The best remedies for temperature. Which form of antipyretic is best for you? Is high temperature harmful?

Fever is one of the common symptoms of viral infections and colds. Significant hyperthermia can lead to negative consequences. Parents need to know exactly when to bring down a high fever, and which antipyretics for children are the most effective and safe. It is advisable to use any drugs as directed by a doctor. Before giving the child the medicine, it is important to carefully read the annotation, and not to exceed the recommended age-specific dosages.

Elevated temperature classification

There are 4 stages of hyperthermia:

1. Subfebrile;
2. Febrile;
3. Pyretic;
4. Hyperpyretic.

Subfebrile temperature - this is an increase to figures of 37 ° С-38 ° С. Antipyretic drugs should not be used in such cases, since high temperature is one of the body's means of fighting infectious agents. With hyperthermia, the production of antibodies increases and metabolic processes are accelerated.

Important:unjustified use of antipyretics can only prolong the course of the disease.

ABOUT febrile they say when the thermometer is 38 ° C-39 ° C. According to WHO recommendations, this temperature does not need to be reduced, however, domestic pediatricians have a slightly different opinion. In this case, it is important to assess the general condition of the baby - if he is lethargic or constantly naughty, it is better to give an antipyretic.

Note: it is believed that it is advisable to reduce even the temperature of 37.5 ° C -38 ° C in babies during the first 3 months of life.

Pyretic - 39 ° C-41 ° C is an unconditional indication for taking antipyretics. It is especially important to bring down the high temperature if the child has a pathology of the nervous system (in particular -) or a history of febrile seizures.

Hyperpyretic, i.e., exceeding 41 ° C, poses a serious threat to health and even human life. Seeing such numbers on the thermometer scale, you should immediately call the ambulance team!

What dosage forms to choose?

For children younger age antipyretics are available in the form of syrups and rectal suppositories. Suppositories are administered to very young children who cannot yet drink syrup from a spoon or simply refuse to swallow it.

The advantage of syrups is fast action (due to the high absorption rate of the components) and duration of the effect.

For children who are already consuming regular food, antipyretic chewable tablets or lozenges can be offered. Solid dosage forms, i.e. tablets or capsules, can be crushed and given to the baby after being mixed with water or juice.

The most effective and safe antipyretics for children

The most effective drugs for high fever in children are drugs based on ibuprofen and paracetamol.

Ibuprofen series

can be given to children from the first days of life, but babies up to 3 months old - only as prescribed by a doctor! A single dose is 5-10 mg per 1 kg of body weight; the time interval between doses is at least 6 hours.

Nurofen suppositories are as effective as syrup, but side effects are much less common.

Note: deterioration of general well-being against the background of hyperthermia often leads to the fact that the child refuses not only to eat, but also to drink. Drinking plenty of fluids is one of the most important conditions for a quick recovery, because drinking plenty of fluids accelerates the elimination of toxins from the body. The normalization of temperature facilitates the procedure of "desoldering" a small patient.

Ibuprofen in the form of rectal suppositories is the optimal drug for lowering the temperature in children from 3 months to 2 years. It should be remembered that Ibuprofen can adversely affect the liver of a child, therefore, it is recommended to consult a pediatrician before starting use.

Children's Motrin helps to quickly cope with high fever and pain. Possible side effects include the appearance of skin rashes (with hypersensitivity), as well as vomiting and diarrhea.

Products containing Paracetamol (acetaminophen)

A single dose of Paracetamol is determined at the rate of 10-15 mg per 1 kg of the child's weight. Multiplicity of admission - no more than 4 times a day, observing the time interval from 4 hours. The tool reduces the indicator by 1-1.5 ° C, which is not enough at a pyretic temperature. With very high numbers, it is recommended to give preference to Nurofen.

Panadol (suspension based on sugar syrup) is considered one of the best antipyretic drugs for young children, including babies. The undoubted advantage of this drug is that it does not lead to a decrease in urine output. Thanks to the free removal of excess fluid from the body, such a serious complication of diseases as cerebral edema is prevented.

Calpol, which is produced in the form of a syrup, can be given to a child from 3 months and older. This drug has virtually no side effects. In rare cases, allergic rashes may appear on the skin. After taking Kalpol, the baby's temperature begins to return to normal within 20-30 minutes.

Cefekon-D in the form of rectal suppositories is characterized not only by antipyretic, but also analgesic and anti-inflammatory effects. Suppositories can be administered to babies from the age of 1 month.

Efferalgan in candles can be used to reduce fever in infants from 4 weeks of age. Contraindications to use are liver and kidney diseases, as well as intestinal disorders (diarrhea). Pharmaceutical companies also produce Efferalgan in powder form, which, when diluted with water, produces a pleasant-tasting drink. It can be given to children from the age of 2.

Other drugs

With the ineffectiveness of Ibuprofen and Paracetamol, as prescribed by a doctor, it is possible to use Nimesulide (Nise, Nimulid). This "reserve" agent is produced in the form of suspensions (for patients from 2 years of age), dispersible tablets (prescribed for children from 3 years of age and older, and conventional tablets of 100 mg (for children and adolescents from 12 years old).

For single use or in case of hypersensitivity to the above drugs, Analgin (sodium metamizole) can be used. Its long-term use leads to inhibition of hematopoiesis (hematopoietic function). For children under 12 years old, it is injected intramuscularly in the form of a solution, and for babies from 6 months old - rectally in the form of suppositories.

Certain drugs with antipyretic effect, often used for diseases in adults, are categorically contraindicated in babies. These drugs, in particular, include Acetylsalicylic acid (), leading to serious liver damage.

Traditional medicine recipes from temperature

We recommend reading:

If you urgently need to bring down the temperature of the baby, and none of the above drugs was at hand, you can resort to folk remedies.

You can reduce the temperature in children using. It must be diluted with water 1: 1, and the resulting solution must be rubbed over the entire body of the baby (except for the face) to improve heat transfer. Give your child a good sweat, then change into dry clothes and cover them with a blanket. Avoid getting vinegar in your eyes or mucous membranes - even low concentrations can cause serious irritation.

Tea c will help cope with fever. The drink increases perspiration. Young children should not be given it, since the likelihood of development is relatively high. You should also be careful if your child is diagnosed with stomach problems.

Note: it is very important to give an antipyretic in time if shortness of breath develops with an increase in temperature, as well as diarrhea or vomiting leading to rapid dehydration.

Antipyretics for children have an effect on reducing the temperature of the body in various diseases. How to choose from a variety of both an effective medicine and an inexpensive one, and not just another "fuflomycin" as the famous pediatrician - Dr. Komarovsky said in a recent interview about the pharmaceutical market?

Causes of hyperthermia and the effect of fever medications

An increase in body heat transfer (hyperthermia) occurs against the background of:

• infectious diseases and viral infections;
• diseases of the nervous system;
• overheating;
• after vaccination;
• dehydration of the body.

Under the influence of pathogens and toxins on the body, active substances are formed. They irritate some parts of the hypothalamus, which limits heat loss.

Remedies for temperature in children tend to reduce the sensitivity of the hypothalamus sensors to active substances. Blood vessels dilate, this leads to stimulation of the body's thermoregulatory center and restoration of normal body temperature.

Indications and contraindications

How often can you give your child an antipyretic? One of the most frequently asked questions during consultations with pediatricians.

The use of antipyretic drugs for high temperature in children, it is unacceptable to use for the purpose of prevention or course reception... When treating with antibiotics, it should be borne in mind that taking drugs that lower the temperature will make it difficult to make a correct diagnosis.

Objectively assess the situation, choose which antipyretic is best for a child of a given age and disease, only a medical specialist can.

The clinical picture of the use of anti-temperature drugs for children

• body aches;
• weakness and a feeling of heat;
• general malaise;
• heaviness in the head;
• delirium;
• the occurrence of febrile convulsions ().

Many microorganisms slow down the rate of development in fever, because hyperthermia protects the patient and stimulates the production of interferon.

At what temperature to give antipyretic? Antipyretic drugs are not recommended for children with temperatures less than 38.5 ° C, with the exception of the risk group for complications in fever (febrile convulsions, severe heart ailments, CNS pathologies, lung diseases).

Age features

Up to a year, the temperature of a healthy toddler can be 37 ° C, sometimes this mark can rise by 3-4 divisions. A high rate often occurs with mild illnesses, while a child can have a serious illness without a fever.

If the baby looks healthy and active, there is no cause for concern. But if the temperature mark of the crumbs has risen more than 38 ° C, the appetite has suddenly worsened or vomiting has begun, it is necessary to call a doctor.

Make an appointment with a pediatrician in order to make an adequate diagnosis and prescribe safe antipyretic drugs for children under one year old. For crumbs, first of all, it is recommended to use rectal suppositories for fever.

It must be remembered that the temperature of a healthy baby either rises or falls. With vigorous activity in children from one to three years of age, it fluctuates within the subfebrile norm (37 ° C-38 ° C).

When using antipyretic for children from 1 year old, it must be borne in mind that, high numbers are usually in the evening, and the lowest - in the morning.

It is also important to know how to choose. In winter, viral infections often cause a lot of anxiety for both children and their parents.

Be sure to use a thermometer before using antipyretics for children.

When using a rectal thermometer, the results will be in a minute

Measurement of the temperature indicator for children under 3 years old is recommended to be carried out by the rectal method. A thermometer inserted into the anus will show the result in a minute.

When to give an antipyretic to a child aged 3 to 5 years old? At this age, the baby's temperature can rise to 40 ° C, and with angina, flu and other serious diseases, the total is higher. Parents should not knock down the mark on the thermometer below 38.5 ° C.

The well-known pediatrician Komarovsky O.E., many times reminds mothers that fever is not a disease, but a way by which the baby's body fights infection.

His answers to the question "when should you give antipyretics?" you can find out from the video.

Anti-temperature medicines for children 5 years of age and older, require an age-specific dosage in use. With a critical drop from (40 ° C-36 ° C), emergency assistance is needed.

4 signs of critical (lytic) reduction in hyperthermia

• general weakness occurs;
• heavy sweating;
• threadlike weak pulse;
• cold lower and upper limbs.

To avoid unpleasant and dangerous phenomena, you need to pick up a remedy for fever and read the instructions.

Dosage forms of drugs for fever

Syrups and suspensions

As an antipyretic for children, for a number of reasons, it is better to use syrups

How to choose the best antipyretic agent for children?

From dosage forms of drugs (syrup, suppositories, suspensions, tablets) it is preferable to choose a suspension or syrup antipyretic for children.

• Result in 20-35 minutes, and action time - up to 5 hours.
• For crumbs, liquid syrups and suspensions are very convenient to use. They can be added to juice.
• To dose the syrup, use a plastic spoon, which is sold with the medicinal solution.
• Suspensions are absorbed faster than tablets.

Please note that the use of antipyretics at high temperatures in children can also have side effects, which we will discuss below.

To the most safe means, include paracetamol... The most popular paracetamol-containing products are Panado, Calpol, Efferalgan. Means with paracetamol should be used no more than 4 times a day, the intermediate time between doses is 5-6 hours.

Newborn babies under 4 kg are not advised to give syrup... The disadvantage of liquid medicines is that they contain dyes, flavors, acids, and sugar. And they are capable of causing a strong one.

Suppositories (suppositories)

Cefekon D is used as an antipyretic agent for ARVI, influenza, and childhood infections. At the age of 1 to 3 months. the decision about the use is made by the doctor individually

Consider the question of when is it advisable to use antipyretic suppositories for children?

5 reasons for and against:

• If the child has vomiting, postoperative period, or simply refuses to take the medicine.
• There are no side effects other than diarrhea.
• The use of antipyretic suppositories for children under one year old can lead to instant bowel movements, which will require repeated rectification. The introduction of such funds requires bowel cleansing.
• Suppositories last longer than other fever medications.
• The disadvantage is that you cannot break the candles to reduce the dose.

Tablets

• Minimal risk of allergic reactions.
• An antipyretic agent for children 6 years and older.
• You can choose the dose by dividing the tablet.

Ibuprofen tablets cannot be divided because they are in a shell that protects the gastric mucosa and tooth enamel from certain components. It is not advisable to use drugs for fever with antibacterial drugs.

Prohibited drugs

Experts have proven that some remedies for fever should not be given to children.

Parents need to know them:

• analgin;
• antipyrine;
• amidopyrine;
• nimesulide;
• acetylsalicylic acid;
• phenacetrin.

These medications can cause stomach ulcers, kidney failure, and circulatory problems. They are also able to critically reduce the body temperature (below 36 ° C).

List of popular and effective antipyretics for children

Name	Mechanism of action, age	Way application	Side effects	Contraindications	Price
PARACETAMOL syrup 200mg / 5ml 100ml	antipyretic for children under one year old	2.5-5 ml before meals, can be added to water	vomiting, nausea, itching, anemia thrombocytopenia, angioedema	from 1 month up to 3 months - carefully, viral hepatitis, diabetes, hypersensitivity to the drug, Gilbert's syndrome	65-70 rubles.
	analgesic-antipyretic from 1 to 6 years	5-10 ml before eating, every 5 hours
	analgesic-antipyretic for children 6-14 years old	10-20 ml before eating every 4-5 hours
NUROFEN suspension 150 ml	non-steroidal anti-inflammatory drug from 3 to 6 months	2.5 ml 3 times a day	vomiting, laxative effect, itching, bronchospasm, headache, tachycardia, cystitis, insomnia, anemia, ulcerative bleeding	urticaria, allergic rhinitis, stomach ulcer bronchial asthma, hemophilia leukopenia, hearing loss, gastrointestinal bleeding	190-195 rub.
	non-steroidal anti-inflammatory drug from 6 to 24 months	2.5 ml 3 times a day
	antipyretic for children from 2 years old - 3 years old	5 ml 3 times a day
	antipyretic for children from 3 years old - 5 years old	7 ml 4 times a day
	antipyretic for children 5 years old - 7 years old	9-10 ml 4 times a day
	antipyretic for children 10 years - 12	15 ml 4 times a day
CEFEKON D candles	suppositories from 1 month up to 3 months weight 4-6 kg	50 ml 1 per day	anemia, rash, allergic reactions, agranulocytosis, development of papillary necrosis, itching	children under 1 month dysfunction of the liver and kidneys, blood diseases, sensitivity to paracetamol	RUB 48-54
	suppositories 3 months - 1 year weight 7-10 kg	100 ml 2 times a day
	candles from 1-2 years, antipyretic suppositories for children from 2 years old - 3 years old	100 ml 1-2 candles 3 times a day
	antipyretic suppositories for children from 3 years old - up to 10 years old	250 ml 2-3 times

An increase in body temperature is a reaction of our body to environmental factors. In some cases, the temperature can go away on its own, but if it is above 38 C, the person feels a strong deterioration in health, then he needs to be given special pills or candles to knock it down. Which antipyretic agent is better to choose, a list will be given below.

Reducing the temperature according to the rules

As you can understand, the temperature should not be brought down in all cases. After all, taking medicine at a high temperature is not able to cure you of the disease, does not bring healing closer, but only facilitates the general well-being of the body and removes this difficultly tolerated symptom. Below we give a list of temperature indicators at which you can drink antipyretic substances:

• For adults - from 38.5 C and above.
• Pregnant women, child, people who have chronic diseases nervous, respiratory and cardiovascular systems and with a pronounced general feeling of discomfort - from 38 C.

If, after taking a pill or suppository, the body temperature could fall for normal or close to normal performance, then a repeated dose should not be taken until it becomes high again.

The principle of action of drugs

All tablets and suppositories at high temperatures belong to the category of anti-inflammatory nonsteroidal drugs and antipyretic analgesics (paracetamol). These drugs differ in varying degrees of anti-inflammatory, analgesic and antipyretic properties.

As you may know, endogenous pyrogens are responsible for the rise in temperature. It is they who are able to trigger the formation of an active physiologically substance - prostaglandin E, which, in fact, is one of the main factors of fever. It is he who is able to "tune" the hypothalamus to an increase in temperature in adults and children. Tablets and suppositories from the temperature are able to interrupt such a process, while inhibiting the appearance of prostaglandin E and within an hour from the high temperature, not a trace remains.

Choosing a medicine

Many people are confronted with the choice of which drugs to choose, which effective remedy can be given to the child. First of all, you need to choose drugs that meet the safety requirements of the WHO, these include: ibuprofen and paracetamol. Only such children's medicine is recommended to be given in early age, at elevated temperatures. Other drugs are used for adults, but a list will be given below.

Paracetamol

Antipyretic for children of the first choice. The drug can be found widely in pharmacies. Available in the form of: tablets, suppositories, effervescent tablets, syrup. For adults and children over 12 years of age, the daily dose is 4 grams. It is recommended to take 0.5-1 grams with an interval of 4-6 hours. It is forbidden to drink alcohol while taking. For children, the dosage is prescribed based on their weight, a single dose is 15 mg / kg.

You can give a single dose up to four times a day: suppositories, suspension, syrup. Liquid forms of the medicine can be taken with the addition of baby juices and formula. Already after 30 minutes, an antipyretic effect is observed, which can last from 4 to 6 hours. Candles begin to work later - after 2-3 hours.

You can also combine various forms of this drug - for a faster temperature drop, you can use a suspension and syrup, then candles (after 2-3 hours). Unlike NSAIDs, paracetamol does not affect the coagulation system, does not irritate the gastrointestinal tract.

Contraindications: hepatic and renal failure, personal intolerance. The main side effect is the negative effect on the liver when the recommended dosages are increased.

Ibuprofen

Antipyretics for children are the second choice after paracetamol, often used to lower the temperature. Release form: suppositories, suspension, tablets. Such a drug is distinguished by the presence of a higher frequency of side effects in comparison with children's paracetamol, but at the same time, a more pronounced analgesic effect. It is recommended to give the drug if the child has pain. How much the drug can be given and how often the attending physician determines.

Special instructions: sequential or simultaneous use of paracetamol and ibuprofen in children is not recommended. Taking ibuprofen is not recommended for children with chickenpox (due to the risk of streptococcal fasciitis) and dehydration.

Other antipyretic drugs

Aspirin (Acetylsalicylic Acid)

Reading how much and how often to take the drug, you need to know that it is prohibited for children under 12 years of age as a result of the possible risk of Reye's syndrome (toxic damage to the liver and brain), a very serious condition with more than 50% mortality. For the same reason, it is forbidden to take Tsefekon M and Tsefekon candles (containing salicylamide). Should not be taken with proven influenza, increases the likelihood of bleeding against the background of increased vascular permeability in this disease.

Use as a temperature lowering agent is limited due to the numerous side effects and contraindications associated with an irritating effect on the mucous membrane of the gastrointestinal tract and the effect on the blood coagulation system.

Do not drink in the presence of peptic ulcer of the duodenum and stomach, colitis, esophagitis and erosive colitis, hemophilia, hypersensitivity to salicylates, renal and hepatic failure, "aspirin triad", hemorrhagic conditions, portal hypertension, during pregnancy and lactation.

Reception: for adults - 0.5-3 grams per day, after meals, divided into three meals.

Analgin

This drug is prohibited in a number of countries as a result of toxic effects on hematopoiesis, in children it can cause a strong decrease in temperature (up to 35-34.5 C). In an extreme situation, when other types of drugs that are more safe are unavailable, children can also be taken, but no more than 1-2 tablets and no more than a day.

Nimesulide

Available in the form of tablets of 50 and 100 milligrams. As a result of toxic effects on the liver, it is prohibited for children under 12 years of age. For adults, it can be used as a drug with a quick and well-pronounced antipyretic effect in case of low effectiveness of other drugs.

Adults drink 1 tablet twice a day, the maximum dosage per day is 400 milligrams. Children from 12 to 18 years old - 50 milligrams twice a day, with a body weight above 40 kilograms 100 milligrams twice a day. Contraindications are similar to analgin, but Nimesulide has a less pronounced negative effect on the coagulation of the circulatory system and the gastrointestinal tract.

Combined drugs

Each well-known remedy "for cold symptoms" contains paracetamol in different dosages. Of course, this is extremely convenient, by taking one sachet or tablet of such a drug, you can "kill several birds with one stone" at once, alleviating the common manifestation of a cold and bringing down the temperature. But in this case, there are certain restrictions. This is extremely important when treating a child.

While taking such a drug, the body simultaneously receives several pharmacological substances that have to be split, assimilated and excreted from the body, and with them also various preservatives, dyes and flavorings. Moreover, each of the active ingredients has its own side effect and the potential for an allergic reaction. If the main symptom that bothers you is high fever, it is better to give preference to mono-component antipyretic drugs, not combining them with combined drugs.

Antipyretics during pregnancy

Antipyretic during pregnancy, you can drink only paracetamol, and absolutely at any period of bearing a baby. Despite the fact that such an antipyretic during pregnancy can penetrate into breast milk, it does not have a negative effect on the child, provided that all recommendations and dosages are followed.

What not to do at high temperatures

There are a number of things that are prohibited from doing at elevated temperatures:

• Do not wrap yourself in a thick blanket and dress warmly. The blanket should be made of cotton and be lightweight. Let your body release excess heat through your skin.
• Do not get into drafts, but do not create excessive humidity and heat in the room, this can complicate the process of cooling the body.
• You should not drink hot drinks that raise the temperature (hot milk with honey, coffee, alcohol, tea with raspberries). Do not do warming procedures (heating pads, steam inhalation, mustard plasters, hot baths).
• Do not use juices and sugary drinks for drinking, it is better to drink mineral water, lingonberry juice or slightly sweetened cranberry compote.
• Do not wipe with alcoholic liquids and alcohol to lower the temperature. Children are especially strictly forbidden to do this.

Non-drug methods

Better start using folk remedy, and even if they are ineffective, you can resort to drug treatment, and not vice versa. Try soaking a cotton towel in cold water, squeeze it lightly and apply it to the places where the main arteries pass: armpits, neck, forehead, wrist area, groin area.

Wipe the entire body with a cloth dampened with water at room temperature, drying the surface of the body consistently. You can immerse your feet in cold water, dabble, moisten cold water upper torso. Take a bath of lukewarm water and immerse yourself in it for twenty minutes, then wipe dry.

A positive result after taking various antipyretic drugs is often able to induce people to take them for a long time unreasonable. But taking antipyretics is unacceptable for more than three days without consulting a doctor, in this case such a concept as a "course of treatment" is completely inappropriate.

It is likely that you have the most common viral infection, with which elevated temperature may be longer than this period. But do not forget about a number of other diseases, which differ in more serious consequences, because when you take antipyretic drugs, the clinical picture is distorted, and visible well-being is created.

Ultimately, it becomes difficult for the doctor to determine the cause of the fever and correctly assess the severity of the disease. This also applies to patients using antibiotics for treatment, since their effectiveness is also assessed by reducing fever. If the doctor prescribes antibiotics, then you cannot combine them with antipyretic drugs.

There are many antipyretic medications available, but they should not be taken randomly. In the event that a child requires treatment, it is recommended to first consult with a doctor, because it is important to make the correct diagnosis, and not just bring down the high temperature.

Fever is a common occurrence in acute respiratory viral infections, influenza and many other diseases in childhood... How to choose antipyretics for children? What medicines are best for high body temperature in babies over a year old?

Mechanism of action

All known antipyretic drugs belong to the group of non-steroidal anti-inflammatory drugs (NSAIDs). These medicines work according to the same principle.

The active ingredient in the preparation has three pronounced effects:

• antipyretic (antipyretic);
• anti-inflammatory;
• analgesic (pain reliever).

The drug blocks the production of COX - special enzymes responsible for the development of high body temperature. At the same time, inhibition of the nerve centers located in the medulla oblongata and regulating the appearance of fever symptoms occurs. The severity of the antipyretic action will depend on the magnitude of the temperature and the dosage of the drug.

The anti-inflammatory and analgesic effects are due to a decrease in the permeability of the vascular wall and inhibition of the production of certain substances. The severity of one action or another will be different for different drugs. Depending on the predominant effect, all NSAIDs are divided according to their area of \u200b\u200bapplication. For the treatment of fever, drugs are used that have a pronounced antipyretic effect.

Indications

Modern pediatricians recommend using antipyretics for children only when the temperature rises to 39 ° C. Until this point, you should not take medicines that bring down the temperature. The child's body must independently cope with the problem that has arisen and develop its own protective substances against fever. It is better if the baby learns to deal with the temperature in the first years of life than gets used to taking pills for the slightest reason.

Taking antipyretics at a temperature of 38 ° C is allowed in the following situations:

• febrile seizures in the past;
• diseases of the heart and blood vessels;
• neurological pathology;
• endocrine system pathology;
• age up to 1 year.

If signs of "pale" fever appear, you should also not wait for a high body temperature:

• cold extremities;
• pallor and cyanosis of the skin of the hands and feet;
• lethargy, apathy;
• retardation of consciousness.

In this situation, it is best to start taking antipyretics at a body temperature of 38-38.5 o C.

If the fever does not stop within an hour while taking antipyretics, call your doctor immediately.

Antipyretic drugs are not used as background therapy with a course several times a day. These medicines are used only for high body temperatures. With the normalization of the child's condition, antipyretics are immediately canceled.

Side effects

All NSAIDs used to reduce fever have an impressive number of undesirable effects. The list of side effects attached to each instruction for the drug should not scare parents. All these symptoms are quite rare, and in most cases, children tolerate the medication well. Despite this, parents need to carefully monitor the child's condition in the first hour after using the drug. If you experience any side effects, you should stop taking the antipyretic and see your doctor.

Possible side effects:

• digestive tract: nausea, vomiting, abdominal pain, flatulence, stool breakdown;
• nervous system: headaches, agitation or drowsiness, confusion;
• senses: double vision, blurred vision, tinnitus;
• respiratory system: bronchospasm;
• heart and blood vessels: tachycardia, hypertension;
• hemostatic system: a decrease in the level of all blood cells;
• urinary system: renal failure;
• allergic reactions.

Take antipyretic drugs strictly in the indicated dosage!

The likelihood of side effects increases when the dosage permissible for age is exceeded, as well as when several drugs from the NSAID group are taken simultaneously.

Contraindications

The use of antipyretics for children is prohibited in the following situations:

• hypersensitivity;
• diseases of the digestive tract in the acute stage;
• bronchial asthma with a reaction to aspirin and its analogues;
• diseases of the blood coagulation system;
• pathology of the optic nerve;
• severe kidney and liver damage;
• heart failure.

A complete list of contraindications for each specific drug can be found in the official instructions.

Major antipyretics

What remedy for high fever is better for a child? Sooner or later, all parents ask a similar question. In pediatric practice, two effective drugs are used:

Paracetamol

One of the most famous antipyretic drugs for children. A single dosage is 10-15 mg / kg of body weight. Smaller doses do not lower the temperature. Once inside, the drug is rapidly absorbed in the digestive tract and has a pronounced antipyretic effect after 20-40 minutes. The effect of the drug lasts for 4 hours. Reduces body temperature by 1-1.5 o C.

The daily dose of paracetamol should not exceed 60 mg / kg of body weight. The drug is considered relatively safe. Toxic liver damage develops when the dosage is exceeded up to 150 mg / kg / day. With prolonged use, the formation of renal failure is possible.

Important aspects of using paracetamol:

• approved for use from 3 months;
• a single dose of paracetamol depends on the form of the drug (tablets and syrup - 10-15 mg / kg, suppositories - 15-20 mg / kg);
• the effect of the use of tablets comes faster than when using candles;
• appointed at a body temperature above 38-39 o C;
• used only as an antipyretic agent;
• the course of treatment should not be more than 3 days.

Ibuprofen

A drug with a pronounced antipyretic and anti-inflammatory effect. Recommended for use in case of fever with a pronounced inflammatory component (for example, angina or arthritis). The effect after using the drug develops within 15-20 minutes and lasts up to 6 hours.

Important aspects of using ibuprofen:

• the recommended dosage is 5-10 mg / kg of weight (including in children of the first years of life);
• the maximum daily dose is 40 mg / kg;
• approved for use in children over 3 months old;
• duration of treatment - 3-5 days;
• can be used as an analgesic and anti-inflammatory agent at normal body temperature.

Paracetamol and ibuprofen are WHO approved drugs for use in children. You do not need a prescription to buy these medicines at the pharmacy. The use of other NSAIDs in pediatric practice is extremely limited due to the severity of side effects.

Acetylsalicylic acid

Aspirin is prohibited for use in children under 12 years of age. Causes Reye's syndrome - a dangerous condition associated with liver damage. The complication occurs mainly in children 3-12 years old against the background of uncontrolled intake of aspirin. Reye's syndrome is accompanied by the rapid development of hepatic encephalopathy, which can lead to the death of the child. A single dose for children over 12 years old is 100 mg, the daily dose is not more than 300 mg.

Review of popular antipyretic drugs

What kind effective drugs can I give to children from temperature? Among all drugs, such funds deserve special attention:

Ibuprofen-based preparations:

• Nurofen (tablets, suspension, suppositories).
• "Ibufen" (suspension).

Paracetamol-based preparations:

• "Paracetamol for children" (syrup, suspension).
• "Panadol" (suspension, suppositories).
• Efferalgan (syrup, candles).
• "Tsefekon" (candles).

The dosage and frequency of administration of the drug are calculated based on the weight and age of the child. All the necessary data for the calculation can be found in the official instructions for the medicinal product. For children under one year, a separate table is usually provided. It is strongly not recommended to exceed the indicated dosage. With an increase in the dose, the effectiveness of the drug increases slightly, while the risk of developing dangerous and even fatal side effects increases several times.

Most famous medicines can be consumed with or without food. If the child has a digestive tract disorder, the medicine should be given immediately after a meal. The recommended interval between doses of the drug is 4-6 hours. This gap should not be shortened.

Antipyretics in tablets are prescribed for children from 12 years old. Some drugs, according to the instructions, can be given to a child aged 8-11 years, but only under the supervision of parents. The child should be able to swallow or chew the tablet. Some medicines come in the form of effervescent tablets that are soluble in water. Such antipyretics can be used from 6 years old.

For children of the first months of life and over a year, antipyretics are produced in the form of a suspension or syrup. The syrup is made sweet so that the baby does not have the desire to spit it out. The medicine usually comes with a measuring spoon or syringe with graduations. These devices help to measure the suspension or syrup just as much as needed to lower the body temperature.

The measuring syringe is very easy to use. You should firmly insert the syringe into the bottle, turn the container over and pull the plunger towards you. The syrup or suspension will gradually draw into the syringe. As soon as the medicine reaches the desired mark, you need to return the bottle to its original position and carefully remove the syringe. After use, the syrup is easily washed off from the syringe with plain warm water.

If you have a fever, give the medicine through a syringe very carefully so as not to provoke vomiting. This is especially true for children aged 1-3 years, who are not always able to quickly swallow a syrup or suspension. It is better to offer the baby the medicine in small portions, in portions. If the child categorically refuses to drink the syrup, you can switch to the use of rectal suppositories.

You can use a measuring spoon in children over a year old who have mastered complementary foods. Typically, the drug manufacturer will indicate the exact volume of the scoop. It is not required to dilute the syrup or suspension with water.

Children's candles from temperature are used in children of the first months of life and over a year. It is very convenient to put candles on a child who cries, is capricious and refuses to drink medicine from a syringe or from a spoon. Candles can also be put on a sleeping baby without the risk of waking up. The dosage and frequency of administration will also depend on the age and weight of the child.

Suppositories for fever are placed in the rectum. The suppository clamped between the fingers should be carefully inserted into the anus to the full depth of the candle. To prevent the drug from falling out, you can pinch the anus with your finger. Within a few minutes, the candle will completely dissolve in the anus and enter the bloodstream. The effect of using suppositories lasts longer than when using tablets or syrup. A decrease in temperature occurs 20-30 minutes after drug administration.

What is the best medicine for fever? The choice of drug - paracetamol or ibuprofen - depends mainly on the preferences of the parents. With severe inflammation in children in the first years of life, ibuprofen will be more effective. And, on the contrary, according to statistics, paracetamol rarely gives unwanted side reactions, therefore, it is more often prescribed for babies up to a year. After the age of 12, you can opt for any of the drugs recommended by WHO.

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

The drug Paracetamol is considered one of the most effective means to lower the temperature in children

Which form of antipyretic is best for you?

Antipyretic drugs for children are presented in a wide variety and it is not easy for parents to make a choice. When choosing, it is imperative to take into account the child's age, predisposition to allergic reactions, and also pay attention to how quickly a certain form of the drug and the substance contained in it have an effect.

Forms of antipyretic drugs for children:

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

Do not forget - lowering the temperature with antipyretic drugs, you eliminate only the symptoms of the disease. It is important to identify the very cause of hyperthermia in time and begin the required treatment.

Any antipyretic agent for children should be used only with the permission of a doctor. Before using the medicine, you must first read the instructions and find out the recommended dose, given the age of the baby. The pediatrician has the right to prescribe a different dose of the drug if necessary. The drug can be taken for a second time after 4 hours after the initial intake, if the temperature rises above 38.5 ° C and the baby is feeling unwell.

For the treatment of children who have come out of infancy, syrup is perfect, which will quickly have an effect

All approved antipyretic drugs for children

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

• Paracetamol. Among similar funds, Panadol, Kalpol, Efferalgan, Dofalgan, Tylenol, Mexalen, Dolomol are distinguished. After taking paracetamol, the temperature drops by only 1-1.5 degrees and does not rise for 4 hours, and with high hyperthermia, relief lasts only two hours. The baby may have a risk of individual drug intolerance.
• Ibuprofen. Among the analogues, Ibufen and Nurofen are distinguished. The tool has the greatest effect and does not pose a danger to the health of the child.
• Viburkol. It has a homeopathic effect.

Prohibited antipyretic for children:

• Aspirin (Acetylsalicylic acid), as well as Analgin, Antipyrine and other drugs based on them, should not be given to children.
• Rubbing with alcohol and vinegar. This method is widespread among the people, but it poses a great danger, especially for newborns and babies under the age of three. A harmful substance can penetrate the delicate skin of a child, which will lead to alcohol or toxic poisoning.

To relieve the baby's well-being during a fever, it is necessary to give him plenty of fluids. In addition to water, the baby can be offered to drink juice, the most useful are cherry, orange, cranberry and lingonberry juice, as well as raspberry jam and herbal infusion.

Viburcol is created on the basis of exclusively natural raw materials

Paracetamol based temperature lowering drugs

Paracetamol is endowed with antipyretic and analgesic effects. It is used during the period of diseases, which are characterized by high hyperthermia - with flu, acute respiratory viral infections, colds, otitis media, teething in infants. Paracetamol is not allowed to be used in infants up to one month (to take precautions for up to three months) and in case of individual intolerance to the drug. It is also necessary to take precautions when taken in children suffering from Gilbert's syndrome, diabetes mellitus, viral hepatitis, hepatic and renal failure.

The negative effects include itching, rash, angioedema, anemia, methemoglobinemia, thrombocytopenia. In case of an overdose, nausea, vomiting, blanching of the skin, malfunctioning of the liver, loss of appetite may occur in a day.

Paracetamol for children

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

Form of preparation		Admission rules
Oral syrup 2.4% 50 ml, 100 ml	from three months to one year - 2.5-5 ml (1 / 2-1 teaspoon); from 1 to 6 years old - 5-10 ml (1-2 teaspoons); from 6 to 14 years old - 10-20 ml (2-4 teaspoons).	Take orally before meals 3-4 times during the day after 4-5 hours. Babies are allowed to add to a bottle of water or tea.
Suspension 120 mg / 5 ml 100 ml	from 1 to 3 months - 2 ml (50 mg); from three months up to one year - 2.5-5 ml (60-120 mg); from 1 to 6 years old - 5-10 ml (120-240 mg); from 6 to 14 - 10-20 ml (240-480 mg).	Do not dilute, take orally before meals, washed down with water, 3-4 times during the day after 4-5 hours.

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

Panadol for children

Panadol for children is endowed with antipyretic and analgesic effects. Widely used for colds, flu, ear pain with otitis media and teething in young children. Children aged two to three months, as well as premature babies, are allowed to use the drug strictly on the recommendation of a doctor.

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

Tsefekon D

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

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

Suppositories Tsefekon D are effective for acute respiratory infections, influenza, and a number of infectious diseases

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

Calpol

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

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

It must be taken orally after a meal in one to two hours with plenty of water. It is not required to dilute the baby suspension.

Efferalgan

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

Efferalgan for children is considered one of the most effective antipyretic drugs

Ibuprofen based temperature lowering drugs

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

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

Among the side effects are:

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

Side effects may include gastrointestinal disorders

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

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

Nurofen for children

Nurofen for children is endowed with antipyretic, analgesic and anti-inflammatory effects. It is often used in cases of acute respiratory infections, influenza, infectious diseases in children, and reactions after vaccination.

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

Nurofen is often prescribed to children after vaccination

It is used as an antipyretic, analgesic and anti-inflammatory agent. It is produced in the form of a suspension of 100 ml. Permitted dosage:

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

Shake well before use, take after meals. The medicine does not need to be diluted with water, but it is allowed to drink it after taking it. The drug should not be used by babies under 12 months old and weighing less than 7 kg.

To make the suspension homogeneous, Ibufen must be shaken before use.

Homeopathic remedies

Viburkol is a homeopathic remedy with which anti-inflammatory and antipyretic effects are achieved. The drug is used in the complex treatment of children respiratory diseases... It contains: concha, chamomile, pulsatilla, belladonna, dulcamara and plantago.

Viburcol can not be used only with individual intolerance to its components. The drug in the form of suppositories is administered rectally:

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

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

Antispasmodic drugs

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

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

Among the antispasmodic drugs are "No-shpu" and "Papaverin". They help relieve vascular spasms and enhance the effect of antipyretic drugs. When receiving, you need to pay attention to the age of the baby, whether he has pathologies and chronic diseases. The required dose must be calculated by the weight of the child, having read the instructions.

Papaverine can be used in combination with antipyretic drugs

Lytic Blend Overview

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

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

Precautions:

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

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

When is an antipyretic drug required?

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

Cases when you need to give your child a drug to reduce fever:

• at temperatures above 38 ° C in babies under three months of age;
• at temperatures above 39 ° C in babies over three months of age;
• if the child has heart or lung diseases with the permission of the cardiologist, if the temperature is above 38.5 ° C;
• in the event of febrile seizures, if the temperature is 37.5-38 ° C.

Rules for taking antipyretics

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

• use only with the permission of the doctor, especially in infants under three months of age;
• paracetamol is intended only for use with high hyperthermia 38-39 ° C, but not to eliminate pain;
• the recommended dose of paracetamol when taken orally is 10-15 mg / kg, during the day it should not exceed 60 mg / kg;
• to achieve a quick effect, paracetamol must be used in the form of a suspension or syrup;
• repeated use of the drug is possible at the next temperature rise above 38-39 ° C;
• use the drug for no longer than three days without a doctor's prescription;
• you cannot give your baby a fever-lowering agent if he is taking antibiotics;
• if the baby has hyperthermia and pains in the tummy, but there are no symptoms of colds, in no case do not use medications to relieve fever - immediately call an ambulance;
• if there is high hyperthermia and spasms of the skin vessels, you need to lower the temperature with medication, rub the baby's skin and call a doctor.