Paracetamol dosage for a 2 year old child. Paracetamol poisoning. Contraindications to the use of Paracetamol

The most harmless tablets for fever are paracetamol. It is used for pain in the joints and head at any age from young to old. Not a drug, but an all-healing medicine. The popularity is due to the following:

  • Rarely causes an immunopathological process - allergy
  • Rarely causes unwanted effects
  • Quickly copes with pain and fever
  • All produced forms are applicable - syrups, tablets, capsules, etc.

– a harmless drug, but if you drink a lot, poisoning is possible.

First symptoms of poisoning

To avoid severe consequences with a fatal outcome, it is necessary to recognize paracetamol poisoning at the earliest stage. This is the main task, but it is complicated by the absence of symptoms in the first couple. The first thing that can indicate poisoning is the symptoms characteristic of liver damage. They develop a short period of time after poisoning, and the antidote is no longer so effective.

There are 4 stages with symptoms of paracetamol poisoning:

Stage I

Time period: From the moment of admission

Characteristic symptoms: Sensation preceding vomiting, vomiting, painful condition

Stage II

Time period: Development of liver toxicity within 24 hours and up to 36.

Characteristic symptoms: Bilirubin - a bile pigment and indicators of the blood clotting pathway, may exceed the norm in case of severe poisoning. It may also be accompanied by unpleasant pain in the right hypochondrium.

Stage III

Time period: Peak of hepatotoxicity. From 72 – 96 hours.

Characteristic symptoms: Involuntary eruption of stomach contents and symptoms of liver failure. Bilirubin levels and blood clotting pathways reach their maximum. Possibility of developing pancreatitis and renal failure.

IV stage

Time period: Recovery. From 3 - 5 days.

Characteristic symptoms: If there is no death, then restoration of the liver follows. The process takes from a couple of days to a couple of weeks.

Dosage calculation for adults

To make it as clear as possible, let’s clarify right away: there are 10 tablets in one package. The weight of the entire package is 5 grams. Accordingly, 1 tablet weighs 500 milligrams.

Adolescents over 16 years of age and adults are prescribed 1 (500 ml) tablet four times a day. The daily maximum is unacceptable for exceeding 4 grams, i.e. 8 tablets, 500 grams each. The interval between doses is from 4 to 6 hours.

For pregnant women, it is better to limit the use of this drug, or better yet, eliminate it.

Calculation of dosage for children

Infants under 4 months are strictly prohibited from drinking.

To avoid an overdose of paracetamol in children, you must follow the instructions in the table:

3 – 6 months

2 times a day. 80 mg per day.

6 – 12 months

2 – 3 times a day. 80 mg per day.

1 – 2 years

3 times a day. 150 mg per day.

2 - 4 years

4 times a day. 150 mg per day.

6 – 8 years

8 – 12 years

4 times a day. 200 - 300 mg per day.

12-15 years

4 times a day. 200 - 300 mg per day.

Drug overdose

Getting an overdose of paracetamol is not that difficult. But why does a sane person need this? A significant role is played by the universal availability of the drug and its issuance without a prescription under various names. There is an opinion that there is no such thing as too much paracetamol. If I felt unwell and had a fever, paracetamol helped. To avoid sick leave, I prescribed myself a set of treatment with anti-cold medications and went to work. An hour later there is a meeting, but you are not feeling well – a powdered medicine diluted in boiling water will help. There is always a way out and you don’t need to think for a long time about which medicine to purchase, since there is enough advertising on this subject. And few people think about the composition of all these drugs. This is a big omission, since most often they all contain the active ingredient – ​​paracetamol. And accordingly, exceeding the dose is inevitable.

How many tablets is permissible to take? If you take 5 paracetamol tablets, there is no danger for an adult, since it does not exceed the critical daily norm. What happens if you take 10 paracetamol tablets? As noted above, acceptable daily norm 4 grams, and in a package there are 5, i.e. the excess will be only 1 gram (2 tablets). It is important to note here that we are talking about taking it at intermediate intervals throughout the day. This is not critical, but still not worth experimenting with. It is important to note here that we are talking about taking it at intermediate intervals throughout the day.

In America, paracetamol is one of the few medicines, which can be purchased without a prescription. Therefore, in order to avoid a progressive amount of intoxication of people or cases of paracetamol poisoning, and subsequently death, measures have been taken. The authorities organized a propaganda program to inform residents about the dangers of overdosing on this medicine.

Lethal dose

When asked whether it is possible to die from paracetamol, the doctors answered. The lethal dose of paracetamol is 1.945 g/kg body weight. To put it simply, these are 2 packages weighing 5 grams each.

Paracetamol should only be taken if you really feel unwell. Doctors strongly recommend not to take the drug on your own for more than 3 days; the worst outcome can be death.

Paracetamol Antidote

Is there salvation in the form of an antidote? Yes, there is an antidote for paracetamol! This is a very well-known cough drug - acetylcysteine ​​(ACC). Indications for use: after an overdose of paracetamol, drink ACC within 7 hours. Dosage 300 milligrams per day. It is a misconception that activated carbon can cope with this problem as an antidote.

Paracetamol for children: instructions for use and reviews

Latin name: Paracetamol children

ATX code: N02BE01

Active substance: Paracetamol

Manufacturer: Rozfarm LLC, Pharmstandard-Leksredstva, Biokhimik, Pharmproekt, Dalkhimfarm, Irbitsky chemical farm plant, Farmapol-Volga, Mega Pharm (Russia), Anqiu Lu An Pharmaceutical Co. (China), LLC Pharmaceutical Company "Zdorovye" (Ukraine)

Updating the description and photo: 19.10.2018

Paracetamol for children is a non-narcotic analgesic.

Release form and composition

Dosage form of release – suspension for oral administration: homogeneous, Pink colour, with a characteristic fruity odor (100 and 200 ml each in polymer bottles, or bottles made of orange glass, or glass melt, or polyethylene terephthalate for medicines, sealed with a polymer screw cap with first-opening control or a “push-turn” system, 1 bottle in a cardboard box without/with a measuring cup or measuring spoon).

Composition of 100 ml suspension:

  • active substance: paracetamol – 2.4 g;
  • additional components: sodium nipasept (sodium ethyl parahydroxybenzoate, sodium methyl parahydroxybenzoate and sodium propyl parahydroxybenzoate) – 0.15 g, maltitol – 80 g, malic acid – 0.05 g, non-crystallizing sorbitol 70% – 1.33 g, xanthan gum – 0.6 G, lemon acid anhydrous – 0.02 g, azorubine dye – 0.001 g, strawberry or orange flavoring – 0.1 g, water – up to 100 ml.

Pharmacological properties

Pharmacodynamics

Paracetamol is a medicinal substance that has antipyretic and analgesic effects. It has virtually no anti-inflammatory properties.

The mechanism of action is due to the ability to block cyclooxygenase in the central nervous system, affecting the centers of thermoregulation and pain.

The drug has virtually no anti-inflammatory properties. Does not affect water-electrolyte metabolism and the condition of the mucous membrane gastrointestinal tract(Gastrointestinal tract), since it affects the synthesis of prostaglandins in peripheral tissues to a very small extent.

Pharmacokinetics

Paracetamol is characterized by high absorption; it is quickly and almost completely absorbed from the gastrointestinal tract. Binds to plasma proteins by 10–25%. The maximum plasma concentration is reached after 30–120 minutes and is 5–20 mcg/ml.

The drug penetrates the blood-brain barrier. Less than 1% of the administered dose passes into mother's breast milk. The distribution of the substance in body fluids is relatively even.

Paracetamol is metabolized primarily in the liver in three main ways, such as oxidation by microsomal liver enzymes, conjugation with sulfates and conjugation with glucuronides. During oxidation, intermediate toxic metabolites are formed, which are subsequently conjugated first with glutathione, then with mercapturic acid and cysteine. For this method metabolism, the main isoenzymes of the cytochrome P 450 system are CYP2E1 (mainly), CYP1A2 and CYP3A4 (minor role). If there is a deficiency of glutathione in the body, these metabolites can cause damage and necrosis of hepatocytes. Additional metabolic pathways are methoxylation to 3-methoxyparacetamol and hydroxylation to 3-hydroxyparacetamol, which are subsequently conjugated to sulfates or glucuronides.

In children under 10 years of age, the main metabolite of the drug is paracetamol sulfate, in children over 12 years of age - conjugated glucuronide.

Conjugated metabolites of paracetamol (conjugates with glutathione, sulfates, glucuronides) are characterized by low pharmacological activity, including toxic.

When taking a therapeutic dose, the total clearance is 18 l/h, the half-life (T ½) is from 1 to 4 hours. Upon admission therapeutic doses 90–100% of the taken dose of paracetamol is excreted in the urine within 24 hours. The main amount of the drug after conjugation is released in the liver in the form of glucuronide (60–80%) and sulfate (20–30%). About 5% of the dose is excreted unchanged.

In elderly patients, paracetamol clearance decreases and T ½ increases.

In patients with severe renal failure (creatinine clearance 10–30 ml/minute), the elimination of paracetamol is slowed down, the rate of elimination of sulfate and glucuronide is lower than in healthy individuals.

Indications for use

Paracetamol suspension for children is prescribed to children aged 3 months to 12 years in the following cases:

  • elevated body temperature due to flu, colds and children's infectious diseases, such as scarlet fever, chicken pox, measles, mumps, etc.;
  • toothache, including during teething or extraction, ear pain due to otitis media, headache, a sore throat.

Contraindications

  • fructose intolerance;
  • severe impairment of renal or hepatic function;
  • age less than 2 months;
  • simultaneous use of other drugs containing paracetamol;
  • hypersensitivity to any component of the drug.

Carefully:

  • liver dysfunction, including Gilbert's syndrome;
  • viral hepatitis;
  • genetic absence of the enzyme glucose-6-phosphate dehydrogenase;
  • renal dysfunction (creatinine clearance< 30 мл/мин);
  • anorexia/bulimia;
  • dehydration;
  • hypovolemia;
  • severe blood diseases (leukopenia, severe anemia, thrombocytopenia);
  • diabetes;
  • chronic alcoholism.

Instructions for use of Paracetamol for children: method and dosage

Paracetamol suspension for children should be taken orally, preferably 1-2 hours after meals, with big amount liquids. Immediately before use, the bottle should be shaken well. For correct dosing, a measuring spoon or cup is usually included in the package.

The optimal dose is determined taking into account the age and body weight of the child.

For children over 3 months of age, a single dose of paracetamol is 10–15 mg/kg, dosing frequency is 3-4 times a day. Higher daily dose should not exceed 60 mg/kg.

The drug can be taken in 1 dose at intervals of 4–6 hours, but no more than 4 times during the day.

  • 2–3 months (4.5–6 kg): the drug can be used only as prescribed by a doctor*;
  • 3–6 months (6–8 kg): 4 ml (96 mg)/16 ml (384 mg);
  • 6–12 months (8–10 kg): 5 ml (120 mg)/20 ml (480 mg);
  • 1–2 years (10–13 kg): 7 ml (168 mg)/28 ml (672 mg);
  • 2–3 years (13–15 kg): 9 ml (216 mg)/36 ml (864 mg);
  • 3–6 years (15–21 kg): 10 ml (240 mg)/40 ml (960 mg);
  • 6–9 years (21–29 kg): 14 ml (336 mg)/56 ml (1344 mg);
  • 9–12 years (29–42 kg): 20 ml (480 mg)/80 ml (1920 mg).

Unless otherwise prescribed by your doctor, you can use the drug for no more than 3 days.

* A single dosage of Paracetamol for children 2-3 months old is 10-15 mg/kg with a dosage frequency of 1-2 times a day. If the temperature does not decrease after taking the second dose, you should consult a doctor. For other indications, the drug can be given to children 2–3 months old only as prescribed by a pediatrician.

Children with impaired renal function need to increase the interval between doses. When creatinine clearance (CC) is 10–50 ml/minute, it should be at least 6 hours;< 10 мл/минуту – 8 часов.

Side effects

Grouping of adverse events by frequency (according to post-registration data): very often - ≥ 1/10, often - from ≥ 1/100 to< 1/10, нечасто – от ≥ 1/1000 до < 1/100, редко – от ≥ 1/10 000 до < 1/1000, очень редко – < 1/10 000, неизвестно – установить частоту на основе имеющихся данных не представляется возможным.

Paracetamol may cause the following: side effects:

  • from the gastrointestinal tract: rarely - nausea, abdominal pain, diarrhea, vomiting;
  • from the blood and lymphatic system: rarely - thrombocytopenia, anemia, leukopenia;
  • from the liver and biliary tract: very rarely - impaired liver function; with long-term use in large doses – nephrotoxic and hepatotoxic effects;
  • from the outside immune system: very rarely - Quincke's edema, anaphylaxis;
  • from the respiratory system: very rarely with hypersensitivity to acetylsalicylic acid or intolerance to other nonsteroidal anti-inflammatory drugs (NSAIDs) - bronchospasm;
  • from the skin and subcutaneous tissues: very rarely - hypersensitivity skin reactions, including skin rash, urticaria, skin itching, Lyell's syndrome (toxic epidermal necrolysis), acute generalized exanthematous pustulosis, Stevens-Johnson syndrome.

Overdose

In case of overdose, there is a risk of developing intoxication, especially in patients receiving concomitant inducers of microsomal liver enzymes, in persons with malnutrition, patients with liver diseases and children. As a result, cholestatic hepatitis, liver failure, cytolytic hepatitis, fulminant hepatitis, sometimes with death, may occur.

Symptoms of acute poisoning: pale skin, stomach pain, nausea, vomiting, anorexia, metabolic acidosis, impaired glucose metabolism (sweating, dizziness, loss of consciousness). After 1-3 days, signs of liver damage appear (pain in the liver area, decreased prothrombin levels, increased bilirubin concentrations and liver enzyme activity), which reach a maximum on days 3-4. In the case of a single dose of paracetamol in a dose of 10,000 mg/kg for an adult, and a dose of 125 mg/kg for children, cytolysis of hepatitis occurs with the development of encephalopathy, metabolic acidosis, complete and irreversible liver necrosis, liver failure - serious complications that can lead to coma and fatal outcome.

In case of severe overdose, progressive encephalopathy, liver failure, coma, and death occur. Acute renal failure with tubular necrosis without severe liver damage may also develop. Its characteristic symptoms are pain in the lumbar region, proteinuria, hematuria, as well as pancreatitis and arrhythmia.

In case of long-term use of the drug in doses exceeding the recommended ones, hepatotoxic and nephrotoxic effects may develop: nonspecific bacteriuria, renal colic, interstitial nephritis and papillary necrosis.

In case of overdose, you should stop taking paracetamol, if possible, do a gastric lavage, take an enterosorbent (activated carbon or polyphepane) and immediately consult a doctor. Treatment is predominantly symptomatic. As soon as possible after an overdose, it is necessary to determine the content of paracetamol in the blood plasma. In case of poisoning, SH-group donors, acetylcysteine ​​and methionine (precursors for glutathione synthesis) must be administered within the first 10 hours. The need for additional therapeutic measures (including further administration of methionine and acetylcysteine) is determined by the doctor depending on the level of paracetamol in the blood and the time that has passed since its administration. Liver tests are performed at the beginning of treatment and every 24 hours thereafter. Liver enzymes return to normal within 1-2 weeks in most cases. Severe overdose may require a liver transplant.

If a child accidentally takes the drug on his own, he should immediately seek medical help, even if he feels well. 24 hours after taking paracetamol, in case of serious liver disorders, treatment is carried out jointly with specialists from a specialized hepatology department or a toxicology center.

special instructions

To avoid overdose during treatment with this drug, you should not take other drugs containing paracetamol at the same time.

Children 2-3 months old can be given the drug only as prescribed by a pediatrician.

If a patient is diagnosed with glutathione deficiency, caution must be exercised as there is an increased risk of overdose. In addition, patients with low glutathione levels, particularly malnourished people with anorexia, patients with a low body mass index and those suffering from chronic alcoholism, are known to develop liver failure. Also in some cases, for example, with sepsis, paracetamol increased the risk of developing metabolic acidosis.

The drug may distort laboratory test results for glucose and uric acid levels in the blood.

If it is necessary to use the drug for more than 5 days, it is recommended to monitor peripheral blood counts and the functional state of the liver.

If there is no effect within 3 days of taking the medicine, you should consult your doctor.

Impact on the ability to drive vehicles and complex mechanisms

Paracetamol has no effect on the speed of reactions and the ability to concentrate.

Use during pregnancy and lactation

There have been no negative effects of paracetamol when used during pregnancy and lactation. The drug penetrates the placental barrier and is excreted from breast milk(no more than 0.23% of the dose taken by the mother). Experimental studies have not established any teratogenic, embryotoxic, or mutagenic effects of the substance. However, paracetamol is prescribed to pregnant and breastfeeding women only after assessing the expected benefits and potential risks.

There are no data on the effect on fertility.

Use in childhood

According to the instructions, Paracetamol for children is strictly contraindicated in children under 2 months. At the age of 2 to 3 months, it can be used once to reduce elevated body temperature after vaccination. From the age of 3 months, it is used according to the dosage regimen specified in the instructions.

For impaired renal function

Paracetamol should be used with caution in patients with impaired renal function.

In addition, it is necessary to increase the interval between doses: with CC 10–50 ml/minute - up to 6 hours, with CC< 10 мл/минуту – до 8 часов.

For liver dysfunction

Paracetamol should be used with caution in patients with impaired hepatic function.

Use in old age

In old age, drugs containing paracetamol should be used under close medical supervision.

Drug interactions

Caution should be exercised when concomitant use of drugs that induce microsomal liver enzymes is necessary, such as ethanol, barbiturates, phenylbutazone, anticoagulants, rifampicin, tricyclic antidepressants, zidovudine, isoniazid, anticonvulsants, amoxicillin + clavulanic acid.

Preparations of St. John's wort, butadione and flumecinol increase the production of hydroxylated active metabolites, as a result of which in case of overdose (taking 5000 mg or more), the risk of developing severe liver damage increases.

Paracetamol increases the elimination time of chloramphenicol by 5 times, which increases the likelihood of poisoning. Reduces the effectiveness of uricosuric drugs.

Paracetamol, taken in a daily dose of 4000 mg for 4 or more days, when administered simultaneously, can enhance the effect of indirect anticoagulants, so the International Normalized Ratio should be monitored during and after taking this combination. If paracetamol is taken irregularly, it does not have a significant effect on the effect of anticoagulants.

With long-term simultaneous use of other NSAIDs, the risk of developing renal papillary necrosis, “analgesic” nephropathy and end-stage renal failure increases.

Alcohol consumed during treatment with paracetamol contributes to the development of acute pancreatitis.

Simultaneous long-term use of paracetamol in high doses in combination with salicylates increases the risk of developing cancer Bladder or kidneys.

Possible drug effects of other drugs on paracetamol:

  • probenecid reduces its clearance by almost 2 times due to inhibition of the process of its conjugation with glucuronic acid;
  • domperidone and metoclopramide increase the rate of its absorption;
  • cholestyramine reduces the rate of its absorption;
  • Long-term use of barbiturates reduces its effectiveness;
  • diflunisal increases its plasma concentration by 2 times, as a result of which the risk of developing hepatotoxicity increases;
  • phenytoin reduces its effect and increases the risk of hepatotoxicity;
  • myelotoxic drugs enhance the manifestations of its hematotoxicity.

Inhibitors of microsomal oxidation (including cimetidine), when used simultaneously, reduce the risk of hepatotoxicity.

Analogs

Analogues of Paracetamol for children are: Paracetamol (suspension), Calpol, Daleron, Children's Panadol.

Terms and conditions of storage

Shelf life – 3 years.

Storage conditions: protected from light, out of reach of children, temperature up to 25 °C.

At high temperatures, anyone feels unwell. Small child, unlike an adult, cannot tolerate prolonged headaches. Therefore, you should take care of how to reduce fever with medications. Medical experts recommend taking “ paracetamol" children. It is considered the most effective and safe for the child’s body.

Advantages of paracetamol:

  • Fights high body temperature during colds, ARVI or flu.
  • Can be given to children aged 2 months, having previously reduced the permissible dose.
  • Rapid temperature reduction and long-lasting effect.
  • Allowed for unpleasant symptoms. In some children, high fever may be accompanied by seizures.
Remember! The tablets only eliminate the symptoms of the disease, but are not intended to treat it. The underlying cause of pain or should be identified and treated in children with other drugs.

Before giving paracetamol to a child, you should consult your doctor. It is he who will tell you which dosage form is best to choose and whether it is worth combining it with other antipyretics. Calculate the exact permitted dosage.

The dosage in tablets depends on the age of the baby.

Dosage of paracetamol tablets for children

Cold medicine can come in three forms: in suppositories, tablets and syrup. They all have the same effect on the body, but the tablet version is the most economical.

The dosage is calculated based on the baby's weight. One kilogram requires 10 milligrams of the substance. That is, if he weighs 5 kilograms, he needs to be given 50 milligrams, which is approximately ¼ of the medication.

The temperature will become lower approximately 30 minutes after use. At this time, it is recommended to monitor the baby's condition.

If the baby has a fever throughout the day, then the suspension can be given several times. In this case, the break between use must be at least six hours. You can use this method a maximum of 4 times per day.

How to give paracetamol 200 mg to children: dosage in tablets

Tablets in dosage have become widely used 200 mg. They are able to be quickly absorbed into the body, thereby providing an antipyretic effect. In addition to colds, it is taken for toothaches, osteochondrosis and neuralgia. The expected norm depends on the age category of the person.

It is not recommended for babies under one year old to take paracetamol in tablets, but in some cases, when it comes to a very high temperature with the appearance of seizures, the following dosage is allowed:

  • From birth to 3 months, the dosage is 10 mg per kilogram;
  • From 3 months to a year, the maximum daily dose is 120 mg;
  • From one year to 3 years, the maximum daily dose is 150 mg. Children under three years old more than 150 mg. give Not recommended. It is advisable to replace it with an analogue in the form of syrup. If this is not possible, then ¼ of the suspension can be dissolved in water. You can lower the degrees on the device in this way only once a day;
  • If the baby is in the age category from 3 to 6 years, then he can be given 100 mg at a time. The interval between doses should be 6 hours. It is also not recommended to use it more than twice a day;
  • With the same interval of time, you can reduce the fever in young children whose age from 6 to 12 years. But it can be given in doses of 200 mg.
  • Children over 12 years of age are allowed to take two tablets at a time.

The situation with adults is a little different. To reduce the temperature, 200 mg of medication is also sufficient for them. But you can increase this amount up to 6 times a day if necessary, at intervals of 4 hours. If the temperature rises slightly, use the methods.

Can I give my child paracetamol tablets?

Medical experts say that paracetamol can be given to babies in solid form if certain conditions are met:
  • The medicine can only bring down a high temperature, more than 38 degrees;
  • You shouldn’t give pills right away; it’s better to try some kind of pill first. If the fever lasts more than 4 hours, then medicine can be given;
  • You can give it right away if, along with a fever, the baby is bothered by toothache and weakness.
Paracetamol is a great help for mothers. It is suitable for both adults and children. But there are also some admission restrictions this medicine.
  • Before use, you need to familiarize yourself with the composition and make sure that the child is not exposed to its components;
  • It is not recommended to lower the degree scale with this medicine for babies who are under 3 months old. For these purposes, it is better to purchase antipyretic syrup;
  • It is strictly forbidden to use it in children who have problems with the digestive tract, kidney disease or rectal pathology.

If the parent is not sure of the correct choice, then it is not worth experimenting on the child; it is better to consult a specialist.

What are the dangers of overdose?

Every specialist claims that even a small overdose has a negative effect on the body. For example, if you give a child under three years old not a quarter, but a whole tablet, there is a risk of liver damage and hepatic coma.

Constantly monitor your baby's condition! once every 30 min..

There are also less dangerous phenomena, such as mild nausea or vomiting. In rare cases, after thirty minutes pain may appear in the mid-abdomen or bowel dysfunction may occur. Drowsiness often occurs after taking the drug. This means that the body spends most of its energy fighting infection.

Do not give two paracetamol-based medications at the same time. This will lead to poisoning of the body. Can be given with other antipyretics, for example, Nurofen. The most dangerous consequence overdose is intoxication. In this case, you should not try to deal with the problem on your own; you should definitely consult a doctor.

An overdose can occur if the interval between doses of the medication is not observed. It's better to combine drug treatment with folk remedies.

There may also be a number of adverse reactions, after which you need to stop giving the baby this drug:

  • , which may appear as a rash or hives. In rare cases, swelling appears and urination slows down;
  • Dizziness or pain in the back of the head. In this case, you need to consult a doctor as soon as possible;
  • Renal colic;
  • Reduced pressure;
  • Nephritis.

After the child has taken the medicine, he should not be left alone. You need to carefully monitor his condition.

In this video, Dr. Komarovsky will talk about the difference between aspirin and paracetamol and what dosage to give in tablets:

The difference between tablets and syrup and suppositories

When purchasing paracetamol, the pharmacist may offer an antipyretic analogue in three types:

  1. Tablets are the most common form. The main advantage is that they are a product in its natural form. But this form is difficult for children under three years of age to take. To do this, it must be thoroughly crushed and diluted with warm water;
  2. For an early age, it is better to purchase an antipyretic drug in the form syrup. It tastes better and is easier for the child to swallow. Syrup can be given as early as two months. Sometimes doctors, taking into account the child’s condition at the time of illness, can prescribe syrup in the first weeks of life. Children under one year of age need to use 5 ml. Further, the dosage is calculated depending on the child’s weight. You can lower your temperature in this way no more than 4 times a day for 3 days. The main disadvantage of syrup is that it is a diluted suspension with chemical additives, that is, it is less effective. The drug should not be diluted with water; it is better to give the child something to drink after taking it.
  • from birth to 6 months, the dosage is calculated by the attending physician;
  • from 6 months to one year, the maximum dosage is 5 mg, the minimum is 2.5 mg;
  • up to 3 years, the dosage is 5 – 7.5 mg;
  • from 3 to 6 years – the maximum dosage is 10 mg;
  • from 7 to 12 years – about 15 mg.

3. Suppositories are also an antipyretic drug. They should be inserted into the anus. Before the procedure, you must first wash your hands. Place the child, turn him on his side, bend his legs and press them to his tummy. Introduce the suppository slowly and carefully. The drug is absorbed into the intestines and has a beneficial effect on the body. It can also be used no more than 4 times a day, with breaks of 4 hours. For children under three months, the dosage is selected only by a doctor..

In recipes you can find the following dosage:

  • from 3 months to a year, 0.08 g suppositories are prescribed;
  • from 1 year to 3 years – 0.17 g;
  • from 3 years to 6 – 0.33 g;
  • starting from 6 years and older, two suppositories of 0.33 g each are prescribed.

You should not use more than 4 suppositories per day.

It is worth emphasizing that the first option, in the form of tablets, is the most natural and economical form of the drug. But it is quite difficult for young children to use them.

Compatibility of paracetamol for children with other drugs

Along with this, the child may also develop other colds, such as cough, runny nose, sore throat, and so on. In this case, treatment with paracetamol will not be enough. It is important to pay attention to whether it is combined with other medications.

It contains a small dose of caffeine, which may increase if another medicine enters the body.

  • Two cold remedies are combined: No-spa and Paracetamol. They can be used simultaneously;
  • Analgin can be used only 30 minutes after taking the antipyretic. It is advisable to do this in the form of internal injections;
  • Two completely different medications cannot be combined: Paracetamol and Ibufen. Both of them act as an anti-inflammatory agent;
  • For pain in the abdominal area, it is permissible to use Nurofen. It can be used at least two hours after taking the first medicine;
  • This drug goes well with with Suprastin, especially if the child has allergic reactions.

If you take an antipyretic suspension with incompatible medications, there is a risk of side effects, most often caused by excessive drowsiness.

Benefits for colds

What does paracetamol give to children for colds:

  • Antipyretic effect;
  • Eliminates inflammation;
  • Minimal side effects;
  • Can be used from an early age and in combination with other medications;
  • Quickly removes colds from the body.

In addition to all the qualities, there is one more thing - this low price. To summarize, it is worth saying that paracetamol can be given to children. The dosage at temperature is of significant importance.

Video about tablet dosage

In this video clip, the same doctor explains what to use when paracetamol does not help. How to lower your baby's temperature:

When a child has a fever, the first medicine that parents use to stabilize the condition is paracetamol, and this is not without reason.

The World Health Organization included this drug in the list of the most effective, safe and cost-effective medicines.

Let's take a closer look at the instructions for using Paracetamol tablets for children (200 and 500 mg): recommended dosages for fever, is it possible to give the medicine to a child at all and how much, what to do if the norm is exceeded?

Description and action

Paracetamol is not new in the pharmaceutical field. It has been used for treatment since 1893. This is one of the safest non-steroidal anti-inflammatory drugs.

The drug has almost no effect on cyclooxygenase, or COX, which is produced in peripheral organs and tissues. Therefore, it has fewer side effects than other NSAIDs.

The medicine does not irritate the gastric mucosa and does not lead to disruption of water and mineral metabolism.

At the same time, the drug affects COX, which is produced by the brain, which is responsible for its antipyretic and analgesic properties. The drug has almost no ability to influence inflammatory processes.

Paracetamol is well absorbed from the gastrointestinal tract, so tablet dosage forms along with rectal suppositories are most preferable.

The drug acts quickly, and already 30 minutes after ingestion its highest concentration is observed. The effect lasts up to 4 hours.

The lack of effect when using Paracetamol is a reason to immediately seek medical help.

Release form and composition

The drug is available in tablets of 0.2 g and 0.5 g (200 and 500 mg). This form is recommended for children over 6 years of age due to possible overdose.

Can be used from 2 years of age, although other forms are preferable at this age.

By physical properties It is a pure white or creamy, pinkish crystalline powder that is soluble in alcohol and insoluble in water.

Indications

The drug is used if:

  • the temperature rises to 38 °C and above (age up to 5 years), up to 38.5 °C (age after 5 years) and lasts for at least 4 hours;
  • complaints of toothache, headache, muscle pain.

Paracetamol is effective specifically for viral infections ().

The remedy is also used for chicken pox, measles, flu, teething, after injuries and burns.

It does not help with bacterial infections, complications of ARVI, the effect is short-lived or absent.

Contraindications

The list of contraindications is small compared to other medications. This includes:

  • individual intolerance;
  • age up to 2 years;
  • diseases of the gastrointestinal tract with the formation of ulcers and erosions, gastric bleeding, inflammation, active bleeding;
  • progressive pathologies of the kidneys, liver, severe forms of failure of these organs;
  • intolerance to acetylsalicylic acid or other NSAIDs;
  • hyperkalemia (increased potassium levels in the blood).
  • How much and how to give

    The maximum course of treatment is:

    • up to 6 years - 3 days;
    • after 6 years - 5 days.

    What dose of Paracetamol tablets is needed for children, how to take the medicine correctly?

    When prescribing doses, they are guided not by age, but by the weight of the baby. 10–15 mg of active ingredient is prescribed per 1 kg.

    A single dose of Paracetamol in tablets for children weighing 10 kg is 100–150 mg (0.1–0.15 g), or 1/2–3/4 tablets with a dosage of 200 mg (0.2 g).

    Re-appointment should be no earlier than after 4-5 hours, 4–5 doses are allowed per day.

    A safe daily dose is up to 60 mg/kg body. This means that a child weighing 10 kg should not be given more than 3 tablets of 200 mg per day.

    For adolescents over 12 years of age who weigh more than 40 kg, the maximum single dose is 1 g (5 tablets of 0.2 g), daily dose is 4 g (20 tablets of 0.2 g).

    Directions for use, special instructions

    The drug is given orally. After eating, 1-2 hours must pass, otherwise absorption will slow down. Drink a lot clean water. If the child is small, then the tablet is crushed into powder.

    Paracetamol is an emergency medicine that does not cure, but only eliminates the manifestations of the disease. If the cause of the disease is not eliminated, the fever and pain will return.

    Reception features

    The question of what dose of paracetamol to give a child in tablets must be decided after consultation with a doctor. When treating, the following features of admission are taken into account:

    • if there is liver disease, the dose is reduced;
    • when using other drugs simultaneously, you need to make sure that they do not contain paracetamol;
    • Do not give your child alcohol-containing medications, as alcohol enhances the absorption of the medication.

    Overdose

    Taking the drug in a single dose of more than 150 mg/kg of a child’s body weight causes severe, and in some cases, fatal liver damage.

    Stages of poisoning:

    The development of liver failure is indicated:

    • neuropsychiatric disorders (feels sleepy, dizzy, speech impaired, hallucinations);
    • pain in the right side under the ribs;
    • swelling, abdominal enlargement;
    • jaundice;
    • bleeding;
    • heart rhythm disturbances;
    • insufficiency of functions of other organs.

    Death from an overdose occurs within 3–5 days.

    In case of overdose, wash the stomach, give it to the patient, and call an ambulance. The antidote for paracetamol is acetylcysteine.

    In case of liver failure, hospitalization is carried out, treatment is symptomatic. In severe cases, a liver transplant may be required.

    Children tolerate poisoning more easily than adults, especially those under 6 years of age, due to their metabolic characteristics. In mild cases, treatment is carried out at home.

    How can an overdose occur?

    The safe dosage of the drug is 0.2 mg. So, for a child weighing 10 kg to become poisoned, he needs to take 1.5 g of the drug per day orally, which is 7.5 tablets.

    Exceeding the dose occurs for several reasons:

    • parents in a hurry did not pay attention to the content of the active substance;
    • other drugs were given at the same time with paracetamol;
    • increased the frequency of administration;
    • the baby accidentally took the medicine on his own because it was in an accessible place.

    Side effects

    Although Paracetamol is well tolerated in most cases, it causes side effects:

    IN last years scientists started talking about harm and toxicity.

    Studies have shown that children who were often prescribed Paracetamol at the age of 1-3 years develop allergic diseases - eczema, allergies - by the age of 6-7 years.

    Safety is maintained with infrequent use.

    There is also evidence that with long-term use of Paracetamol more than 1 tablet per day, if the total amount of medication taken is 1000 or more tablets over a lifetime, the risk of developing severe forms of analgesic nephropathy (kidney disease), which leads to end-stage renal failure (complete loss of kidney function).

    Drug interactions

    Paracetamol interacts with other drugs, which may affect the safety of therapy.

    The following effects may be observed:

    • increased harmful effects on the liver, decreased antipyretic effect of Paracetamol in combination with barbiturates, antiepileptic drugs, rifampicin;
    • enhancing the effect of coumarin derivatives, salicylic acid, caffeine, codeine;
    • an increase in the level of methemoglobin - when used simultaneously with phenobarbital.

    It is prohibited to combine Paracetamol tablets with other products that contain this active ingredient (Parafex, Paravit, Cold-flu, Coldrex and others).

    average price

    The average price of Paracetamol 0.2 g, 10 tablets is 6 rubles.

    Storage conditions and periods

    we told you everything about the treatment of conjunctivitis in children, including the advice of Dr. Komarovsky.

In spring - autumn period children are susceptible to respiratory attacks viral infections. These diseases are accompanied by cough, runny nose and, of course, high fever. The most popular remedy that can eliminate these symptoms is Paracetamol. The advantage of this medicine is not only its effectiveness, but also its low price, which makes it quite affordable.

However, Lately There are more and more cases of children being admitted to the hospital with symptoms of an overdose of this medicine. This occurs due to an incorrectly selected dose of the drug. Not all mothers know that this value must be calculated based on the baby’s age, and give the baby a whole tablet or even two. To avoid poisoning, before giving your child a medicine, it is better to study the instructions for its use in advance.

Description

Paracetamol is mostly an antipyretic drug. It affects the central nervous system, blocking nerve impulses that tell the baby’s body about the disease. After all, temperature is a protective reaction of the body that occurs when bacteria and viruses penetrate it.

This remedy helps not only against high fever. It can also be used as a pain reliever for toothache, migraine, and body aches.

Despite the fact that paracetamol is considered safe compared to other medications, there are still contraindications for its use:

  • individual intolerance;
  • age up to three months;
  • liver diseases;
  • inflammation in the rectum;
  • gastritis and stomach ulcers.

Dosage

During treatment, you need to follow the correct dosage of paracetamol for children of different ages. In tablets (read more: paracetamol in tablets) the medicine is prescribed from 3 months, if there are no other options (syrup, suppositories). First, the tablet is crushed and dissolved in a small amount of water.

  • From 3 to 6 months, 10 mg per kg of weight 1-2 times a day.
  • From 6 months to a year, 50 mg (⅓ tablet) 2-3 times a day.
  • From 1 to 3 years, 75 mg (½ tablet) 3-4 times a day.
  • From 3 to 6 years old, you can give a whole tablet (150 mg) 2-3 times a day.
  • From 6 to 12 years, 200 mg 2-3 times a day.

It is much more convenient to give the drug to newborns in the form of a suspension or syrup. It has a bittersweet taste. The product in liquid form is easier to dose, as it comes with a measuring spoon.

For young children, it is better to give the medicine in the form of a suspension!

Prescribed for a child from 3 months to 12 years:

  • from 3 months up to one year, the dosage is selected individually at 10 mg per 1 kg of body weight;
  • from one year to 3 years, 5 ml 1-2 times a day;
  • from 3 to 6 years, 10 ml 3-4 times a day;
  • from 6 to 12 years, 15 ml 3-4 times a day.

Tablets are contraindicated for newborns, and some babies cannot drink syrups due to intolerance to sugar and other components. In this case, you can use rectal suppositories with paracetamol (suppositories):

  • from 3 to 12 months 0.5 -1 soup. (50-100 mg) 1-2 times a day;
  • from one year to 3 years, 1 - 1.5 soup. (100-150 mg) 2-3 times a day
  • from 5 to 10 years 2.5 - 3.5 soup. (150 - 200 mg) 2-3 times a day;
  • from 10 to 12 years 3.5 - 5 soup. (350 - 500 mg) 3-4 times a day.

How much paracetamol can be given to a child if the temperature does not drop? Observing age-specific dosages, if necessary, you can use the medicine every 6-8 hours.

Some mothers try to urgently lower their baby's temperature using paracetamol together with analgin. However, it is worth noting that pediatricians do not approve of this remedy, so it is not advisable to take such a measure. Analgin has not been used in medicine for a long time as a means to reduce fever, since it only has an analgesic effect.

Overdose

In what cases does a drug overdose occur:

  • incorrectly selected dose during treatment;
  • joint use of drugs containing paracetamol.

Overdose occurs when the daily dose is exceeded (60 mg per kg of weight). It appears 12 to 24 hours after taking the medicine. The following symptoms are observed:

  • nausea;
  • stomach ache;
  • vomit;
  • diarrhea.

First aid:

  • Children over 2 years of age should be given a drink if signs of overdose occur. a large number of water, thereby artificially inducing vomiting;
  • give the child activated carbon to drink (1 tablet per 10 kg of weight);
  • be sure to call an ambulance.

Help with allergic reactions

If you are hypersensitive to the drug, it may cause an allergic reaction (swelling, urticaria). In such cases, it is necessary to give the child the antihistamine Suprastin.

Suprastin dosage:

  • from 1 to 12 months, ¼ tablet. 2-3 times a day;
  • from one year to 6 years, ½ tablet. 2 times a day;
  • from 6 to 14 years, ½ tablet. 3 times a day.

Let's sum it up

Paracetamol is used as an antipyretic and pain reliever. It is well tolerated by children, however, in order to avoid overdose, it is necessary to use the drug in accordance with the age of the child.

  1. The drug is not used as a prophylactic for colds and other diseases, since it does not treat the disease, but only eliminates its symptoms.
  2. It is not advisable to use analgin together with paracetamol without consulting a doctor.
  3. For children under 3 years of age, it is better to give the medicine in the form of syrup or use rectal suppositories.
  4. It is not recommended to treat your baby with paracetamol for more than 5 days.

With the development of colds, the first sign in children is an increase in temperature. If pediatricians prohibit giving children antipyretics at elevated temperatures, then if the thermometer readings are above 39 degrees, you should definitely resort to medication. One of the most effective ways Reducing high fever is a medicine called Paracetamol. Is it possible to give children Paracetamol in tablets, at what age should it be used, as well as the specific dosage of the drug, we will find out further.

Dosage of Paracetamol tablets

Paracetamol for fever is available in three forms: tablets, syrup and rectal suppositories. All forms of the drug are intended to reduce high fever. Paracetamol in certain dosage forms should be given to a child depending on his age.

The main advantage of the drug in tablet form is its low cost, especially when compared with syrups. Many parents resort to medication in tablets only when the child turns 5 years old. It is at this age that a baby can swallow a pill without it getting stuck in the throat. Some parents are in no hurry to resort to using the drug in tablets, and give it from the age of 6.

The instructions for use indicate that children can be given the drug in tablet form at 2 years of age and older. However, it is important to note that at 2-3 years of age it is preferable to give syrup to children, and before 2 years of age it is best to use rectal suppositories. It is possible for young children to take Paracetamol in tablet form if they have a fever, but the tablet should initially be crushed and then given to drink with sweetened water.

It is important to know! At high temperatures, children can be given Paracetamol no more than 4 times a day. The break between subsequent doses should be 4-6 hours. The duration of therapy should not be more than 3 days.

How to give Paracetamol tablets to children depends on their age and weight. Paracetamol for children with fever should be calculated based on the following dosage: per 1 kg of baby’s body weight, 10 mg of the drug is required. For a baby whose weight is 10 kg, 100 mg of the drug will be required.

Interesting to know! The drug can bring down a child’s temperature approximately 25-30 minutes after administration.

Dosage of Paracetamol 200 mg in tablet form

We have already found out whether Paracetamol can be given to children. It is only worth noting that if a child of 5-6 years old cannot swallow the tablet whole, it should be divided into parts or crushed into powder. It is not recommended to give the drug to infants in tablet form, so it is better to resort to rectal suppositories.

The drug Paracetamol 200 mg is very popular. The tablets are quickly absorbed by the body, so within 30 minutes a positive effect from its use occurs. In addition, the tablets do not contain flavorings or dyes, which can harm the baby if taken orally. You can not only bring down the temperature with the drug, but also reduce pain symptoms from toothaches, headaches, neuralgia and osteochondrosis. Let’s find out in more detail how to lower the temperature with the help of the medicine in question.

  • It is not recommended to give antipyretic tablets to children under two or three years of age. Moreover, if the doctor has prescribed the use of the drug for the baby in this form, then you can resort to such treatment.
  • Children under the age of five or six years can be given the medicine in tablet form, but only at a dosage of 100 mg. Paracetamol can be given to a child at this age no more than 2 times a day.
  • Children under 12 years of age are given the drug at a dosage of 200 mg. The dosage of Paracetamol depends primarily on weight, so before giving the medicine to your baby, you need to read the instructions.
  • Older children from 12 years of age can be given Paracetamol at a dosage of 500 mg.

The instructions indicate that children under 12 years of age can be given tablets with a dosage of 500 mg, but the dose must be calculated correctly. It is also important to note the fact that before giving medicine at a temperature of 38 and above, you should consult a specialist. Your local or attending physician will tell you how to take it, how much of the drug you need, and how often you can take it.

It is important to know! You need to lower your baby’s temperature if the thermometer shows above 39 degrees. An adult can begin to reduce the fever if the mark exceeds 39-39.5 degrees.

Can children take medicine in tablets?

Doctors say that children can take pills if certain conditions are met.

  1. If the thermometer reading is above 38.5-39 degrees. For children under 3-4 years old, it is necessary to reduce the temperature above 38-38.5 degrees.
  2. There is no need to rush to bring the fever down below 38. If the thermometer readings are above 38, you should initially try to use folk method, for example, wiping with a vinegar solution. If the fever continues to rise or lasts four hours or more after the parents have tried all methods to reduce it, then this medicine can be given.
  3. Is it possible for a child to take Paracetamol, and in what dosage should it be used for high fever, toothache and weakness. It can not only be given, but it is also necessary. If the drug does not bring down the fever, but the pain during teething has decreased, then you need to consult a specialist or replace the medication with Ibuprofen.

Paracetamol is an excellent remedy in the fight against high fever in children of all ages. With age, the form of the drug can be changed, and the name of the drug can remain the same, but on one condition that the drug gives a positive effect.

Is it dangerous to overdose on a medicine?

The instructions indicate that in case of an overdose of the drug you should consult a doctor. We found out how to give Paracetamol to children, but why is an overdose of this drug so dangerous? In fact, Paracetamol is one of the safest antipyretic drugs. In case of a slight overdose, this will not affect the baby’s health in any way, especially if the medicine is used in a single dosage.

It is important to know! Before using Paracetamol in tablets for children with fever, you should familiarize yourself with the dosage of the medicine, and then select it according to the baby’s weight.

Depending on the excess amount of the drug, the baby may experience side symptoms from an overdose. Excessive doses of the drug cause negative effects on organs such as the kidneys and liver. Most often, with a regular overdose of the drug, liver damage develops, as well as hepatic comas.

Symptoms of a Paracetamol overdose include:

  • nausea and vomiting;
  • abdominal pain;
  • problems with stool;
  • the occurrence of drowsiness.

The most dangerous sign of overdose is intoxication. In this case, you definitely need to go to the hospital for help. Therefore, the question of whether a child can take Paracetamol should be answered in such a way that the medicine is not only allowed, but also necessary if necessary. In order not to make a mistake with the dosage, you must carefully read the instructions or consult a specialist.

An increase in body temperature occurs very often in young children, so doctors advise keeping one of the antipyretic drugs safe for children at home just in case. This medicine can be called Paracetamol. How to give this medication to a 2-year-old child, in what dosage and in what situations?


Is it possible for a two year old child?

Paracetamol is allowed at an early age and is not prescribed only to newborns. If the child is 1-3 months old, a single dose of this medicine is acceptable at elevated temperatures due to vaccination. In all other cases, this medication is used from three months of age, that is, you can give Paracetamol to children 2 years old without fear.

When is it used?

Most common cause the use of such medicine is an increase in body temperature. This symptom occurs with influenza, scarlet fever, chickenpox, sore throat, otitis media and many other infections. The temperature may also rise due to overheating or vaccination. In such situations, Paracetamol very effective against fever. However, it is important not to forget that this is only eliminating the symptom, but This drug does not affect the cause of the disease.

Paracetamol also has an analgesic effect, so this medication can be given to a child for various types of pain. For example, the drug helps alleviate the condition of teething, if they are painful. Taking Paracetamol also relieves pain caused by a bruise, sprain or other injury.

This remedy is also used for sore throats, headaches and painful sensations in other localizations.

Which form should I choose?

If Paracetamol needs to be given to a two-year-old child, then one of the following forms is usually chosen:

  1. Suspension. The advantage of this version of Paracetamol is a more accurate dosage, since the liquid medicine is measured in milliliters using a plastic syringe or measuring spoon. According to parents, thanks to the sweet strawberry or orange taste, most kids drink the suspension without any problems. As for the disadvantages, they usually include the presence of sugar and other chemical ingredients to which the child may be allergic.
  2. Rectal suppositories. Among the advantages of this form are a large selection of dosages (suppositories of 50 mg, 100 mg, 250 mg and 500 mg are on sale), as well as a harmless composition, because in addition to paracetamol, suppositories only contain solid fats. For this reason, this medicine is most often used in infants and children who are prone to allergic reactions. In addition, suppositories are usually chosen if there is difficulty swallowing the suspension or vomiting.

However, the effect of this Paracetamol begins later than drugs taken by mouth, so suppositories are often used to prevent a rise in temperature at night.

Paracetamol is also produced in tablets containing 200 or 500 mg of the active ingredient each. This medicine is usually not given until the age of 6, but in emergency cases, when there is neither liquid medicine nor suppositories at hand, it is permissible to give part of the adult Paracetamol to a 2-year-old child by crushing the tablet and mixing with a small amount juice, water or compote.

Dosage

To find out both the single and permissible daily dose of Paracetamol, it is not the child’s age that is important, but his body weight. The amount of paracetamol recommended by doctors for children per 1 kg of weight is from 10 to 15 mg. At the age of two, a child can weigh either 10 kg or 15 kg, so the single dosage for a particular patient will be different. For example, if the weight of a toddler is 12 kg, then the calculation gives us an approximate single dose of 120-180 mg. Such a patient is usually given 5 ml of suspension (120 mg) or half a 250 mg suppository (125 mg) per dose.

To determine the daily dose, which should not be exceeded, it is necessary to multiply the baby’s weight in kilograms by 60. For a child from our example with a weight of 12 kg, the maximum paracetamol that can be given per day is 720 mg. This amount of active ingredient is contained in 30 ml of suspension.

It turns out that if the drug is prescribed three times, it is not given in a volume of more than 10 ml, and when used four times, the dose does not exceed 7.5 ml.

Can it cause harm?

Despite being generally well tolerated, Paracetamol can cause side effects, which are often presented allergic reaction. In some children, the medicine worsens the functioning of the liver or gastrointestinal tract.

Taking Paracetamol can harm the health of children with diseases of the digestive tract (in the presence of ulcers or erosions), liver pathologies, bronchial asthma and some other diseases indicated in the annotation in the list of contraindications.

When taken for a very long time, the drug can worsen hematopoiesis, therefore There are some restrictions for a course of treatment with Paracetamol without medical supervision. If the medicine is given to reduce fever, then such use is permissible for three days. When taken to eliminate pain, the drug can be given for up to 5 days.

If the dose of Paracetamol is exceeded, it may pose a danger to the child's internal organs. Overdose usually results in symptoms of gastrointestinal irritation, but at very high doses the drug affects the liver and brain. For this reason, you should not exceed the dosage of suppositories or suspension prescribed by your doctor and give the medication more often than every 4 hours, or combine it with other paracetamol-containing medications.

In addition, it is important to store the suspension so that the baby cannot get it out and accidentally drink it.

What to replace it with?

If Paracetamol is not available in the pharmacy, any of its analogues, the main ingredient of which is also paracetamol, can be used instead. Such drugs include Tsefekon D, Panadol Baby, Efferalgan, Kalpol and other means. They are presented both as candles and as a suspension or syrup. In addition, any ibuprofen-based medicine, for example, Nurofen for children, can replace Paracetamol in case of fever or pain. You should not give your child other antipyretics without a doctor’s prescription.

Dr. Komarovsky will tell you in what doses antipyretics should be given to children in the next video.

Among the popular means of combating fever and pain in children are tablets, where the active substance is paracetamol. It is considered the most effective and safe for the child’s body.

Paracetamol-based drugs have three main properties: they relieve fever, inflammation and pain.

Advantages of the drug:

  • Fights high body temperature during colds, ARVI or flu. It can be given to children aged 2 months, after first reducing the permissible dose.
  • The decrease in temperature begins quickly and has a long-lasting effect - no further increase is observed.
  • In some children, high fever may be accompanied by seizures. Paracetamol is also allowed for such unpleasant symptoms.
  • Reduces or eliminates pain. For example, dental or headache.
  • Other medications can be given at the same time. Nurofen contains ibuprofen as an active ingredient, so alternating them is allowed.

It should be taken into account that paracetamol eliminates only the symptoms of the disease, but is not intended for its treatment. The main cause of pain or fever should be identified and children treated with other drugs.

Dosage of the drug

Paracetamol comes in three main forms: suppositories, tablets and syrups. You can buy a product at the pharmacy where this active ingredient is in pure form- Panadol for example. Panadol tablets, in addition to the active substance, contain sodium bicarbonate, which creates an alkaline environment in the body. Thanks to this, Panadol works faster.

Candles

They are inserted rectally - into the child's anus. Before the procedure, you must first wash your hands. Place the child, turn him on his side, bend his legs and press them to his tummy. Slowly and carefully introduce the suppository. Active substance is absorbed by the intestinal walls and has a rapid effect at high temperatures. For children under three months, the dosage is selected only by a doctor..

At the pharmacy you can find the following dosage of the drug:

  • from 3 months to a year, 0.08 gram suppositories are prescribed;
  • from 1 year to 3 years – 0.17 grams;
  • from 3 years to 6 – 0.33 grams;
  • starting from 6 years and older, two suppositories of 0.33 grams are prescribed.

You should not use more than 4 suppositories per day.

Pills

They are allowed for children starting from two years old. The child is given medicine, previously crushed and diluted in water. Children's paracetamol tablets are available in a dosage of 200 mg:

  • from 2 to 6 years, 1/2 tablet is prescribed at a time;
  • from 7 to 12 years, one full tablet is allowed;
  • Children over 12 years of age are allowed to take two tablets at a time.

In some cases, this form can also be taken by children under one year of age. Especially when it comes to a very high temperature with the appearance of seizures. In such cases, the use of the medicine is allowed in the following dosage:

  • from birth to 3 months, the dosage is 10 mg per kilogram;
  • from 3 months to a year, the maximum daily dose is 120 mg;
  • from one year to 2 years, the maximum daily dose is 150 mg.

Syrup

This dosage form has a liquid consistency and a pleasant taste, so children swallow it easily. Syrup can be given as early as two months. Sometimes doctors, taking into account the child’s condition at the time of illness, can prescribe syrup in the first weeks of life.

The kit includes a convenient dispenser syringe or measuring spoon, with which the exact amount of suspension is measured. The drug should not be diluted with water; it is better to give the child something to drink after taking it.

The exact dosage is drawn according to the divisions on the syringe:

  • from birth to 6 months, the dosage is calculated by the attending physician;
  • from 6 months to one year, the maximum dosage is 5 mg, the minimum is 2.5 mg;
  • up to 3 years, the dosage is 5 – 7.5 mg;
  • from 3 to 6 years – the maximum dosage is 10 mg;
  • from 7 to 12 years – about 15 mg.

The medicine begins to act within 30 minutes after administration. At high temperatures, the syrup is given for no more than three days. As a painkiller, the drug can be taken for up to five days.

An analogue of the drug Paracetamol is Panadol. It is approved for children aged 3 months and older. Panadol Baby can be used to relieve fever, inflammation and pain. Can also be used after vaccinations.

Features of application

Before giving medicine to a child, you should consult your pediatrician. He will prescribe the correct dosage and tell you about the rules of administration.

  • The dosage of the drug depends on the age and weight of the child.
  • Paracetamol tablets should be given to relieve fever at intervals of 6 hours. No more than four times a day.
  • In children under the age of one year, the temperature should be reduced if it rises above 38 degrees.
  • Paracetamol should not be given to infants for more than three days. Their internal organs are not yet fully formed, which creates an extra load on the liver.
  • This antipyretic should not be given for prophylaxis.
  • For a small child, the tablet must first be dissolved in water.
  • You should not use a tablet intended for adults - it is impossible to accurately determine the dosage.
  • Nurofen is more irritating to the stomach than Panadol. Therefore, it is better to stop at the last drug.

Tips for taking medications that contain paracetamol

  • There are various forms of release of this active ingredient. It can be in candles, syrups or in the form of a suspension. They are best suited for children under one year old.
  • To reduce the harmful effects on the liver, the medicine should be given after meals.
  • A dosage of 150 mg per kilogram of weight is dangerous for a child’s body.
  • An overdose can be recognized by the following symptoms: the skin becomes pale, nausea and vomiting appear. In this case, you need to urgently consult a doctor.

Sometimes, when the temperature is high and falls heavily, children are prescribed two drugs at the same time: Nurofen and Paracetamol. These drugs are given at intervals. Nurofen acts quickly and the effect is longer lasting.

You can combine Nurofen with paracetamol at the same time. In this case, half the dose is taken from each drug.

Contraindications

  • Overdose of the drug and frequent use, which negatively affects the functioning of the liver, are not allowed. Nausea and vomiting appear.
  • Individual intolerance to the components of the drug. Allergic reactions may occur.
  • For children under two years of age, paracetamol should be given with caution - the drug can cause asthma.
  • Do not give two paracetamol-based medications at the same time. This will lead to poisoning of the body. Can be given with other antipyretics, for example, Nurofen.
  • An overdose can occur if the interval between doses of the medication is not observed. It is better to combine drug treatment with folk remedies.
  • The drug is contraindicated for diseases such as anemia, hyperbilirubinemia, and disorders of the kidneys and liver.

If at least one symptom appears, then this medicine should be replaced with another. Nurofen is less likely to cause allergies and causes less harm internal organs. Just like paracetamol, Nurofen is available in the form of suppositories, tablets and syrup.

There are many medications in pharmacies that contain paracetamol. Panadol is available in tablets, suppositories and syrups. Panadol Baby is specially produced for the little ones

Do not forget that all medications must be kept away from children. It is better to store medications for adults separately from children, so that during the period of illness the child does not mix up medications due to increased anxiety.

Before giving paracetamol to a child, you should consult your doctor. It is he who will tell you which dosage form is best to choose and whether it is worth combining it with other antipyretics. Calculate the exact permitted dosage. Only by following the rules and recommendations can you reduce side effects and overdose.