Notes when using antipyretics for children
Children who have a fever are always a concern for every family, especially those who have a first child. Because so worried, many mothers often choose the wrong medicine, overdose causes bad effects, can even cause death for children.
When a child has a fever, especially a child with a history of seizures due to a high fever, parents need to quickly help the child with fever in reasonable and safe ways, in which using fever-reducing medicine properly is a noticeable thing.
Do not arbitrarily use antipyretics for children under 3 months old without asking a doctor.
There are many types of antipyretics on the market, but most commonly contain acetaminophen (efferalgan, paracetamol, panadol .).
Therefore, when using antipyretic drugs for children need to note the following
- Absolutely do not arbitrarily use antipyretic drugs for children under 3 months old without the opinion of a doctor.
- Before taking the drug, the mother must measure the temperature for the child.
If the temperature is :
- Should extend clothes and positive warming for children with warm towels, wipe the forehead, armpits, and groin.
- Repeat the temperature for children after applying.
- Do not use antipyretics for children except in some special cases.
If the temperature is ,5 38.5 ° C:
- Must use antipyretic drugs for children, but must take the right dosage and instructions of doctors and pharmacists.
- Dosage: calculated according to the weight of the child, each time 10mg -15mg / kg. For example, a baby weighs 10kg each time using a dose of 100mg - 150mg
- Each time taking the drug 4 to 6 hours apart, do not use fever-reducing medicine for more than 6 times a day
- Should not use many types of common effects at the same time easy to cause poisoning due to overdose such as taking tiffy, decolgen, pamin tablets, tiffy syrups, anal tablets, effervescent tablets, powder . Medications, pills There are many different levels, so be careful when using.
- Find the cause for treatment, should only be used when the fever is high and prolonged. In health, it is often conceived that a fever of less than 38 degrees Celsius is a mild fever, from 38 to 39 degrees Celsius is a medium fever, from 39 to 41 degrees Celsius is a high fever, over 41 degrees Celsius is very high.
- Other antipyretic measures should be used in parallel with medication use : cool thin skin with warm water in a sheltered place, remove clothing, do not place in too hot places, eat easily, drink water like lemon juice, orange juice, orezol . (if the fever lasts for a long time, it will cause dehydration and cause seizures).
- Drugs work quickly in liquid environments , suppositories are effective as oral drugs, should only be used when children do not drink (vomit, do not absorb), time is slower than oral drugs.
- Need to monitor when children use drugs that may be susceptible to drugs or one of the components of the drug (therefore, must consider the excipient component of the drug). Caution with patients with hepatic impairment, renal failure.
Mothers should take other antipyretic measures in parallel with taking the medicine.
Antipyretic drug active ingredient is paracetamol has many different types of ingredients and content, dosage form such as:
- Babyplex: nuggets include paracetamol 325mg, vitamin B1, chlorpheniramine maleate, moderate excipients 3 g.Dosage: 3-4 times a day, each time as follows: Children under 1 year: 1/4 package, from 1-5 years: 1/3 package, 5-10 years: 1/2 package, from 10- 15 years: 1 pack.Mixing the medicine into a small cup with ripe water, do not pour the medicine straight into the mouth.
- Children's Panadol: Strawberry pink chewable tablet contains 120mg of paracetamol.Dosage: 1-3 years: 1 tablet, from 3-6 years: 1-2 tablets, from 6-12 years: 2 tablets.If you need to use it again after 4 hours.Not more than 4 times / day.
- Effe-paracetamol: package of effervescent powder including 200mg paracetamol, vitamin C and adjuvant.Dosage: from 2-6 years: 1 pack x 3 times / day.From 6-15 years: 1-2 packs x 3 times / day.Over 15 years: 2 packs x 3 times / day.
- Efferalgan 80 mg: each pack contains 80 mg paracetamol - effervescent powder.Usually prescribed for children weighing 8-15kg.
Note : Do not use this drug in cases of hypersensitivity to paracetamol, severe liver disease, intolerance to fructose (because of sorbitol). In case you need to abstain from salt, or eat light, be aware that each package contains 66 mg of sodium (must be deducted from the daily diet).
Cases of not using suppositories: allergic to paracetamol, severe liver disease, newly suffered from anal, rectal, rectal bleeding, the drug may cause local itching, increase with use, dose, time use. When diarrhea does not use bullets.
For caffeine-containing panadol, only for children over 7 years old.
The following cases need to take children to emergency
- Children under 4 years of age have a fever of 39 degrees C or higher.
- Young fever accompanied by stiff neck, bulging.
- Children over 4 months of age have a fever of 39-40 degrees C (already taking medicine but not reducing fever).
- Has been treated at home for more than 4-5 days and has not cured or fever lasting more than 3 days.
Note:
- For caffeine-containing panadol, only for children over 7 years of age (1 capsule / time, no more than 4 tablets / 24 hours).
- Efferalgan codeine is only used for children over 15 years old.
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