In the article, we will consider instructions for use for children's Paracetamol.
When a child is ill, parents always strive to find the most effective and safe drug that can quickly put him on his feet and not harm the growing child's body. The disease most often happens unexpectedly, and only the most common antipyretic drugs like Aspirin or Paracetamol are at hand. The question immediately arises: is the use of "Paracetamol" in pediatrics allowed, how is it given, in what quantity? Everything is determined by the condition of the patient, his weight, as well as the form of the drug. It is better for children to give "Paracetamol" in the form of syrup, suppositories or suspensions.
"Paracetamol" - syrup for children
According to the instructions, children's "Paracetamol" in the form of a syrup in appearance is a sweet yellow liquid with a bitter tart taste and aroma of fruits. The composition of the drug includes paracetamol (per milliliter of syrup - 24 milligrams). ATexcipients are citric acid, sugar, water, sodium benzoate, propylene glycol, sorbitol, riboflavin, flavor and ethyl alcohol. Baby syrup is available in 100 and 50 ml bottles.
The syrup is especially effective for acute respiratory infections and SARS. It is prescribed for the day of elimination of fever in chicken pox, influenza, rubella, measles and other infectious diseases that affect children. It also helps with painful teething, muscle pain, after burns and injuries, after a headache. The syrup, like any other form, is a non-narcotic pain reliever and antipyretic.
Is it safe?
More recently, this drug was the safest in pediatrics, but poisoning of children has become more frequent. After many years of observation, the reasons for this phenomenon were established, and a group of patients was identified that suffered from poisoning most often. They were children under the age of six. In almost all cases, the patient suffered from overdosing. The reason lies in the negligence of parents who, through negligence, give the drug in an adult dose and do not withstand the required time interval between doses, as well as in the use of children's "Paracetamol" in syrup according to the instructions for use for more than three days.
Poisoning can also be the result of kidney or liver dysfunction. If a child refuses food, this fact can cause intoxication of his body.
Advice for parents
Note to parents: you should always carefully read theinstructions for children's syrup "Paracetamol", accurately calculate the dosage, taking into account the weight and age of the baby. In addition, you should not postpone the visit of an ambulance or a doctor, hoping for quick improvements. If the child is very small, then he will not be able to describe his condition that accompanies him during the illness. The longer proper treatment is not started, the weaker his body becomes, and later it will take much longer to recover. Of course, hospitalization is not the most pleasant event, but often it is she who saves lives. Although it is stressful for both mother and child, it is the most appropriate action in case of a serious illness.
Dose of syrup
Is it allowed to give "Paracetamol" to a child and what are the features of its use? Yes, it can and even should be done for pain and fever. The dosage of liquid children's "Paracetamol" according to the instructions is as follows: for babies from three months - 0.5-1 teaspoon 3-4 times a day with interruptions equal to at least four hours; from a year to six appoint 1-2 teaspoons, from six to fourteen - 2-4 teaspoons. It is necessary to monitor the ratio of dose and weight. A single amount cannot be more than 10-15 milligrams per kilogram, that is, up to 60 milligrams are allowed per day. The dosage of children's "Paracetamol" in the instructions is described in detail.
Can I increase the dose?
If the drug in this dosage does not help, it is forbidden to increase the intake. Maybe the baby's body does not perceive it well, butso, you need to choose an analogue that will replace the wrong tool. You can try a combination of "Paracetamol" with "Analgin" to relieve a feverish state. They are given as follows: from 0.3 to 0.5 milligrams per kilogram of weight "Analgin", "Paracetamol" - in accordance with the instructions. You can not often use this combination, since "Analgin" has a very strong effect on the blood, causing irreversible changes in its composition. When the disease is accompanied by a cough and a runny nose, you can resort to Doctor Mom ointment, a herbal preparation that lubricates the wings of the nose, temples, neck and legs of the child. You can also use "grandmother's" methods, time-tested and safe in comparison with synthetic drugs.
Signs of overdose and poisoning
What else does the instruction for children's "Paracetamol" tell us?
If a child is poisoned by a drug, then usually complaints of nausea, abdominal pain, and possibly vomiting are received. Sweating increases, the skin turns pale. Such symptoms usually occur within an hour after taking a large dose of the drug. If such a condition appears, you can’t wait for everything to go away on its own, but you should immediately contact your doctor. Otherwise, it will only get worse. The child will have low blood pressure, high temperature, shortness of breath, tachycardia, etc. The doctor will wash the stomach, prescribe adsorbents, if the case is particularly difficult, he will give an antidote.
Instructions for children's paracetamol syrup confirms this.
Onthe initial stage of an overdose also manifests itself in the form of vomiting and nausea, then liver intoxication is observed, symptoms of its insufficiency are noted. In this case, only intensive therapy will help. You can determine the signs of an overdose in a day.
Thus, if the dosage is calculated exactly, in accordance with the instructions, and all contraindications are excluded, it is allowed to give Paracetamol to a child.
Paracetamol suspension
As the instructions indicate, children's "Paracetamol" in the form of a suspension differs from syrup in that there is no sugar. The suspension can be used in the treatment of newborns up to one month of age. The instructions indicate the following dosages: from one to three months, two milliliters are taken, that is, 50 milligrams of pure Paracetamol; from three months to a year - from 2.5 to 5 milliliters; from one to six years - 5-10 milliliters; from six to fourteen - from 10 to 20 milliliters at a time. The bottle always comes with a measuring spoon and instructions for children's "Paracetamol" 120 mg / 5 ml.
Before using the medicine, you need to shake the bottle until it is evenly distributed, the dose must be measured well. Based on a kilogram of the child's weight, the norm is the use of 10-15 milligrams of the suspension. For a day, you can take a maximum of 60 milligrams per kilogram of funds. "Paracetamol" in the form of a suspension is the safest in comparison with other forms. It has a negative effect on the baby's body only with individual sensitivity,acting as an allergen.
Candles
Like a suspension, candles are also effective. Suppositories "Paracetamol" are available in the following dosage of the active ingredient: 1, 0, 5, 0, 25 and 0, 125 grams. They can be used to treat children from three months and adults. Each age has its own dose. "Paracetamol" in the form of suppositories is best used at night, because they work slowly (the effect occurs after 50 minutes or even more), but at the same time for a long time. With an upset stomach in a patient or inflammation of the rectum, this form of the drug is unacceptable. It is necessary to calculate the dose of the drug taking into account the age and body weight of the child. At high temperatures, suppositories can be used by pregnant women (no negative teratogenic effects have been found in studies).
Consider the instructions for use for children's "Paracetamol" tablets.
Pills for children "Paracetamol"
Are children allowed to take pills? The permissible age from which you can take the drug is two years. According to the instructions for children's Paracetamol, 200 mg is a lot for a baby, the dosage at this age is equal to half a tablet.
This form of the drug is rarely given to a child. Preference is most often given to a suspension or syrup. They are more pleasant for the child, and they are less likely to be abandoned. In addition, not every baby can swallow a pill. This means that the mother needs to crush it, but the child, even in this form, does not always agree to acceptmedicine. In accordance with the instructions, children's "Paracetamol" in tablets has the same indications, precautions and contraindications as other forms of the drug. The undoubted advantage of tablets is the cost. Ten pieces cost three rubles. The tablet can be dissolved in slightly sweetened water. This method increases the likelihood that the child will receive the correct dose of the drug.
Drug Interactions
When used simultaneously with inducers of hepatic microsomal enzymes, drugs that have a hepatotoxic effect, there is a danger of increasing the hepatotoxic effect of Paracetamol.
The use along with anticoagulants is characterized by a moderate, slight pronounced increase in prothrombin time.
Use simultaneously with anticholinergic drugs helps to reduce the absorption of Paracetamol.
If used along with oral contraceptives, the excretion of the active substance from the body is accelerated, the analgesic effect may decrease.
Concomitant use with uricosuric drugs reduces their effectiveness.
Use along with activated charcoal reduces the bioavailability of Paracetamol.
If used simultaneously with "Diazepam", then the excretion of the latter may decrease.
There is evidence of the possibility of increasing the myelodepressive effect of Zidovudine when used along with Paracetamol. The case is also describedsevere toxic inflammation of the liver.
There are cases of toxic effects of "Paracetamol" if it is used simultaneously with "Isoniazid".
Use with "Primidon", "Phenobarbital", "Phenytoin", "Carbamazepine" reduces the effect of "Paracetamol", due to increased metabolism (oxidation and glucoronization) and excretion from the human body.
The manifestation of hepatotoxicity has also been described with the simultaneous use of Phenobarbital and Paracetamol.
Using Colestyramine less than an hour after taking Paracetamol may reduce the absorption of the latter.
Use along with "Lamotrigine" increases its excretion from the body to a moderate extent.
If used simultaneously with Metoclopramide, then the absorption of Paracetamol may increase, as well as its concentration in the blood plasma.
When used along with "Probenecid", there is a decrease in clearance; with "Sulfinpyrazone" and "Rifampicin" clearance may increase due to increased metabolism occurring in the liver.
If used simultaneously with Ethinylestradiol, intestinal absorption of Paracetamol is increased.
Analogues
Analogues of "Paracetamol" are "Cefecon D", "Efferalgan" and "Panadol". The cheapest is Cefekon D in the form of rectal suppositories, the average cost is 37 rubles. The most expensive remedy is Efferalgan, the average price of which is 169 rubles.
Reviews
Children's "Paracetamol"- analgesic antipyretic drug, successfully used in ENT practice for otitis, acute respiratory diseases, sinusitis and in the period after surgery. Price and quality match.
According to reviews, the effect of the drug comes very quickly. The drug helps well and reduces the temperature in children. Produced by different manufacturers and in various forms.
"Paracetamol" is also effective as a pain reliever. Most often, it does not cause allergic reactions in children. Its taste is sweetish, and kids take it with pleasure. In addition, "Paracetamol" calms the patient, the child sleeps better after taking it. Copes with the symptoms of diseases more effectively than expensive counterparts. That is why it is recommended for the treatment of patients from an early age.
Individual reaction and intolerance may occur.
We reviewed the instructions for children's "Paracetamol".
