An effective anti-inflammatory and antipyretic medicine for acute respiratory viral infections, sore throat, and otitis media in a child is Paracetamol - a children's syrup or suspension. The tool is used for fever and pain of any origin in children older than 6 months. The drug should be accurately dosed so that treatment does not lead to pain in the stomach and liver problems.
Material Content:
- 1 Release form, composition
- 2 Pharmacological action and indications for use
- 3 At what age can children be given?
- 4 How long does the antipyretic begin to act?
- 5 Children's syrup "Paracetamol": instructions for use
- 6 Drug Interactions with Other Drugs
- 7 Contraindications, side effects and overdose
- 8 Analogs of antipyretic syrup
Release form, composition
Paracetamol is available for children in the form of thick liquids with a pleasant smell and sweet taste. The color of the syrup is yellowish, the suspension is white-pink. 50 m 100 ml bottles are packed in cardboard boxes with drawings and inscriptions confirming that the medicine is intended for children. It is easier for a child to drink a sweet and aromatic liquid than a solid tablet.
The content of the active substance in the syrup "Paracetamol" for children is 120 mg per 5 ml of solution. The active component has another name - acetaminophen. It is a relatively safe, over-the-counter drug for children. Among the auxiliary ingredients are sucrose, ethanol and flavorings that mimic the taste of strawberries or orange.
Pharmacological action and indications for use
High temperature in children is dangerous for the development of complications of the infectious-inflammatory process, the occurrence of seizures."Paracetamol" reduces pain and temperature due to the effect on the functions of the corresponding nerve centers.
Indications:
- Pain of mild to moderate intensity in the throat, in the ears, headache, articular, muscle, dental (including with teething).
- Fever in diseases of an infectious origin.
- Fever after vaccination.
- Pain due to burns or injuries.
- Heat of unclear etiology.
- Neuralgia.
Medical experts recommend using paracetamol, ibuprofen, or combination drugs with these active ingredients in the composition to get rid of febrile syndrome. Medications are antipyretics, non-narcotic analgesics. Paracetamol belongs to anilides, ibuprofen - to the group of non-steroidal anti-inflammatory drugs (NSAIDs). The effect of paracetamol on the area of inflammation is much weaker than ibuprofen and other NSAIDs. However, acetaminophen is less irritating to the gastrointestinal mucosa.
At what age can children be given?
Pediatricians and drug manufacturers recommend the use of Paracetamol Syrup for children to treat infants older than 3 months. The tool can be drunk for children under 12 years old.
“Paracetamol” for children is used to lower the temperature in acute respiratory viral infections, diseases of the respiratory tract and middle ear, and “classic” childhood infections (chickenpox, scarlet fever, rubella, etc.).
Infants are given syrup at temperatures above 38 ° C. Children over 1 year old take the medicine at t = 38.5 ° C.
How long does the antipyretic begin to act?
The effect of the drug begins to appear, on average, 25 minutes after the use of a dose corresponding to the age and weight of the patient. Acetaminophen reaches its maximum concentration in the blood within 30-60 minutes after ingestion. Antipyretic effect is maximum during the first 2 hours, then begins to decline.
Children's syrup "Paracetamol": instructions for use
Before use, the liquid contents of the vial are shaken. Use a syringe or spoon for more accurate dosing of the syrup. Manufacturers put one of the devices inside cardboard packaging.
Dosage and administration
A syrup / suspension is given to the child between meals, not earlier than 1 to 2 hours before or after meals. The medicine is diluted only if the baby can not drink a thick liquid. Instructions for use contain detailed information on the dosages of syrup for children of different ages.
At one time:
- babies 2 - 3 months with a body weight of 4.5 - 6 kg - as prescribed by the doctor;
- infants from 3 to 12 months weighing more than 6 kg: 2.5 - 5 ml (0.5 - 1 measured spoon, m. l.);
- from 1 year to 5 years: 5 to 10 ml (1 to 2 m. l.);
- from 5 to 12 years: 10 - 20 ml (2 - 4 m. l.);
- children weighing more than 60 kg: 20 - 40 ml (4 - 8 ml. L.).
The dosage of the syrup provides for a proportion of 10 to 15 mg of the active substance per 1 kg of body weight.
Children can take Paracetamol syrup up to 4 times a day. During the day, the child is given no more than 60 mg per 1 kg of body weight.
Special instructions for taking syrup
If the child is sick, parents do not always have the opportunity to go with him to see a doctor or call a pediatrician at home.
- Without consulting a doctor, a paracetamol-based product can be given once to an infant older than 2 months.
- A child older than 3 months is treated with an antipyretic and analgesic drug without a pediatrician for 3 days.
- Syrup "Paracetamol" as an analgesic for various types of pain syndrome is used no more than 5 days.
- Do not give your child an antipyretic in amounts intended for the treatment of adults.
- An overdose should be avoided, which is possible when syrup, rectal suppositories and suspension with the same active substance are taken simultaneously.
Drug Interactions with Other Drugs
Antihistamines enhance the therapeutic effects of Paracetamol Syrup for Children. A tempering child can be given overnight at the same time as the antipyretic agent Zyrtec drops or Erius syrup. Antihistamines reduce intoxication of the body and prevent the occurrence of allergic reactions to drugs.
The bioavailability of the active substance of Paracetamol syrup after taking activated carbon is reduced. "Phenobarbital" and "Rifampicin" reduce the antipyretic effect of the drug. Antiepileptic drugs and ethanol increase the rate of formation of metabolites, including those that negatively affect the liver (hepatotoxic).
Contraindications, side effects and overdose
Syrup "Paracetamol" for children is prescribed to the vast majority of young patients with high fever and complaints of pain. However, a sweet medicine should not be given to patients with congenital metabolic disorders of simple carbohydrates.
Contraindications for taking the drug are:
- hypersensitivity to the main and / or auxiliary components;
- severe violations of the liver;
- renal failure;
- age 0 - 2 months;
- gastritis.
Paracetamol-based drugs are prescribed with caution in case of severe anemia, leuko- and thrombocytopenia, moderate impaired liver function, children aged 2 to 3 months and premature babies. Possible negative effects of the active substance of the syrup: allergic reactions in the form of itchy rashes on the skin, mucous membranes and angioedema (Quincke).
Acute drug poisoning in children on the first day is manifested by nausea, stomach pain, severe sweating. Vomiting and diarrhea may occur. Overdose symptoms are aggravated after 24 - 48 hours: pains appear in the right hypochondrium, cardiac arrhythmias. The most severe consequences are encephalopathy and coma.
You should immediately stop taking the drug and seek medical help. To cope with moderate symptoms of an overdose, intake of intestinal sorbents will help: Activated carbon, White carboactive, Polyphepan.
Analogs of antipyretic syrup
Preparations with the same active substance can have several forms of release and various trade names. Paracetamol in pediatric dosage is contained in Cefecon D rectal suppositories, Kalpol and Panadol Baby oral suspensions. In a family medicine cabinet must be these drugs.
"Paracetamol" for children begins to act after 30 minutes. The effect of the drug at high temperature in a child is enough for 2 to 4 hours. Rectal suppositories "Cefecon D" with the same active substance act faster, lower the temperature after 15 - 20 minutes.
If a child has fever, migraine, then syrups and tablets can cause vomiting. In such cases, as well as with gastritis, rectal suppositories with paracetamol are preferable.
Pediatricians recommend, if the child maintains a temperature above 38.5 ° C for more than three days, change the antipyretic syrup. Replace "Paracetamol" children's drug with another active substance. Usually it is a suspension of "Nurofen" for children, which contains ibuprofen (100 mg / 5 ml), or rectal suppositories, produced under the same trade name. The action of ibuprofen lasts from 6 to 8 hours.
"Paracetamol extra" for children is available in powder form for the preparation of a solution for oral administration. In 1 sachet, in addition to the main substance, plant extracts (cat's claw, feverfew, potato shoots) that increase the therapeutic effect are contained.When combining various active components, the therapeutic effect of each is enhanced and the possible negative manifestations of individual substances in the composition are weakened.