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

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

Drugs allowed and prohibited in infancy

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

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

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

In addition to this, there is separate group medicines for children - homeopathic nature (Viburkol). Available in the form of temperature suppositories for newborns, they do not have age restrictions and contraindications. Prohibited for use only when individual intolerance, which is extremely rare even in infants.

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

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

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

Overview of popular children's products

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

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

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

Antispasmodics as a remedy for “white” fever

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

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

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

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

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

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

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

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

Normal temperature in a baby

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

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

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

Reducing temperature using folk remedies

Doctors advise that before giving your baby antipyretics, try to lower the temperature non-drug methods- Grind with water or cool. Top tips to use:

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

Reducing temperature with medications

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

Paracetamol

The safest and most sufficient effective means Paracetamol and products based on it are considered temperature control. It can be given from the first month of life, however, it can also be used from birth, but only after consulting a doctor.

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

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

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

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

Ibuprofen

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

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

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

Antipyretic for a newborn - rules of administration

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

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

Prohibited products

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

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

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

If a child has a fever, parents need to know when and how to bring it down. Today, many medications are produced for patients of different ages. Next, we will find out whether there are effective antipyretics for children.

General information

So, what antipyretics for children exist today? The most common remedy is Paracetamol. This antipyretic for children comes in various forms. In particular, it can be purchased in suspended, tablet form. Paracetamol suppositories are also sold. A medication such as Ibuprofen is approved for use in younger patients. This drug belongs to the category of NSAIDs ( non-steroidal drugs). This medication It is considered more effective because its action is quite long-lasting. Ibuprofen reduces fever for a long time. At the same time, this antipyretic for children has a large number contraindications and side effects. From a certain age, basic types of medications can be given.

Some application features

The dosage must be prescribed by a doctor. Antipyretics for children under one year of age can be given frequently - at intervals of 4-6 hours. However total quantity receptions should not exceed 3/day. Most often, antipyretic for children 2 years old is available in the form of suppositories or syrup. In severe cases, it is more advisable to use candles. They help quickly enough, and the child does not need to strain to swallow the medicine. This is especially true when you have a sore throat due to a cold or flu.

Which antipyretic is best for a child?

Among the fairly large variety of forms of medication, it is often difficult for parents to make a choice. Experts recommend, first of all, to be guided by the age of the child. Predisposition to allergies is also important. The speed of its action depends on the form of the medication. So, for example, the effect of mixtures, chewable tablets, syrups occurs after 20-30 minutes. The effect of the candles appears after 40 minutes. It should be noted that not all small patients can swallow the syrup or chew the tablet. In this case, an antipyretic for children in the form of suppositories is used. Suppositories are administered after bowel movements. It is best to leave them overnight. Sweet syrups, various chewable tablets Not suitable for every child. These medications contain flavorings that may cause allergic reaction. Active components drugs can also cause side effects. In this regard, it is highly not recommended to independently select antipyretic drugs for children.

General information about the purpose of the funds

When taking this or that medication for the first time, you must be careful. Before using the medicine, you should definitely visit your pediatrician. It is also necessary to clarify the dosage according to age and carefully read the instructions. The attending physician can prescribe an individual dosage regimen in accordance with the indications. It is allowed to take the medicine again after at least four hours, if the temperature is more than 38.5 and the baby does not tolerate it well enough. It must be remembered that antipyretic drugs for children help alleviate the condition, relieve acute symptoms, but do not eliminate the cause of the disease. The basis of therapy should be medications aimed at treating the pathology that provoked fever and other manifestations. Next, we’ll look at some medications in more detail and try to figure out which antipyretic is best for a child.

The drug "Paracetamol"

Analogues of this drug are such drugs as "Panadol", "Efferalgan", "Calpol", "Dofalgan", "Dolomol", "Mexalen", "Tylenol". With a one-time dose of Paracetamol, the temperature drops by 1-1.5 degrees for a period of up to four hours. In case of severe fever, it is reduced to 2 hours. Paracetamol has not only an antipyretic, but also an analgesic effect. It is prescribed for pathologies accompanied by fever. In particular, indications include ARVI, teething, otitis media, and influenza. In the form of suppositories, this medication is recommended as an antipyretic for children 1 year and younger. It is not allowed to give the drug to patients less than one month old. Extra caution should be observed when treating children under 3 months, patients with Gilbert's syndrome, renal and liver failure, diabetes mellitus, viral hepatitis. The medication may cause anemia, angioedema, thrombocytopenia, methemoglobinemia, rash, itching, and others. adverse reactions. In case of an overdose, after a day, nausea, vomiting, and loss of appetite may occur. Also, after taking an increased dose, liver dysfunction and pale skin are noted.

Instructions for use of "Paracetamol"

The medicine is used to reduce the temperature of 38-39 degrees, but not for pain relief. The standard dose is 10-15 mg/kg orally (orally). The daily amount of the drug should not exceed 60 mg/kg. Repeated use of the medicine is allowed in the event of a new jump in temperature to 38 or 39 degrees. As practice shows, in most cases two doses per day are sufficient. The duration of use of the medication is no more than three days. If we talk about which antipyretic is best for a child, then, according to reviews from many parents, the drug “Paracetamol” is the best option.

Ibuprofen remedy

This antipyretic for children is prescribed if the drug Paracetamol does not help or causes side effects. The drug "Ibuprofen" has its own list of contraindications. It can also provoke undesirable consequences. First of all, it should be noted that this antipyretic is contraindicated for children 3 years old. In addition, the drug is not prescribed for allergic rhinitis and bronchial asthma, urticaria or cough provoked use of NSAIDs. Contraindications are also such pathologies and conditions as blood diseases, disorders of the liver or kidney function, ulcerative lesions in the gastrointestinal tract, and hearing impairment. Side effects may include rash, itching, insomnia, headache, nausea, diarrhea, hyperexcitability, cystitis, stomach pain. Also, while taking the medication "Ibuprofen", disturbances in the functioning of the kidneys, bronchospasm, dizziness, thrombocytopenia, anemia, leukopenia may occur. In case of overdose there may be following symptoms: tinnitus, vomiting, renal failure V acute form, pain in the head and abdomen, tachycardia, metabolic acidosis, hypotension.

Means "Viburkol"

According to many parents, this medicine is a good antipyretic for children. It is recommended for a variety of respiratory diseases. As a rule, homeopathic remedy"Viburkol" is prescribed as an adjuvant to the main medications in the composition complex treatment. The drug is multicomponent. It contains pulsatilla, chamomilla, conhe, plantago, dulcamara, and belladonna. One of the undoubted advantages this tool The use of natural ingredients is considered. Thanks to this, the list of contraindications and side effects reduced to a minimum. Negative consequences and warnings are associated in most cases with a predisposition to allergies to the components present in the product. This, in turn, is a consequence hypersensitivity to medicinal herbs.

When should medications be given to reduce fever?

Depending on the degree of hyperthermia, fever develops. It can be of two types: pale and pink. In the latter case, it is not always necessary to give an antipyretic. The fact is that in this state, heat production corresponds to heat transfer. This means that the body reacts quite adequately to an increase in temperature. The child himself feels relatively normal. At the same time, his skin is slightly hyperemic or has pink, it feels damp and warm to the touch. According to experts, in this condition, taking antipyretics is inappropriate. If the temperature has not risen to 39 degrees, then instead of medicines it is better to use physical methods. In particular, it is necessary drinking plenty of fluids, the room should be no more than 19 degrees. It is recommended to uncover the child and wipe him with a damp towel (water temperature should be equal to room temperature). At pale fever you can't do without medications. In this case, not only antipyretics are needed, antihistamines and vasodilators are also prescribed for children. With pale fever, heat transfer with high heat production is inadequate. This is due to violations in peripheral circulation. In this case, the further prognosis is very unfavorable, and it is necessary to lower the temperature. The child’s condition is very unsatisfactory: his skin is pale, his legs and arms become cold, and severe chills begin.

Medicines that reduce fever can be given:

• Up to three months at temperatures above 38 degrees.
• From 3 months, for healthy patients, at temperatures above 39C, which is accompanied by pain in the head and muscles.
• Children with cardiac or pulmonary pathologies at a temperature of more than 38.5 degrees. after consultation with a doctor.
• Subject to availability febrile seizures and t 38C.

More information

For patients prescribed antibiotics, antipyretics are contraindicated. If except elevated temperature the child is suffering from pain in the stomach, but there are no cold symptoms, you must immediately call a doctor and not give any fever-reducing medications until he arrives. This condition may be a sign of a serious pathology that requires emergency assistance(appendicitis, for example). If severe hyperthermia or spasms of skin vessels develop, it is necessary to call a doctor and give an antipyretic. You also need to rub the baby’s skin until it turns red. You should also call a doctor if, in addition to fever, the child has diarrhea or vomiting, rapid, slow or difficult breathing, the baby drinks little water, or there is a rash on the body. Signs of dehydration include the appearance unpleasant odor from the mouth, drowsiness, apathy, lack of tears, rare urination, hemorrhages on the skin are noted, and after a slight improvement the condition sharply worsened.

What should not be given at high temperatures?

Such drugs as Amidopyrine, Antipyrine, and Phenacetin are excluded from the list of antipyretic medications. The medicine "Analgin" is considered very toxic, and therefore it is categorically not recommended to be given when high temperature. These drugs have various side effects and contraindications. In particular, the drug "Analgin" can provoke severe allergies. The drug "Aspirin" is not recommended for children. In patients suffering from chickenpox, influenza or ARVI, this medication may cause severe form encephalopathy (Reye's syndrome), which has a high risk of death. The drug "Analgin" is prescribed only in extreme cases. For example, if the child is intolerant to other drugs or, if necessary, carry out intramuscular injection. The injections must be given by a specialist.

Additional information

Many parents use rubbing with vinegar or alcohol. This is how they strive to bring down the temperature without resorting to medications. However, these methods are dangerous for children under three years of age. This is due to the fact that active absorption of the components of the solutions used occurs through the pores in the skin. This, in turn, risks poisoning the child. To alleviate the condition, it is necessary to give plenty of fluids. Drinking can be quite varied with juices. Fruit drinks (cherry, cranberry, lingonberry) are very useful in this case. You can use herbal teas, infusions, and decoctions. In any case, before giving anything to your child, you should visit a pediatrician. Self-prescribing medications is fraught with serious consequences. Only a specialist can make a diagnosis and recommend adequate treatment.

An increase in temperature in a child is a protective reaction of the body to the effects of viruses, bacteria, toxins, a response immune system after vaccination. In most cases, it is not necessary to use antipyretics for children, but have home medicine cabinet antipyretics are necessary.

Antipyretics (antipyretics) will help reduce a high temperature.

Classification of antipyretics for children

In pediatrics, products based on 2 active ingredients are used - paracetamol and ibuprofen. Medicines based on acetylsalicylic acid are prohibited in order to combat body hyperthermia in patients under 18 years of age.

Classification of antipyretic drugs into release forms:

1. Syrups, mixtures, suspensions for oral administration - begin to act 20 minutes after administration.
2. Suppositories for rectal use - the temperature subsides after 30 minutes. Indicated for vomiting, inability to take syrup or tablet form orally. The disadvantage of suppositories is that they are not administered physiologically and provoke defecation, which reduces the effectiveness of the drug.
3. Tablets, capsules, chewable tablets.

Injectable forms of antipyretics for home treatment do not apply. They are appointed to critical situation at high temperatures, used on the basis medical institution or an ambulance team.

At what temperature should a child be given an antipyretic?

Body hyperthermia indicates an intense fight of the body against viruses and other pathogens. If temperature tolerance is normal, medications are not needed.

• for newborns – indicators above 37.5°C;
• patients from 3 months without chronic pathologies– fever should be reduced at temperatures above 38.5°C;
• children with a neurological status or with the appearance of convulsions, babies under one year old with high convulsive readiness - above 37.5°C;
• children with cardiac pathologies - depends on the diagnosis - above 38.5°C.

It is recommended to give antipyretic drugs to children from three months at a temperature of 38.5

Each case is individual, with intolerance to even minor changes in body temperature. It is important to relieve the condition in a timely manner with the help of an effective and safe medicine.

List of the best antipyretics

The intake and use of medications for fever depend on the age criteria and indications specified in the instructions.

Pills

Tablet forms are intended for children over 5 years of age who are able to swallow the medicine without chewing. IN younger age It is better to use syrups or mixtures.

1. Nurofen for children 200 mg No. 8 – based on ibuprofen. The action of the active substance is aimed at blocking the production of prostaglandins. These substances support inflammatory processes in the body. In addition, in the medical literature there is information that ibuprofen derivatives promote the production of interferon and improve the overall resistance of orgasm to the action of pathogenic flora.

Nurofen - effective drug from temperature for children

Prescribed to patients over 6 years of age. Effective dosage is 1 capsule, no more than 3 pieces/day. The interval between doses is 6 hours.

Price – 150 – 170 rub. per package.

1. Ibufen Forte Junior – complete analogue Nurofen and Ibuprofen. Pharmacological action similar to other NSAIDs. Prescribed for fever for children over 6 years of age.

Cost 150 – 200 rubles.

1. Ibuklin – complex drug with ibuprofen and paracetamol. Ibuprofen inhibits the production of prostaglandins. Paracetamol inhibits the activity of the thermoregulation center in the brain. It also blocks the production of inflammatory mediators, but to a small extent. The active components enhance each other's action.

Price 145 – 175 rub.

1. Ibuprofen-Darnitsa is an inexpensive medicine. The pharmacological action is similar to other ibuprofen-based products.

Ibuprofen-Darnitsa - accessible remedy from high temperature

Used for patients over 6 years of age. 1 tablet per dose is indicated, no more than 3 tablets per day. The cost of a package of 50 tablets is about 70 rubles.

1. Efferalgan is a paracetamol-based drug in a dosage of 500 mg. Used only to treat children over 15 years of age.

Effective dosage – 1 tablet, no more than 6 pieces/day.

Approximate cost 95 rubles per package.

Candles depending on temperature

Suppositories are used when a child is unable to swallow a tablet or syrup, or has an individual intolerance to the constituent components. Suppositories are also used for patients with dermatitis and diathesis (in this case, syrups are contraindicated).

The best suppositories for fever:

1. Viferon is a drug based on interferon. The active substance does not have a bactericidal effect, but enhances the activity of phagocytes. These cells destroy pathogenic flora and viruses in the body. Interferon forces cells to change activity, which makes the existence of the pathogen impossible.

Viferon not only reduces fever, but also fights viruses

Suppositories have an antiviral and antipyretic effect. Used for infants, newborns and older patients. Dose for newborns – 1 suppository with a dosage of 150 thousand units 3 times a day.

The price depends on the dosage of the drug, the approximate cost is 450 rubles. for package No. 10.

1. Nurofen - prescribed to patients from 3 months. The action is based on inhibition of mediator production inflammatory process. The validity period of the candle is 12 hours, use no more than 2 pieces. per day.

The price of candles is 300 rubles.

1. Panadol - based on paracetamol, is indicated for children over 3 years old. For children under 2.5 years old, no more than 4 suppositories per day. Reception is carried out once every 6 hours.

The price of candles is 400 rubles.

1. Cefekon - used to reduce fever in children older than 1 month. Main active substance is paracetamol.

• for babies in the first three months of life, the dosage is 50 mg - 1 suppository 2-3 times a day;
• from 3 months to a year – 1 suppository 0.1 g – 2-3 times a day;
• from 3 to 10 years – 250 mg with the same frequency as for younger children.

Cefekon can be given to children older than 1 month

The price of candles is 50 - 70 rubles.

Suppositories may cause a local allergic reaction. If hyperemia or itching occurs in the perianal fold or anus, this form of antipyretics should not be used.

Syrups and suspensions

Syrups and suspensions are a children's dosage form. Practiced to reduce fever in children 1 month and older. Take medications 2-4 times a day depending on body temperature.

Application:

1. Paracetamol suspension - take according to dosage. The action of the active substance is aimed at reducing the activity of the thermoregulation center in the brain. Allowed for use by children from 1 month. For children of the first 3 months, the dosage is 2 ml of suspension, 3 – 12 months – 5 ml, 1 year – 6 years – 10 ml, 6 – 14 – 20 ml.

The cost of the drug is from 50 rubles.

1. Panadol is a drug based on paracetamol. Prescribed to children older than 3 months. Shake the suspension before use. Dosages of the drug are 3 – 6 months – 4 ml, 6 – 12 months – 5 ml, 1–2 years – 7 ml, 3 – 6 years – 10 ml.

Panadol - known remedy for fever in children

The cost of the drug is from 100 rubles. per bottle.

1. Ibufen suspension – indicated for children over 1 year of age. The main component is ibuprofen, which blocks the production of prostaglandins. Dosages range from 1 year to 6 years – 5 ml, 6 – 12 years – 10 ml.

The cost of the drug is 90 – 120 rubles

1. Nurofen suspension is a complete analogue of Ibufen, but is approved for children from 3 months. Dosages depend on the age of the child and are similar to Ibufen.

The cost of the drug is 100–150 rubles.

Komarovsky about children's antipyretics

The opinion of Dr. E. O. Komarovsky coincides with the recommendations World Organization Healthcare. The choice of antipyretic drug depends on the age of the patient and the cause of this condition.

Evgeniy Olegovich insists that children should be treated only with pediatric dosage forms. Despite the fact that Paracetamol and Ibuprofen - cheap remedy You should not give your baby an adult tablet drug and use a ruler to divide it into parts. A quarter of a tablet of a drug intended for the treatment of an adult - this action does not apply to civilized medicine, since there is a high probability of overdose.

Giving a strong antipyretic does not mean curing the baby or speeding up his recovery. In case of viral infections, such a solution will lead to the opposite result. The body will be less effective at fighting the pathogen.

But don’t give it to the baby antipyretic drug at high temperatures, especially in critical conditions, with neurological and cardiological pathologies - a crime.

Antipyretics have saved and are saving millions of lives. But they should be used infrequently, only according to indications and in compliance with the recommended dosages.

High body temperature is common symptom colds and viral infections. Prolonged hyperthermia in a child can lead to negative consequences for health, so parents need to clearly know at what point in the illness they need to take antipyretics. Before giving your baby any medicine, it is advisable to consult a doctor. If this is not possible, then you should study the instructions for the drug.

When are antipyretic drugs needed for children?

All infectious and viral diseases occur in children in an acute form, accompanied by high body temperature. So children's body copes with the disease by producing antibodies to pathogens. Pediatricians say that as long as the child tolerates fever normally, there is no need to give him antipyretic drugs. On the other hand, prolonged hyperthermia can provoke convulsions, cause serious consequences. Parents should be aware of the stages of fever:

• Subfebrile. It occurs at 37-38°C. There is no need to knock it down, because this is how the body signals the fight of the immune system against infectious agents. According to medical research, health hazards little patient No.
• Febrile. Indicators are 38-39° C. Monitoring of the child’s condition is necessary. If he is not capricious and behaves calmly, then there is no need to reduce hyperthermia. If the baby becomes lethargic, his condition worsens, then at this stage it is already necessary to give antipyretics.
• Pyretic. When the thermometer readings are on a scale of 39-41°, then you need to bring down the temperature immediately. Hyperthermia can cause complications affecting nervous system child.
• Hyperpyretic. Body temperature above 41°C is dangerous condition threatening not only the health, but also the life of the child. In this situation, the baby urgently needs to be given antipyretic medicine and call an ambulance.

Antipyretic forms for children

Pharmacies offer different shapes antipyretic drugs. When choosing medications, it is necessary to take into account the age of the baby, the speed of action of the medication, active substance. For very young patients, it is better to buy antipyretic syrups for children, which are produced with a pleasant fruity taste. In case of individual intolerance to liquid dosage form The child is prescribed the use of rectal suppositories.

Older children are recommended to purchase medications in the form of tablets or chewable lozenges. The most fast-acting drugs– these are mixtures, syrups, chewable lozenges. The speed of exposure is 20-30 minutes, after which the temperature drops. Rectal suppositories and antipyretic tablets for children act more slowly. Their effect appears after 40 minutes.

Medicine for fever for children based on paracetamol

The best antipyretics for high fever in children are those based on paracetamol. This is a medication from the group of antipyretics and analgesics. Paracetamol has analgesic, anti-inflammatory and antipyretic effects. Preparations based on it are widely used during childhood pathologies, which are characterized by body hyperthermia - ARVI, influenza, otitis media, colds, teething in infants. After taking paracetamol, the temperature decreases by 1-2 degrees. Therapeutic effect The medication lasts for about 4-6 hours.

Panadol

The safest antipyretic for children under 1 year of age, as it does not provoke swelling and does not cause fluid retention in the baby’s body. Children's forms of Panadol are produced in the form of rectal suppositories and suspensions. Medicine indicated for colds, otitis, teething, chickenpox, whooping cough, rubella, scarlet fever and other infections. Painkillers are prescribed and antipyretic Panadol for babies from 3 months in an individual dose, which cannot exceed 15 mg per 1 kg of the child’s body weight. The frequency of use of the suspension is 3-4 times/day, suppositories – every 3-4 hours.

Average cost drug - from 80 to 130 rubles. When using Panadol, side effects occasionally appear in the form of allergic rashes on the skin. There are some contraindications to taking the drug:

• any pathologies of the liver and/or kidneys;
• joint use With anticonvulsants;
• fructose intolerance;
• premature baby with underweight.

Children's paracetamol

The drug is produced for small patients in the form of a suspension, which can be used from 1 month after birth, and a syrup, which is prescribed from 3 one month old. Indications for use: influenza, ARVI, pain syndrome of various origins. According to the instructions, the recommended dosage depends on the age and form of the drug. Syrup: up to 5 years 1 tsp. (teaspoon), from 6 to 14 years – 2-4 tsp. 3-4 times/day. Suspension: up to 3 months – 2 ml, up to 1 year – 5 ml, up to 6 years – 10 ml 3-4 times a day. Average price on children's paracetamol– 50-120 rubles.

In case of overdose, side effects may occur in the form of nausea, vomiting, loss of appetite, skin allergies. When using the drug for longer than 5 days, it is recommended to monitor peripheral blood counts and liver condition. Children's paracetamol is contraindicated in the following conditions:

• fructose intolerance;
• viral hepatitis;
• severe impairment of hepatic or renal function;
• hypersensitivity to the components of the drug.

Efferalgan

Available in the form of candles, syrup and powder. Used as an antipyretic and analgesic. Suppositories can be used for infants from 4 weeks of age. Efferalgan in powder form is diluted with water, milk or juice in a concentration of 1:2. A pleasant-tasting drink can be given to a child from a bottle with a nipple. The daily dose depends on the baby’s weight and is 60 mg/kg. Interval between doses effervescent powder is at least 4 hours. The average price of Efferalgan is 100-120 rubles.

When using the drug, a child may experience side effects such as abdominal pain, nausea, vomiting, urticaria, and Quincke's edema. If they appear, you should stop taking Efferalgan and consult a doctor. The drug should not be used if the child has:

• hypersensitivity to paracetamol;
• severe violations kidney and/or liver function;
• deficiency of glucose-6-phosphate dehydrogenase;
• illnesses circulatory system.

Tsefekon D

Combination drug, which has analgesic, anti-inflammatory, antipyretic effects. Prescribed for headaches, toothaches, neuralgia, flu, acute respiratory viral infections and other infections, and can be used after vaccination. Children are allowed to use from 4 weeks after birth. Suppositories are administered rectally after a cleansing enema 2-3 times a day. The maximum daily dose is 60 mg. The average price for the drug is 50 rubles.

The use of Cefekon D is limited to 3 days. In case of overdose, undesirable conditions may develop: nausea, vomiting, anemia, urticaria, papillary necrosis. The medication should be used with caution in the following conditions:

• blood diseases;
• severe liver/kidney dysfunction;
• enzymatic absence of glucose-6-phosphate dehydrogenase.

Calpol

Analgesic-antipyretic with antipyretic, analgesic, weak anti-inflammatory effects. Children's forms of the medication - suspension and suppositories, which are prescribed for the treatment of pain syndrome of any etiology, lowering body temperature during infectious and inflammatory processes. Use as prescribed by a doctor in a single dose orally (60-250 mg) or rectally (125-250 mg), depending on age.

It is better to replace antipyretic suppositories for children over 3 years old with a suspension, which is approved for use from 4 weeks after birth. It is used 1-2 hours after meals, washed down with water. The average price for children's Calpol is 85 rubles. The drug of any form should not be used for more than 5 days. In case of overdose, side effects may occur: itching, skin rashes, dizziness, disorientation, anemia, multiform exudative erythema. Calpol is contraindicated for use in:

• severe damage to the kidneys and/or liver;
• deficiency of glucose-6-phosphate dehydrogenase;
• diseases of the circulatory system;
• hypersensitivity to the drug.

Antipyretic based on ibuprofen

Today, finding and buying an antipyretic at the pharmacy for children over 3 years old is not difficult. It is more difficult to choose a medicine for a baby under 1 year old. Ibuprofen drugs can be given to infants from the first days of life, but under the supervision of a doctor. Ibuprofen is available as sweet orange liquid, capsules, tablets, and suspensions. The medicine effectively fights high fever, moderate and mild pain(head, muscles, teeth). In tablet form, the medication is prescribed to children from 6 years of age.

Nurofen

It has antipyretic, anti-inflammatory, analgesic effects. They resort to its use for influenza, acute respiratory infections, infectious diseases, body reactions after vaccination. Gives quick effect to reduce pain of various origins. The recommended dose for the suspension is 2.5-5 ml 3 times a day, rectal suppositories apply 1 piece 3 times a day, starting from 3 months of age. The duration of treatment is no more than 5 days. The price of the drug ranges from 110 to 150 rubles.

In case of an overdose, the child may experience side effects such as anemia, bronchial asthma, diarrhea, shortness of breath, arterial hypotension. Less common are peptic ulcers, bloody vomiting, colitis, ulcerative stomatitis. Nurofen should not be given to a child during exacerbation of erosive and ulcerative pathologies gastrointestinal tract, perforation of ulcers, hearing impairment, severe damage to the liver and kidneys.

Ibufen

A non-steroidal anti-inflammatory drug with antipyretic and analgesic properties. Used for colds, acute respiratory infections, sore throats, post-vaccination reactions, pain of any origin. IN childhood Ibufen syrup is used, which is prescribed in dosage based on the age and body weight of the small patient. Shake the bottle before use and take the medicine after use. a large number water.

The dose from 6 months to 6 years is 2.5 - 5 ml, from 6 to 12 years - 10 ml 3 times a day after meals. As an antipyretic drug, children are allowed to use the drug for no longer than 5 days. The average cost of Ibufen is 80-140 rubles. During treatment medicine any form can be observed unwanted effects: dizziness, sleep disturbance, double vision, anxiety, blurred vision. Ibufen is not prescribed for hypersensitivity to ibuprofen, glucose-6-dephosphate dehydrogenase deficiency, or carbohydrate malabsorption.

Motrin

The children's form of the drug in the form of a suspension is approved from 2 years of age. Motrin is a nonsteroidal anti-inflammatory drug with antipyretic, analgesic, and anti-inflammatory effects. Prescribed at high temperatures, pain syndrome moderate or mild severity. Effective for headaches, muscle pain, and for symptomatic treatment of pathologies of the musculoskeletal system. The dosage is selected individually, depending on the age, body weight of the child, taking into account clinical picture, general condition, contraindications. The average price for Motrin is 145 rubles.

In case of overdose, adverse reactions often occur: diarrhea, nausea, skin rashes, intestinal bleeding, hearing impairment. Incorrect dosage may cause heart attack. The medication is not prescribed for the following conditions:

• ulcerative lesion duodenum or stomach in the acute phase;
• severe renal failure;
• hypersensitivity to substances contained in the drug.

Other antipyretics for children

Parents should remember that unjustified use of antipyretics can greatly prolong the course of the disease. For this reason, you should use medications or change them to analogues only with the permission of your pediatrician. If treatment is ineffective, the doctor may prescribe “reserve” drugs Viburkol, Nimesulide, Nise, Analgin. Some medications with antipyretic effects, often prescribed to adults, are strictly contraindicated for children. These include acetylsalicylic acid(Aspirin), which can quickly cause severe liver damage.

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