What painkiller can be given to a 10 year old child. Painkillers for children. How to relieve toothache in children of different ages

Babies often experience mood swings due to pain, and their parents try in every possible way to help them... The cause of pain can be different - flu, teething, injury. Pain medication for children in such situations is simply necessary. So what painkillers are there for a child? How not to make a mistake when choosing the most effective analgesic, taking into account the child’s age?

The modern assortment of pharmacies is saturated large selection pain relievers in children. Parents can easily purchase any product, be it gel, drops, ointment, or powder. Often, painkillers for children also combat high body temperature while eliminating pain. Such remedies relieve inflammation and swelling. They simultaneously eliminate several signs of the disease.

There are a number of circumstances when it is not recommended to use an anesthetic. First of all, if a child has a stomach ache, he complains of nausea and vomiting. This type of pain may be characteristic of the development of appendicitis or a disease similar in severity, in which without surgical intervention not enough. If an analgesic is used in this case, it will be difficult for the doctor to diagnose correct diagnosis, because clinical description diseases will be inaccurate.

If a child has headache, in which he is delirious and constantly wants to sleep, then you also cannot give him an analgesic. The described signs are characteristic of changes in tissue in the brain. In this case, painkillers should not be given to children. It is recommended to immediately visit a doctor.

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Painkillers for children

Paracetamol is the basis for many children's painkillers. This tool has properties such as reducing temperature, relieving inflammation, and pain relief. Already 20 minutes after use, paracetamol begins to act. After 30-40 minutes, the drug reaches its maximum effect and maintains it for 4-6 hours. Paracetamol is prescribed to newborn babies very rarely, in the most difficult cases, and then under the supervision of a doctor. From 3 months the child is allowed to give this drug. There is paracetamol in suppositories (“Efferalgan”, “Cefekon”, “Panadol”). This type of pain reliever is recommended for newborns. These suppositories need to be inserted into the child’s rectum, placing him on his side or back. The dose of the drug is 10 mg/kg body weight and depends on the weight and age of the baby (but not more than 60 mg/kg in 24 hours). Paracetamol in the form of syrup or suspension, such as Panadol and Efferalgan, is recommended for children over a year old. From the age of 12, a child is prescribed paracetamol, 1 tablet every 4 hours (maximum 4 tablets every 24 hours).

The most popular type of ibuprofen is Nurofen. It is prescribed to children after 3 months in the form of a suspension. This remedy is as effective as paracetamol. Nurofen is able to reduce a child’s temperature and relieve pain. The effect of the drug is noticeable after 30 minutes and reaches its maximum within 1-2 hours. The suspension is prescribed to babies at the rate of 5-10 mg per 1 kg of body weight (but not more than 30 mg/kg per day) and is given using a syringe or spoon. For children over 12 years of age, the drug is used in tablets, and is prescribed no more than 4 times, 1 tablet per day.

Drugs such as “Nise” and “Nimesil”, made on the basis of nimesulide, are prescribed to a child over 2 years old with a dosage of 1.5 mg per 1 kg of body weight. The product begins to act after 30 minutes, reaches its peak after 1.5 hours and lasts for 12 hours. Nimesulide is prescribed to children with muscle pain, with blows, bruises and fractures. The drug does not have an antipyretic effect and is not used to relieve pain from teething.

This analgesic is not only intended for oral administration, but can be in the form of a gel based on nimesulide or ibuprofen to relieve pain from various injuries. This gel is thinly applied to the skin at the site of the impact. This form of the drug is not used if the wound is open. All analgesics used in pediatrics are subject to clinical testing. Only after testing for safety can an anesthetic drug be used for its intended purpose.

You can read about the possible analogues of expensive painkillers for children and adults on this site about savings, but always remember: taking any medications without consulting a doctor is a big risk, and it’s even riskier to give them to children!

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When a child has something in pain, adults are ready to do everything for him - to give any painkiller, just to make their child feel better. But for a specific disease, you need to know exactly how to numb it and in which cases it is better to immediately call an ambulance. In this article we will tell you in what cases painkillers are applicable and which drugs are safest for babies.

When to give painkillers

It is worth knowing that painkillers cannot be given on a regular basis. Only once, when it is not possible to immediately visit a doctor. Taking such medications will not replace a visit to a specialist.
You can relieve your baby's pain in the following cases:

• For toothache. If the illness overcomes you on the weekend or the night before your dentist appointment.
• During . When the child is really having a hard time, at night for better sleep.
• At .
• For headaches in schoolchildren caused by overexertion due to studying.
• For severe pain in. Provided that there is no discharge from the ear.

Popular drugs

Below we will discuss the most popular painkillers that give.

"Ibuprofen raspberry flavor" refers to children's painkillers. Used to relieve symptoms of teething pain and other dental pain, headaches, sore throat and ear pain.

Nimesulide begins to act 15-20 minutes after administration. Used to reduce acute pain(dental, head, muscle, ears). This pain reliever is not prescribed for children under 12 years of age. However, dispersible (water-soluble) tablets can be given to children and older. Dosage for children: 3-5 mg per 1 kg of body weight. This amount should be evenly divided into 2-3 doses per day. For children weighing more than forty kilograms, the dosage is prescribed as for adults.

“Nimesulide” in the form of a suspension (syrup) is allowed to be given to children from 2 years of age. The daily dose is 1.5-3 mg per 1 kg of child weight. This amount is divided into 2-3 doses over 24 hours.

Children with gastrointestinal, kidney and liver problems should not take Nimesulide. The course of admission is no more than 15 days.

"Analgin" is one of the most popular painkillers. These tablets are used for mild pain. Helps with headaches, dental pain, post-operative pain.

• from 2 to 3 years - 0.05-0.1 g;
• from 4 to 5 years - 0.1-0.2 g;
• from 6 to 7 years - 0.2 g;
• from 8 to 14 years - 0.25-0.3 g.

Children under five years old should not be given Analgin without a doctor's recommendation.

Very often, when deciding which painkiller to give their child, parents opt for Aspirin. However, in Lately This medicine is prohibited from being given to children under 14 years of age in many countries around the world. The reason is the possibility of manifestation in a child. This is a condition that affects the kidneys and causes swelling of the brain. Without medical intervention, Reye's syndrome can be fatal.

Important! Reye's syndrome appears a few days after the child recovers.

In Russia, taking Aspirin is not officially prohibited and it can be prescribed by a therapist. The dosage for children is as follows:

• from 2 to 3 years - one tablet per day;
• from 4 to 7 years - two tablets per day;
• from 8 to 9 years - three tablets per day.

Did you know? The prototype of the current “Aspirin” was known to the ancient Greeks in the form of a decoction of willow tree bark. This decoction relieved fever and soothed pain.

For children, used to remove pain medium strength. This suspension can only be given to children over three months old and weighing over 5 kg.

• 3-6 months - 2.5 ml 1-3 times in 24 hours;
• 6-12 months - 2.5 ml 1-4 times in 24 hours;
• 1-3 years - 5 ml 1-3 times in 24 hours;
• 4-6 years - 7.5 ml 1-3 times in 24 hours;
• 7-9 years - 10 ml 1-3 times in 24 hours;
• 10-12 - 15 ml 1-3 times in 24 hours.

Important! The dosage indicated in the instructions for the drugs must absolutely not be exceeded.

Do you always need painkillers?

Giving painkillers to children is strictly prohibited. In this case, the baby should be immediately taken to see a doctor.

In situations where the baby has a very severe sore throat, to the point that he cannot open his mouth or has difficulty, it is necessary to call ambulance. Giving painkillers is not recommended.
You should not give your child painkillers if they have a headache caused by. Especially if it is accompanied by nausea or loss of consciousness. A doctor's consultation is required. If your cheek is swollen due to toothache, it is better to call an ambulance if it is not possible to immediately visit a dentist.

Now you know that not all drugs familiar to adults are suitable for children. In the desire to help the baby cope with pain, the main thing is not to harm. It should be remembered: only the attending physician can accurately indicate which tablets or syrups can be given to a child.

Non-narcotic analgesics, in particular NSAIDs, are usually used to relieve mild or moderate pain.

Tolerance to non-narcotic analgesics does not occur even with maximum use permissible doses. These drugs are relatively safe and do not cause physiological dependence. As a result, the pain decreases. NSAIDs include derivatives the following acids: salicylic (acetylsalicylic acid), anthranilic (flufenamic and mefenamic acids), aniline (phenacetin, paracetamol), indoleacetic (indomethacin), propionic (ibuprofen, naprosen, voltaren). All drugs in this group cause side effects: dyspepsia, nausea, vomiting, ulceration of the gastrointestinal mucosa with hemorrhages. Such complications are more common when treated with acetylsalicylic acid, indomethacin and ibuprofen. The most effective for pain relief are paracetamol, acetylsalicylic acid, and ibuprofen.
The drug of choice for eliminating moderate pain and fever in children is paracetamol in a single dose of 10-15 mg/kg. Side effects: methemoglobinemia, anemia, liver damage. In case of overdose, fulminant liver failure is possible.
Acetylsalicylic acid (aspirin) has anti-inflammatory, antipyretic and analgesic effects. The drug is prescribed at a dose of 0.2 g/year of life in 4-6 doses. Used for headaches, arthralgia, myalgia.
Other NSAIDs (for example, indomethacin, ibuprofen, diclofenac) have an analgesic effect similar to acetylsalicylic acid.
Ibuprofen is prescribed orally at a dose of 10-15 mg/(kg-day) in 3-4 doses; it relieves headaches well. Ketoprofen and naproxen are similar in properties and are more often used for pain without a pronounced inflammatory process. Frequency side effects these drugs are lower than those of acetylsalicylic acid.
Diclofenac (Voltaren) Its effectiveness is close to that of propionic acid derivatives. It is used for moderate pain and inflammation accompanying rheumatoid diseases, at a dose of 2-3 mg/(kg-day) in 2-3 doses. Side effects compared to those of indomethacin are less pronounced.
Indomethacin- highly effective anti-inflammatory, analgesic and antipyretic drug. Used to relieve moderate to severe pain, as well as inflammation during rheumatoid diseases. Dose 2-3 mg/(kg/day) in 2-3 doses. It has a pronounced side effect on the gastric mucosa and can cause the formation of ulcers, bleeding, and perforation. Migraine-like pain (due to swelling of the brain) may occur while taking this drug. The drug may worsen pre-existing kidney disease. It is not recommended for children under 14 years of age.
Mefenamic acid used for mild or moderate muscle, dental, post-traumatic and headache pain. Prescribed orally for children aged 5 to 10 years - 0.25 g 3-4 times per day, over 10 years - 0.3 g 3-4 times per day. The main side effect is the development of hemolytic anemia.

Narcotic analgesics. Narcotic analgesics have a pronounced depressant effect on the central nervous system, but without impairment of consciousness or sensitivity. In terms of activity, narcotic analgesics can be moderate-acting drugs, used for mild to moderate pain (codeine, dehydrocodeine, dextroproxifene, pentazocine, nalbuphine), and potent, used for severe pain [morphine, diamorphine (heroin), pethidine (meperidine, synthetic analogue meperidine - proyedol), omnopon, methadone, buprenorphine, phenazocine, meptazinol, etc.] Morphine is the most effective. Administration of this drug intramuscularly and subcutaneously ensures a sufficient duration of its action. High drug potential limits long-term use morphine. In addition, even its 1-2-fold administration causes many adverse reactions, among which the most pronounced are respiratory depression, nausea and vomiting, and spasms of smooth muscle organs. Negative effects morphine correlates with its concentration in the blood.
Buprenorphine has high analgesic activity close to fentanyl. The maximum analgesic effect lasts for at least 6 hours. Depresses breathing.
Codeine(methylmorphine) is an opioid with low activity. Its effect is 10 times weaker than that of morphine. In large doses, codeine, unlike morphine, causes excitement. Dependence on codeine is less pronounced than on morphine. Prescribed mainly for mild to moderate pain and cough - orally and parenterally.
Korfapol effective when taken orally, has minimal side effects.
Methadone- synthetic drug, close in pharmacological properties morphine. The analgesic effect of methadone lasts up to 24 hours, so when chronic pain it is prescribed orally or administered subcutaneously every 12 hours.
Nalbuphine by analgesic activity with intramuscular injection similar to morphine, and when taken orally its effectiveness is 4-5 times lower. Duration of action is 3-6 hours.
Omnopon(pantopon) is a mixture of opium alkaloids. Used for premedication in anesthesiology.

Pentazocine(fortral) is a synthetic narcotic analgesic. At parenteral administration penetrates the BBB. It is 3-6 times weaker than morphine, causes severe respiratory depression, hypertension and tachycardia, and worsens coronary blood flow. The rate of onset and duration of the analgesic effect are similar to those with the administration of morphine. It is used mainly in obstetrics, as it has a beneficial effect on the contractility of the uterus.
Pethidine(meperidine, lidol) has no structural similarity to morphine, but is similar in action to it. Pethidine is effective for pain that is not relieved by codeine, but does not eliminate intense pain, relieved with morphine.
Promedol- domestic synthetic analogue of meperidine. Typically, a 1% solution is used intramuscularly at a dose of 0.1 ml/year of life, which minimizes respiratory depression and practically eliminates changes in the tone of smooth muscle organs.
Tramadol(tramal) is a new synthetic analgesic with relatively high activity.
Fentanyl exhibits very good analgesic activity, but sharply depresses breathing and causes bradycardia. It is used for neuroleptanalgesia, for anesthesia, administered intravenously or intramuscularly. It penetrates well through the blood-brain barrier, which causes rapid and pronounced analgesia. Side effects characteristic of morphine are rarely observed with fentanyl.
Choice of analgesic in a specific clinical case depends primarily on the pharmacokinetic properties of the drug and the characteristics of the patient’s body (age, state of metabolic systems). In newborns, the half-life of most analgesics is longer. In children, the apparent volume of distribution of analgesics is greater due to a decrease in their fixation by plasma proteins, a lower mass of lipids and increased amount water in tissues. Elimination of narcotic analgesics is reduced due to the characteristics of metabolism in the liver and kidney function, and the characteristics of penetration individual drugs in the central nervous system, which largely determine their activity and toxicity. Morphine and pentazocine are more toxic to neonates than to adults, and the toxicity of promedol and fentanyl is the same at any age.

For minor pain, use NSAIDs (acetylsalicylic acid, paracetamol, ibuprofen). If they are ineffective or for pain of moderate intensity, narcotic analgesics with low activity (codeine, dehydrocodeine, dextroproxifene, pentazocine), combinations of NSAIDs with low-potency opioids are recommended. If this combination is ineffective, highly active opioids (morphine, diamorphine, methadone, phenazocine, etc.) are prescribed. constant pain(in cancer patients) it is also possible use of NSAIDs.
Pain emanating from somatic structures (skin, muscles, bones, joints) is relieved by acetylsalicylic acid and paracetamol, which do not affect mental functions and do not cause severe dependence. For pain associated with diseases internal organs In most cases, narcotic analgesics such as morphine are effective, although NSAIDs may be used for mild pain. For postherpetic neuralgia, neuralgia trigeminal nerve analgesics have only auxiliary value. In the treatment of seriously ill patients, very large doses of non-narcotic analgesics are used together with low-active narcotic analgesics, and sometimes highly effective narcotic analgesics.
Pain accompanying inflammatory processes, is relieved by taking NSAIDs. Only sometimes it is necessary to prescribe additional low-potency opioids. Pain from minor injuries is often relieved local means, causing cooling of the skin (aerosol with chlorofluoromethane), for massive (for example, postoperative) - usually only narcotic analgesics. Bone pain is relieved with NSAIDs or when combined with opioids.
Treatment for headaches can be aimed at eliminating muscle spasm, vasoconstriction. For this purpose, non-narcotic drugs are used - paracetamol and acetylsalicylic acid. For migraine, acetylsalicylic acid, paracetamol, motilium are prescribed as an antiemetic. If an attack is triggered by emotional stress, it is advisable to use sedatives(benzodiazepines). At increased ICP diuretics are added.
The general principle of treating pain - influencing its cause - is feasible, for example, with peptic ulcer when analgesics are not used.

Local anesthetics. Many substances have local anesthetic properties, but only a small number are suitable for clinical application. Local anesthetics dissolve in water and have no effect irritating effect, their effect should develop quickly and persist for the time required for the operation. They don't have toxic properties when absorbed into the blood and do not cause undesirable reactions at the injection site. These funds affect nerve tissue and prevent both the occurrence and spread of a pain impulse, which is due to the formation of complexes of the drug with the membrane receptor sodium channels, as a result of which the flow of sodium ions is blocked. Absorption of drugs from mucous membranes varies. Easily absorbed agents (cocaine, lidocaine, prilocaine) are used for superficial anesthesia. The effect of local anesthetics usually develops 5 minutes after application and continues for 1-2 hours. Addition to them vasoconstrictor(adrenaline) prolongs their effect by 2 times. Local anesthetics are indicated for puncture and catheterization of veins and arteries, drainage pleural cavity, spinal and sternal puncture, suturing, for anesthesia of mucous membranes.
Side effects (tinnitus, metallic taste in the mouth, drowsiness, irritability, headache, convulsions, decreased blood pressure) occur when the anesthetic enters the bloodstream or its dose exceeds the permissible limit.
Alitocaine more similar to cocaine than to novocaine. It is effective both when applied to mucous membranes and when administered parenterally.
Bupivacaine- a drug long acting, used for conduction anesthesia at a dose of 2 mg/kg. The maximum effect occurs after 30 minutes.
Cocaine used mainly for superficial anesthesia, usually in the form of a 4% solution. It is used in otorhinolaryngological operations by applying it to a limited area of ​​the mucous membrane, which is practically safe. Adrenaline is never added to a cocaine solution because it potentiates the effect.
Lidocaine- an effective and relatively low-toxic agent for superficial infiltration and conduction anesthesia, administered intravenously or intramuscularly at a dose of 1 mg/kg. Ineffective when taken orally. Adverse reactions are rarely observed.
Novocaine. In terms of its ability to cause superficial anesthesia, it is less active than cocaine, but is much less toxic, does not cause drug addiction, and has a greater breadth therapeutic action. Half-life - 0.7 min.
Prilocaine used in the same way as lidocaine, but it is less toxic. IN maximum doses it contributes to the development of methemoglobinemia. Available in combination with adrenaline or felypressin.
Lidocaine is considered the most suitable and safe for superficial anesthesia. However, if it is necessary to introduce large quantity Prilocaine is the preferred anesthetic. Lidocaine with prilocaine in the form of Terem is used for pain relief during venipuncture and vein catheterization. Solutions of lidocaine and dyclonine are used for anesthesia of the oropharynx. A mixture of tetracaine, adrenaline and cocaine is moistened on the surface of the wound before suturing.

Most often used as a pain reliever for children from 3 months to 12 years called Nurofen, and ibuprofen, faspik(they are from one pharmacological group). They have the same effect as paracetamol and aspirin. Indispensable for severe pain syndrome. Used for acute colds, infectious diseases, in the period after vaccination (if a reaction occurs in the form of fever, fever), as well as with pain different localization(dental, ear, head, muscles). Contraindicated for asthmatics, ulcers, bleeding, kidney or liver failure, as well as blood diseases.

Painkillers certainly relieve unbearable pain, but their use is justified only in extreme cases! Always consult your doctor before taking a drug you are not familiar with. And take known ones only in extreme cases, in small quantity, in strict accordance with the instructions (or even less).

How to give painkillers to children?

The answer to this question depends on the age of the child. All analgesics are available in various forms:

• For a baby up to 6-8 months, it is more convenient to use an anesthetic in the form of rectal suppositories(candles);
• designed for older children liquid forms medicines (suspensions, syrups);
• Teenage children can take the analgesic in pill form. Nurofen, for example, is available in tablet and suspension form in orange or strawberry flavors.

The dose of pain medication should be prescribed by a doctor, because it is strictly individual and depends on the age and weight of the child. IN in case of emergency When you give your child an analgesic without a doctor’s examination, carefully read the instructions included with the medicine and, having determined the age-specific dosage of the drug, do not exceed it.

When should you not give your child analgesics?

This should not be done if the child complains of abdominal pain. Painkillers may “lubricate” clinical picture appendicitis, peritonitis or peptic ulcer, and the doctor will not be able to establish the correct diagnosis. If there is abdominal pain, the child must be examined by a doctor, and only after that can treatment begin.

How to help your child when teething

Here are some tips on how to help your baby when teething:

• Clean your baby's face frequently soft cloth, in order to remove saliva and prevent rashes around the mouth.
• Give your child something he can chew on regularly. Make sure it is large enough that he cannot swallow it. Special rubber rings can be pre-cooled.
• Rub your baby's gums clean sterile wipes to eliminate mucus.
• Never place a teething ring on a string around a child's neck - this could suffocate the child.
• Do not use alcohol on your child's gums. Do not give antipyretics or pain relievers without first consulting your doctor.

How to numb a child's gums when teething?

At home, you can numb your gums using a cold rubber ring. In extreme cases, you can use powder obtained from grinding 1/4 tablet of no-shpa 0.04 mg for powdering. Do not use painkillers containing metamizole sodium.
Medical worker may, if there are accompanying indications in the form high temperature body, multiple loose stool and vomiting convulsive syndrome give an injection lytic mixture. To do this, you should call an ambulance.

Several Yet ways to ease your baby's teething pain. Here are some of them.

Something to chew. Reciprocal pressure on the gums brings relief, especially if the object is blunt and cold. A chilled carrot with the thin end cut off (but don't give carrots after baby has his first teeth and can bite into large chunks that can cause choking), a rubber ring, or any other toy that can be chewed. Whatever you choose to bring relief to your child, he should chew only in a sitting position and under constant adult supervision.

Gum massage. Many children like it strong massage gums Some people protest against this at first, because the friction in the first moments causes them painful sensations, and then calm down, as the pressure on the gums begins to bring them relief.

Cold drink or food. Offer your child a bottle of chilled water. If he refuses the bottle or becomes restless when sucking, offer liquid from a cup. This will also help replenish the fluid in the child’s body that he loses due to profuse drooling or loose stools. Chilled applesauce, grated peaches or yogurt may be more palatable for a teething baby than room temperature food.

Anything to relieve the pain. In consultation with your pediatrician (if your baby is more than 4 months old), you can use pain-relieving gels containing a local anesthetic, for example, lidocaine (sold in pharmacies without a prescription). They cause numbness in the gums and thereby relieve pain.

IN as a last resort You can give a pediatric dose of pain medication.

If a child's fracture is accompanied by severe pain, then the first thing to do is give painkillers. You need to focus on general state child. In children, fractures are often accompanied slight pain- like a bruise. A clavicle fracture hardly hurts, and intra-articular fractures do not bother me without movement.

Pain relievers should appear in the medicine cabinet from the moment the child begins to walk. Kids are extremely curious, and no one can avoid injury.

Choice dosage form pain reliever depends on the age of the child. For children under 8 years of age, it is better to give syrups or soluble powders for fractures; older children can easily swallow the tablet.

It is advisable to have in stock rectal suppositories, because the rectal mucosa is well supplied with blood, drugs from there enter the general bloodstream at high speed, and the analgesic effect occurs very quickly.

It is better to keep medicines for children in a separate drawer or home medicine cabinet so that in the bustle and when a child is crying, they do not confuse them with adults. The medication packaging can be hand-labeled or a simple label such as “painkillers” or “for fractures” can be attached.

After purchasing the drug, carefully read the instructions, underline important places, calculate the dose based on age and weight. Such simple measures will allow you not to get confused and quickly help your child with fractures at a critical moment.

For fractures, it is best to give medications containing one of the following substances:

Paracetamol

Single dose – up to 15 mg per kilogram of weight, can be given again after 4 hours. Children under 6 years of age with fractures can be given continuously for 3 days, for older children - no more than 5 days.

Commercial names of paracetamol: Adol, Aminadol, Beresh Febrilin, Volpan, Grippostad, Daleron, Calpol, Tylenol, and others.

Ibuprofen

– a non-steroidal anti-inflammatory drug, included in the list of the most important medicines WHO. In addition to pain relief, it increases the body's resistance by enhancing the synthesis of interferon. The effectiveness of ibuprofen is inferior to paracetamol; according to WHO recommendations, it is the second choice drug for pain and fever. The medicine should be given strictly after meals so as not to irritate gastrointestinal tract. Ibuprofen should not be given to children if they have digestive problems.

The daily dose for fractures is no more than 10 mg per kilogram of weight, divided into 3-4 doses. For a drug in the form of a suspension, a single dose is 1 dosage spoon, for drops – 2 full pipettes.

Trade names of the substance: MIG-200, Ibufen, Bolinet and others.

Nimesulide

• Read also:

Nimesulide is a non-steroidal anti-inflammatory drug that blocks pain, swelling and inflammation, slows down and reduces the conduction of pain impulses in spinal cord. Protects against fracture cartilage tissue from destruction, inhibits the formation of toxins at the site of inflammation. It has virtually no side effects, which is why we love it among pediatricians. You can only give syrup or suspension. Do not give if you have digestive disorders or diseases.

Give strictly after meals, maximum daily dose– 3 mg per 1 kilogram of weight. Less is possible, more is not. The entire dose should be divided into 2-3 doses. The instructions indicate how many milligrams 1 ml of suspension contains, and this is what you need to proceed from. In practice, the daily dose is often exceeded, but side effects do not develop anyway.

Trade names: Nice, Nimesil and others.

Analgin

In the most extreme case, for fractures, you can give analgin, but in no case should you give aspirin.

Analgin or metamizole sodium is prohibited in some countries, but now these bans are being prepared for revision; the risk of complications turned out to be exaggerated. The action of analgin develops only after 20 minutes, which is a long time for a fracture. Analgin should not be given to children with diseases of the kidneys and hematopoietic system.

The daily dose is no more than 10 mg per 1 kg of weight, the entire dose is divided into 3-4 doses, it is best to use suppositories.

If the skin over the fracture is not damaged, you can briefly apply a moistened cold water tissue to reduce pain. You should definitely contact a traumatologist, even if the child feels well after pain relief. The relief may be temporary. It is optimal to give painkillers only once - in order to safely get to the hospital or emergency room. All further appointments must be made by a doctor.

• Interesting read: and

When choosing a medicine, you need to take into account the child’s character and preferences. There are many suspensions available in strawberry, orange or other flavors - choose what your child likes. You need to be sure that difficult situation You won’t have to persuade anyone to drink something tasteless either.