In the article, we consider the instructions for use for the children's "Paracetamol".
With a child’s illness, parents always strive to find the most effective and safe drug that can quickly put it on its feet and not harm the growing child’s body. The disease most often happens unexpectedly, and at hand there are only the most ordinary antipyretic drugs like Aspirin or Paracetamol. The question immediately arises: is it possible to use Paracetamol in pediatrics, 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 a syrup, suppository or suspension.
"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 aftertaste and fruit aroma. Paracetamol is included in the composition of the drug (24 milligrams per one milliliter of syrup). The auxiliary substances are citric acid, sugar, water, sodium benzoate, propylene glycol, sorbitol, riboflavin, flavoring and ethyl alcohol. Children's syrup can be purchased in bottles of 100 and 50 milliliters.
Syrup is especially effective in acute respiratory infections and acute respiratory viral infections. It is prescribed for the day of eliminating the heat in case of chickenpox, flu, rubella, measles and other infectious diseases affecting children. It also helps with painful teething, muscle pain, after burns and injuries, after a headache. Syrup, like any other form, is a non-narcotic analgesic and antipyretic.
Is he safe?
More recently, such a drug was the safest in pediatrics, but poisoning of children has become more frequent. After many years of observation, the causes of this phenomenon were established, a group of patients was identified, who suffered from poisoning most often. They turned out to be kids under the age of six. In almost all cases, the patient suffered from too much dosage. The reason lies in the carelessness of the parents, who give inadvertently the drug in an adult dose and do not withstand the necessary 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 may also result from renal or hepatic dysfunction. If a child refuses food, this fact can cause intoxication of his body.
Recommendations for parents
Note to parents: you should always carefully read the instructions for Paracetamol baby syrup, accurately calculate the dosage, taking into account the weight and age of the baby. In addition, you can not postpone the visit of an ambulance or a doctor, hoping for early improvements. If the child is very small, then he will not be able to describe his condition accompanying him during the illness. The longer competent treatment does not begin, the weaker his body becomes, and later it will take him much longer to recover. Of course, hospitalization is not the most pleasant event, but often it is it that saves life. Although it is stressful for both the mother and the child, in the case of a serious illness this is the most justifiable action.
Syrup dose
Is it allowed to give “Paracetamol" to a child and what are the features of its use? Yes, this can and should even be done with pain and fever. The dosage of the liquid baby “Paracetamol” according to the instructions is as follows: for babies from three months, 0.5-1 teaspoon 3-4 times a day, with breaks equal to at least four hours; from one to six years, 1-2 teaspoons are prescribed, 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.
Is it possible to increase the dose?
If the drug in such a dosage does not help, increasing the intake is prohibited. Maybe the baby's body does not perceive it well, which means that you need to choose an analog that will replace an inappropriate means. You can try the combination of "Paracetamol" with "Analgin" to relieve a fever. They are given as follows: from 0.3 to 0.5 milligrams per kilogram of weight of "Analgin", "Paracetamol" - in accordance with the instructions. You can not often use this combination, since “Analgin” acts very strongly on the blood, causing irreversible changes in its composition. When the disease is accompanied by cough and 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 the "grandmother" methods, time-tested and safe in comparison with synthetic pharmaceuticals.
Signs of overdose and poisoning
What else does the instruction for children's “Paracetamol" tell us?
If the child is poisoned with the drug, then complaints of nausea, abdominal pain, and usually vomiting, usually come. 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 expect that everything will go away by itself, but you should immediately contact your doctor. Otherwise it will only get worse. The child will have reduced pressure, high fever, shortness of breath, tachycardia, etc. The doctor will rinse the stomach, prescribe adsorbents, if the case is especially complicated, it will give an antidote.
The instruction for Paracetamol baby syrup confirms this.
At the initial stage, an overdose also manifests itself in the form of vomiting and nausea, then intoxication of the liver is observed, symptoms of its insufficiency are noted. In this case, only intensive care 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, “Paracetamol” is allowed to give the child.
Suspension "Paracetamol"
As the instructions indicate, the children's "Paracetamol" in the form of a suspension from the syrup is different in that there is no sugar. Suspension can be used in the treatment of newborns up to a month of age. The following dosages are indicated in the instructions: 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 a year to six - 5-10 milliliters; from six to fourteen - from 10 to 20 milliliters at a time. There is always a measuring spoon with a bottle and the instruction 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 out well. Based on the 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. A negative effect on the baby's body has 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 component: 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 more), but at the same time. With an upset stomach in the patient or inflammation of the rectum, this form of the drug is unacceptable. Calculate the dose of the drug based on the age and body weight of the child. At high temperatures, suppositories can be used by pregnant women (no negative teratogenic effects were detected in the studies).
Consider the instructions for use in children's "Paracetamol" in tablets.
Tablets for children "Paracetamol"
Are children allowed to give pills? The permissible age at which the drug can be taken is two years. According to the instructions for the children's "Paracetamol" 200 mg is a lot for the baby, the dosage at this age is half the pill.
This form of the drug is rarely given to a child. Preference is most often given to suspension or syrup. They are more pleasant for the child, and they are less likely to refuse them. In addition, not every baby can swallow a pill. This means that the mother needs to crush her, but the child even in this form does not always agree to take the medicine. In accordance with the instructions, children's "Paracetamol" in tablets is distinguished by 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. A similar method increases the likelihood of a child using the right dose of the drug.
Drug interaction
When used simultaneously with inducers of hepatic microsomal enzymes, drugs with a hepatotoxic effect, there is a danger of an increase in the hepatotoxic effect of Paracetamol.
Application along with anticoagulants is characterized by a moderate, slight pronounced increase in prothrombin time.
Use along with anticholinergics 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.
Simultaneous use with uricosuric drugs reduces their effectiveness.
Use along with activated carbon lowers the bioavailability of Paracetamol.
If used simultaneously with Diazepam, the excretion of the latter may decrease.
There is evidence of an increase in the myelodepressive effect of Zidovudine when used along with Paracetamol. A case of severe toxic liver inflammation is also described.
There are cases of toxic effects of "Paracetamol" if it is used simultaneously with "Isoniazid".
Use with Primidone, Phenobarbital, Phenytoin, Carbamazepine reduces the effect of Paracetamol, which is due to increased metabolism (oxidation and gluconization) and excretion from the human body.
The manifestation of hepatotoxicity while taking Phenobarbital and Paracetamol is also described.
The use of "Colestyramine" less than an hour after the use of "Paracetamol" can reduce the absorption of the latter.
Application along with "Lamotrigine" increases to a moderate degree its excretion from the body.
If used simultaneously with Metoclopramide, 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 in the liver.
If used concurrently with Ethinyl Estradiol, intestinal absorption in Paracetamol is increased.
Analogs
The analogues of Paracetamol are Cefecon D, Efferalgan and Panadol. The cheapest is “Cefecon 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" is an analgesic antipyretic drug that has been successfully used in ENT practice for otitis media, acute respiratory diseases, sinusitis and after surgery. Price and quality match each other.
According to reviews, the effect of the drug comes very quickly. The drug helps and lowers the temperature in children. It is produced by different manufacturers and in various forms.
Paracetamol is also effective as an anesthetic. 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. It copes with the symptoms of diseases more effectively than expensive analogues. That is why it is recommended for the treatment of patients from an early age.
Individual reactions and intolerances may occur.
We reviewed the instructions for the children's "Paracetamol".