The most effective antipyretics for children. TOP-➄ candles for fever for children: pros and cons, rules for safe use What to give a newborn for fever

A rising temperature in a newborn is a serious cause for concern for parents. After all, a high temperature can be a harbinger of disease or infection. Antipyretics will help relieve fever and alleviate the child’s condition.

Important points when taking antipyretic drugs:

Only the attending pediatrician can prescribe an antipyretic to a newborn child.
It is recommended to lower the temperature if it is above 38°.
Strictly follow the instructions and adhere to the dosage of medications.

On the topic of temperature in newborns:

(which thermometer and where to measure: in the mouth, under the arm, rectally)

List of antipyretics

Medicines for newborns for fever are available in the form of syrups, suspensions, solutions and rectal suppositories.

Daleron. Suspension. Dosage: up to 3 months. — 10 mg, 3-12 months. - 60-120 mg. Do not take more than 4 times a day. The time between doses of the drug is 4 hours. The maximum duration of use is 3 days.
Dolomol. Suspension. Dosage: 1-3 months. - determined by a doctor, 3-12 months. - from 2.5 to 5 ml. Drink at least 1 hour after eating. Drink plenty of liquid. Take 4 times a day at intervals of 4 hours. The maximum duration of use is 3 days.
- Dolomol Candles. Dosage: 3-6 months. - 80 mg 5 times a day, 6-12 months. - 80 mg per day 2-3 times. The daily dose is a maximum of 4 grams.

Ibuprofen. Candles. Dosage: 5.5-8 kg - 1 sup. per day 3 times, 8-12.5 kg - 1 sup. a day 4 times. The interval between doses is 6 hours. Not recommended for children under 3 months. Duration of treatment: 3 days.
Ibufen. Suspension. Dosage: 7-9 kg - 2.5 ml (50 mg). Take after meals, no more than 3 times a day. The minimum time between doses is 6-8 hours. Shake the bottle before use. The drug is not recommended for children weighing up to 7 kg.
Ifimol. Solution. Dosage: up to 3 months. — 10 mg, 3-12 months. - 60-120 mg. Take at intervals of 4 hours, no more than 4 times a day. Duration of treatment: 3 days.
Calpol. Suspension. Dosage: 3-12 months. - from 2.5 to 5 ml. Newborns up to 1 month. It is not advisable to give. Drink after meals, at least 1 hour later. Drink plenty of water. The recommended dosage per day is 3-4 times at 4-hour intervals. Duration of use: 3 days.
Nurofen. Suspension. Dosage: 3-6 months. (not less than 5 kg) - 2.5 ml (1-3 times a day), 6-12 months. - 2.5 ml (1-4 times per day). To accurately calculate the dosage, use the instructions and a measuring spoon. Give maximum 4 times a day. Duration of treatment: 3 days. If children are 3-6 months old. After taking the drug there is no improvement within 24 hours, you should contact your pediatrician.
- Nurofen Suppositories. Dosage: 6-8 kg - 0.5-1 sup. (maximum 3 times a day), 8-12.5 kg - 1 sup. (maximum 4 times a day). The interval between uses is 6 hours. It is not advisable to use it for children under 3 months. and body weight up to 6 kg. Duration of treatment: 3 days.

Panadol for children. Suspension. Dosage: 6-8 kg - 4 ml, 8-10 kg - 5 ml. It is not recommended to give more than 3-4 times a day. Children under 3 months. is prescribed only as prescribed by a doctor.
- Panadol for children Candles. Dosage: up to 3 months. — 10 mg, 3-12 months. - 60-120 mg. Place a maximum of 4 times per day at 4-hour intervals. Can be used for 5-7 days.

Paracetamol for children. Syrup. Children 3-12 months. give 2.5 - 5 ml 3-4 times a day. Frequency of administration: 4-6 hours. Take the drug before meals. It can be added to water and given through a bottle. Children under 3 months. Give only as directed by a doctor. It is not advisable to use before 1 month.
- Paracetamol for children Suspension. Babies 1-3 months old. - about 2 ml, and 3 -12 months. - 2.5-5 ml. Daily intake - 3-4 times. Give undiluted, always before meals. Drink with water. 4 hours is the minimum time between doses. Babies up to 1 month. Not recommended.

Tylenol. Suspension. Dosage: up to 3 months - determined by the doctor, 3-12 months. - 2.5-5 ml. Take no more than 4 times a day. Children under 1 month. contraindicated. Duration of treatment: 3 days.
- Tylenol Solution. Dosage: 3-6 months. (up to 7 kg) - 350 mg, 6-12 months. (over 10 kg) - 500 mg. Maximum 4 times a day, after meals. Children under 1 month. the drug is not advisable.
- Tylenol Suppositories. Dosage: 3-6 months. - 160 mg in two doses, 6-12 months. - 80 mg 3 times a day. Use no more than 4 times a day. Babies up to 3 months. don't put it.

Tsefekon D. Candles. Dosage: 4-6 kg (1-3 months) - 1 sup. (50 mg), 7-12 kg (3-12 months) - 1 sup. (100 mg). Apply 2-3 times a day. Time between uses is 4-6 hours. Children under 1 month. Not recommended. Duration of treatment: 3 days.
Efferalgan. Syrup. The syrup comes with a measuring spoon, into which the amount of syrup that corresponds to the child’s weight is collected. Take no more than 3-4 times a day. The minimum time between doses is 4-6 hours. The maximum period of use is 3 days. Syrup is not recommended for newborns weighing up to 4 kg.
- Efferalgan Solution. Dosage: up to 3 months. — 10 mg, 3-12 months. - 60-120 mg. Take no more than 4 times a day with a 4-hour break. Duration of treatment: 3 days.
- Efferalgan Candles. Dosage: up to 3 months. - 10 mg, 3-12 months - 60-120 mg. Use 4 times a day. 4 hours is the minimum interval between applications. Duration of treatment: 3 days.

Additional proven methods

You can try to bring down the temperature without the help of medications or simply alleviate the child’s condition. Several publicly available measures that have been tested over the years:

Drink plenty of fluids. The more fluid there is, the better the child will sweat, thereby lowering the temperature naturally. If your child cannot yet be given raspberry tea, then apply it to your breast more often.

Note to moms!

Hello girls) I didn’t think that the problem of stretch marks would affect me too, and I’ll also write about it))) But there’s nowhere to go, so I’m writing here: How did I get rid of stretch marks after childbirth? I will be very glad if my method helps you too...

Comfortable temperature. There is no need to dress your child “warmly”. It would be more correct to undress him and cover him with a diaper.

Wet wipe. The main thing is not to overdo it with the cold, so that there are no vascular spasms. And especially no vodka compresses, which can cause poisoning.

The temperature rises when the body is in danger, as a reaction of the immune system to infection. But how to knock her down? Here's what modern experts write about it. An increase in a baby's temperature has always frightened parents. Especially if it is their first child. Moreover, it is quite difficult to choose an antipyretic for newborns from the first days of life. After all, what helps adults It is dangerous to give to infants. Here are some modern means that lower the temperature that can be given to newborn children.

It's best to do without them. However, if you have no alternative, you need to choose special drugs for infants based on or at the pharmacy. For infants, there are forms such as special suppositories and syrups for fever.

Becomes the most popular syrup for newborns. It is almost immediately absorbed into the blood and within 4 hours the temperature drops. The dispenser is very convenient and easy to use. The only drawback of syrups for temperature may be the allergens-dyes that they contain. Therefore, you need to carefully choose such a product for newborns. . Although paracetamol-based drugs for babies up to 1 month do not contain any additives and are well tolerated. The only drawback is that they are difficult to get at the pharmacy due to their lower cost than similar drugs.

Candles are less comfortable for a child to use. But they last longer than syrups. Moreover, the newborn may begin to burp or simply regurgitate the syrup and it will have almost no effect. Therefore, parents who are expecting the birth of a baby should also buy candles at the pharmacy. Candles can be used already in the first days of life and they are very good for reducing fever.

Important Note: Many medications are labeled as being suitable for use in children as young as 4 months of age. In fact, they are also given to infants in a reduced dosage. True, it is worth consulting with a specific pediatrician who, knowing the child’s condition, will tell you which medications are suitable for him. These antipyretics are worth looking at at the pharmacy for your child. But remember that many drugs can cause allergies, so they need to be given in doses, first for testing, then in full form.

And, of course, monitor the general condition of your baby. If the temperature drops well and does not reach a high level after 4 hours, then it is a common cold. If the temperature not only rises quickly, but also continues to rise, urgently need to call a doctor. He will determine the child’s diagnosis and prescribe special anti-infection medications.

Fearing illness, parents begin to give their infant various antipyretics. Yes, they bring down the temperature, but this is a way to fight the disease may negatively affect children's immunity. A high temperature during illness is a normal and natural reaction of a child’s immune system. When it increases, the baby’s body begins to produce interferon, a special protein that promotes natural immunity. Therefore, if the temperature does not rise above 38 degrees, there's no point in knocking her down. Children's immunity will cope with the disease and will gradually strengthen.

But you also need to look at the general condition of the child, since different children tolerate the temperature differently. Some children are simply hot, but at the same time they do not have lethargy or increased anxiety. Others do not tolerate high temperatures well. And, if you notice increased drowsiness, anxiety, seizures and other symptoms, it is better not to self-medicate, but call an ambulance. Especially if, even after taking antipyretic drugs, the temperature does not drop for long and quickly rises even higher. Children's antipyretics can only temporarily alleviate the child's condition if the immune system itself cannot cope with the infection. At the hospital, doctors will give him special drugs , affecting the cause of the disease. They will help the baby recover and avoid dangerous diseases.

And simple antipyretic drugs for newborns help if the child’s condition is not severe. They facilitate the functioning of children's immunity and contribute to a speedy recovery from illness.

They are prescribed by a pediatrician for each individual child, since many drugs can cause allergies. Most often, these are rectal suppositories, syrups and solutions. Antipyretics for newborns up to 1 month are usually prescribed by a doctor, depending on the specific disease or early identified allergic reactions, if any.

Among the drugs that can already be given to a child per month, it is worth noting Panadol for children. Which is available in the form of suppositories and suspensions, paracetamol for children (syrup) and effelargan (syrup). Several antipyretic suppositories have also been noted, which are not only hypoallergenic, but also more effectively reduce fever. Especially if the baby cannot eat food and regurgitates it.

You can find quite a lot of them in pharmacies. However, not all children tolerate suppositories well, even for newborns; here you need to pay attention to the baby’s characteristics. Some people can take syrups, solutions against temperature, while others are suitable for suppositories. What kind of suppositories can be given to infants? All that are marked from 3 months to 6 years. There will be nothing terrible if the child is under 3 months old, since with this marking manufacturers are reinsured against various unforeseen cases. In fact, baby candles for very young children under one year old are completely safe. And only in very rare cases do they have any adverse consequences. And only if they were used for other purposes.

In pharmacies you can find suppositories for babies such as Nurofen, Tylenol, Panadol for children, and Effelargan. The best solution is to choose candles cefekon D. They are very convenient and safe to use, cause minimal inconvenience when inserted and are suitable for newborns of different weights.

This vaccine often causes the child anxiety and fever. If this happens, then you must have any baby product in the house that reduces the temperature. You can use either a regular candle or a solution or powder. It is best to take an antipyretic for newborns after vaccination, which you have already taken with your child and are convinced of its effectiveness. Or any other paracetamol-based drug developed specifically in a dosage for infants. However, if after vaccination the child develops a slight temperature is just above 37, 2 no need to worry. This is a completely predictable reaction to a vaccine that contains a pathogenic but weakened virus. The purpose of vaccination is to ensure that the child’s natural immunity copes with a weakened infection and the child develops antibodies.

In the first months, the newborn receives maternal immunity, but its effect is short-lived. Therefore, you should not lower the temperature if it is slightly elevated. The danger can only be dangerously high temperature above 38 degrees with general weakness, dizziness, nausea, vomiting, and severe signs of a cold. In this situation, it is better not to try to help him yourself, but to consult a doctor. Especially if the body temperature rapidly rises and the child’s condition clearly worsens.

Have you used the antipyretic for newborns from the first days of life mentioned in the article? Or any other? Leave your opinion or feedback for everyone on the forum.

Antipyretics (antipyretics) from the group NSAIDs (n steroidal anti-inflammatory drugs) are the most frequently purchased and used therapeutic drugs, both for the treatment of adult patients and for the treatment of children. This circumstance is facilitated by the often erroneous perception of many people about the dangers of high temperature, as well as the availability in pharmacies of drugs from this group, sold without a prescription.

It is worth noting that frequent and uncontrolled use of certain medications for fever () in itself can cause the development of various complications (sometimes severe), and their overdose increases the risk of negative side effects several times. In this regard, adults, especially parents of infants and children of a younger age group, need to thoroughly study antipyretic drugs for children, figure out how often antipyretics can be given to a child, which active ingredient is best to take at a particular age and at what temperature to give an antipyretic to a child.

It would also be a good idea to establish the best and safest medicine included in the list of antipyretic drugs ( , Acetylsalicylic acid , Ibuprofen , Metamizole etc.), specifically for your child. Decide on its dosage form (tablets, injections, powders, suspension, suppositories, etc.), dosage (in mg or ml), and also select analogues identical in composition.

The criteria for choosing a drug against fever should be based primarily on its relative safety (no contraindications, minimal side effects) and good effectiveness (strong, fast and long-lasting effect that brings down the temperature and reduces other symptoms of fever), and only then its popularity and price.

Indications for the use of antipyretic drugs in children

It should be remembered that the increase in temperature that accompanies many diseases is, first of all, a protective mechanism of the human body aimed at stimulating its immune system (in particular the production) and combating pathogenic microorganisms. For this reason, it is not advisable to give a child antipyretics to lower body temperature immediately when an increase in temperature (37-38 ° C) is detected. It is necessary to give the child’s body a chance to independently cope with the illness that attacks it, especially since this does not threaten it with any serious negative consequences.

Some studies have definitely shown that the administration of antipyretic medications does not reduce the overall duration of fever in children suffering from and does not significantly affect the course of other childhood infections or painful conditions that may be symptomatic of an increase in temperature (for example, a fever in a 10-month-old child at ).

Although high temperature is accompanied by acceleration of metabolic processes and accelerated loss of fluid by the body, its danger is often greatly exaggerated. Most infections in children resolve with a maximum increase in body temperature to 39-40 °C, which is recognized as harmless to the child’s health. That is why WHO (World Health Organization) does not recommend giving antipyretic drugs to children without any concomitant pathologies if the medical thermometer reading is 39-39.5 °C.

Upper limits of normal body temperature of a child depending on age

if the temperature of a child under 3 months is 38 °C;
if the child’s temperature from 6 months is 38.5 °C and is accompanied by severe aching in the joints and muscles;
if the child’s temperature from 6 months is 38-38.5 °C, with concomitant chronic heart pathologies , neurological diseases, history and some metabolic disorders.

Types of fever in children

Depending on the observed state of hyperthermia, modern medicine divides baby fever into two types - pale And pink .

Pale fever

This type of fever is characterized by a clearly visible development of pallor of the skin, especially noticeable on the skin of the face, significant chills and coldness of the extremities. With excessive heat production, inadequate heat transfer is noted due to a violation peripheral circulation . If such symptoms are detected, the further prognosis for the course of the febrile process is unfavorable, which requires a mandatory decrease in temperature. In this case, most often a sick child requires parallel administration of antipyretics, vasodilators and antihistamines medications, as well as warmth (the child must be warmly dressed or wrapped in a blanket).

Pink fever

In this condition, heat production corresponds to heat transfer, the child’s body adequately responds to a rise in temperature, and the child’s condition is relatively normal. The skin is slightly hyperemic or acquire a pink tint, the skin itself is moist and warm to the touch. In this case, taking antipyretic medications is only necessary when the temperature rises above 39 °C. Otherwise, auxiliary cooling methods should be used: reduce the room temperature to 19 ° C, provide the child with plenty of fluids, wipe him with a damp towel soaked in water at room temperature, etc.

Commonly accepted therapeutic measures

Common adjuvant therapeutic measures for infantile fever include:

security bed rest (when the child’s temperature is above 38-38.5 °C, accompanied by poor general health);
drink plenty of fluids to increase sweating in order to increase heat transfer (rosehip decoction, sweetened tea, compote);
providing food depending on appetite (preference is given to carbohydrate-containing foods);
regular monitoring of bowel movements (use);
admission by a child (with the possibility of increasing the age norm by 1.5–2 times).

Recommendations for the use of antipyretic drugs in children

When using any antipyretic drugs by patients of the children's age group, including the safest one, which is currently considered to be, parents should strictly adhere to certain rules.

Under no circumstances should you give your child medications to reduce fever without consulting a doctor, especially children under 3 months.

Strictly follow the official instructions for use for the selected drug, do not exceed the frequency of administration of the medication and its dosage, and also follow all additional instructions of the pediatrician.

Do not use for a long time antipyretics as painkillers.

Do not resort to taking antipyretic drugs for regular course therapy (for example, 2-4 times a day, regardless of the readings of a medical thermometer). This treatment tactic significantly affects the temperature curve and can smooth out the symptoms of the disease and create the appearance of false well-being, which can lead to delayed diagnosis. pneumonia or others bacterial infections , the main manifestation of which is often constant fever. A repeated dose of an antipyretic drug can be taken only after the next rise in temperature to the above level. When using this regimen, most patients are limited to taking 2 doses per day, which significantly reduces the risk of a possible overdose.

Do not use antipyretics in parallel with, since if the agent of the infectious process is sensitive to the antibacterial drug, the temperature will normalize on its own after 1-2 days, and antipyretics may make it difficult to assess the effectiveness antibiotics .

During fever therapy, if detected malignant hyperthermia , occurring with impaired microcirculation and spasm of skin vessels, additional therapeutic measures should be practiced (infusions antiplatelet agents , rubbing the skin, compresses, etc.), and also urgently consult with your doctor.

At the entire stage of treatment, parents should give the child plenty of fluids (the drink should be warm or hot), ventilate the room in which the patient is staying, monitor its humidity, temperature and cleanliness.

In case of fever, without other signs of colds, which is accompanied by pain syndrome in the abdomen area, you must immediately call an ambulance. In this case, the child does not need to be given any antipyretic drugs, so as not to disturb the clinical picture of diseases that are potentially life-threatening and require emergency care (for example,).

Antipyretic for newborns

Particular caution must be exercised when prescribing any pediatric medications for newborns up to one month, whose weight is often so small that it does not allow the use of a standard dosage form, and the undeveloped body systems are not able to fully remove excess substances.

Naturally, if the temperature readings of a medical thermometer are within the range of 37-38 °C, it is better to do without the use of any medications, however, with higher values of the thermometer, sometimes temperature medications for infants are simply necessary. In this case, a pediatrician, without whose consultation it is strictly prohibited to use antipyretics for infants, may advise using temperature-sensitive suppositories for newborns in the very minimum dosage or diluting a small amount of suspension/syrup in a drinking bottle.

For infants, antipyretic suppositories and other dosage forms can be prescribed only from the second month of life and under constant supervision by adults.

Dosage forms of antipyretics for children

Parents who give their child antipyretic drugs for children should remember that such therapy is purely symptomatic, aimed at alleviating one of the painful manifestations of the underlying disease, on the cause of which the definitive treatment should be concentrated.

At high temperatures in children, antipyretic drugs in any dosage form should be prescribed in dosages calculated primarily in accordance with the child’s body weight, and then with his age (you need to pay attention to the age restrictions prescribed in the official instructions). So, for example, recommended remedies for fever in a 2-year-old child may be contraindicated for children 5-6 months old. Also, the choice of a pediatric antipyretic should be based on the ease of use, speed of action, individual patient sensitivity to the active ingredient of the drug, concomitant diseases and cost.

Today, the list of antipyretic drugs in various dosage forms intended for patients of any age category is quite wide (tablets, suppositories, capsules, syrups, powders, suspensions, etc.). Their composition is specially selected for children, and the release form is designed for ease of use in accordance with the child’s age and functionality.

Antipyretic suppositories for children

At this time, suppositories for high fevers for children under one year of age and older are recognized as the safest medicinal antipyretic drugs. The rectal method of administering the suppository for children under 1 year of age virtually eliminates such side effects as nausea /, sometimes occurring when taking tablets, sweet suspensions, syrups and other oral dosage forms, and therefore therapy is more easily tolerated by the youngest patients. The onset of action of the suppositories is observed after approximately 40 minutes and lasts for approximately 4-6 hours.

It is better to administer rectal dosage forms after first emptying the patient’s intestines. Some baby suppositories for fever can be recommended for a child already from one month of his life ( Efferalgan ), if they gain weight over 4 kilograms, but only in minimal dosages and under the supervision of a pediatrician.

Basically, they practice the use of antipyretic suppositories for children from 1 year, starting from 3 months (,) in doses corresponding to body weight. For children aged 1-2 years, whose parents are wary of medications created on the basis of chemical ingredients, therapy can be offered using homeopathic suppositories, also quite often prescribed by pediatricians to reduce fever.

Rectal suppositories containing as an active ingredient - paracetamol represented by drugs:

Candles Efferalgan in a minimum dosage can be prescribed from 1 month, suppositories from other manufacturers from 3 months of life. The maximum daily dosage for all suppositories in this group is calculated based on the ratio of 60 mg paracetamol per 1 kg of child's weight. In 24 hours, you can use no more than 4 suppositories (every 6 hours) appropriate for your age and body weight. It is better to limit the duration of antipyretic therapy to three days.

Rectal suppositories containing as active substance ibuprofen represented by medicines:

All drugs in this group can only be used from 3 months of age. The maximum daily dosage for all these suppositories is calculated based on the ratio of 30 mg ibuprofen per 1 kg of child's weight. In 24 hours, you can use no more than 3 suppositories (every 6-8 hours) appropriate for your age and body weight. It is better to limit the duration of antipyretic therapy to three days.

Homeopathic rectal suppositories include components of various origins: conhe, plantago, chamomilla, dulcamara belladonna, pulsatilla in homeopathic dilution.

These suppositories are indicated for use in combination therapy of childhood respiratory diseases and have anti-inflammatory and antipyretic effectiveness. Viburkol can be used starting from 6 months of age. To reduce fever, children over 6 months old with medical thermometer readings above 37.5 °C are prescribed 1 suppository 4 times every 24 hours; at temperatures above 38 °C - administration of 1 suppository 6 times a day. After normalization of the temperature, treatment should be continued for another 3-4 days with the introduction of 1 suppository 1-2 times a day.

Suspensions and syrups for temperature control for children

Antipyretic suppositories for children over 3 years of age are used less frequently, giving preference to liquid dosage forms, probably due to their faster action and taste.

Various antipyretic syrups, powders in granules in bags for the preparation of oral solutions and ready-made suspensions mainly contain various flavoring additives and sugar. It is these “sweet” ingredients that help children swallow the medicine, but can also cause nausea or even vomiting, which will weaken or completely eliminate the effectiveness of the drug taken.

Large amounts of sugar in some cases (or any sugar intolerance ) may be contraindicated for a child and therefore parents are required to carefully monitor how much of it a particular drug contains.

The onset of action of liquid medicinal preparations, as a rule, is noted after 20-30 minutes and lasts for 4-6 hours. Some medications can be diluted with water, tea, milk, others are intended for internal use in their pure form.

Starting from the second month of life, according to the instructions (under constant monitoring and with caution), the child can be given the same syrup Efferalgan , while the age limit for other similar drugs is most often 3 months (, Nurofen , ), and sometimes 6 months. Dosages of liquid medicines are also calculated based on the patient’s weight, and to accurately measure them, a measuring container (spoon, cup or syringe) is always included in the secondary packaging.

Liquid medicines based on paracetamol :

syrup (30 mg/ml, 90 ml or 150 ml in a bottle);
Panadol Baby suspension (120 mg/5 ml, 100 ml or 300 ml in a bottle);
suspension (120 mg/5 ml, 70 ml or 100 ml in a bottle);
syrup/suspension (120 mg/5 ml, 50 ml or 100 ml in a bottle).

In this group, from one month of life, children can take syrup Efferalgan and suspension , other drugs are indicated for use only from 3 months.

The average single dose of liquid paracetamol, depending on the weight of the child, varies between 10-15 mg/kg in 3-4 doses per day. A child can drink a suspension or syrup at a dose of 60 mg/kg within a maximum of 24 hours. The interval between oral administration of any drug should be 4-6 hours. For accuracy and convenience of dosing, you should use the measuring container included with the selected drug. It is better to limit the duration of antipyretic therapy to three days.

Liquid preparations containing the active ingredient ibuprofen :

(100 mg/5 ml, 100 ml or 200 ml in a bottle);
Bofen (100 mg/5 ml, 100 ml in a bottle);
(100 mg/5 ml, 100 ml in a bottle).

All these drugs can be used to treat children over 3 months of age. Single dose liquid ibuprofen depending on the child’s weight, it ranges from 5-10 mg/kg in 3-4 doses per day. The maximum dose a child can take per day is 30 mg/kg.

The interval between oral administration of these medications should be 6-8 hours. Convenience and accuracy of dosing is provided by the measuring container included in the kit for the selected drug. It is better to limit the duration of antipyretic therapy to three days.

Antipyretic tablets, capsules

Capsules and tablets for fever for children (including effervescent forms) are mainly indicated for use from 6 years of age. This age limit is associated with a rather impressive dose of the active ingredient contained in the solid dosage form and the inability to accurately measure the dosage by dividing the capsule or tablet into parts.

These dosage forms, like their liquid counterparts, can also include many different additional substances, which will certainly affect which fever tablets to choose for treating a particular child. Before taking any remedy, parents should make sure that their child does not have allergic reactions for all its components, or start treatment with minimal doses.

etc.

Popular representatives of drugs with ibuprofen :

Nurofen ;
Advil ;
Ibuprom ;
Faspik etc.

The dosage of these drugs for the treatment of fever in children 6-12 years old is determined by the doctor on an individual basis. For paracetamol it varies between 200-500 mg in 3-4 doses per day. For ibuprofen - within 100-200 mg in 3-4 doses per 24 hours. It is better to limit the duration of antipyretic therapy to three days.

Review of antipyretics

When choosing an antipyretic drug for auxiliary treatment of children, the pediatrician and the child’s parents should first of all be guided by its safety. Since all NSAID drugs, including antipyretics, have a common inhibition of synthesis, which can cause their main negative effects ( stomach bleeding , erosion/ , aspirin asthma ), this issue must be approached with full responsibility.

Antipyretic drugs, the use of which is not recommended for children

As mentioned above, use drugs from the NSAID group based on (, Nimulid, , Nemulex , Nimid ), due to the excellent focus of their main action (anti-inflammatory effectiveness), they cannot be used in the treatment of children.

Medicinal products prohibited for children under 12 years of age, due to the doubled risk of negative side effects, also include combination drugs with two active ingredients from the NSAID group, for example Aspirin ( , Aspeter ), since its effect in children with, and can even lead to the development Reye's syndrome .

Popular folk remedies for fever for children, used by many parents mainly in rural areas ( rubbing with vinegar or vodka , alcohol compresses , leg parka, etc.), should be used carefully and only when necessary, especially for infants. In addition to the fact that such folk remedies are ineffective in most cases, they can also harm the child, complicating the course of his underlying disease with toxic effects. ethanol or vinegar (in case of using an excessive amount), penetrating into the body through the skin.

Thus, for clinical use in pediatrics to reduce fever, excluding homeopathic, folk remedies and generally accepted recommendations, only drugs containing as an active ingredient remain suitable ibuprofen And paracetamol .

Conclusion

Although the strength of its antipyretic effect ibuprofen slightly superior paracetamol , however, more frequent development of side effects with its use ( stomach bleeding , , gastrointestinal erosion , decreased renal blood flow etc.) puts this drug in second place.

The drug of choice for reducing fever in children at this time is paracetamol .

Usage ibuprofen justified if the child is intolerant paracetamol or in its absence, in case of urgent need to use an antipyretic drug.

Let us remind parents that any antipyretic drug for a child can be used only after consultation with a pediatrician and only in the age-specific dosages prescribed by him. Repeated use of the dose of medication recommended by the doctor is allowed no earlier than 4 hours after using the first one. It is better to limit the duration of treatment to 3 days.

Fundamental therapy should be aimed at combating the underlying disease that caused the fever ( ARVI , flu etc.). In addition to the main treatment, all additional generally accepted measures must be performed (bed rest, drinking plenty of fluids, portable medicinal herbs, cleansing enemas, taking).

During periods of increased morbidity, you should prophylactically give your child safe and effective drugs to boost immunity (, etc.), and also strengthen his body.

Every first aid kit should contain medications that reduce fever, especially if there is a small child in the house. Parents need to understand the variety of antipyretic drugs and release forms. The most common form is candles. In order for the medicine to work and not cause harm to the body, you need to know how to place a candle on a baby correctly.

The active ingredient in most suppositories is paracetamol (Panadol, Cefekon). Each age has its own dosage, taking into account the child’s weight. They can be used as a painkiller for no longer than 5 days, and to reduce fever - no more than 3 days. Sometimes doctors recommend alternating rectal suppositories with tablets or syrups.

Rectal antipyretics have their advantages.

The medicine does not pass through the digestive tract and cannot harm the mucous membrane. Immediately absorbed into the blood through the intestinal walls.
This form has a long shelf life; it is recommended to use them overnight.
If the temperature rises in the middle of the night, there is no need to wake the child; you can carefully insert the remedy into the rectum.
If a child feels sick or vomits, then candles will become indispensable helpers.

Antipyretics also have their disadvantages. These include the fact that they begin to act 40 minutes after installation. This is not suitable in cases where the temperature rises rapidly or convulsions occur. In addition, it is difficult to light a candle for children who find this procedure unpleasant. They can scream, cry and interfere with the production in every possible way.

This form of medicine is not suitable for first aid to the body. If an increase in temperature is noticed, then the remedy is used in advance.

Characteristics of basic drugs

The most popular products for children under one year of age:

Nurofen. The active substance is ibuprofen. Re-introduction of the suppository is allowed no earlier than after 6 hours. Can be used from 3 months.
Panadol. Medicine based on paracetamol. The minimum interval between administrations is 4 hours. Can be used from 3 months. Panadol has an analgesic effect and provides an antipyretic effect. Suitable for symptoms associated with teething, otitis media and other colds.
Cefekon D. The active ingredient is paracetamol. Can be placed after 4-6 hours. The drug is approved for use from 1 month.

Sometimes for children, in combination with antipyretics, immunomodulatory drugs are prescribed, including Genferon Light. It does not reduce the temperature, but helps suppress viruses. It is based on interferon, which activates the child’s body’s defenses.

Genferon Light has antiviral, immunomodulatory, antibacterial effects. Used in the complex treatment of diseases that have a bacterial or viral origin.

The drug Genferon Light is contraindicated in case of individual intolerance to individual components and should be used with caution during exacerbation of allergies. Genferon Light suppositories are intended for children under one year of age. One suppository contains 125,000 IU of interferon. Usually the doctor prescribes one suppository twice a day, morning and evening. The course of treatment depends on the severity of the disease and can last 5-10 days.

Side effects of Genferon Light suppositories include local allergic reactions. Rarely, pain in the head and joints and loss of appetite may occur.

There are no cases of overdose with Genferon Light. If two suppositories were administered in a row, then stop using the drug for a day.

You should always strictly follow the dosage prescribed by your doctor and should not be combined with other medications of similar effect.

Nurofen has an antipyretic effect, relieves pain and inflammation. Nurofen is prescribed for children under one year of age as a treatment for symptoms of acute respiratory diseases of infectious or viral origin, which are accompanied by fever in the body.

Contraindications to the use of Nurofen are:

intolerance to the constituent components of the medication;
pathologies in the functioning of the kidneys and liver;
disturbances in the functioning of the heart;
problems with blood clotting;
The child's weight is below 6 kg.

An overdose of Nurofen may occur when the dose exceeds 200 mg/kg of the child’s body weight. In this case, vomiting, abdominal pain, and diarrhea appear.

Panadol has an analgesic and antipyretic effect. Has a weak anti-inflammatory effect. Used for various infectious diseases (rubella, measles, whooping cough).

Panadol is contraindicated in the following cases:

hypersensitivity to paracetamol;
severe kidney and liver diseases;
blood disorders.

Side symptoms of Panadol may include an allergic reaction (rash, urticaria), nausea, vomiting. Rarely, anemia may develop.

Rules for using the drug

Before using suppositories, you should consult your doctor. It is important to study the instructions in detail and learn how to insert the candle correctly.

Candles should not be placed if the child has an inflammatory process in any part of the rectum or rectal bleeding is observed.
You can do an enema first. Otherwise, the drug, irritating the intestinal walls, can provoke an act of defecation and there will be no result.
Candles should be stored in a cool place. Melted medicine will be difficult to use for its intended purpose.
The child should be washed and hands washed with soap.
If the baby resists and squeezes the buttocks, then you should refuse the medicine and choose oral medications, as the intestinal walls can be damaged.

If the child went to the toilet after a while, you should not rush to put a new candle, as you may encounter symptoms of an overdose. It’s better to wait 30 minutes; if the temperature drops, then no additional intervention is required.

In order for the candle to work and not harm the child, it must be placed correctly. To do this, you need to perform a number of steps.

Place the baby on his back.
For easy insertion, you can lubricate the anus with oil or baby cream.
Lightly lift and spread the buttocks with one hand, and insert the medicine with the other.
Use your finger to push the candle slightly into the anus.
After this procedure, squeeze the buttocks briefly.

After the procedure you should lie down for about 30 minutes. You may notice that the medicine is leaking. This has nothing to do with the active substance. Paraffin or Vaseline oil, which is included in the composition as an additional component, is melted. This will not affect the result in any way.

What drugs should be used and in what cases?

After vaccination, some pediatricians insist on using an antipyretic drug without waiting for the temperature to rise. In these cases, it is better to use Nurofen rectal suppositories.

If children under one year of age have a sore throat or other infectious disease, the body temperature may rise to high levels. In these cases, Nurofen, Panadol, Efferalgan are prescribed. To enhance their effect, antihistamines and immunomodulators, for example, Genferon Light, can be prescribed.

In order to stop the spread of the virus in the body, it is not enough to take antipyretic drugs. In these cases, the drug Genferon Light is prescribed, which promotes a speedy recovery in children under one year of age.

When children are predisposed to allergic reactions, the drugs Panadol, Ibuprofen, Nurofen are prescribed. They do not cause allergies and quickly begin to act.

If adults take into account all the basic rules in using candles, then recovery will occur earlier, without the development of any serious consequences.

An increase in temperature in an infant is almost always a signal of trouble in a small organism, the cause of which can be either a disease or a reaction to vaccination or teething. Antipyretic drugs will help alleviate the child's condition at high temperatures.

Dosage forms of antipyretics for newborns

Liquid form. Presented in syrups and suspensions. Using a measuring spoon or the included device with a piston, dose the drug.
Solid form. Candles (suppositories). They are selected depending on the dosage of the antipyretic drug.

Candles and suppositories are inserted into the child's rectum. Syrups and suspensions are administered orally, according to the dosage recommended by the doctor.

List of antipyretics for children under one year of age

All modern antipyretics belong to a specific group based on the type of active substance. Good antipyretics include:

paracetamol-based products (Efferalgan, Panadol, Paracetamol). They can be produced in the form of rectal tablets or suppositories, suspensions. Contraindicated for patients with liver disease, kidney disease, viral hepatitis, diabetes mellitus;
medications that contain ibuprofen (, Ibuprofen, Ibufen). Approved for use only from the third month of the baby’s life. They cannot be used for asthma, liver disease, kidney disease, hearing impairment, blood disease, ulcers, gastritis;
homeopathic group of antipyretic drugs (Viburkol). Presented in the form of rectal suppositories. They have no age restrictions. They cannot be used if the components are intolerant.

Important! An antipyretic for a newborn (up to 1 month) from birth is prescribed exclusively by a pediatrician. Self-administration of the drug is dangerous due to overdose and side effects.

Antipyretic suppositories for newborns up to 1 year

The main advantage of antipyretic suppositories is the lower number of side effects compared to the liquid form. Suppositories are absorbed through the rectal mucosa without affecting the digestive tract. Flavorings and dyes are added to syrups. This dosage form may cause an allergic reaction in infants prone to allergies.

Antipyretic suppositories based on paracetamol

Approved for use from 1 month of age.

children weighing 4 - 6 kg (child's age 1 - 3 months) - 1 suppository 50 mg;
infants weighing 7 - 12 kg (child's age 3 -12 months) - 1 suppository 100 mg .

Apply no more than 3 times per day. The interval between doses is 4 - 6 hours.

Panadol suppositories

For a child under one year of age, it is necessary to purchase suppositories with a dosage of 125 mg of paracetamol in one suppository. Allowed for children from 6 months in a dosage of one suppository. It is allowed to place no more than 4 candles per day with 4-hour breaks. You can use it for 5-7 days. Panadol has an analgesic and antipyretic effect.

Antipyretic suppositories based on ibuprofen

Nurofen suppositories

Used from three months of age. One suppository contains 60 mg of ibuprofen. It is allowed to use the drug after 6 hours.

children weighing 6 - 8 kg are prescribed 0.5 - 1 suppository no more than 3 times a day;
if the baby's weight is 8.5 - 12 kg, 1 suppository is prescribed no more than 4 times a day.

Suspensions and syrups for children from one month to 1 year

There is often confusion with the name of liquid antipyretic drugs for children in terms of classifying them as syrups or suspensions. The basis of syrups is a concentrated aqueous solution of sucrose and/or its substitutes, and suspensions are a liquid medium in which particles of the active substance are distributed in suspension. Over time, with prolonged standing, these particles can settle to the bottom, so the suspension must be shaken before using. Both taste sweet, but in syrups the sweetness is mostly due to sugar (most often sucrose), and in suspensions, sweeteners (for example maltitol) and/or sweeteners, much less often sucrose. Sweeteners are able to be absorbed by the body because they provide energy value, while sweeteners are substances that are not a source of energy, although they taste sweet. Therefore, if a child is prone to allergies, it is better to choose a product that does not contain sucrose.

Antipyretic suspensions based on ibuprofen

Used from three months of age. It is allowed to use the drug after 6 hours.

Suspension Nurofen

Analogues are Ibuprofen suspension, Ibufen suspension, Bofen suspension.

How to give:

infants 3–6 months old weighing at least 5 kg are prescribed 2.5 ml 1–3 times a day;
if the child's age is from 6 months to 1 year, use 2.5 ml 1 - 4 times a day.

Antipyretic suspensions and syrups based on paracetamol

Children from 3 months to one year can take 60-120 mg of paracetamol at a time. If the child has not yet reached three months, then the dose is calculated based on the child’s weight - 10 mg per kilogram. It cannot be used more than 4 times a day. Children under 3 months. used only after medical prescription.

Panadol suspension

How to give:

with a body weight of 6-8 kg, 4 ml of suspension is prescribed;
8-10 kg - 5 ml of Panadol suspension.

Efferalgan syrup

The dosage is carried out using a measuring spoon, on which divisions are marked corresponding to the child’s body weight, starting from 4 kg and up to 16 kg at intervals of one kilogram. All even numbers are marked, and odd numbers are divisions without a number. Medicines must be taken as much as the child weighs. If the child has not reached 4 kg, it is not recommended to use the drug.

Calpol suspension

An analogue is a suspension of Paracetamol for children.

At the age of three months to one year, give the child from 2.5 ml (child’s body weight 4-8 kg) to 5 ml (child’s body weight 8-16 kg) of the suspension. Contraindicated for children under one month.

Video: Komarovsky about antipyretics

Antipyretic drugs prohibited for infants

Combined tablets containing ibuprofen and paracetamol (Ibuklin Junior tablets). They can be used for children over 3 years of age.
Analgin. It is not used for children. It can be used as part of a lytic mixture if it is not possible to reduce the temperature for a long time by other methods. Used only in extreme cases, as prescribed by a doctor and in his presence.
Aspirin. It should absolutely not be used to lower the temperature of children under 12 years of age. The drug is dangerous due to complications and the development of dangerous pathologies.

Important! It is strictly not recommended to deviate from age restrictions when choosing an antipyretic drug. The components in the drug may act differently and cause side effects. For a developing organism, an inappropriately selected antipyretic can cause irreparable damage.

Additional methods for reducing fever

Drink plenty of fluids. The baby is often placed on the mother's breast.
Comfortable clothes. The child should not be wrapped up so as not to overheat further. However, there is no need to undress him completely.
The room temperature should be + 18 + 20 C;
If there is no vascular spasm, after consulting a doctor, the child can be wiped with warm water, but without vinegar in the composition!

With a slight increase in temperature of 37 - 37.5 C, you can do without antipyretic drugs. But an examination by a pediatrician is required. The doctor will determine the cause of the fever and the absence of concomitant diseases.

At what temperature should you give an antipyretic to a child under one year old?

Normal indicators of a child’s body temperature from the first days of life vary between 37.0 – 37.5 C. After a few days, the indicators drop to 36.1 – 37.0 C. The usual temperature of 36.6 degrees is established by the first year of the baby’s life. The following numbers are considered normal:

36.0 – 37.3 C – in the armpit;
36.6 – 37.2 C – oral body temperature;
36.9 – 38.0 C – when measuring rectal temperature.

If after vaccination or during teething the child’s temperature rises above 37.5 C, doctors recommend giving an antipyretic. This temperature after vaccination does not contribute to the development of immunity (as is the case with ARVI), and there is no positive effect from it. Therefore, you can give a safe antipyretic (according to age indications). In case of low-grade fever (about 37.0 C), instead of taking medication, it is better to take the additional measures described below to reduce the temperature. If after vaccination there is no increase in temperature, then there is no need to give the baby an antipyretic, just in case.