Paracetamol for children dosage. Can paracetamol tablets be given to children? Dose at different dosages of the active substance. Combination with other drugs

A first aid kit for children is a must-have in every home where there is a baby. The most accessible and common analgesic and antipyretic agent, allowed from a very young age, is paracetamol. This is salvation both at high temperature and at pains of various origins.

It is on sale in the form of suppositories, sweet syrup, tablets. It is quickly absorbed, begins to act within 30-40 minutes after consumption, has a minimum of contraindications, is prescribed for children in whom hyperthermia is accompanied by convulsions.

The listed arguments are often decisive when buying, however Parents should consider the following nuances:

• up to 5 years of age in the treatment of babies, it is better to use suppositories, syrups, suspensions;
• strict adherence to dosage proportions is required in order not to expose the body weakened by the disease to the risk of excessive intoxication.

In this material, we will analyze in detail what dosage at a temperature is possible for children of different ages, how to give it correctly. This form of the drug raises the most questions. Main:

• from what age is allowed, dosage;
• how to divide a pill into parts;
• admission rules;
• what to do with an overdose.

We will consider them:

Can paracetamol tablets be given to children?

Reminder to parents: the numbers squeezed out on the tablets indicate the content of the active substance - paracetamol - in milligrams, sometimes in grams. They are written on a blister.

Available options: 200 (0.2), 325 (0.325), 500 (0.5). This makes it easier to determine the norm in the number of pieces.

The first thing to remember is that this form not used in treatment generally. The instructions indicate - with, pediatricians recommend with 5.

It is better to crush the pill or part of it into powder, dilute it with a slightly warm liquid (sweetened water, compote, tea). It is advisable to make a binding to food intake: give the medicine in an hour or two.

Experiments to create mixtures of the drug in question with No-shpa, analgin and other medicines are strictly prohibited.

Contraindications:

• individual intolerance to the main substance;
• impaired functioning of the liver or kidneys;
• blood diseases.

Paracetamol for children: dosage in tablets at a temperature

Paracetamol 200 mg

This dosage is the most convenient, since the calculation is carried out with a multiplicity of 100.

Regulated norm from 3 to 6- 150-200 mg. Pediatricians, without further ado, prescribe a pill. For thin babies, half is enough. Permissible maximum 800 mg / day (no more than 4 pieces).

For older kids ( from the age of 6) the norm is increased to 1.5-2.

If the fever does not subside, the medicine is given again. The minimum interval between doses is 4 hours.

It is strictly not allowed to use the agent in question in parallel with other drugs containing paracetamol. If you have given a pill and the fever does not subside, use other non-drug methods:

• ventilate the room;
• solder the baby with water;
• make lotions (on the forehead, armpits, inguinal region).

Paracetamol 325 mg

This option designed for children 6-12 years old. One full pill is given at a time. You don't need to share or add anything. Can be crushed into powder.

The frequency of reception is similar to that indicated above.

Moms who strictly follow the rules are interested in how to accurately calculate the dose of paracetamol for children?

Medical response: take 10-15 mg for every kilogram of body weight. For example, for 2 years, the weight norm is 11.5 kg. Hence, ≤ 172.5 mg is required. It is simply impossible to separate the required amount from the tablet. But there are suitable suppositories containing 170 mg of an antipyretic substance.

Dosage of 500 mg tablets

Such packaging is considered "adult". Teenagers from 12 years old given as a single tablet.

Positive results should not be expected immediately after taking the drug. The temperature drops after about 30 minutes - an hour, usually to 37-37.5 °.

Do not use this medicine for more than 3 days without a doctor's permission.

Attention, an overdose of paracetamol in children, what to do in such a situation?

Anxiety symptoms: arrhythmia, pallor, vomiting or severe nausea, abdominal pain. An acute attack of pancreatitis is not excluded. Usually these symptoms are noticeable almost immediately, but may occur within 24 hours after ingestion. With severe poisoning, liver failure progresses to hemorrhage, loss of consciousness. Unbearable pain in the lower back, blood in the urine signals kidney dysfunction.

Urgent hospitalization required.

If no more than an hour has passed after taking the drug, you can give activated charcoal on your own, but still take the baby to the hospital.

Remember the main thing:

• it is impossible to reduce the heat with the “strongest” remedy, it is necessary to use only approved drugs and in a suitable form;
• temperature up to 38.5 ° is not brought down, the body must fight itself;
• do not risk the health of babies, even a one-time increase in the dose is fraught with irreversible consequences.

Paracetamol is a pharmacological drug that is part of the antipyretic line. The active substance of the drug acetaminophen has a pronounced anti-inflammatory, analgesic and antipyretic activity. Due to its high efficacy and good tolerability, paracetamol is often prescribed to young patients from birth.

Paracetamol is used to eliminate signs of inflammatory or infectious diseases.

When the drug is indicated:

• childhood infections, influenza, SARS, when the indicators on the thermometer exceeded 38 degrees;
• signs of neuralgia or arthralgia;
• with hyperthermia after vaccination;
• when teething, accompanied by pain;
• with colds, which are manifested by headaches and muscle pain;
• as an analgesic after burns, frostbite, mechanical injuries.

Parents should understand that the pharmaceutical does not affect the cause of the pathology, but only temporarily alleviates the condition and well-being of the baby. Therefore, after the temperature has decreased, and the pain has subsided, it is necessary to consult a doctor to determine the cause of the disease and draw up a treatment regimen.

Contraindications for taking paracetamol in children

Although paracetamol is one of the safest antipyretic drugs and rarely causes intolerance, in some cases it will be necessary to stop taking it.

List of contraindications:

• hypersensitivity to paracetamol - the occurrence of allergic reactions or signs of intolerance;
• dysfunction of the kidneys and liver with signs of insufficiency;
• inflammatory reactions in the rectal area (relevant for suppositories);
• deviations from the norm of indicators of leukocytes and platelets in the blood;
• viral hepatitis;
• benign hyperbilirubinemia.

For children under one month old, paracetamol is prescribed with extreme caution, only after the approval of the pediatrician.

In what forms is paracetamol produced for children

Due to the variety of pharmacological forms, it becomes possible to choose the most convenient way to use the medication for the patient.

What pharmacists offer:

• tablets in two dosages - 200 and 500 mg of paracetamol in one pill, packed in blisters of 10 pieces;
• effervescent tablets - one pill contains 500 mg of the active substance, are available in plastic tubes of 10 or 20 units;
• rectal suppositories in six dosages - one suppository may contain 50, 100, 125, 250 or 500 mg of acetaminophen;
• syrup with a concentration of 2.4% - 24 mg of active substance per 1 ml of liquid, produced in 50 and 100 ml bottles.

Syrup is considered one of the most convenient forms for babies. It tastes good thanks to the flavorings, and unlike tablets, it's easy for kids to swallow.

Dosage of paracetamol

The children's body is quite sensitive to taking any medication, so the dosage of the medicine must be calculated very carefully.

Tablets

To calculate the daily dose, it is necessary to take into account the weight of the child - for each kg of body weight, you need to take 10 mg of pure paracetamol. The received dose is divided into 3-4 times.

Maximum daily dose:

• for children from 2 to 6 years old - 150 mg;
• 6 - 12 years - 200 mg.

suppositories

Candles are intended for local use - they should be inserted into the anus of the baby, trying to place as deep as possible. The rectal intestine is rich in blood vessels, so nutrients are absorbed there very quickly.

The average single dose of paracetamol in suppositories is 10-12 mg per 1 kg of body weight, but not more than 60 mg / kg.

• from six months to a year - 50-100 mg;
• from one to three years - 100-150 mg;
• from three to five years - 150-200 mg;
• five to ten - 250-350 mg;
• from ten to twelve - 350-500 ml.

Since candles are available in several dosages, it is convenient to use and calculate them. For babies, suppositories with a small dose are suitable; for older children, you can use one large suppository or several suppositories with a lower concentration of paracetamol.

Paracetamol in large quantities is toxic to the liver, so it is impossible to use the drug for a long time. The course of treatment as an antipyretic should not exceed 3 days, painkiller - 5 days.

Syrup

Taking paracetamol in syrup is allowed from the second month of a child's life, and in some cases, a pediatrician may prescribe medicine to newborns.

How to give:

• from 3 months to 1 year - 60-120 mg per dose;
• from 1 year to 6 years - 120-240 mg per dose;
• from 6 to 14 years old - 240-480 mg per dose.

It is convenient to use teaspoons for counting: one spoonful of suspension contains about 5 ml of liquid, or 120 mg of paracetamol. You need to drink syrup before meals with an interval between procedures of 4-6 hours. It is recommended to shake the suspension beforehand, it can be used in its pure form or mixed into a drink.

Even if the dosage of the medicine was calculated correctly, this does not remove the responsibility from the parents. It is necessary to closely monitor the child's condition, and in case of adverse reactions and deterioration of health, call an ambulance.

High fever, headache and muscle pain in a child are often signs of an acute respiratory illness. In such cases, parents try to give him an antipyretic and painkiller as soon as possible. And today we will talk exclusively about the children's drug "Paracetamol".

What is temperature?

It should be understood that temperature is a protective function of the body. When a foreign pathogen enters the human body, a protein called interferon begins to be produced. It is he who launches a complex defense mechanism, accompanied by an increase in temperature. That is, the higher it is, the more intensively the body fights the infection.

But a rise in temperature above 38.5 ° C (and in infants - 38 ° C) causes severe dehydration, impaired blood microcirculation and leads to dysfunction of many internal organs. In this case, doctors recommend using the drug "Paracetamol" (for children, the dosage will be discussed a little lower).

Note to moms

If, with an increase in temperature in a sick child, the body becomes hot, and the cheeks are pink, this means that the processes of heat generation and heat transfer are in a balanced state. In this case, the use of antipyretic drugs can give a positive result and alleviate the condition.

If, when the temperature rises, the baby has chills, the skin becomes pale, and the hands and feet are very cold, antipyretic drugs are not suitable, since as a result of a violation of the thermoregulation mechanism, vasospasm occurs, which poses a serious threat to life. In this case, it is urgent to call an ambulance and hospitalize the child.

Contraindications

If the drug "Paracetamol" does not reduce the temperature, then most likely it is not suitable for the child. In this case, you should try drugs based on a different active substance. Contraindications for admission are also:

• hypersensitivity to paracetamol;
• age up to three months;
• dysfunction of the liver and kidneys;
• anemia;
• leukopenia;
• congenital hyperbilirubinemia.

The drug "Paracetamol" for children: dosage

Children can be given paracetamol preparations no more than four times a day with an interval of six hours. At one time, the dose should not exceed ten milligrams of the active substance per kilogram of total. Detailed instructions are always attached to the medicine. There are measuring spoons or cups for syrups and suspensions, so the dosage of Paracetamol for children never causes problems.

The effect of the drug begins to appear 30 minutes after ingestion. At this time, it is necessary to carefully monitor the condition of the baby. If you experience symptoms such as nausea, vomiting, convulsions, choking, pallor or loss of consciousness, you should immediately call a doctor. Such conditions may indicate an overdose or the development of a severe allergic reaction.

It is impossible to use an “adult” tablet analogue to lower the temperature in children, since in this case it is very difficult to calculate the allowable dose.

And one more nuance that parents often overlook. Always store children's medicines separately from adult medicines. In cases where the child's temperature rises sharply, it is very easy to mix up the means in a state of panic.

Syrup "Paracetamol"

The product is a sweet suspension that all kids drink with pleasure. Paracetamol syrup, the instruction for which contains all the necessary information, does not need to be diluted with liquid beforehand, since it is ready for use. The drug has a very mild effect and is recommended for use even in infants.

Syrup "Paracetamol", the instruction confirms this, is available in dark glass bottles of 100 and 50 ml (the cost is from 60 rubles and more - depending on the manufacturer, volume and region).

Additionally, the drug is supplied with a measuring spoon or a glass. The dosage of "Paracetamol" for children is selected according to the age of the small patient:

• the dose of the drug for children under six months is prescribed only by the attending physician after examination and a decision on the advisability of this action;
• from six months to a year, the dose is 2.5-5 ml of syrup;
• 1-3 years - 5-7.5 ml of syrup;
• 3-6 years - 7.5-10 ml of syrup;
• 6-12 years - 10-15 ml of syrup.

Between doses of the drug should take at least four hours to avoid manifestations of undesirable consequences of an overdose.

Suppositories rectal

Rectal suppositories (candles) are the most convenient form of medication for babies over the age of one month. They can be used at night if the child's temperature rises sharply during sleep. In addition, the active substance, getting into the rectum, begins to be instantly absorbed into the blood and quickly exert its effect.

You can use rectal suppositories every 4-6 hours, while carefully monitoring the condition of the child.

Tablet form

Getting a child to swallow a whole tablet is quite difficult. But some kids are calm about taking this form of medication and swallow them without difficulty. Therefore, in the absence of another format for this antipyretic, pills can also be used.

The use of tablets is allowed when they reach the full two years. The dose in this case is 1/2 tablet (100 mg). At 6-12 years old, a child can already be given one tablet (200 mg). After 12 years, the use of two tablets at a time is allowed (this depends on the state of health and body weight of the child).

The tablet preparation "Paracetamol" for children (the price in this case is much lower than that of a suspension or suppositories, and starts from 3 rubles for 10 pieces) is also given with an interval of 4 hours.

Side effects

With prolonged use of the drug, disorders may occur. From the gastrointestinal tract is:

• vomit;
• diarrhea;
• pain in the stomach.

In the genitourinary system, this may be a violation of kidney function. Anemia and a sharp decrease in the number of platelets may also be observed.

Allergic reactions are not excluded in the form of a rash, redness on the skin, as well as swelling of the pharynx, which can lead to suffocation. In such cases, it is urgent to give the child and call a doctor (ambulance).

Precautionary measures

Before using the remedy, it is best to consult with the attending pediatrician, and also carefully read all the instructions for the drug, which indicate the exact dosage of "Paracetamol" for children.

Doctors do not recommend bringing down the temperature if it does not exceed 38 degrees. But if the mercury column of the thermometer has risen above this indicator, then the temperature must be urgently lowered. An adult person most often uses paracetamol. It also helps kids a lot, but for them there is a special children's version.

Existing forms of the drug

Children's paracetamol is available in three forms: syrup, suppositories and tablets.

Paracetamol dosage for children

The drug in this case is a sweet-tasting suspension. She is very popular with children, and the kids are happy to take the medicine. The suspension is allowed from the second month of a child's life. In some cases, pediatricians give the green light to the use of the drug immediately from the moment of birth, choosing an individual dosage.

Dosing accuracy is determined using a special syringe with measured divisions. Paracetamol (the dosage for children is listed a little lower) is even somewhat cloying in taste, but it cannot be diluted with water. It is better to give the child to drink it after taking it.

The dose is calculated as follows:

• from 0 ... 6 months - the amount of the drug will be determined by the pediatrician, taking into account the body weight of the baby;
• 6 months ... 1 year - 2.5 .... 5 ml;
• 1 ... .3 years - 5 ... .7.5 ml;
• 3….6 years – 7.5…..10 ml;
• 6….12 years – 10…..15 ml.

The number of doses of the drug should not exceed four times in a full day. In this case, the interval between them should be at least 4 hours.

The next format for the release of antipyretic. Suppositories are administered rectally, that is, the candle must be carefully inserted into the child's anus. In this case, paracetamol (the dosage for children in this case also depends on age) is absorbed very quickly in the intestines, bringing down the temperature more effectively.

For babies who are not yet 3 months old, the doctor selects the dose. Suppositories at this age cannot be used at home, as an overdose can be provoked. Assign paracetamol rectally to a baby can only be in a hospital and in the most extreme cases.

When buying candles, you need to pay attention to the indicated dosage in grams.

Children aged:

• from 3 to 12 months a suppository is prescribed, weighing 0.08 g;
• from 1 year to 3 years - a candle, weighing 0.17 g;
• from 3 to 6 years - a candle, a dosage of 0.33 g;
• from 6 to 12 years - two suppositories of 0.33 g.

The drug is also used no more than four times in 24 hours. The time interval between doses is at least four hours.

3. Tablets

In young children, they are used quite rarely, since it is difficult to make a child swallow it. You can grind the pill into powder and dilute with water or compote (tea, juice). But even in this form, babies are very reluctant to swallow the medicine. In tablets, paracetamol can be given to children (the dosage is tied to the age of the child) only after the child is 2 years old.

Most often, paracetamol tablets are available with a dosage of 200 mg. In this case, a child aged:

• 2 ... 6 years, ½ tablet is prescribed for admission;
• 6 ... 12 years old - she is a complete tablet;
• over 12 years old - 1 ... 2 tablets.

The number of receptions and the time interval between them are the same as those discussed earlier.

Indications for use

Paracetamol is a classic antipyretic and cannot be used as a drug for the treatment of any disease. An increase in body temperature is a clear sign of the development of the disease. Paracetamol is intended to relieve this symptom and alleviate the condition of a sick child. The use of funds for more than three days is highly undesirable.

Paracetamol is prescribed for use in the following cases:

1. If the child's body temperature exceeds 38 degrees. In general, it is not recommended to knock it down if the figure is less than 38.5 ... 38.9. But high body temperature can cause seizures in the crumbs.
2. If the baby has a mild pain syndrome. For example, with a headache, during teething, neuralgia and other conditions.

Paracetamol overdose

It is impossible to exclude an overdose, and even drug poisoning. This can be facilitated by the inattention of parents who simply do not read the instructions. After all, there are indicated the exact doses allowed at a certain age.

The next possible option is a combination treatment. A child may be prescribed a remedy that already contains paracetamol. The simultaneous use of drugs may well cause poisoning.

Incorrectly chosen dosage most often falls on a tablet preparation, when the child receives an “adult” amount of the drug.

An overdose is also possible in case of non-compliance with the recommended time interval. If the drug could not bring down the temperature within an hour, then it is also necessary to use non-drug means to reduce the temperature, in particular, wiping the child with cool water.

The cause of poisoning can be an independent medication by the baby. The suspension is very tasty and the baby, having reached the bottle, can simply drink it completely. If something like this happened, then the child must be carefully observed. If signs of poisoning appear (nausea, vomiting, complaints of abdominal pain), you need to call an ambulance. The baby will be given an entersorbent - a means that reduces the rate of absorption of the drug. In case of severe poisoning, the stomach of the crumbs will be washed and an antidote will be administered.

Paracetamol is the active ingredient in most antipyretics, however, the dosage of paracetamol in tablets for children raises many questions from parents. It is considered safe, but parents of toddlers are concerned about how much to give the child Paracetamol tablets, and what dosage of Paracetamol tablets for children will work most effectively.

At what age is it allowed to use paracetamol tablets

Paracetamol, the dosage for children of which differs from the adult norm, is one of the means to reduce fever. Note that Paracetamol tablets for children are used on the recommendation of a doctor.

The dosage of Paracetamol tablets for children differs in different cases, but the main condition for taking the drug is a temperature greater than 38 ° C. In other cases, other drugs or other dosage forms are used.

Do not use an antipyretic without prior consultation, as only the doctor determines the exact dosage for the baby at this point in life. Is it possible for a child to take Paracetamol in tablets is determined by a professional, and self-medication leads to serious consequences.

Another form of release is Paracetamol 200 mg tablets and the dosage for children is prescribed for each individual case. It is allowed to use the medicine from 2 years.

The complexity of use is to swallow the product, which many kids are not able to do. In this case, it is ground to a powder and given to drink plenty of water.

Perova Lyudmila Andreevna, Orel, Altair Medical Center, pediatrician

I prescribe paracetamol to my patients to reduce fever. It is important that the relatives of the baby approach the treatment with responsibility, since non-compliance with all the conditions of treatment leads to negative consequences that parents forget about.

Only a doctor can determine the exact amount in which to give Paracetamol to a child at 3 years old, the dosage in tablets of which is 1/2.

If you give Paracetamol to a child of 6 years old, the dosage in tablets will be 1 tablet.

Also, if you give Paracetamol to a child of 7 years old, the dosage in tablets will be 1.5 tablets.

Upon reaching the age of 12, the dosage of Paracetamol tablets for children is a maximum of 2 tablets.

For you, we have grouped this information into a table.

These indicators are discussed with the doctor, the medicine is not used without the supervision of a specialist. Even such a simple, at first glance, the drug causes unpleasant side effects in overdose.

That is why you should take into account the recommendations of the doctor. Whatever dosage is prescribed by a specialist, it is imperative to adhere to it.

The figures are calculated from a dosage of 200 mg per tablet.

It is in this form that Paracetamol is most often prescribed to children, and dosage in tablets of 500 mg is prescribed by the attending physician in special cases.

What can happen with an overdose

Like any other drug, Paracetamol has its side effects in overdose. If an adult tolerates them easily or does not feel them, there is a risk of facing some consequences when giving Paracetamol to children, then the dosage in tablets at a temperature is determined by the doctor. But even compliance with all the rules of admission does not always protect against side effects.

The reasons for overdose are different. One of them is the combined use of several drugs, which together cause undesirable effects.

Parental inattention while reading the instructions also leads to drug poisoning. Or non-compliance with the time interval between receptions.

Do not give your child the medicine a second time if the first pill has not worked within an hour.

The tool begins to work almost immediately after administration, has a long-lasting effect, has an analgesic and anti-inflammatory effect. But some points are alarming for parents who wondered if Paracetamol tablets can be given to children:

• the drug is considered toxic and leads to destruction of the liver with prolonged use;
• causes allergic reactions if intolerance to the active substance is detected;
• can cause in patients up to 2 years;
• Exceeding the indicated dosage causes disturbances in the functioning of the kidneys and nausea.

To avoid negative consequences, but at the same time bring down the temperature of the baby, you should follow the dosage and recommendations of the doctor.

Exists four main stages of drug poisoning. Each of them has its own signs and degree of danger.

However, at any stage, full recovery is possible, since the liver has the ability to regenerate. At the same time, you should not abuse this property of hers, especially when it comes to a child.

Gudkov Alexander Igorevich, Sevastopol, city hospital No. 1, pediatrician

Parents often use Paracetamol to reduce fever, while not following the doctor's recommendations, even prescribing treatment on their own.

After that, doctors have to deal with the consequences of self-medication.

Main Side Effects

• drowsiness;
• nausea;
• an increase in the abdomen;
• bleeding gums;
• violation of the heart rhythm.

Upon reaching the age of 12 years, the patient is prescribed an adult amount of the drug.

conclusions

The simplest and most effective antipyretic that can be found in every home is Paracetamol, and the instructions for using the pill for children do not differ from the adult in any way, except for the dosage.

It is effective, fast acting and its use is possible from an early age. But you should not abuse these pills, since in certain quantities they are not useful even for adults. At the first symptoms of a drug overdose, seek medical help immediately.

It is very important not to use Paracetamol repeatedly, if one tablet does not bring results, alternative antipyretic techniques and methods, wiping with cold water should be used. On the advice of a doctor, it is allowed to use another antipyretic, suitable for a particular age of the patient.

To consolidate the knowledge gained and learn something new, we suggest watching a video from Dr. Komarovsky, who will tell you how to calculate the dosage of drugs:

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