Antipyretic drugs for children 5 years. Antipyretic for children. Medications for high fever

In young children, immunity is at the stage of its formation. Therefore, the body temperature during infectious and greatly increased. In rare cases, the body reacts this way to. Doctors recommend not to bring down the temperature below 38 degrees. At this time, there is an increased production of leukocytes, which are needed to overcome viruses and bacteria.

In some children, such a temperature should not be allowed. Manufacturers offer many drugs that are available in the convenient form of syrups and suppositories.

Features of children's antipyretics

Relate to non-steroidal. This group also includes those that relieve inflammation.

Some medicines have clear age restrictions. For example, if the composition contains Nimesulide or a combination of several active ingredients, then it is better not to give them to children under 12 years of age.

Active active ingredients contained in antipyretics block the production of COX. These are special enzymes responsible for raising the temperature. At the same time, the work of the nerve centers located in the medulla oblongata is inhibited. They are responsible for the appearance of fever. The severity of the action is directly related to the temperature and dosage of the drug.

Indications

An increase in body temperature is protective in nature, since it leads to a decrease in the rate of reproduction of pathogenic microorganisms. With most diseases, the maximum temperature for children, which will not lead to a deterioration in the work of other organs, is 38.5 degrees. There are children at risk. They justified reception at lower thermometer readings. This category of children includes those who have:

• metabolic diseases,
• febrile convulsions in history.

An indication for taking antipyretics is fever, which is accompanied by muscle and. It is impossible to allow a strong increase in temperature in children of the first months of life.

Drugs are mandatory for use in severe weakness and delusional states. Additionally, bed rest, plenty of fluids and regular monitoring of bowel cleansing are provided.

Dr. Komarovsky about antipyretics for children:

Forms of drugs for children

Antipyretic drugs are available in different forms:

• syrup,
• candles,
• soluble powder
• tablets,
• injections.

Children drink sweet syrups quite easily. They take effect in about 30-40 minutes. The duration of action depends on the active ingredient. Candles begin to act faster - after 20 minutes.

They are an excellent option in cases where the child refuses treatment or vomiting occurs when eating. It is best to administer suppositories after cleansing the intestines. Then they will start to act faster. Syrups and suppositories are the most popular forms of antipyretics.

Special chewable tablets are suitable for older children. Due to chemical additives, they can cause allergic reactions. Such drugs are prescribed for children over three years old, since the kids still have the opportunity to choke on a pill.

Medicines in the form of a powder for children of younger and preschool age are rarely used. Such products dissolve in water, have a rather pleasant taste. Modern manufacturers supplement such drugs with ascorbic acid, several antipyretic components at once.

The fastest way to relieve the temperature is an injection. It is she who is used by doctors when syrups, suppositories and other forms do not bring the desired result. Most often, if necessary, to provide an ambulance, a lytic injection is given. It combines three active ingredients: analgin, diphenhydramine and papaverine. The effect of such an injection is observed after 15 minutes.

Overview of the most popular tools

Candles

For infants from 6 months to a year, Efferalgan is allowed to use. These are rectal suppositories. Doctors are allowed to use when the child weighs more than 4 kg. The onset of action of the drug is approximately 40 minutes, and the effect lasts 4-6 hours.

The main active ingredient is 150 mg. Paracetamol. Auxiliary components - semi-synthetic glycerides.

Paracetamol is also found in:

• Cefikon D,
• Baby.

These drugs can be used no more than 4 suppositories every 6 hours. The duration of treatment is about three days.

Candles that contain the active ingredient ibuprofen are represented by drugs such as:

• ibuflex,
• for kids.

They are used for babies from the third month of life. The maximum daily dosage is calculated from the ratio of 30 mg of the active ingredient per 1 kg of body weight. The action persists for 6-8 hours. It is recommended not to use more than 3 candles per day.

Previous drugs can be used for fever after vaccination, teething, infectious diseases.

In inflammatory processes and teething, many parents prefer Viburkol. These are homeopathic suppositories, which also have anti-inflammatory effects. They contain chamomile and other components of plant origin. They are used 4-6 times a day.

Popular antipyretic candles for children

syrups

Children older than 3 years are more often prescribed syrups, powders for the preparation of oral solutions. All of them contain sugar, so children drink them with pleasure. It is issued in this form:

• Efferalgan,
• Kalpol,
• Panadol.

The average dose depends on age and starts from 10-15 mg / kg per day.

Ibuprofen-based syrups are prescribed for fever with a pronounced inflammatory component, for example, with tonsillitis. The recommended dosage is 5-10 mg/kg in children of the first years of life. These drugs include:

• Ibufen,
• bofen,
• Nurofen.

Popular children's syrups with antipyretic effect

Capsules and tablets

They are mainly shown from 6-7 years old. This age limit is associated with an impressive dose of the active ingredient. Tablets may include minor substances in their composition. Effervescent types begin to act in 1-15 minutes. These include Efferalgan. After 20-30 minutes, Nurofen, Piaron, Panadol begin to act.

Fever is a fairly common occurrence in both adults and children. It is caused by infection of the body with infectious diseases, the appearance of inflammatory processes, etc. Violation of thermoregulation is accompanied by unpleasant sensations and causes discomfort in humans. To get rid of the temperature, special antipyretic agents are used. They do not fight infections and do not relieve inflammation, but only help to feel better for a certain time. Often this time is enough to determine the cause of its occurrence and even prevent it.

All antipyretics are divided into two groups:

1. Medicines based on paracetamol are considered the most common. They reduce the temperature for a period of about 4 hours, are indicated for viral diseases, but have side effects;
2. Ibuprofen-based drugs are more effective at reducing fever, begin to work much faster, but can cause even more adverse reactions. Recommended for inflammation and fever.

It is worth using antipyretic drugs only in certain cases: if the temperature has risen above 39 degrees, if it is accompanied by headache, unpleasant aches and fever. Doctors forbid the use of such drugs for prevention. Do not forget that the use of any medication requires prior consultation with a specialist. Especially when it comes to a child, because. Not all antipyretics are suitable for children.

Means for lowering the temperature have a number of contraindications:

• Simultaneous reception of several similar antipyretics at once;
• Allergy to the main component;
• Pregnancy and lactation (for some drugs).

There are contraindications. Check with your doctor.

The best antipyretics for adults

5 Paracetamol

Best price. Virtually no contraindications
Country Russia
Average price: 20 rubles.
Rating (2018): 4.6

The most reliable way to quickly get rid of a high temperature in an adult is undoubtedly the use of Paracetamol. It is released in tablets, which do not contain any additional components. A package of 20 pieces of 500 mg costs about 20 rubles. It is sold in every pharmacy and does not require a doctor's prescription. From the moment you take the pill, it usually takes about 40 minutes before the temperature starts to drop. But the effect lasts up to 4 hours. Of the contraindications, there are only intolerance to the substance and chronic alcoholism. Tablets not only normalize the thermoregulation of the body, but also have a weak anti-inflammatory effect, and also perfectly relieve pain. The drug "Paracetamol" has long been considered a "traditional" means of getting rid of fever. At the same time, it has the lowest cost, unlike its counterparts.

Advantages:

• Best price;
• Efficiency proven over the years;
• Few contraindications.

Flaws:

• Causes increased sweating.

4 Citramon P

The drug of combined action, the main active ingredient of which is the symbiosis of acetylsalicylic acid and paracetamol. These components tend to quickly reduce body temperature, pain and prevent blood clots in the vessels. Additionally, due to the presence of caffeine in the composition, the vascular tone of the brain is regulated, which will affect the acceleration of recovery and relieve clouding of consciousness. At medical forums, doctors leave only positive feedback, saying that "Citramon P" should be in every home medicine cabinet. However, it should be noted that the drug increases blood pressure, therefore it is contraindicated in hypertensive patients. Standard "Citramon P" is taken every 4 hours before or after meals, the daily allowable rate is 3-4 tablets, the course should not last more than 8 days. The budget price can also attract to the acquisition.

Advantages:

• Prevents blood clots in blood vessels;
• Eliminates fogging;
• Lots of positive feedback from doctors;
• Low price.

Flaws:

• Increases pressure.

3 Ibuklin

Two powerful antipyretic ingredients
Country: India
Average price: 165 rubles.
Rating (2018): 4.8

Ibuklin is a unique drug based on the action of paracetamol in combination with ibuprofen. Most often, antipyretic drugs contain only one of these components. The dual action agent has an excellent analgesic effect and normalizes the body temperature of an adult. Available in tablets, the absorption rate of which is about 40 minutes. Ibuklin has been the leader in reviews for many years in a row. Indicated for use in toothaches, neuralgia, bruises, colds or flu. There are contraindications and side effects indicated in the instructions. The optimum temperature is maintained for 6 hours after taking the tablet. It is forbidden to use during pregnancy and breastfeeding period.

Advantages:

• Positive reviews;
• A combination of two effective ingredients.

Flaws:

• There are a lot of contraindications.

2 Coldact Flu Plus

The longest possible action, with a sparing dosage of paracetamol
Country: India
Average price: 196 rubles.
Rating (2018): 4.9

Capsules of complex and prolonged action contain not one, but several active ingredients: paracetamol (200 mg), phenylephrine (25 mg) and chlorpheniramine (8 mg). "Coldact Flu Plus" effectively anesthetizes and brings down the temperature, while it does not cause allergic reactions and, on the contrary, fights such manifestations as sneezing, tearing and itching of the eyes. The manufacturer claims that 1 capsule is designed for 12 hours of its action, that is, it is more than enough to take, for example, a capsule in the morning and evening. Within half an hour after using the drug, you will be able to observe the suppression of such symptoms as a runny nose, headache, pain caused by inflammation in the throat and, of course, a drop in body temperature. Syrup and tablets are also on sale, but these forms of release are not common.

Advantages:

• Gentle concentration of paracetamol;
• Blocking of allergic reactions;
• The longest action (12 hours).

Flaws:

• Not detected.

1 Voltaren

The fastest action
Country: Switzerland
Average price: 300 rubles.
Rating (2018): 5.0

A prominent representative of non-steroidal anti-inflammatory drugs are Voltaren candles from the popular manufacturer Novartis. The main component is sodium diclofenac, which not only actively fights high temperatures, but also effectively reduces pain, and also has a strong anti-inflammatory effect. This is what distinguishes Voltaren from other antipyretics. Due to the fast absorption rate, the suppositories begin to act after 5-10 minutes. Recommended for use even with severe pain (rheumatism, migraine, neuralgia, etc.). Buyers leave only positive feedback from the application. It has many contraindications, including peptic ulcer, proctitis, asthma, etc.

Advantages:

• Begins to act in 5-10 minutes;
• Relieves severe pain;
• Relieves inflammation;
• Recommended by experts;
• Excellent reviews.

Flaws:

• Serious side effects.

The best antipyretics for children

5 Cefekon D

The best price for candles
Country Russia
Average price: 40 rubles.
Rating (2018): 4.4

The drug "Cefecon D" is available in the form of rectal suppositories. It is recommended for use from 3 months to 12 years of age, but with a doctor's prescription, it can also be used at a younger age. Candles are very convenient in that they can be given even to a sleeping baby, and they have an antipyretic effect after 20 minutes (unlike other forms). The dose varies depending on the age of the child, for example, one candle of 100 mg is used per year, and at 3 years a dose of 250 mg is already allowed. Important advantages of the tool are its low cost and versatility of action. In addition to lowering the temperature, "Cefecon D" has an anti-inflammatory and analgesic effect (relieves headaches, toothaches, etc.). The main ingredient is paracetamol. Contraindications are age less than 1 month and allergy to components.

Advantages:

• Convenient release form;
• long shelf life (2 years);
• Low price;
• Proven effectiveness;
• Good feedback.

Flaws:

• Not detected.

4 Efferalgan

The best ratio of price and quality
Country: France
Average price: 97 rubles.
Rating (2018): 4.6

The most advertised Efferalgan syrup, with the main active ingredient paracetamol (30 mg per 1 ml), can be called the best in quality, at a low price. It can be used for children from the 1st month of life, with a body weight of 4 kg. A 90 ml bottle is enough for a full course, which, by the way, should not exceed 3 days as an antipyretic and 5 days as an analgesic. The reviews note that the temperature begins to drop within 15 minutes after ingestion. The kit comes with a non-standard, but convenient measuring spoon. Often parents are faced with the need to calculate the dose of medicine according to the age and weight of the crumbs, but the manufacturer solved this problem by marking the weight on the spoon. The syrup is transparent in color, which indicates the absence of dyes. And the caramel taste will surely appeal to little patients. Other forms of release can also be found on sale: rectal suppositories and effervescent tablets.

Advantages:

• Allowed from the 1st month of life;
• Convenient measuring spoon;
• Does not contain dyes;
• Pleasant taste;
• Budget price.

Flaws:

• Not detected.

3 Maxicold

WHO approved
Country Russia
Average price: 167 rubles.
Rating (2018): 4.7

The World Health Organization-recommended over-the-counter syrup for children, Maxicold, combats symptoms such as chills, fever and pain. It is sold in 4 forms of release: powder, tablets, spray and directly syrup (strawberry and orange) of optimal consistency. Approved for use by children from 3 months to 12 years. The suspension is effective in a wide range: elimination of attacks of heat, headache, stop swelling of soft tissues. For 5 ml of syrup, there are 100 mg of ibuprofen, the main active substance. "Maxicold" has a long-term antipyretic effect, after taking, the syrup begins to suppress the symptoms of the disease after 15 minutes and lasts up to 8 hours, which will help the baby sleep sweetly, and also eliminate the need to often use the suspension.

Advantages:

• Allowed for children from 3 months;
• Does not contain dyes, sugar, alcohol;
• Valid up to 8 hours.

Flaws:

• Not detected.

2 Panadol

High efficiency
Country: France
Average price: 95 rubles.
Rating (2018): 4.8

"Panadol" is a drug loved by many parents. It saves in the event of a headache, teething, fever. It has a fast analgesic and antipyretic effect. It has the form of a suspension with a pleasant taste. The main ingredient is paracetamol. It begins to act after 40 minutes and keeps a low temperature for an average of 4 hours. Approved for use in any child's age from three months. Previously allowed only after consulting a doctor. Works for infectious diseases such as measles, mumps, as well as colds and flu. Does not adversely affect the stomach. As with any other remedy, the dose size depends on age. Babies up to a year are given a maximum of 16 ml per day, at 3 years the number increases to 40 ml, and at 12 already up to 80. A convenient measuring syringe is included.

Advantages:

• Reliably relieves pain;
• Optimal cost;
• Pleasant taste and aroma.

Flaws:

• Many contraindications;
• Flavoring agent included.

1 Nurofen

The most popular. Convenient application
Country: UK
Average price: 130 rubles.
Rating (2018): 5.0

"Nurofen" is the most common children's antipyretic drug based on the action of ibuprofen. Produced in the form of a suspension, which is taken orally. It is used to reduce the temperature in infections, respiratory diseases, influenza. It also helps relieve pain in the muscles, throat, ears, relieves migraines. There are several different flavors to choose from that kids like (strawberry, orange, etc.). It is prescribed for children from 3 months to 12 years. The size of the dose also varies depending on age: the smallest are given 25 ml of medicine three times a day, for a child at 3 years old, the dose is doubled, etc. For convenience, the manufacturer provides a special syringe with a measuring scale, with which you can easily give medicine to your baby. It has a large list of contraindications, including diseases of the gastrointestinal tract, kidney failure, diathesis, allergy to fructose, etc. When using, you should be careful, because. Nurofen has many possible side effects.

Advantages:

• Special syringe included;
• Children love the sweet taste;
• Lowers temperature quickly.

Flaws:

• Many contraindications;
• Unpleasant side reactions.

Best Antipyretic Powders

5 Flucomp

Optimal concentration of components
Country Russia
Average price: 309 rubles.
Rating (2018): 4.5

You can gently but effectively reduce the temperature and eliminate pain with the help of Flucomp powder with lemon or orange flavor. In response to blocking the symptoms of a cold, of course, paracetamol, which has become an active ingredient. The powder is sold in bags of 5 g in the following packages: 10, 20.30, 40 and 50 pieces per package. One sachet "Flucomp" accounts for: paracetamol - 650 mg, chlorphenamine - 20 mg, phenylephrine - 10 mg. Paracetamol has been the best remedy for eliminating fever and fever in ARVI, flu and the common cold for many years in a row. Phenylephrine constricts blood vessels and reduces the intensity of the common cold. Chlorphenamine blocks allergic reactions. The reviews share that if at the initial stages you drink 3 bags of Flucomp during the day, then the next day you can see that absolutely all the symptoms are gone. Approved for use by children over 12 years of age.

Advantages:

• Soft impact.

Flaws:

• Effective only in the earliest stages of the disease.

4 Rinzasip

rich composition
Country: India
Average price: 250 rubles.
Rating (2018): 4.6

It is a combined remedy that fights the symptoms of colds and flu, effectively reduces the temperature in just half an hour. Passes and body aches, headache, fever. One 5 g sachet contains: paracetamol - 750 mg, caffeine - 30 mg, pheniramine - 20 mg, phenylephrine - 10 mg and ascorbic acid - 200 mg. Caffeine, which is part of the composition, enhances the analgesic effect of paracetamol. And ascorbic acid will increase the resistance of the immune system. The drug successfully eliminates redness of the mucous membranes and upper respiratory tract. It should be taken 3 sachets per day, with a break of 5-6 hours, the course of treatment should not exceed 5 days. The best effect is guaranteed if you start using the powder at the earliest stages. The drink is presented in 3 flavors: lemon, blackcurrant and orange.

Advantages:

• 3 kinds of tastes;
• Good anesthesia;
• Increasing the resistance of the immune system.

Flaws:

• Contains bright dye.

3 Fervex

Wide range
Country: France
Average price: 305 rubles.
Rating (2018): 4.7

Headache and muscle pain, irritated throat, hot flashes and colds, fever - all these problems, according to the manufacturer, can be quickly resolved if Fervex is taken in advance. It will be enough 2-3 sachets per day, which must be consumed at intervals of 5 hours. The high efficiency is due to the presence of paracetamol in the composition at a concentration of 500 mg per sachet of 4.95 g. Additionally, vitamin C was added - 200 mg (strengthens the resistance of the immune system) and pheniramine - 25 mg (blocks nasal congestion and sneezing). On sale you can also find "Fervex" raspberry, with lemon or without sugar, as well as a similar powder, but with a lower concentration of components for children. You can take the remedy for no more than 5 days - as an analgesic and no more than 3 days - to relieve fever. Doctors warn that Fervex is often faked, so you should be careful.

Advantages:

• Strengthens immunity;
• There is a series for children and without sugar.

Flaws:

• Often fake.

2 Coldrex MaxGripp

Replaces several drugs at once
Country: Spain
Average price: 300 rubles.
Rating (2018): 4.9

A powder with a pleasant lemon flavor will help to avoid worsening a cold and get back on your feet in a matter of days, and this is due to a combination of components of a different spectrum: paracetamol (1000 mg), vitamin C (40 mg), phenylephrine (10 mg). Thanks to the action of these substances, simultaneous relief of symptoms is achieved: sore throat, nasal congestion and, first of all, body temperature is normalized. Thus, there is no need to take several different drugs and it becomes possible to save money. The manufacturer used paracetamol in the highest single dosage for an adult, so the use of Coldrex MaxGrip is unacceptable for people under 18 years of age. For the temperature to start to drop, you need to wait 30-40 minutes. It is sold in packs of 5 and 10 sachets with a volume of 6.4 g each.

Advantages:

• Does not reduce performance, due to the antihistamine component;
• High efficiency.

Flaws:

• May cause dizziness;
• For adults over 18 only.

1 Lemsip

Years of positive reputation
Country: UK
Average price: 305 rubles.
Rating (2018): 5.0

The drug from the best pharmaceutical company Reckitt Benckiser Healthcare, which has established itself on the market since 1955, has earned a positive reputation in America, England, Europe, and the CIS countries. Conforming to all Russian standards, the powder comes from the UK, in the circles of therapists, "Lemsip" received the fame of the No. 1 remedy in powder form for the fight against colds. The drug has a complex effect, relieving discomfort in the throat, nasal congestion and, of course, lowering the temperature, because paracetamol is at the head of the composition. On sale there is a lemon and currant flavor, as well as Lemsip MAX. The first two contain 650 g of paracetamol per 4.8 g sachet, and Lemsip MAX contains 1000 mg - the maximum allowable dosage for adults. The effect, based on reviews, occurs after 20 minutes and lasts 5 hours. The pleasant taste of the prepared medicinal drink is another argument for choosing Lemsip.

Advantages:

• Wide distribution in many countries;
• Rapid onset of effect;
• Pleasant taste.

Flaws:

• Not detected.

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

Antipyretics (antipyretics) can help bring down the fever

Classification of antipyretics for children

In pediatrics, drugs 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, medicines, oral suspensions - begin to act 20 minutes after ingestion.
2. Candles for rectal use - the temperature drops after 30 minutes. Indicated for vomiting, impossibility of oral administration of syrup or tablet form. The downside of suppositories is non-physiological administration and provocation of an act of defecation, which reduces the effectiveness of the drug.
3. Tablets, capsules, chewable tablets.

Injectable forms of antipyretics for home treatment are not used. They are prescribed in a critical situation at a high temperature, they are used on the basis of a medical institution or an ambulance team.

At what temperature do they give the child an antipyretic

Hyperthermia of the body indicates an intensive struggle of the body with viruses and other pathogens. With normal temperature tolerance, no medication is needed.

• for newborns - indicators above 37.5 ° C;
• patients from 3 months without chronic pathologies - to bring down the heat should be at a temperature above 38.5 ° C;
• children with neurological status or seizures, babies under one year old with high convulsive readiness - above 37.5 ° C;
• children with cardiopathologies - depends on the diagnosis - above 38.5 ° C.

It is recommended to give antipyretics 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 alleviate the condition in a timely manner with the help of an effective and safe medication.

List of the best antipyretics

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

Tablets

Tablet forms are intended for children over 5 years of age who are able to swallow without chewing the medicine. At a younger age, it is better to use syrups or potions.

1. Nurofen for children 200 mg №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 are reports that ibuprofen derivatives contribute to the production of interferon and improve the overall resistance of orgasm to the action of pathogenic flora.

Nurofen - an effective drug for fever for children

Assign to patients older than 6 years. The effective dosage makes 1 capsule, no more than 3 pieces/day. The interval between doses is 6 hours.

Price - 150 - 170 rubles. for packing.

1. Ibufen Forte Junior is a complete analogue of Nurofen and Ibuprofen. Pharmacological action is similar to other NSAIDs. Assign from the temperature for children over 6 years old.

The cost is 150 - 200 rubles.

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

Price 145 - 175 rubles.

1. Ibuprofen-Darnitsa is an inexpensive drug. Pharmacological action is similar to other ibuprofen-based drugs.

Ibuprofen-Darnitsa - an affordable remedy for high fever

Applied to patients older than 6 years. Shown 1 tablet per reception, no more than 3 pieces / day. The cost of a package of 50 tablets is about 70 rubles.

1. Efferalgan is a drug based on paracetamol at a dosage of 500 mg. It is used only for the treatment of children over 15 years of age.

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

The approximate cost is 95 rubles per pack.

Candles from temperature

Suppositories are used when the child is unable to swallow a tablet or syrup, with individual intolerance to the constituent components. Candles are also practiced 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 the pathogenic flora and viruses in the body. Interferon forces cells to change activity, which makes the existence of the causative agent of the disease impossible.

Viferon not only lowers the temperature, but also fights viruses

Suppositories have an antiviral, antipyretic effect. Used for infants, newborn babies 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 number 10.

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

The price of candles is 300 rubles.

1. Panadol - based on paracetamol is indicated for children from 3 years old. For babies up to 2.5 years old, no more than 4 suppositories per day. Reception is held 1 time at 6 o'clock.

The price of candles is 400 rubles.

1. Cefecon - used to reduce fever in children older than 1 month. The main active ingredient is paracetamol.

• for babies of 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.

Cefecon can be given to children older than 1 month

The price of candles is 50 - 70 rubles.

Suppositories can cause a local allergic reaction. With the appearance of hyperemia, itching in the perianal fold, anus, this form of antipyretic should not be used.

Syrups and suspensions

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

Application:

1. Paracetamol suspension - take according to dosages. The action of the active substance is aimed at reducing the activity of the thermoregulation center in the brain. Allowed to use for 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. Assign to children older than 3 months. Shake the suspension before use. The dosage of the drug is 3-6 months - 4 ml, 6-12 months - 5 ml, 1-2 years - 7 ml, 3-6 years - 10 ml.

Panadol is a well-known remedy for fever in children.

The cost of the drug - from 100 rubles. for a bottle.

1. Ibufen suspension - indicated for children from 1 year. The main component is ibuprofen, which blocks the production of prostaglandins. Dosage is from 1 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 allowed 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 of the World Health Organization. The choice of antipyretic drug depends on the age of the patient and the cause of this condition.

Evgeny Olegovich insists that children should be treated only with children's dosage forms. Despite the fact that Paracetamol and Ibuprofen are a cheap remedy, you should not give the baby an adult tablet preparation and divide it into parts with a ruler. 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 an overdose.

Giving a strong antipyretic does not mean curing the baby or speeding up his recovery. With viral infections, such a solution will lead to the opposite result. The body will be less effective in fighting the causative agent of the disease.

But not to give the baby an antipyretic drug at a high temperature, especially in critical conditions, with neurological and cardiological pathologies, is a crime.

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

Hyperthermia in a child during illness is a serious stress for the body, which adversely affects all systems. When the indicator reaches 38 degrees and above, pediatricians recommend knocking it down by any possible means. The most effective for this purpose are antipyretic drugs for children, of which a considerable number have been developed today. When choosing a remedy, it is necessary to take into account not only the age of the child, but also the active active substance in order to prevent the development of allergies and not aggravate the course of the disease.

When should an antipyretic be given?

It is believed that in diseases of a viral, as well as infectious nature, hyperthermia is a normal reaction of the body. The high temperature in this situation indicates that the active production of antibodies to fight the disease has begun. Therefore, doctors do not recommend bringing down the temperature if there is no general deterioration in health. There are a number of recommendations when it is necessary to use an antipyretic:

• Temperature 38 degrees and above in infants up to 3 months;
• Persistent hyperthermia from 39 degrees in babies from 3 months;
• The presence of febrile convulsions with an increase in temperature above 37.5 degrees, especially in children under 7 years of age;
• If there are any diseases of the heart or respiratory system.

In all other cases, it is not worth knocking down the indicator if the general condition of the body is normal, there are no severe side symptoms.

The choice of dosage form

Fever medications come in a variety of forms, making them suitable even for newborns who do not take pills well. The following forms of children's antipyretics are most common:

• Rectal suppositories (suppositories). Best suited for babies. The active substance begins to act 30-40 minutes after absorption by the large intestine. A big plus of this form is that candles can be used even when the newborn is sleeping, as well as with vomiting or regular regurgitation;
• Suspensions. It is recommended to use for children over 12 years old, but in some cases it can be given to infants. The advantage of suspensions is that the drug is quickly absorbed by the body, which allows you to bring down the rapidly rising temperature. When choosing a drug, you need to carefully read the composition, since sometimes manufacturers add various additives and flavors to improve the taste, to which children may have allergic reactions;
• Tablets. Antipyretics in the form of tablets can be used only when the child can swallow the drug on his own. Therefore, this form is not suitable for infants due to the high likelihood of vomiting. If it is not possible to swallow the tablet, then it should be crushed and diluted in water.

Regardless of the form of the drug, be sure to consider the dosage of the active ingredient of the antipyretic used. As a rule, suspensions are the most suitable option for children, but they are ineffective for prolonged hyperthermia.

Common Remedies for Children

Today, drugs based on paracetamol, ibuprofen, and viburkol are used as antipyretics for children. The use of aspirin and all products based on it is strictly prohibited to reduce the temperature of children under 14 years of age due to possible complications.

Antipyretics based on paracetamol

Paracetamol (acetaminophen) is currently the most effective antipyretic for children from one month old. It has a strong antipyretic and analgesic effect. Means based on it can be used for various respiratory diseases, inflammatory processes, as well as during the eruption of milk teeth. It is not recommended to use them for diabetes of any type, viral hepatitis, as well as for chronic kidney and liver diseases. If the dosage is not observed, possible side reactions in the form of nausea, profuse vomiting, loss of appetite, skin rash. Here is a list of the most effective paracetamol-based remedies for children:

• Paracetamol. The drug is taken at the rate of 10-15 mg of the active substance per 1 kilogram of the child's weight, while the drug reduces the temperature by a maximum of 1.5 degrees, so it cannot be used as an antipyretic. Children's paracetamol is in the form of a suspension, syrup, less often in tablets. When taking, you need to follow the instructions, since different dosages are needed for different ages. The interval between taking the drug should be at least 4 hours (for absorption of the substance into the blood);
• Panadol. A drug based on paracetamol, produced in the form of suspensions or rectal suppositories. It has an active antipyretic and analgesic effect. It is actively used for various colds, flu, inflammatory processes and teething in newborns. Can be used from infancy, while strictly observing the dosage when used;
• Kalpol. Available only in the form of a suspension. Approved for use in children under one year old. It should be taken after meals with plenty of water. In some cases, an adverse reaction in the form of a rash on the skin is possible, so you need to carefully read the composition of the drug;
• Cefekon-D. A complex preparation aimed at lowering temperature, reducing inflammatory processes. It is actively used for colds, as well as to improve well-being after routine vaccinations. It can be found in the form of rectal suppositories. Can be used for children from 1 month;
• Efferalgan. A common remedy for children, starting from the newborn age. It can be found in the form of syrup and rectal suppositories. Pathologies of the intestines and liver are a contraindication to the use of the drug.

Ibuprofen-based drugs

It is advisable to use ibuprofen-based products if paracetamol does not give a positive effect, there is an allergy to it. You can not use drugs with individual intolerance to the active substance, bronchial asthma, diseases of the circulatory system, liver or intestines. Ibuprofen can be given to children older than 3 months. In case of an overdose of the drug, adverse reactions are possible in the form of stool disorders, nausea, vomiting and abdominal pain.

• Ibuprofen. It can be used to reduce temperature even in newborns, after consulting with a doctor. The dosage of the drug is 5-10 mg per kilogram of body weight. The interval between taking the funds should be at least 6 hours. For children over 10 years old, the interval between applications can be reduced;
• Children's nurofen. It has an active complex antipyretic, analgesic, and anti-inflammatory effect. It is recommended to use for hyperthermia during colds, flu or after routine vaccination. Available in the form of a suspension or rectal suppositories. When choosing the form and dosage of the remedy, it is necessary to take into account not only weight, but also age. Both types of medicine can be used for children from 3 months. Nurofen negatively affects the digestive system, therefore, adverse reactions are possible in the form of a violation of the stool or vomiting;
• Children's ibuprofen. It has a complex action characteristic of the entire ibuprofen series. Available only in the form of suspensions for children from 1 year old and weighing at least 7 kilograms. Considered one of the best remedies for high fever. When taking ibufen, you must follow the instructions for use, since the dosage is highly dependent on body weight;
• Motrin. Available in suspension form only. Can be used from two years old. The drug helps not only to lower the temperature, but also to remove pain in the head and muscles. An overdose of the drug is characterized by urticaria, dizziness, intestinal disorders.

Homeopathy

Many pediatricians are skeptical about homeopathic remedies for the treatment of any disease, but such herbal preparations are actively used by parents to reduce the temperature of babies. The advantage of such funds is that adverse reactions are rarely observed. Among the most common drugs of this kind is viburkol. Produced in the form of a rectal suppository, the composition contains only natural ingredients (chamomile, belladonna, nightshade, calcium carbonate and others). In severe cases, you can use the remedy 4-5 times a day, if there is an improvement in the condition - up to 2 times.

Alternative means

If taking paracetamol or ibuprofen is not possible due to individual contraindications or does not bring the desired result, alternative means are selected to reduce hyperthermia. Most often they are needed if the fever lasts for a long time, and the body is weakened and unable to cope with the high temperature. The most common drugs:

• Papaverine. Available for small children in the form of rectal suppositories. It is an antispasmodic, thanks to which antipyretics work more strongly at high body temperature in children. During use, it is necessary to take into account the age and weight of the child according to the instructions;
• Preparations based on nimesulide: nise or nimulide. Available in the form of suspensions for children from 2 years of age, dispersible tablets for children from 3 years of age, tablets or capsules for children over 12 years of age. Means have a large number of contraindications, and in case of an overdose, side effects are possible in the form of intestinal disorders, sleep disturbances, and loss of appetite. The dosage and choice of the drug should be carried out by a doctor.

With a prolonged increase in temperature, an injection with a lytic mixture containing an analgesic, an antispasmodic, and an antihistamine is recommended. As a rule, such a measure is necessary if it is impossible to take the drug due to severe vomiting, individual contraindications, rapid deterioration and febrile convulsions, as well as severe illness in a child under 5 years of age. The dose of the drug should be calculated by the attending pediatrician or directly by the emergency medical team.

Rules for taking antipyretics for children

• The choice of medicine and its form should be carried out by the doctor, based on the characteristics of the course of the disease, the age and weight of the child;
• Paracetamol or ibuprofen should only be used as an antipyretic, not as a pain reliever;
• For children from 9 years old, it is advisable to choose an antipyretic in the form of tablets;
• The applied daily dose of paracetamol should not exceed 60 mg per kilogram of the child's weight;
• To eliminate a fast-growing heat, it is desirable to use a syrup or suspension;
• You can not take the drug for more than 72 hours in a row;
• It is undesirable to use an antipyretic during antibiotic therapy;
• If high hyperthermia was caused by pain in the abdomen, while there is nausea, vomiting and diarrhea, then you must first call an ambulance.

High fever in children is a characteristic symptom of many diseases. If hyperthermia occurred suddenly without any reason, then you should immediately call an ambulance team, and not self-medicate. It is important to remember that only a doctor should choose an antipyretic drug, otherwise the course of the disease can be aggravated.

4 or 5 years - the age at which it is already possible to give most antipyretics in almost any form (state). But there are significant restrictions on specific drugs, the contraindications of which indicate children's age up to a certain age. How to bring down the temperature in a child of 4-5 years old, what can be given and what cannot be given, and at what degree of hyperthermia?

We will give answers to these and a number of other questions in the article.

What temperature should be brought down at 4-5 years old?

First of all, most pediatricians recommend not to bring down the temperature below 38-38.5 degrees. Up to these values, the body actively and, most importantly, effectively fights an infection that has entered it and prevents the reproduction of bacteria or a virus. But all this is canceled if the child does not tolerate temperature well or has chronic diseases that can worsen even with a slight heat. And then it needs to be knocked down.

Antipyretic drugs

The basic principle for a 4-5 year old child in the safety of drug therapy is the correct dosage. Moreover, we are talking not only about a single dose of such drugs, but also the frequency of taking if they do not help.

Let's look at the most common drugs and compare their effectiveness (help or not), at what temperature they can be given, the degree of danger for a child of 4-5 years old and other data.

1 - All drugs are usually based on one active substance, and the remaining components are catalysts, pathogens or protectors of side effects.
2 - The temperature at which a child of 4-5 years old can be given one or another antipyretic depends on the ratio of its effectiveness (ability to lower the temperature) and the danger to the child.

All of the listed antipyretics help to bring down the temperature, but of different values. Some will not suit you specifically if your child has chronic diseases, in particular allergies.

And remember, all these drugs bring down the temperature, but do not eliminate its cause. If this is not a banal overheating or sunstroke, then the reason lies in a different root, and it is he who needs to be treated. Only a doctor can reliably determine and cure a particular disease. Therefore, a decrease in temperature should be as an intermediate step between calling a doctor or an ambulance and prescribing the necessary course of treatment.

How to take antipyretics?

In febrile temperatures (38.5 to 40 ℃), children aged 4-5 years are usually given weaker drugs first. Here drugs based on paracetamol or ibuprofen are suitable. Most paracetamol-based drugs are weaker than ibuprofen and should be started with. Oral antipyretics help bring down the temperature faster, but the effect lasts less than rectal suppositories, which begin to act a little later, all other things being equal, but their effect lasts longer.

The strategy here is quite simple: in response to the question of how to bring down the temperature in a 4-5-year-old, first give paracetamol or a medicine based on it. If the effect is not achieved, then after 4-6 hours you need to give an antipyretic based on ibuprofen. If necessary, alternate them, since each should not be given more often than every 8 hours.

Most often, the combination of Paracetamol + Analgin perfectly knocks down the high (above 39.5 ℃) temperature. But analgin has an increased risk of anaphylactic shock (therefore, it should be given only when the possible risks of temperature exceed the risks of shock, and this is decided by the doctor). Children 4-5 years old are best given no more than a quarter of each at a time.

Such a prescription should be according to the indication or prior consultation with a doctor, because it has side effects and, in addition to anaphylactic shock, can give a low temperature. And for a child, as well as for an adult organism, a sharp drop in temperature is very harmful.

To date, almost all children have allergic reactions to some kind of irritant - someone is stronger, someone is weaker. Therefore, with caution, use both antipyretic and folk methods to reduce temperature. However, if the child is 4 or 5 years old, then you, as parents, are most likely already aware of significant allergic reactions. But be especially careful with flavored antipyretic syrups (for example, Nurofen with strawberry flavor).

If the temperature is very high and does not go astray

However, if the child's temperature has risen to high values ​​- above 40 degrees, then weak and medium antipyretics may not help at all, because in general cases they can reduce the temperature by 1-1.5 ℃. That is, according to the result of their intake, the heat will still remain high, although lower than it was.

With the aggressive development of a bacterial or viral infection, antipyretics may not help at all. The general rule (in which, however, there are exceptions) is as follows: if the child’s temperature is easily knocked down by antipyretics, then there is a viral infection in the body, if not, it is infectious. The latter means that it is better to call emergency or ambulance.

In both cases, you can resort to stronger drugs. Efficiency, in the absence of such in weaker trade names of drugs, is shown by preparations based on nimesulide. But they should not be given to children in general cases. Only as directed by a physician when the risk of high fever is greater than the side effects of these medicines.

In an emergency, injections help. Do not do them yourself if you have never practiced. In the case of high and extremely high temperatures, analgin injections or the so-called "triad" are indicated: a mixture of paracetamol, diphenhydramine and papavarin. Such injections are made by an ambulance upon arrival to a sick child.

What else to bring down?

It is important to understand that at high temperatures, the effectiveness of antipyretic drugs has a lower priority than the banal comfortable conditions for the child, which help reduce fever. Here it should be noted that hyperthermia is the so-called "white" and "red". With white, the body ineffectively fights the cause, the indicator is cold extremities with a high mark on the thermometer, chills. With red, the body of a child 4-5 years old is hot, and at this time it is much more effective in fighting adversity. The child is usually hot and may be active.

At red temperature, you should:

• undress the child to panties, if he is not cold,
• regularly ventilate the room and maintain normal humidity,
• ensure that the temperature in the room is 2-3℃ lower than comfortable for a child in a healthy state,
• give plenty of drink
• it is desirable to feed, but if there is no appetite, then you do not need to force it.

For white:

• if the child is cold, be sure to wrap him in a blanket or dress in warm clothes,
• try to turn the temperature into red: give warming hot drinks (tea or fruit drink with raspberries, honey).

rubdowns

At temperatures above 39.5℃, rubdowns can be done, but only at red temperatures. They can be done if the child is not shivering.

Efficiency shows simple cool water. You can not wipe the whole body, but only the places where blood vessels accumulate: in the armpits, under the knees, on the neck, under the elbows. You can also use a weak solution of vinegar (5 to 1 of water and table vinegar, respectively). Vinegar can only be used in the absence of laryngitis in a child, otherwise the first one can cause an attack.

You can not wipe a child aged 4 or 5 years with alcohol solutions. They are quickly absorbed by the skin and, once ingested, can cause serious consequences, the most common of which is alcohol poisoning, which will aggravate the disease.