Nurofen single dose. Nurofen suspension for children: instructions for use, dosage. For impaired renal function

Nurofen is one of the popular anti-inflammatory drugs and is often taken for a variety of pathological conditions, including fever and pain of various localizations. It is more convenient for adults to use such a medication in tablets, but for babies, candles and suspension are more suitable options. That is why Nurofen, produced in such forms, has a mark on the package “for children”.

Nurofen in rectal suppositories was developed specifically for the smallest children. This drug is easy to use even in nursing infants, because its use eliminates the need to swallow syrup or tablets. Besides, suppositories are convenient both for vomiting and for patients who cannot take medicines by mouth. When are they prescribed to babies, in what dosage are they used and what can they replace if the drug does not fit?

Release form

Nurofen in suppositories is sold in a cardboard box, inside which there are two aluminum blisters containing 5 suppositories each. Released from the packaging, the drug has a white color and an elongated shape. Such a candle has a smooth surface, and inside there may be a small depression or an air rod.

Compound

Each candle Nurofen as the main component, which provides such a medicine with its therapeutic effect, includes ibuprofen. The amount of this substance in one suppository is 60 mg. In addition to it, the medicine contains only two types of solid fat, thanks to which the suppositories keep their shape, are easily inserted into the anus and quickly dissolve inside the intestine. There are no other chemicals in this form of Nurofen.

Operating principle

Since Nurofen is one of the non-steroidal anti-inflammatory drugs, he notes the therapeutic effects characteristic of a group of such drugs:

Analgesic.
Antipyretic.
Anti-inflammatory.

All of them are due to the influence of the active substance of suppositories on the synthesis of prostaglandins. This name is given to mediators that are formed in the human body during a temperature reaction, pain or inflammation. Since ibuprofen is able to block cyclooxygenases of the first and second types (it is these enzymes that "manage" the formation of prostaglandins), this leads to inhibition of the synthesis of prostaglandins, as a result of which the pain reaction, fever or inflammation decreases. It should be noted that in case of pain, the effect of Nurofen is more pronounced if inflammation is the cause of pain.

After absorption from the intestine, ibuprofen from the suppository enters the blood, where it forms compounds with plasma proteins. Further, the active ingredient is transferred to different tissues, where it exerts its effect for up to 8 hours. Ibuprofen conversions occur in the liver, therefore, the pathologies of this organ affect the treatment with Nurofen, as well as kidney diseases, because the drug is excreted from the child's body with urine.

Nurofen in suppositories often acts 20-30 minutes after administration, since the absorption time of the drug is about 15 minutes.

Indications

Nurofen in suppositories is most in demand as an antipyretic drug when the baby has an inflammatory or infectious disease or other pathological condition in which the body temperature rises. The medicine is prescribed:

Babies with SARS.
Children with the flu
Infants with acute otitis.
Patients with various childhood infections (scarlet fever, measles and others).
Children with intestinal infections
Babies with other inflammatory diseases.
Babies who have been vaccinated (if the temperature rises in response to vaccination).
Children with a temperature that occurred during teething.

Children's Nurofen is no less popular for pain syndrome, which can be both weak and moderate in intensity of sensations. Suppositories are used:

For sore throats.
For toothache.
With pain in the joints.
For headaches.
For pain in the ear, for example, caused by acute otitis media.
With sprains.
With bruises.
For postoperative pain.
For muscle pain.
With bone fractures.
With neuralgia.

From what age is it prescribed for children?

According to the instructions, Nurofen, which is produced in the form of suppositories, is used from 3 months of age. They are also not prescribed for children over two years old, since for a sufficient therapeutic effect, two-year-old and older patients require a higher dosage of ibuprofen, which is usually obtained from a suspension.

Infants under three months of age are not prescribed such suppositories.

When are suppositories used for fever?

Since the most common reason for the use of Nurofen in babies is fever, parents should know in which cases suppository treatment is justified. If we talk about numbers, then for a child of 2-24 months, the indicator on the thermometer requiring the use of an antipyretic is called + 39C. However, there are situations when the temperature should be “knocked down” at a lower figure:

If there is a high risk of seizures (febrile). It is suggested by attacks of such convulsions in the past or some neurological pathologies in an infant.
If the child has serious diseases of the cardiovascular system.
If the baby tolerates high temperatures it is very difficult.
If fever is provoked by overheating.
If the cause of the high temperature was vaccination.

Contraindications

Nurofen suppositories are not used:

If the baby weighs less than 6 kilograms.
If the child has previously had an allergic reaction in the treatment of any anti-inflammatory drugs with a non-steroidal structure.
If the baby has an erosive or ulcerative lesion of the walls of the digestive tract, including bleeding.
If the child suffers from some serious progressive kidney disease.
If the patient has active liver disease or has developed severe liver failure.
If the baby's blood test shows hyperkalemia or bleeding disorders.
If the baby has developed heart failure and is in the stage of decompensation.
If the baby is diagnosed with proctitis.
If the examination showed the presence of intracranial hemorrhage.
If the crumbs have severe abdominal pain.

In addition, the annotation also notes a lot of pathologies in which treatment should be careful. These include systemic lupus erythematosus, dehydration, arterial hypertension, anemia, diabetes mellitus and other diseases, therefore, for any health problems, Nurofen can only be used under medical supervision.

Side effects

Sometimes a child may experience a negative reaction to the use of Nurofen suppositories. reaction in the form:

Nausea.
Edema, dermatosis, erythema, urticaria or other allergic reaction.
Exacerbations of bronchial asthma.
Pain in the stomach.
Headaches.

A rarer, but possible negative consequence of the use of suppositories is a violation of hematopoiesis, which is manifested by a decrease in the number of red blood cells in the blood, a decrease in the number of leukocytes, thrombocytopenia, a decrease in the number of granulocytes, and so on. Clinically, this side effect of Nurofen looks like lethargy and weakness, bleeding (for example, from the nose) and bruising, complaints of sore throat, mouth ulcers and other signs.

Occasionally, in babies, after using the suppository, there is dyspepsia, which is manifested by flatulence, constipation, bouts of vomiting, loose stools (diarrhea). In rare cases, the child's body may react to Nurofen with an anaphylactic reaction, the appearance of a stomach ulcer, hematemesis or gastric bleeding, the development of ulcerative stomatitis, impaired liver function, acute renal failure, peripheral edema, increased blood pressure and other ailments.

If at least one of the indicated side symptoms occurs after the first use of the suppository, the treatment should be stopped and at the same time the pediatrician should be contacted to prescribe another therapy.

Instructions for use

Nurofen in suppositories is used only rectally, and the dosage of the drug is determined taking into account several factors, among which the most significant are the age and body weight of a small patient. The drug is carefully inserted into the anus and pushed with the index finger to the level of the middle of the 2nd phalanx.

A single dose at the age of three months to two years is one suppository (60 mg). Infants 3-9 months old weighing 6000 g to 8000 g can be administered three times a day, and the maximum dosage for this age is 180 mg. For babies older than 9 months to two years of age, whose body weight is 8-12 kilograms, suppositories can be administered four times, since 240 mg is considered the maximum ibuprofen per day at this age.

The intervals between the use of candles should be from 6 to 8 hours. It is desirable to insert the drug after a bowel movement. If the child went to the toilet after the introduction of the suppository, and the candle has not yet had time to dissolve (less than 15 minutes have passed), the medicine can be reused. To make sure that the medication has not been absorbed, you can wait about 30 minutes - if the temperature does not start to "fall", you can put another candle.

The duration of treatment for febrile syndrome with ARVI, influenza and other infections should not exceed three days, and for pain, the medicine is given up to 5 days. If the baby is 3-5 months old during the first 24 hours after application, no improvement is noted, you should immediately notify the doctor about this. For children older than 6 months, observation is carried out for 3 days. If during this period the condition has not improved, the symptoms do not disappear or intensify, an immediate consultation with a doctor is required.

If Nurofen in suppositories is prescribed for a child with a temperature reaction to the vaccination, then the baby is given one suppository once. Tots older than a year, if necessary, after 6-8 hours, it is permissible to introduce another suppository. The maximum amount of medication for a post-immunization rise in temperature in children older than a year is called 2 suppositories, which corresponds to 120 mg of ibuprofen in 24 hours.

Overdose

A significant excess of the dose of ibuprofen can cause nausea, tinnitus, abdominal pain and other symptoms, but when using suppositories, overdose almost never occurs, since it is not possible to introduce many suppositories into the rectum at once. It happens only if you use the medication more often than every 6-8 hours.

In such a situation, if you feel unwell, you should consult a doctor.

Interaction with other drugs

Nurofen in suppositories should not be used with acetylsalicylic acid, thrombolytic drugs, diuretics, nimesulide, antiplatelet agents, paracetamol, zidovudine, cyclosporine, cardiac glycosides, and many other medicines. Most of them, when combined with ibuprofen, increase the risk of adverse reactions to treatment, for example, it has a nephrotoxic effect.

Storage conditions and shelf life

So that the medicine does not lose its therapeutic effect and helps the baby with a fever, the candles should be kept in a dry place, which will be hidden from children. It is not required to place the medicine in the refrigerator, because the annotation states that the temperature regime of storage allows heating up to +25 degrees. If the package of suppositories is damaged or the permissible shelf life (2 years from the date of production) has expired, such Nurofen should be discarded.

In the life of every child, the process of teething, a simple cold, or adaptation to a new kindergarten can occur. All these processes are accompanied by at least a rise in temperature, pain, and other symptoms that accompany colds. Today I invite you to discuss one of the medications that is prescribed specifically to eliminate the symptoms of this kind - Nurofen.

Nurofen is available in several forms, thanks to which each patient can choose the most suitable option for himself. In pharmacies, you can find the drug in this form:

Tablets for oral administration.
Effervescent tablets for solution.
Capsules.
Gel for external use.
Suppositories.
Suspension.

Depending on the form of release, each drug has its own name, for example: Nurofen Forte, for children, etc. Today I propose to dwell on one of the most convenient forms of the drug for the treatment of infants - suspensions. The fact is that the medicine of this form has a very pleasant, sweetish orange or strawberry taste, so it is not necessary to force children to drink it.

At the same time, the syrup is sold in plastic bottles, so you can always take it with you on the road without worrying that the bottle will break. The product is sold in a volume of 100, 150 and 200 ml, however, each comes with a convenient syringe dispenser. With it, you can accurately measure the required amount of syrup and give it to your child.

Compound

Nurofen syrup contains active substances - ibuprofen and auxiliary: multitol syrup, citric acid, glycerol, domifene bromide, polysorbate, sodium saccharinate, sodium chloride, sodium citrate, xanthan gum, strawberry or orange flavor, purified water.

Operating principle

The syrup is able to have antipyretic, anti-inflammatory and analgesic effects. It is very quickly absorbed by the walls of the gastrointestinal tract and, accordingly, quickly begins its work. If the medicine was drunk on an empty stomach, then in the blood plasma it can be detected after 15 minutes.

If the drug was drunk with food or immediately after eating, then in this case, the time interval for which the active substance enters the bloodstream increases to 60 minutes.

Indications

According to the instructions for use, Nurofen suspension for children is prescribed for:

Symptomatic treatment of high fever as a result of acute respiratory infections or influenza.
Children's infections.
Other infectious and inflammatory diseases.

Reactions of the body to a planned vaccination, which is accompanied by fever or pain at the injection site.
Pain syndromes of mild to moderate intensity. These include: migraines, headache, toothache, pain in the ears, throat, sprains, rheumatic pain, pain in the joints and muscles.

But at the same time, it is worth remembering that the syrup provides only symptomatic therapy, it reduces pain and inflammation only at the time of taking the remedy. It has no effect on the development of the disease.

At what age is it allowed to take?

According to the instructions for use, the syrup can be prescribed for the treatment of children from 3 months of age. However, in this case, an important point is not only age, but also the body weight of the baby. It is not allowed to take medication for children who weigh less than 5 kilograms.

Contraindications and side effects

Nurofen syrup has the following list of contraindications:

Hypersensitivity to the active ingredient of the drug - ibuprofen or to any other component of the drug.
Bleeding and perforation of the ulcer of the gastrointestinal tract, which were provoked by the intake of non-steroidal anti-inflammatory drugs.
Erosive and ulcerative diseases of the gastrointestinal tract.

Severe liver failure or active liver disease.
Diseases of the optic nerve.
Severe renal failure.
Heart failure or period of time after coronary artery bypass grafting.
Blood clotting disorders and hemophilia.
III trimester of pregnancy.
The body weight of the crumbs is less than 5 kilograms.

With special care, the drug is prescribed for allergic reactions and bronchial asthma, diabetes mellitus, blood diseases, including with an unclear origin of this disease, gastritis, colitis.

The main rule for the use of Nurofen syrup for children is to take the recommended dosage and short-term treatment. Otherwise, adverse reactions may occur. These include:

From the lymphatic system and blood: very rarely, the process of hematopoiesis itself can be disturbed, and as a result, anemia, leukopenia, pancytopenia may occur. The first symptoms that will report the onset of a complication are considered to be: fever, sore throat, general weakness, nosebleeds and subcutaneous hemorrhages.
From the side of the immune system possible occurrence of atypical reactions for the body. For example, the appearance of bronchial asthma, redness on the skin, allergic rhinitis is possible. In especially rare cases, severe forms of allergic manifestations occur: swelling of the face, throat and larynx, tachycardia.
From the gastrointestinal tract rarely observed the appearance of abdominal pain, nausea, vomiting, constipation, diarrhea, flatulence. Very rarely, gastric bleeding, gastritis, ulcerative stomatitis, bloody vomiting may occur.

Possible violations of the biliary tract and liver.
Very rarely there are disorders in the work of the kidneys and urinary tract, namely: acute renal failure, papillary necrosis.
Possible headache, as a result of the effect of the drug on the nervous system.
From the side of the cardiovascular system heart failure, increased blood pressure may occur, and with longer use, there may be a risk of thrombotic complications.
From the respiratory system shortness of breath, bronchospasm, bronchial asthma may be noted.

Instructions for use and dosage

Shake the syrup bottle before use. In order to make it convenient for you to measure the required dose, a measuring syringe is always included in the kit. To draw the drug into it, you need to bring the syringe to the neck and turn the bottle over. By gradually moving the piston to the desired mark, you can easily dial the required amount of medicine. Then transfer the syringe into the baby's mouth and slowly press the plunger, releasing the medicine into the baby's mouth.

After use, the syringe should be rinsed in warm water and left to dry out of the reach of children. For small patients who have an increased sensitivity of the stomach, the medicine is recommended to be taken with food.

How often can Nurofen Syrup be given to a child?

The daily rate of the drug depends not only on the age of the crumbs, but also on its body weight. It should be no more than 30 mg / kg.

Children aged 3-6 months when their weight is 5-7.6 kg, you can give 2.5 ml no more than 3 times a day.
Children aged 6-12 months and at the same time, the weight of the baby is in the range of 7.7-9 kg, you can give 2.5 ml no more than 3-4 times a day. That is, the maximum allowable dose in 24 hours is no more than 10 ml per day.
Children aged 1-3 years, while their weight reaches 10-16 kg, it is allowed to take 5 mg of the drug up to 3 times a day, that is, no more than 15 mg in 24 hours.

Children 4-6 years old and weighing 17-20 kg are allowed to take 7.5 mg up to 3 times in 24 hours. But at the same time, the daily dose should not exceed 22.5 mg.
Children 7-9 years old and weighing 21-30 kg, it is allowed to take the medicine in 10 ml of the drug up to 3 times in 24 hours. The daily dose in this case is not more than 30 ml.
Children 10-12 years old, whose body weight is 31-40 kg, it is allowed to take 15 ml up to 3 times a day, but not more than 45 ml in 24 hours.

The course of treatment should be no more than three days. If after this period of time there is no improvement in the state of health, in addition, the symptoms, on the contrary, intensify, then in this case it is necessary to stop taking Nurofen syrup and consult a doctor.

How soon can Nurofen syrup be given to children again?

Overdose

Overdose symptoms can only be observed if the baby has taken a dose of the drug that exceeds 400 mg / kg. Signs of an overdose include: nausea, stomach pain, vomiting, tinnitus, diarrhea, headache, bleeding in the gastrointestinal tract. In rare cases, there may be manifestations from the nervous system, for example, drowsiness, in more rare cases, convulsions, drowsiness, disorientation.

In severe stages of poisoning, it is possible to develop renal failure, damage to liver tissues, lower blood pressure, and respiratory depression. In young patients diagnosed with bronchial asthma, the condition may worsen.

If you observe at least one of several symptoms in your baby, you should immediately stop taking the drug and consult a doctor.

First of all, your actions should be aimed at facilitating the baby’s breathing and monitoring the main vital signs until the condition is completely normal. In the first hour after taking an increased dose of the drug, it is necessary to give and do a gastric lavage. If the absorption time of the active substance has passed, then an alkaline drink in large quantities may be prescribed in order to excrete the acid derivative of ibuprofen by the kidneys.

Interaction with other drugs

When treating with Nurofen syrup, you should avoid the use of drugs such as:

Acetylsalicylic acid. An exception can only be very low doses of acid, no more than 75 g per day. However, you can take these two drugs only after consulting a doctor, since acetylsalicylic acid in combination with Nurofen can cause severe side effects.
You should avoid taking other non-steroidal anti-inflammatory drugs along with Nurofen, since again, the risk of side effects increases.

With extreme caution, Nurofen should be used together with anticoagulants and thrombotic drugs, antihypertensive drugs, cardiac glycosides, lithium preparations, methotrexates, cycosporins, mifepristones, quinolone antibiotics, tacrolimus.

Nurofen analogue for children

The active ingredient is also ibuprofen. The drug is available in the form of tablets and suspensions, which is also very convenient in the treatment of infants. It is indicated in the treatment of ENT diseases, headaches and toothaches, traumatic inflammations of soft tissues and the musculoskeletal system.

It also contains the main active ingredient ibuprofen. The drug is prescribed in the treatment of fever in viral diseases or after immunization. In addition, the drug can be prescribed for the treatment of moderate to severe headache, toothache, and inflammatory pain. Orafen effectively relieves pain during teething and extraction of teeth.

The drug is used at elevated temperature in patients from 3 months to 2 years. This remedy can be used to treat pain syndrome of varying intensity.

It is very often used in pediatrics, since its main purpose is to relieve pain during teething. In addition, it can be prescribed to eliminate post-vaccination reactions and as one of the means of complex therapy for acute respiratory viral infections and influenza.

It is prescribed to relieve pain of various origins. The main active ingredient is also ibuprofen. In addition, the drug can be prescribed as an antipyretic, as well as one of the elements of the complex for the treatment of infectious and inflammatory diseases of the upper respiratory tract.

Among the many drugs that help get rid of pain and reduce high body temperature, Nurofen is in high demand. Such a medicine is represented by several forms that can be used not only in adults, but also in childhood. When is Nurofen prescribed for children, how is it dosed and what analogues are used? Can this medication harm young patients, what is its mechanism of action and in what situations is treatment with such a drug prohibited?

Release form

Nurofen, which is prescribed for children, is distinguished by an orange-yellow box and is presented in these three forms:

Rectal suppositories. They are sold in aluminum blisters of 5 pieces (total 10 candles in a pack). The candles taken out of the packaging are characterized by a smooth surface, an oblong shape and white color.
Suspension. Such Nurofen is sold in plastic bottles containing 100, 200 or 150 ml of white thick syrupy liquid. It is sweet in taste and smells of either strawberries or oranges. Together with the bottle in the box, there is a plastic dosing syringe, on which milliliters are marked.
Tablets. They are sold in packs of 8 pieces, characterized by a round shape and small size. These tablets have a sweet white shell, and on one side you can read the word Nurofen written in black ink.

In addition to these forms, the Nurofen line includes several more types of tablets, gel and capsules, but these drugs are prescribed to children very rarely, since they are contraindicated until 12-14 years of age due to the high dosage of ibuprofen and the increased risk of side effects.

Compound

The main ingredient in each form of Nurofen is ibuprofen.

It is contained in the medicine in the following dosage:

60 mg in one suppository.
100 mg in 5 ml suspension.
200 mg per tablet.

Auxiliary components of the suspension are glycerin, polysorbate, water, citric acid, sodium citrate and other compounds. The pleasant smell of the syrup is due to the flavoring, but there are no dyes in this Nurofen. Sugar is also absent in the preparation, and the sweetness of the suspension is provided by maltitol syrup and sodium saccharinate.

Additionally, rectal suppositories include 2 types of solid fats, necessary to give the drug shape and ease of its introduction into the rectum. There are no other chemicals in this version of Nurofen.

The core of Nurofen tablet is made from sodium lauryl sulfate, stearic acid, silicon dioxide, citrate and sodium croscarmellose. The shell of the tablets is made of talc, acacia gum, macrogol 6000, sucrose, carmellose sodium and titanium dioxide.

Operating principle

Nurofen is one of the non-steroidal anti-inflammatory drugs, so it is characterized by all the therapeutic effects that this group of drugs has:

Anesthetic.
Antipyretic.
Anti-inflammatory.

This effect is associated with the ability of the active ingredient Nurofen to influence the production of prostaglandins - mediators that are released during pain, inflammation and temperature reactions.

This effect is due to the ability of ibuprofen to block enzymes called cyclooxygenase 1 and cyclooxygenase 2. It is they who “control” the synthesis of prostaglandins, therefore, when they are inhibited, the production of such mediators is inhibited, resulting in a decrease in inflammation, fever or pain reaction.

Once ibuprofen enters the bloodstream, it binds to proteins found in the blood plasma. In the form of such protein compounds, the substance is transferred to the tissues, in which it exerts its influence.

All metabolic changes in the drug take place in the liver, so the use of Nurofen can be affected by diseases of this organ. Kidney pathologies also affect the treatment with such a remedy, since ibuprofen is excreted from the child's body with urine.

Indications

The most common reason for prescribing Nurofen to a child is an elevated body temperature due to inflammation, an infectious disease or other pathological condition.

The medicine is used for fever caused by:

SARS;
acute otitis;
flu
measles;
scarlet fever;
chickenpox;
intestinal infection;
pyelonephritis;
vaccination;
teething and so on.

Since Nurofen helps to get rid of mild or moderate pain, the medicine is also prescribed to the child:

with sore throat;
with inflammation of the joints;
with sprain;
with toothache;
with bruises;
with headache;
with pain in the ear;
with broken bones
with neuralgia;
with pain in the muscles;
with postoperative pain.

At what age is it prescribed?

Each dosage form of Nurofen has its own age limits:

Suppositories are used in children whose age is from 3 to 24 months.
The suspension is prescribed from the age of three months and is recommended up to 12 years.
Tablets are allowed to be given to children 6 years of age and older.

No type of Nurofen is used in newborns and infants under 3 months of age. If the baby is already 3 months old, after consulting a doctor, you can both give the drug in suspension and put candles.

A child between the ages of 6 and 12 can be given both a suspension and a solid form. If the patient has difficulty swallowing, syrup is preferred.

The use of suppositories in children older than 2 years is not advisable due to the need for a higher single dose. For the same reason, the drug in suspension is not used in adolescents over 12 years of age, since they will have to drink such Nurofen in large volumes (it is more convenient to use tablets).

What shape to choose?

Each of the Nurofen options has not only different age limits, but also other benefits.

suppositories

Suppositories are easy to use in infants who find it difficult to swallow any other food besides mother's milk or formula. Also, some babies don't like the sweet taste of the syrup and protest the medicine by spitting it out. Candles help with vomiting in a child, which, together with fever, occurs with an intestinal infection. If the baby has such a disease, then any medicine taken by mouth will additionally irritate the digestive tract and provoke another bout of vomiting.

The composition of suppositories is the safest for the child's body, since it does not contain chemical additives to which the child may react with allergies. If the baby develops an allergic reaction to such a medication, then it is due only to hypersensitivity to ibuprofen.

The antipyretic effect of rectal suppositories develops faster than other forms of Nurofen. Ibuprofen from the suppository is absorbed for about 15 minutes, so the temperature after the insertion of the suppository begins to drop about 20-30 minutes after the drug has entered the rectum. At the same time, the effect of liquid and tablet Nurofen after taking such forms begins to appear on average after 45-60 minutes.

The duration of the therapeutic effect of candles is up to 8 hours, and tablets and suspension act on average 4-6 hours.

Suspension and tablet form

Thanks to a special plastic syringe with divisions, it is very easy to measure and give the suspension to the child. In addition, the dosage of this form of Nurofen is more accurate, as it allows you to take into account both the weight of the child and his age.

The tablets are small in size, and thanks to the sweet shell and smooth surface, they are easy to swallow. This form is most convenient for schoolchildren, since it provides the dosage necessary for children over six years of age and eliminates the need to take a large amount of suspension.

When should it be used for fever?

It is well known that fever during any infection acts as a protective reaction and helps the body to overcome the disease faster. And therefore, doctors do not recommend "knocking down" the temperature while the child tolerates it normally.

As a rule, the condition of most children worsens significantly at rates above +38.5+39 degrees. It is at such a high temperature that it is worth using such an antipyretic drug as Nurofen.

However, there are babies who require treatment even at lower numbers on the thermometer. For example, if a child had convulsions in the past with a fever or there is a high risk of their occurrence (there are neurological diseases).

Some children can hardly tolerate even a slight increase in temperature, so they can also be given the drug earlier, without waiting for large numbers. In addition, there is no need to wait with a fever caused by vaccination or overheating, because in such situations, high temperature does not perform any protective function.

Contraindications

The drug is not prescribed:

Children with hypersensitivity to ibuprofen or any other component of the selected form of Nurofen.
Babies weighing less than 5000 g (if we are talking about the use of a suspension) or 6000 g (this is a restriction for the use of suppositories). The tablet form is not given to children weighing less than 20 kg.
Patients with active liver disease or severe liver failure.
Children with progressive severe kidney disease.
Patients with ulcerative, inflammatory or erosive damage to the walls of the stomach or intestines.
Children who have had an allergy to treatment with any other non-steroidal anti-inflammatory drugs in the past.
Babies whose blood tests show an excess of potassium levels.
Children who have changes in coagulogram parameters.
Patients with hemophilia or hemorrhagic diathesis.
Babies with heart failure, if the stage of decompensation has developed.
Patients with bleeding from the wall of the gastrointestinal tract, brain tissue or other localization.
Children with severe abdominal pain (taking Nurofen may interfere with the timely diagnosis of serious surgical diseases).

There are also separate contraindications for each form of medication. So, Nurofen suppositories cannot be used in children with proctitis, and the suspension is not prescribed for children who do not tolerate fructose.

It is forbidden to give the solid form to patients who have glucose-galactose malabsorption, fructose intolerance or a lack of certain enzymes (isomaltase, sucrase). In addition, the annotation to Nurofen includes a rather extensive list of diseases and pathological conditions that require increased attention of the doctor when prescribing such an antipyretic drug .

Therapy should be cautious for anemia, dehydration, arterial hypertension, diabetes mellitus, systemic lupus erythematosus and other problems.

During lactation, the drug is allowed, because it passes into breast milk in very small quantities.

Side effects

Treatment with Nurofen causes allergies, which are most often represented by skin lesions (itching, erythema, dermatosis, etc.), but can also be in another form (dry cough, loose stools, dizziness, shortness of breath and other symptoms). In rare cases, an allergy to Nurofen occurs in a dangerous form (angioedema, anaphylactic reaction, urticaria).

Other side effects include:

The drug can adversely affect the digestive system, which is often manifested by nausea and discomfort or pain in the stomach. Occasionally, the medication provokes diarrhea, flatulence, bouts of vomiting (sometimes mixed with blood), constipation, stomach ulcers and other gastrointestinal lesions.
Some children experience dizziness or complaints of headaches after taking Nurofen. Only in rare cases, the drug causes weakness, sleep disturbances, tachycardia.
If a child suffers from bronchial asthma, the use of Nurofen can provoke an attack and cause an exacerbation of this pathology.
Sometimes the result of the use of the drug are problems with hematopoiesis, in which the number of blood cells decreases. When they appear, the child is weak and lethargic, complains of sore throat, he may experience bruising, bleeding, sores on the oral mucosa and other negative symptoms.
In isolated cases, the use of Nurofen damages the kidneys, increases blood pressure, provokes edema, impairs liver function, or causes other negative changes.

Instructions for use and dosage for children

Suspension

The bottle has special protection against children. The preparation is opened as follows - pressing down on the lid, it must be turned in the direction of the arrow that is drawn on its surface. Before each use, the bottle should be shaken so that the components of the suspension are evenly distributed in the water.

Having firmly inserted the syringe into the neck of the bottle, you need to turn the bottle over and, pulling the piston, draw the liquid to the required mark. Next, the syringe is inserted into the patient's mouth and, slowly pressing on its piston, the medicine is poured.

After making sure that the little patient has swallowed the drug, the syringe should be washed in water and left to dry out of the reach of the baby.

It is advisable to give the suspension to children at the end of a meal or after a meal. Such use of the drug will minimize the harmful effects on the digestive system. If the baby is breast-fed (for breastfeeding), the drug is given during feeding or immediately after it.

A single and daily dose of liquid Nurofen for babies up to a year is determined by the age and body weight of the child:

A child 3-6 months old, who weighs 5000-7600 grams, can receive medication no more than 2.5 ml three times a day. The daily dosage for such a patient should not exceed 150 mg, which corresponds to 7.5 ml of the drug.
A baby 6-12 months old, whose body weight is 7700-9000 grams, is also given 2.5 ml of liquid Nurofen per dose, but the daily dose at this age rises to 200 mg, therefore, such a child is allowed to give a maximum of 10 ml of suspension per day ( the drug is given up to 4 times).

The frequency of taking the suspension at the age of 1-12 years is 3 times a day, and in order to calculate a single / daily dose, parameters such as weight and age are also important:

A child older than a year to 3 years of age with a weight of 10 to 16 kg is given 5 ml of syrup per reception, that is, a maximum of 15 ml per day.
A patient 4-6 years old, who weighs 17-20 kg, is shown up to 22.5 ml of the drug per day, which corresponds to a single dosage of 7.5 ml.
A child of 7-9 years old with a body weight of 21-30 kg is given 10 ml of suspension at one time, and up to 30 ml per day.
A patient aged 10-12 years who weighs 31-40 kg should be given 15 ml of Nurofen at a time, that is, the daily dose is 45 ml.

Candles

This form of Nurofen is applied rectally, and to determine the dosage, as in the treatment of syrup, it is important to know both the age of the baby and his body weight in kilograms. Having cut off one suppository from the blister and removed the aluminum package from the medicine, you need to lay the child on his side.

Gently inserting the suppository into the anus, it should be pushed with a finger to a depth of about half the second phalanx.

A single dosage for a child of 3-24 months is 1 suppository, that is, 60 mg of ibuprofen. In this case, the maximum allowable amount of the active substance for a child weighing 6-8 kg (this is approximately the age of 3 to 9 months) is 180 mg, which means that the drug can be used a maximum of three times a day.

If the patient's body weight is from 8 to 12 kg (this weight is typical for children 9-24 months old), four times the use is allowed, since the maximum allowable daily amount of ibuprofen for such babies is 240 mg.

Candles are inserted with a time interval of 6-8 hours, preferably after a bowel movement. If the medicine provoked a bowel movement within 15 minutes of the drug administration, it is permissible to re-insert the candle, but it is better to wait a while to make sure that the medicine has not had time to be absorbed.

If after 20-30 minutes after using the suppository the temperature does not “drop”, you can safely put another suppository.

Tablets

A single dose of medicine for children over 6 years old is 1 tablet. If the patient is already 12 years of age, the dosage may be increased to two tablets per dose.

At the same time, the maximum amount of ibuprofen per day for children from 6 to 18 years old is 800 mg. This means that 200 mg tablets can be taken up to 4 times a day (the interval should not be less than six hours), and if the dose is 2 tablets at once, then only two doses are acceptable.

Nurofen in this form should be swallowed and washed down with water, and so that the ingredients of the drug do not irritate the stomach, it is recommended to take it after meals or during any meal.

Nurofen for Children is a non-steroidal anti-inflammatory and analgesic that helps to cope with a variety of symptoms of childhood diseases, it can be used from an early age due to its high safety and ease of tolerance. It is worth considering the instructions for using Nurofen syrup for children, because syrup is the most common form of release of this remedy.

Composition and action

Nurofen is an anesthetic, anti-inflammatory drug based on the substance ibuprofen, in addition to the active ingredient, the composition includes auxiliary ones. At the same time, there is no sugar and dyes in the syrup, so the drug can be used by people with diabetes and allergies in most cases.

The action of the drug lasts up to eight hours, it is worth noting that the most effective remedy for inflammatory pain in children. The substance is extremely quickly absorbed in the gastrointestinal tract, after which its active action in the body begins.

Nurofen should be used for pain syndromes that have arisen for various reasons. It can be used for headaches, various colds, viral and bacterial diseases accompanied by fever, inflammation, toothache.

The syrup is available in strawberry or orange flavors, so children usually take it without difficulty. How much does the drug cost? Its price is in the range of 100 - 200 rubles, depending on the pharmacy chain. The drug is available without a prescription, but before using it, you should consult your doctor.

Important! It is worth remembering that Nurofen only affects the symptoms of diseases in the form of pain and fever, but does not cure.

How to take Nurofen syrup - instructions

The dosage of the drug depends on the disease, weight and age of the child. They take the product inside, usually a convenient measuring syringe is included in the package, which helps to conveniently measure the right amount of syrup.

Before taking the remedy, be sure to shake the bottle with syrup. After ingestion, close tightly, wash the syringe and wipe dry. The maximum daily dosage of the agent should not exceed 7.5 milliliters per day for children under six months old, more than 30 milligrams per kilogram for 8 to 10 hours for children over six months old.

In general, with fever, pain of various origins, including teething, the drug is used as follows:

Children aged three to six months are allowed to give 2.5 ml up to three times a day, not more than 7.5 ml of the drug per day.
Children from six to twelve months are given 2.5 ml up to 3-4 times a day, not more than 10 ml in twenty-four hours.
Children from one to three years old are given 5 ml up to three times a day, not more than 15 ml per day.
Children from four to seven years old are given 7.5 ml up to three times a day, not more than 22.5 ml of the drug per day.
Children from seven to nine years old are given 10 ml up to three times a day, not more than 30 ml of the drug per day.
Children from nine to twelve years old are given 15 ml up to three times a day, not more than 45 ml of the drug per day.

If the symptoms of pain and fever persist when taking the drug for 1 to 3 days, you should immediately consult a specialist.

Features of the drug

Infants should not be given the drug for more than one day, in older children, the period of use can last up to three days.

How fast does Nurofen work?

Many parents are interested in how long the remedy works. The active substance ibuprofen is absorbed very quickly in the gastrointestinal tract, its maximum concentration is reached after an hour or two. Therefore, the pain syndrome and fever should subside or completely subside after an hour, in some cases it takes a little longer.

Important! The next reception is advised to carry out no earlier than 6 - 8 hours after the first. In this case, the drug usually lasts up to eight hours.

Take before or after meals

In general, it does not really matter, it should be taken at any time when pain occurs. However, if the child has a high sensitivity of the stomach, the drug should be taken with or after food.

Shelf life of Nurofen syrup after opening

In general, the closed package of the drug is stored for three years. After opening, the syrup can be stored for no more than six months. It is also advised to keep the open medicine in a cold dark place, you can store it in the refrigerator door.

How many ml in a teaspoon of Nurofen syrup

Sometimes special measuring syringes are lost, it is not always possible to find a replacement for them. You can use a teaspoon, in one teaspoon of medicine you get 2.5 milliliters.

Is Nurofen suitable for pregnant women?

Syrup for children cannot be used in the third trimester of bearing a child, during the first two trimesters its use is permissible. However, before taking it, you should definitely consult a doctor and make sure that there are no contraindications.

When lactating, this drug should also be used with caution, you should consult your doctor. Studies show that small amounts of the active ingredient can be excreted in breast milk.

In addition to syrup, there are Nurofen rectal suppositories approved for use in childhood. There is no fundamental difference between the two forms of release of the drug, but it should be borne in mind that candles are suitable only for children no older than two years. The syrup can be used up to the age of twelve.

Rectal suppositories are advised to be taken by those babies who refuse syrup, or for another reason, if the suspension form is not suitable.

Contraindications

The drug has a number of strict contraindications. First of all, it should not be taken if you are allergic to the components of the drug, if you are intolerant to ibuprofen. Also, Nurofen should not be used for the following diseases:

Various inflammatory, erosive diseases of the gastrointestinal tract, intestines, liver diseases, including liver failure, and the excretory system.
Bronchial asthma, nasal polyposis.
Heart failure, various bleeding, bleeding disorders, other diseases of the heart and blood vessels.
Fructose intolerance.
Children's age up to three months, body weight less than five kilograms.

In other cases, the drug is allowed. The main thing is to avoid overdoses, they can lead to serious consequences.

Side effects

When taken correctly, the likelihood of side effects is extremely small, allergic reactions and other signs of intolerance occur quite rarely. Usually side effects can manifest themselves as follows:

On the part of the circulatory system, hematopoietic disorders are extremely rare, they can be manifested by the occurrence of nasal and subcutaneous bleeding, fever and other symptoms.
On the part of the immune system, various allergic reactions and intolerances can occur, an allergy to syrup can occur in different ways, from a skin rash to signs of asthma.
Gastrointestinal disorders, abdominal pain, bloating, nausea, indigestion. Rarely there is a violation of liver function, renal failure.
Headaches, swelling in different parts of the body, shortness of breath, and other autonomic symptoms may also occur.

If side effects occur, you should immediately stop taking the medicine. If a life-threatening condition occurs, you should consult a doctor, it is advisable to call an ambulance.

Overdose

In case of an overdose, side effects usually occur, it is usually accompanied by symptoms of intoxication: nausea, vomiting, diarrhea, sometimes symptoms from the central nervous system occur.

In case of an overdose, it is necessary to stop taking the drug, be sure to do a gastric lavage, if necessary, carry out symptomatic treatment. After gastric lavage, it is advised to take activated charcoal or its analogue, another enterosorbent.

Analogues

Direct analogues of Nurofen syrup are other painkillers based on ibuprofen. It is also worth remembering that Nurofen is available in the form of suppositories and tablets, if the syrup is not suitable for some reason.

The most common analogues of this drug include Ibuprofen-Akrikhin, Advil for children in the form of a suspension. However, it is worth remembering that analogues have their own instructions for use, you must definitely read them before taking them.

High temperature is a cause of concern for parents. And young children are prone to frequent infections, in addition, fever can be a reaction to teething. How to help the baby, because everyone understands that it is impossible to use drugs for adults, the dosage is too high, tablets and capsules are inconvenient for children, and there are many side effects. When contacting a doctor, parents will receive the necessary recommendations on how to deal with a fever in a baby. Often pediatricians prescribe the drug "Nurofen".

This medicine was developed taking into account the characteristics of the child's body. The manufacturer reports that it can be used already in infants (from six months). Often, the doctor will prescribe the drug to younger children, taking into account strict adherence to the dosage.

Usually, children drink the Nurofen syrup offered by their parents without difficulty. It has a pleasant orange flavor and, what is very important, it does not contain dyes, sugar and alcohol. Therefore, it can be safely given to children suffering from diabetes.

When can Nurofen be given to a child?

With fever, headache, toothache, muscle pain, otitis and sore throat.

Nurofen contains ibuprofen. It has an antipyretic, anti-inflammatory effect, anesthetizes.

The action is realized by inhibiting the synthesis of prostaglandin substances responsible for fever, pain and inflammation.

The drug is almost immediately and completely absorbed by the intestine and reaches a therapeutic concentration in the blood serum. If Nurofen syrup is taken before a meal, then it will enter the blood after 45 minutes, and if during a meal or after a meal, it can be detected in the blood after 1-2 hours.

The drug passes the cleavage path through the liver, two inactive components are formed, they are excreted completely through the kidneys. Part of the drug in its original form is excreted after two hours by the kidneys.

Can Nurofen syrup be given to children?

Nurofen syrup is the most suitable form of medicine for children from one year old. It is easy to drink, the child will like its taste (strawberry and orange). The drug is relatively inexpensive, it is easy to find in almost all pharmacies. Parents note the presence of a convenient syringe for taking the drug by a child.

However, some mothers attribute the drug to a short-term effect of lowering the temperature, especially in older children. And babies, on the contrary, a sharp decrease in a short time. The most common of all side effects is an allergic rash on the body of a child.

Instructions for use

The drug is dosed according to the age and weight of the child.

The dose at one time will be from 5 to 10 milligrams per kilogram of body weight.

Do not exceed a dose of more than 30 milligrams per kilogram per day.

By age, Nurofen syrup is dosed as follows:

From 3 to 6 months, give 2.5 ml or 50 milligrams once every 8 hours. Do not give more than 7.5 ml or 150 milligrams per day.
Children from 6 months to a year are given 2.5 ml every 6 hours, but not more than 10 ml. or 200 milligrams of the drug per day.
From 1 year to 3 years, the dose will be 5 ml of syrup every 8 hours. Do not exceed a dose of more than 15 ml or 300 milligrams per day.

Contraindications for use

When prescribing Nurofen, you should carefully read the contraindications, because. violation of the instructions for use can lead to side effects:

If a child has previously been diagnosed with hypersensitivity, an allergy to the main active ingredient and additional components of the syrup, it should not be used. Let the doctor choose another medicine that is not based on ibuprofen.
There are a number of allergic diseases provoked by taking drugs containing acetylsalicylic acid. These include bronchial asthma, rhinitis, urticaria. For such children, taking Nurofen is also contraindicated.
From the groan of the gastrointestinal tract, there are such contraindications: peptic ulcer of the stomach and duodenum, any inflammatory processes, bleeding
From the side of ENT organs: decreased hearing.
Nurofen should not be used in children with renal and/or hepatic insufficiency.
Blood pathology (hemophilia, decreased coagulability, low white blood cell count) are absolute contraindications to the use of the drug.

Be sure to let your doctor know if your child is already taking any medications. With caution, Nurofen is prescribed if the child is taking blood thinners (anticoagulants), adrenal hormones (corticosteroids), diuretics (diuretics), methotrexate, drugs containing lithium, antihypertensive drugs.

When taking Nurofen, side effects are possible, which the doctor prescribing the drug should warn you about. Monitor the behavior of the child, the condition of the skin, general well-being.

Side effects of the drug:

Dyspeptic disorders (vomiting, nausea, pain in the stomach, discomfort and loose stools).
Bleeding of the gastrointestinal tract, the occurrence of erosions and ulcers on the intestinal and stomach mucosa.
Allergic reactions of varying degrees: urticaria, an attack of bronchial asthma, Quincke's edema, erythema multiforme exudative, Stevens-Johnson syndrome, Lyell's syndrome (toxic epidermal necrolysis), itchy skin rash.
Disorders of the nervous system: headaches, disturbed sleep, restless behavior of the child, dizziness, overexcitation.
An increase in blood pressure and an increase in the number of heartbeats.
Urinary system: inflammation of the bladder and impaired functioning of the kidneys.

If you notice the slightest sign of side effects in your child, stop taking the drug immediately and seek medical attention.