage.

It is worth considering one more point. Many mothers are extremely fond of using antipyretics in the form of syrup, because this type medicines always available sweet taste, which children absorb with great desire. Yes, and this drug additionally relieves painful sensations. However, many infants develop allergies to such medications. Therefore, the most optimal is the use of antipyretics in the form of suppositories. This form of paracetamol does not contain preservatives, dyes or sweeteners. In addition, there are no special problems with administering this drug to a baby; it begins to act much faster than its “syrup” counterparts, and the duration of action is much longer (at least 6 hours).

The vast majority of pediatricians recommend using paracetamol as an antipyretic, since it copes better than others with the main functions - lowering temperature and reducing pain. But if the baby has a bacterial infection or some kind of serious illness, then paracetamol will not help here. By the way, with the help of this drug you can determine whether the baby is sick with a regular ARVI or whether he is worried about a more significant problem. If after taking paracetamol the temperature begins to decrease, we can safely say that the child is sick common cold. If the temperature remains at the same level or, even worse, continues to rise, you should look for the cause of the fever in another, more serious direction.

Also remember that any antipyretic drugs are not given according to a schedule, but only as needed. Infants generally should not use more than 2 candles per day, and for no more than 3 days.

Treatment of fever in infants without antipyretics

Often, parents do not believe that it is possible to reduce their child’s temperature without the use of antipyretic drugs. Believe me, this can really be done, but only if certain conditions are met.

1. Controversial issue, which always worries parents, what temperature can be lowered? Some pediatricians argue that you should not allow the temperature to rise above 38 degrees, while others recommend using antipyretics only if the temperature is above 39 degrees. It can be concluded that golden mean- this is 38.5 degrees. Stick to it here. Besides great importance The condition of your child plays a role, since in some cases high temperature can provoke seizures.

2. Great value To lower the temperature, the conditions surrounding the child play a role, namely the air temperature in the room. If your child is on fire, don't wrap him up even more. It is better to strip him naked and cover him with a thin diaper, especially if the room is stuffy and hot. But when the room is cool, dress your baby “according to the weather,” so to speak, and wait for the temperature to normalize on its own.

3. And the last, but most important condition for fighting the virus is drinking plenty of fluids. A baby, just like an adult, needs to restore the fluid that he loses. But in view of what to drink infant extremely problematic, just apply it to your chest more often.

And finally, I would like to say a few words about common methods of lowering temperature without drugs. You should not experiment and apply heating pads with ice to the baby, rub it with vodka-vinegar solutions and resort to other manipulations. Believe me, the consequences of such treatment methods can be extremely disastrous. Thus, you can easily add acidic or alcohol poisoning. And the use of cold compresses can lead to spasm of skin blood vessels, since the child’s protective thermoregulation is still extremely imperfect.

Similar instructions:

In children younger age immunity is at the stage of its formation. Therefore, during infectious diseases the body temperature rises greatly. IN in rare cases This is how the body reacts to... Doctors recommend not lowering the temperature below 38 degrees. At this time, there is an increased production of leukocytes, which are needed to overcome viruses and bacteria.

Some children should not be allowed to reach this temperature. Manufacturers offer many drugs that are available in the convenient form of syrups and suppositories.

Features of children's antipyretics

They are classified as non-steroidal. This group also includes those that relieve inflammation.

Some medications have clear age restrictions. For example, if the composition contains Nimesulide or a combination of several active ingredients, then it is better not to give them to children under 12 years of age.

The active ingredients contained in antipyretics block the production of COX. These are special enzymes responsible for increasing temperature. At the same time, the work of the nerve centers located in medulla oblongata. They are responsible for the occurrence of fever. The severity of the action is directly related to the temperature and dosage of the drug.

Indications

An increase in body temperature is protective because it leads to a decrease in the rate of reproduction pathogenic microorganisms. For most diseases, the maximum temperature for children that will not lead to deterioration in the functioning of other organs is 38.5 degrees. There are children at risk. They are justified in taking more low rates thermometer. This category of children includes those who have:

• metabolic diseases,
• history of febrile seizures.

An indication for taking antipyretics is fever, which is accompanied by muscle and. Can't be allowed strong increase temperature in children in the first months of life.

The drugs are required for use when severe weakness And delusional states. Additionally provided bed rest, drink plenty of fluids and regularly monitor bowel cleansing.

Dr. Komarovsky about antipyretics for children:

Forms of medicines for children

Antipyretics are available in different forms:

• syrup,
• candles,
• soluble powder,
• pills,
• injections.

Children drink sweet syrups quite easily. They take effect in about 30-40 minutes. The duration of action depends on the active ingredient. The candles begin to act faster – after 20 minutes.

They are excellent option in cases where the child refuses treatment or vomiting occurs when eating. It is best to administer suppositories after cleansing the intestines. Then they will begin to act faster. Syrups and suppositories are the most popular forms of antipyretics.

Special chewable tablets Suitable for older children. Due to chemical additives they may cause allergic reactions. Such drugs are prescribed to children over three years of age, since children still have the possibility of choking on the pill.

Medicines in powder form for young children and preschool age rarely used. Such products are soluble in water and have sufficient pleasant taste. Modern manufacturers supplement such drugs ascorbic acid, several antipyretic components at once.

The most in a fast way To relieve the temperature is an injection. This is what doctors use when syrups, suppositories and other forms do not bring the desired result. Most often, if it is necessary to provide emergency assistance, a lytic injection is given. It combines three active ingredients: analgin, diphenhydramine and papaverine. The effect of such an injection is observed after 15 minutes.

Review of the most popular tools

Candles

For infants from 6 months to one year, Efferalgan is approved for use. These are candles for rectal administration. Doctors allow it to be used when the child’s weight reaches more than 4 kg. The onset of action of the drug is approximately 40 minutes, and the effect lasts 4-6 hours.

The main active ingredient is 150 mg. Paracetamol. Auxiliary components are semi-synthetic glycerides.

Paracetamol is also found in:

• Tsefikon D,
• Baby.

These drugs can be used no more than 4 suppositories every 6 hours. The duration of treatment is about three days.

Suppositories containing the active component ibuprofen are represented by such drugs as:

• Ibuflex,
• for children.

Used for babies from the third month of life. Maximum daily dosage calculated from the ratio of 30 mg active component per 1 kg of body weight. The effect lasts for 6-8 hours. It is recommended not to use more than 3 candles per day.

The previous drugs can be used for fever after vaccination, teething, and infectious diseases.

For inflammatory processes and teething, many parents prefer Viburkol. This homeopathic suppositories, which also have anti-inflammatory effects. They contain chamomile and other components plant origin. They are used 4-6 times a day.

Popular antipyretic suppositories for children

Syrups

Children over 3 years of age are more often prescribed syrups and powders for preparing oral solutions. They all contain sugar, so children drink them with pleasure. Issued in this form:

• Efferalgan,
• Calpole,
• Panadol.

The average dose depends on age and starts from 10-15 mg/kg per day.

Ibuprofen-based syrups are prescribed for fever with a pronounced inflammatory component, for example, for sore throats. Recommended dosage is 5-10 mg/kg in children of the first years of life. Such drugs include:

• Ibufen,
• Bofen,
• Nurofen.

Popular children's syrups with antipyretic effect

Capsules and tablets

They are mainly indicated from 6-7 years of age. Given age limit associated with an impressive dose of the active ingredient. Tablets may contain minor substances. Effervescent types begin to act in 1-15 minutes. These include Efferalgan. After 20-30 minutes, the following begin to act: Nurofen, Piaron, Panadol.

Candles are considered the most popular remedy for fever for young children. But, like any medicine, they have a number of adverse reactions and contraindications, including in case of significant overdose. Simply put, it has its pros and cons. It is also worth remembering the measures safe use. About this and we'll talk in the article. Also here is a detailed review of the TOP 5 antipyretic suppositories for children.

When a baby has a fever, this is a sure signal that the body has begun to fight the infection and produces interferon, a protein that destroys the virus. And if you start knocking it down too early, you can prevent the immune system from fighting the pathogen on its own. In the future, you will have to resort to antipyretics all the time, since the immune system will “forget how” to do this on its own.

Only very high temperatures, 39-39.5°C and above, have harmful influence on the body, it should be reduced accordingly, starting from this mark. At the same time, each small man reacts to heat in a peculiar way. Some look quite active and continue to play even at 39.5°C, while others feel extremely weak and lose consciousness already at 38°C.

Therefore, you should not focus only on the thermometer mark; you need to pay attention to general state baby:

• tearfulness;
• weakness;
• headache;
• difficulty breathing through the nose;
• chills.

Pros and cons of using suppositories

If the baby has a high fever, pediatricians recommend giving syrup based on paracetamol or ibuprofen, since in this form the medicine acts as quickly as possible, within a quarter of an hour.

Rectal suppositories show their effectiveness after 35-40 minutes. But there are cases when their use for children is considered optimal, for example, if the baby falls asleep, or vomiting reflex prevents the medicine from entering the body.

List of effective antipyretic suppositories

It is necessary to understand that adverse reactions occur in very rare cases. Before your appointment medical product It is worth consulting with a pediatrician who will select optimal dose and duration of treatment.

EFFERALGAN should not be given together with other products containing paracetamol.. Maximum permissible daily dose for different weight categories in children is as follows:

• less than 37 kg – 80 mg/kg;
• from 38 kg to 50 kg – 3 g/kg;
• more than 50 kg – 4 g/kg.

It is important to remember that if hyperthermia lasts 3 days of treatment or more, or your health condition worsens, you should consult a doctor.

The maximum duration of treatment with PANADOL is 3 days. The drug may affect blood test results uric acid and glucose. It is not advisable to give it to premature babies under 3 months, and not to give more than 2 doses to full-term babies under 3 months.

Frequency of application – 4 times a day with an interval of at least 4 hours. Single oral dose for children:

• up to 3 months – 10 mg/kg;
• from 3 months to 1 year – 60-120 mg/kg;
• 1-5 years – 120-250 mg/kg;
• 6-12 years – 250-500 mg/kg.

CEFECON D is often prescribed to children aged 1-3 months to reduce high body temperature after vaccination once. Suppositories cannot be distributed to obtain the required dosage. If, when calculating the daily dose in accordance with body weight, a single dosage is required less than the contents of one suppository, then after consultation with a doctor it is recommended to use others dosage forms paracetamol.

In order to avoid overdose, it is necessary to take into account the following intake rates:

• 3-12 months (7-10 kg) – 1 suppository of 100 mg;
• 1-3 years (11-16 kg) – 1-2 suppositories of 100 mg;
• 3-10 years (17-30 kg) – 1 suppository of 250 mg;
• 10-12 years (31-35 kg) – 2 suppositories of 250 mg each.

VIBURCOL - a popular remedy for fever for children up to one year old, is a complex homeopathic drug that has a pronounced sedative, anti-inflammatory, analgesic, antispasmodic and anticonvulsant effect. Recommended dose for adults and children from 6 months at acute conditions– 1 suppository 3-5 times a day, if the condition has improved – 3 times a day.

The priority of VIBURCOL is that it can be used from birth, but it is better to obtain approval from a pediatrician before use. The duration of treatment and frequency of use is determined by a specialist depending on the nature and course of the disease. Usually the course of treatment is 3-14 days.

• It should not be used in combination with aspirin (acetylsalicylic acid), as this increases the risk of adverse reactions;
• If the baby has a fever, it is recommended to use it in combination with a paracetomol-containing drug (for example, NUROFEN - rectally, EFFERALGAN or PANADOL - orally). Thus, the antipyretic effect is achieved faster.

You can often hear from mothers that best candles for children from fever - VIFERON. This opinion is considered erroneous, since active substance medications - interferon.

Accordingly, the medicine is intended to destroy infections, but not with heat, and it also exhibits an immunomodulatory effect.

WITH TOP 10 antiviral drugs for children from 3 years old can be found at.

Precautionary measures

Precautionary measures when using antipyretic suppositories are quite simple, but they should not be neglected.

1. Study the instructions for the medicine before using it.
2. Store suppositories in the refrigerator, so the shape and consistency will not be affected.
3. Strictly follow the dosage prescribed by your doctor.
4. Do not take for more than 3-5 days (depending on specialist recommendations).
5. Paracetamol-based products should not be combined with medications with the same active ingredient.
6. It is better to replace antipyretic suppositories for children over 3 years old with syrup or tablets.
7. Introduce fever suppositories for children according to the rules to prevent injury.

Terms of use

1. It is better to light a candle after defecation, in otherwise this may trigger the urge to defecate.
2. Before starting the procedure, you need to wash your baby.
3. If the baby says that he immediately wants to go to the toilet, you should ask him to be patient, as a false urge has arisen.
4. In the presence of inflammatory process Use in the rectum is prohibited.
5. It is recommended to store the drug in the refrigerator and administer it chilled. If you hold the suppository in your hand for a long time, it will become deformed from the heat.
6. If the baby resists and squeezes the anus muscles tightly, do not rush, as this can cause injury to the delicate mucous membrane.

If the baby still went to the toilet after using the candle, do not rush to put a new one. Some of the medicine may have had time to be absorbed into the blood. Set the thermometer in half an hour. If you see that the dynamics are declining, a new dose will not be required.

How to persuade your baby if he resists

This question does not arise if the baby is less than 1 year old. But how to put candles to control the temperature for children over 1 year old, when the baby already understands everything and categorically refuses the specified method introduction of medicine into the body?

1. Mom and dad need to show pedagogical skills; sometimes you can persuade, explain the importance of treatment, bribe with gifts, distract with cartoons, etc. Parents know the character of their children better and must choose the most effective method.
2. The main thing is to come to an agreement with the child in order to avoid muscle tension..
3. It is worth inviting the child to do this on his own, as fear arises from the inability to control the process.
4. If you still can’t persuade him, and the baby is almost hysterical, under no circumstances should he be forced to do so. It is worth using drugs in a different release form.

conclusions

Which suppositories for fever are best for children is an individual question; they should be selected based on the recommendations of a pediatrician you trust, as well as from practice. The undeniable advantage of treatment with this particular form of the drug is that it is convenient to use for infants, as well as at night at a temperature of about 38°C. This is exactly what Dr. Komarovsky emphasizes in his interview. We advise all parents to watch it; among other things, it tells what conditions should be created in the room of a sick child (temperature, humidity).

High body temperature is a protective-adaptive reaction of the body in response to exposure to various pathogenic stimuli. It is aimed at enhancing natural immune defense the body and creating conditions that prevent the proliferation of viruses and microbes in it.

Body temperature within 36.0–37.4°C is considered normal for healthy child and may vary depending on the time of day, the child’s activity, food intake and other influencing factors.

Most often, an increase in temperature (fever) occurs when infectious diseases, among which acute respiratory diseases of the upper and lower respiratory tract(ARVI, influenza, bronchitis - inflammation of the bronchi, tracheitis - inflammation of the trachea, pneumonia - inflammation of the lungs), intestinal infections etc. However, an excessive increase in body temperature to high numbers (more than 39C) can not only disrupt the child’s well-being, but also lead to the development of life-threatening conditions such as cerebral edema, febrile convulsions (convulsions that occur in children aged 3 months or older up to 5 years, associated with fever), further aggravating the course of the disease.

Timely use of antipyretics helps prevent such reactions. Antipyretic drugs are prescribed to children in the first 3 months of life at a temperature above 38oC, to children over 3 months (previously healthy) - at a temperature above 38.5–39oC. Children who have previously had febrile convulsions when their body temperature rises have heart, lung, nervous system etc., antipyretics are prescribed at temperatures above 38–38.5oC.

At the same time, parents should be aware that inadequate and unjustified use of antipyretics can change or hide the real reason diseases, creating a feeling of imaginary well-being, reduce the protective, stimulating immune response of the body, the role of fever. In addition, uncontrolled use of drugs can lead to the development side effects. Therefore, antipyretic drugs used in children must be highly effective and safe. Currently World Organization Health care and national programs recommend the use of drugs containing only IBUPROFEN and PARACETAMOL for fever in children.

Antipyretic drugs: Paracetamol

Prescribed for fever resulting from viral or bacterial infections, as well as pain syndrome mild or moderate severity during teething in infants, pain from burns, fractures and injuries, etc.

Use is permitted in children from the first month of life in the form of syrup and from 3 months of age in the form rectal suppositories in doses strictly corresponding to the body weight and age of the child. Most often used in children the following drugs containing PARACETAMOL: EFFERALGAN, CALPOL, PANADOL, CEFECON D.

A single dose for children from 1 month to 15 years is 10–15 milligrams per kilogram of body weight (mg/kg). This dose can be prescribed no more than 4 times a day, no more than 4 hours after taking the previous dose.

The maximum daily dose should not exceed 60 mg/kg.

Take orally in the form of tablets, syrup or suspension 1 hour after meals with a drink. big amount liquids. The drug in tablets can be used in children with allergies to the components of PARACETAMOL syrups or suspensions, since they do not contain dyes or flavoring additives. The tablet is dissolved in small quantity water (after calculating required amount milligrams of the drug depending on the child’s weight). Children weighing 13–15 kg or more can be given a whole tablet containing 200 mg of the substance.

For convenience, the packaging of rectal suppositories with PARACETAMOL usually indicates the age of the child, since the suppositories have the appropriate dosage of the drug. It is advisable to use rectal suppositories after bowel movements. It is especially convenient to use suppositories in young children with illnesses accompanied by vomiting, loss of appetite, or refusal to take medications orally.

It is quickly absorbed in the intestine and already after 30–45 minutes has healing effect, lasting 2–4 hours. To avoid the development of side effects from taking the drug, the recommended dose should not be exceeded, and the duration of treatment should not be more than 3 days without examination and advice from a doctor.

Attention! In rare cases, it is possible to develop adverse reactions from gastrointestinal tract(nausea, vomiting, abdominal pain), allergic reactions (skin rash, itching, urticaria, angioedema), toxic damage to the liver and kidneys, inhibition of blood cell formation, etc. In this case, consult a doctor immediately. Taking PARACETAMOL is contraindicated for children with severe renal and liver dysfunction, blood diseases, and individual intolerance to the drug.

Antipyretics: Ibuprofen

Used in case of intolerance or insufficient effect of paracetamol preparations. NUROFEN for children containing IBUPROFEN is used from 6 months of life as an antipyretic for acute respiratory diseases, flu, childhood infections, post-vaccination reactions and other infectious and inflammatory diseases accompanied by an increase in body temperature. The drug is available for children in the form of a suspension and rectal suppositories for administration into the rectum. For ease of dosing, a measuring syringe is included with the suspension box.

It has antipyretic, analgesic and anti-inflammatory effects, acting at the level of the central nervous system and peripheral level and is the first choice drug in children with a combination of fever and pain as a result of infectious and inflammatory diseases (otitis - inflammation of the ear, tonsillitis - inflammation of the tonsils, toothache), as well as during treatment acute pain for burns, injuries, inflammation of muscles and joints.

A single dose in children is 5–10 mg/kg body weight; this dose can be prescribed 2-3 times a day every 6-8 hours.

The maximum daily dose should not exceed 25–30 mg/kg.

Considering the irritating effect on the gastrointestinal tract, it is not advisable to take the drug on an empty stomach: before giving the medicine, try to feed the baby at least a little. It is advisable to insert a rectal suppository into the rectum after bowel movement.

The effect occurs 30–60 minutes after administration, and the maximum effect is observed after 2–3 hours. In addition, the duration of its antipyretic effect is longer than that of PARACETAMOL - up to 8 hours.

The use of IBUPROFEN, like any antipyretic drugs, should not last more than 3 days without examination by a doctor. Long-term use increases the risk of developing side effects of the drug.

Side effects when taking IBUPROFEN are observed mainly in the gastrointestinal tract (abdominal pain, nausea, vomiting, stool disorders), allergic reactions are possible (urticaria, bronchospasm), less often - changes in the blood, a tendency to bleeding, impaired liver and kidney function . If side effects occur, take your baby to the doctor immediately. Contraindicated for children with peptic ulcer gastrointestinal tract, blood diseases, severe renal and liver dysfunction, hypersensitivity to the drug.

Antipyretic drugs: Analgin and amidopyrine

At high temperatures (more than 39–39.5oC) in children, as well as with fever accompanied by severe intoxication ( pathological condition caused by the effect on the body of toxic substances of internal or external origin), peripheral vasospasm (pronounced pallor of the child’s skin), when there is a threat or occurrence of febrile seizures sometimes there is a need for more rapid decline temperature. This means that the child needs to be prescribed antipyretic drugs in parenteral form (intravenously or intramuscularly). The drug of choice in such a situation will be ANALGIN or AMIDO PYRINE. It should be noted that only short-term, one-time use of these drugs in children is possible due to the threat of severe side effects from their use.

The drugs can be administered either alone or in combination with antispasmodic drugs (NO-SPA, DIBAZOL, PAPAVERINE). Used together with these drugs antihistamines(TAVEGIL and also SUPRASTIN). Possible at home intramuscular injection 50% or 25% analgin solution, 0.1–0.2 ml of solution per year of the child’s life, no more than 3–4 times a day. However, in similar situations It’s better to trust the procedure parenteral administration medicines medical personnel, calling an ambulance to the house. Parents should remember that if the temperature rises to 39–39.5oC, the baby must be shown to a doctor as soon as possible.

How to take antipyretics

Apply medicines to reduce body temperature is possible only by assessing all the indications and the need for their use (age and health characteristics of the child, his well-being, lack of effect from physical methods cooling, increase and high fever numbers).

Antipyretic drugs should not be used to prevent a new rise in temperature - they should be used only when the child’s body temperature rises again to the previous levels.

Antipyretics should not be given for more than 3 days without examining the baby by a doctor due to the risk of development bacterial infection and late prescription of antibacterial agents.

With the development of fever with spasm skin vessels(cold, pale hands and feet, marbling of the skin) after administering an antipyretic drug, it is necessary to rub the child’s skin until it turns red and urgently call a doctor.

If you experience side effects from taking antipyretic drugs, you must inform your doctor.

Before using any antipyretic drug, you should carefully read the package insert, paying attention to appearance, dosage, shelf life of the drug.

Despite all the recommendations for the use of antipyretics, children with fever should be examined by a doctor in the near future to determine the cause of the fever and prescribe proper treatment.

Every mother has faced the problem elevated temperature The child has. Children get sick and infectious diseases most often occur with a rise in temperature. The question arises: is it necessary to lower the temperature? And if you shoot down, how to do it correctly?

On the one hand, a high temperature signals the body’s readiness to resist a viral or bacterial infection, and it successfully copes with this task. On the other hand, too high a temperature is dangerous for a child, especially for a child under 3 years old.

Pediatricians say that there is no need to bring down the temperature to 38º.

When is it necessary to give a child antipyretics?

Antipyretics must be used in the following cases:

• The temperature rose above 39 degrees,
• the temperature has risen above 38 degrees in a child under 3 months,
• the child has difficulty breathing,
• the child has diseases of the nervous system, cardiac or pulmonary pathology,
• the child had previously experienced convulsions due to elevated temperature,
• the child has excessive vomiting or diarrhea (loss of fluid).

Rules for taking antipyretics

Paracetamol and Ibuprofen are recognized as the safest antipyretic drugs today.

Even when using the safest antipyretic - Paracetamol in suppositories or suspensions, it is necessary to strictly follow the instructions for use, follow the dosage and frequency of administration.

Children under 3 months should be given antipyretics only after consultation with a pediatrician.

IMPORTANT: Antipyretics should not be taken “just in case,” regardless of temperature indicators, several times a day. In case of persistent increase in temperature, take next dose medication is possible no earlier than 4 hours after previous appointment. The intake of antipyretics should not exceed three days without further consultation with a pediatrician. It is important to remember that taking antipyretics is symptomatic therapy, and it is necessary first of all to treat the underlying disease, that is, the very reason that caused the child’s temperature to rise.

When choosing a remedy for fever, first of all, be guided by the age of the child, the presence concomitant diseases(allergies), as well as the form of the drug.
Chewable tablets, syrups, and mixtures act faster than other forms - in 15-20 minutes. Suppositories do not reduce the temperature so quickly, on average after 40 minutes, but they are simply irreplaceable if the child refuses to take the medicine orally or becomes very nauseous. Sweet syrups are not indicated for use if the child has a tendency to allergic reactions.

IMPORTANT: If, in addition to a rise in temperature, the child has a severe stomach ache and there are no symptoms of a cold, you should urgently call Ambulance, and do not give antipyretics and painkillers, so as not to lubricate clinical picture diseases, for example, in the case of acute appendicitis.

A doctor should be called immediately if there is a high temperature accompanied by

• severe pallor and sweating of the skin,
• skin rashes,
• convulsions,
• vomiting, diarrhea,
• breathing disorders (difficulty, shallow, rapid breathing),
• signs of dehydration (rare urination, bad smell breath, smell of acetone),
• a sharp deterioration in condition after some improvement.

Antipyretics for children - instructions

Paracetamol It is most often prescribed as an antipyretic.
Analogues: Efferalgan, Panadol, Calpol, Dolomol, Mexalen, Tylenol, Dofalgan.
The drug is available in tablets, capsules, suppositories, suspensions, and syrup.
Dosage of the drug: at the rate of 10-15 mg/kg per dose, the daily dose should not be higher than 60 mg/kg. Reuse after 4 hours, possibly after 2 hours with severe hyperthermia.
Suspensions work faster than tablets Therefore, doctors recommend Paracetamol for children in liquid form.
Paracetamol is contraindicated during the neonatal period, with hypersensitivity to the drug, use with caution when viral hepatitis, renal and liver failure, diabetes mellitus. May cause an allergic reaction.

Ibuprofen as an antipyretic it is less safe, but more effective.
Analogues: Nurofen, Ibufen.
Prescribed at the rate of 10 mg per kg of body weight. Ibuprofen is a non-steroidal anti-inflammatory drug; it reduces fever for a long time, but has many contraindications and side effects.
Contraindicated in allergic diseases, up to 3 years of age it is prescribed with caution; it is not prescribed for diseases of the blood, liver, kidneys, or diseases of the gastrointestinal tract.

An effective remedy for reducing fever is Nemisulide (Nimesil, Nemulex, Nimid, Nise, Nimulid), but it is contraindicated for children under 12 years of age, since clinical researches the drug is insufficient.

Viburkol — homeopathic medicine, pediatricians prescribe it to small children in the form of suppositories for any respiratory infections as an antipyretic and anti-inflammatory agent.
In the acute period, Viburkol suppositories are used every 15-20 minutes for 2 hours until the condition improves, then 1 suppository 2-3 times a day. Babies 1 month of age are prescribed a quarter of a suppository 4-6 times a day. Up to 6 months - 2 suppositories per day acute period, then half a candle twice a day. The course of taking the drug ranges from 3 days to 2 weeks as prescribed by a doctor.

Antipyretics prohibited for children

Not prescribed for children acetylsalicylic acid (Aspirin), Amidopyrine, Analgin (Metamizole sodium), Phenacetin, Antipyrine and other means based on them.

Folk remedies for fever in children

Among folk antipyretic remedies, rubbing is especially popular, despite the warnings of doctors. Rub the child with alcohol, vodka, vinegar, and a cold towel.

Attention! Any rubbing of the skin of a feverish child is contraindicated!

Reasons why you should not rub your baby:

• When rubbing a child with cooling liquids or even just a cold towel, a spasm occurs peripheral vessels, the process of blood circulation in the skin is sharply disrupted and heat transfer decreases, that is, instead of cooling the body, the reverse process occurs.
• When rubbing children's skin, alcohol-containing liquids are actively absorbed and this can lead to poisoning of the body.
• You can only wipe a feverish baby with a towel moistened with water at room temperature and provided that the child tolerates it well. Screaming and resistance will negate all efforts and increase the temperature even more.

From folk remedies temperature can be used enema. Hyperthermia provokes absorption from lower sections intestines of toxic waste, so cleansing the intestines with an enema will prevent the development of intoxication in the body and will contribute to a slight decrease in temperature.
Warm water will quickly be absorbed along with harmful substances, so give an enema with saline solution at the rate of 1 teaspoon of salt per 1 glass of warm water.

In addition to cool compresses on the child’s forehead, you can cabbage compresses . Douse cabbage leaves boiling water, beat, cool and apply, changing often.

Carefully monitor the child’s condition and if you suspect that the baby has become worse and the listed remedies do not help, do not hesitate, immediately seek help from specialists.

Correct non-drug methods temperature reductions are as follows:

• Fresh cool indoor air. Ventilate the room frequently. The optimal temperature is about 20 degrees Celsius.
• The air in the room should be humid. The child loses a lot of fluid in the dry air, the inflamed mucous membranes of the nasal and oral cavity. The best option- use a humidifier (60% humidity is best). If you don’t have a humidifier, hang it up wet towels or sheets in the room.
• Give your baby food often. Heat transfer increases with frequent urination, sweating, breathing. Give the baby something to drink in small portions, often, drinks should not be cold or hot. Water, tea with lemon, fruit drinks, compotes, freshly squeezed diluted juices, preparations medicinal herbs, raspberries, linden - all these drinks will be useful for a feverish child.
• If a child refuses food, do not force feed him or her. Digestion increases body temperature and causes the body, already working in emergency mode, to lose even more strength. Light food Offer it to your child, but do not insist on its mandatory acceptance.
• Don't wrap up your child. When the temperature is elevated, he is very hot, panties and a T-shirt - the best option. When the child's temperature rises, he or she shudders and needs to be covered.
• A child's body is designed in a special way, and if an adult lies flat at a high temperature, the baby can play, run and jump. Extra physical activity overheats an already overheated body, so the child needs to be calmed down, sat down, and books read to him. Don't think that a sick child's activity means everything is fine.

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