Reducing fever in children with ibuprofen. Ibuprofen - antipyretic syrup: composition, dosage, instructions for use for children and adults

Ibuprofen is an effective remedy that should be present in every home where there are small children. It is an anti-inflammatory and pain-relieving medicine that is considered safe. In order for its effect to occur as quickly as possible, you must first study the instructions for using Ibuprofen.

Composition of the medicinal product

Ibuprofen is a suspension that has a sweetish taste and a fairly thick consistency. The liquid medicine is white. The drug is available in 100 ml bottles made of dark glass or opaque plastic. In addition to the medicine, the cardboard box contains instructions for use and a measuring syringe, which allows you to quickly draw up the required volume of medicine.

Ibuprofen belongs to the group of NSAIDs. This means that it contains components of a non-hormonal nature. This property ensures complete safety of use. Ibuprofen in suspension form is suitable for children of all ages, including infants.

The main active ingredient of the drug is ibuprofen. It works by inhibiting the process of prostaglandin synthesis. As a result, after taking it, improvement quickly occurs - the inflammation subsides, and along with it the pain disappears.

Ibuprofen is the main, but not the only ingredient of the medicine.

In addition to this, the composition includes:

• glycerol;
• sorbitol;
• xanthan gum;
• citric acid;
• flavorings.

The listed components play the role of binders. In addition, they provide a pleasant taste and smell for the child, as well as the preservation of the medicine for a long time. All ingredients are safe.

Why is Ibuprofen suspension prescribed?

Ibuprofen should always be on hand. According to pediatricians, this is a universal medicine that solves several problems at the same time.

The suspension is needed for:

• elimination of inflammatory processes;
• normalization of body temperature;
• relief of pain of various origins.

This effect of the drug on the child’s body allows it to be prescribed in different situations.

You can give your child Ibuprofen suspension if:

• colds;
• flu or sore throat;
• otitis;
• neuralgia or other problems associated with increased muscle tension;
• teething.

Ibuprofen is also useful for infants because it can prevent fever after vaccination.

For this reason, many pediatricians advise giving the baby a minimum dose of syrup in advance after vaccination.

Instructions for use and dosage for children

Ibuprofen 100 mg can be purchased in pharmacies without a doctor’s prescription, but a preliminary consultation will not be superfluous. The medication acts gently and does not cause harm to the child’s fragile body, but the pediatrician will be able to explain how much medication to give in each specific case.

The dosage of the Ibuprofen suspension is calculated based on the age of the child. A detailed diagram is given in the instructions for the medicine.

1. Babies aged 3 months to six months are given 2.5 ml of suspension twice a day.
2. For children from six months to a year, the dosage is kept at 2.5 ml, but the number of doses is increased to 3-4 times per day.
3. Children from one to three years old are given the medicine three times a day, 5 ml.
4. Children from 3 to six years old are given 7.5 ml of suspension three times a day.
5. For children from 6 to 9 years old, the single dose is increased to 10 ml. The medicine is given three times a day.
6. Children from 9 to 12 years old should be given 15 ml of medication three times a day.

If the child is over 12 years old or his weight exceeds 40 kg, then adult dosages are used. In this case, it would be more appropriate to replace the suspension with Ibuprofen tablets.

The medicine is usually given after a meal. Simply measure the required volume and give it to your baby from a spoon or directly from a syringe. The manufacturer has added flavorings to the composition that provide a pleasant taste, so most children drink the suspension without problems.

It is important to mix the medication and achieve a uniform consistency. The open bottle is placed in a cool place.

During pregnancy and lactation

Women expecting a baby need to be especially attentive to their health. Immunity during pregnancy often weakens, so the likelihood of viral diseases increases. Treatment must be carried out with extreme caution. It is important not only to eliminate unpleasant symptoms and speed up the recovery of the expectant mother, but also to protect the developing fetus from negative effects.

Taking Ibuprofen usually helps relieve pain and fever, but it is not often prescribed during pregnancy. The reason for the increased caution of doctors is the influence of the active component of the suspension on the formation of organs. Doctors fear that excess medication may disrupt the normal development of the fetus. For this reason, Ibuprofen is prescribed only if indicated, for example, a woman’s body temperature has risen sharply to critical values ​​or a nerve has been pinched due to muscle spasm.

Ibuprofen is not used during late pregnancy. The ban is directly related to the effects of the drug. The medication blocks the formation of prostaglandins, which are necessary for the formation of the myometrium - the muscular layer of the uterus.

In addition, with a lack of prostaglandins, the volume of amniotic fluid, which is required for the normal development of the fetus and providing it with everything necessary, decreases. Its deficiency often causes late delivery. A woman carries her pregnancy to term, and the child may be born with pathologies of the cardiovascular or respiratory systems.

Problems associated with the development of inflammatory processes and fever can occur in a woman even after childbirth, when she is breastfeeding. During lactation, you can take the suspension, but you need to take into account that part of the active component of Ibuprofen inevitably passes into breast milk.

Doctors recommend taking the medicine immediately after the next breastfeeding. With this regimen, about 2–3 hours will pass before the next feeding, therefore, the concentration of the drug in the woman’s blood and in her milk will have time to decrease.

Drug interactions

Ibuprofen is a highly effective medicine that quickly copes with its tasks. As a rule, the child’s temperature returns to normal within 15 minutes without taking additional medications. For this reason, this suspension for children is prescribed as an independent remedy.

There is no point in taking other drugs from the group of non-steroidal anti-inflammatory drugs, since Ibuprofen can reduce their effectiveness.

In addition, there are studies that confirm that the suspension reduces the therapeutic effect of a number of other medications, which include:

• antacids;
• anticoagulants;
• insulin preparations;
• diuretics.

To ensure that the effectiveness of other medications used remains normal, you must first consult with your doctor about the advisability of simultaneous use of them with Ibuprofen.

Contraindications, side effects and overdose

Ibuprofen is a safe medicine with a mild effect. It is approved for children over 3 months. Before this age, the drug is not prescribed.

The list of other contraindications includes:

• intolerance;
• allergic reactions;
• peptic ulcer;
• renal failure;
• intestinal inflammation;
• elevated potassium levels;
• low blood clotting.

In the absence of contraindications, Ibuprofen can be used to treat inflammatory diseases and eliminate fever, even for infants.

Overdose of the drug is rare. Its main symptoms are associated with disruption of the gastrointestinal tract. The child may experience intestinal disorders, bloating, and nausea. Sometimes increased drowsiness develops. In extreme cases, taking the medicine causes seizures, heart rhythm disturbances and respiratory arrest.

Analogues of Ibuprofen suspension

Ibuprofen is not the only medicine that pediatricians prescribe for children with fever and severe pain. In pharmacies you can find similar medications with similar composition and effects. The most famous among them is Nurofen. It can be purchased as a suspension, oral capsules, or rectal suppositories.

If Ibuprofen is prohibited, then you should pay attention to other analgesic drugs that can fight inflammation and fever. Suspensions of Panadol, Paracetamol or Efferalgan syrup are excellent for children.

The listed medications, like Ibuprofen, are allowed to be given to a child only after consultation with a pediatrician. This will quickly improve your well-being and prevent the development of side effects from taking it.

Ibuprofen syrup for children is not inferior in effectiveness to other medications. Taking it makes it possible to relieve fever and lower temperature. Doctors explain in what dosage the drug should be given.

Compound

According to the instructions, the main active ingredient is ibuprofen. The mechanism of action of the substance is to suppress the synthesis of biologically active prostaglandins (substances that cause inflammation). Various excipients are used as syrup fillers. These include sorbitol, glycerol and xanthan gum.

Operating principle

When ingested by a child, ibuprofen can affect the process that ensures the synthesis of prostaglandins. Its suppression allows the drug to have an anti-inflammatory effect. The medicine has an antipyretic effect. The drug helps suppress the aggregation of blood platelets.

After taking the medication orally, the active substance is absorbed from the stomach. The effect of the medication is noted within half an hour after it was taken. The therapeutic effect can last for four hours. The medication is excreted by the kidneys after 24 hours.

At what age is the medicine given?

Doctors do not prescribe treatment with the drug for children under three months of age. A child of three and six months should be given syrup only after consulting a doctor. The annotation of the drug states that the drug can only be used by children under 12 years of age. Adolescents over twelve years of age are required to undergo therapy with analogues at higher dosages.

Indications for use

After reading the instructions, it becomes clear that the medicine can be given to a child when there are acute viral and bacterial infections that are accompanied by fever. It could also be a reaction to a vaccine. It is effective for pain associated with migraines, earaches and neuralgia. Pain may also be felt in joints and muscles. They are caused by sprains and bruises.

The medicine should be used for otitis media. It is prescribed during the period when teeth are being cut. This process is painful for the child. Treatment with Ibuprofen syrup improves blood microcirculation and eliminates vascular permeability. Due to this, the inflammatory process is relieved.

Taking the drug

First of all, you should start preparing the syrup. This process is described in detail in the instructions. For this purpose, you need to fill the bottle with warm boiled water up to half. Subsequently, you need to shake it well. After the contents have dissolved, you need to add more water up to the mark on the bottle. Before giving the resulting medicine, shake thoroughly again.

To collect the required amount of syrup, a measuring syringe is provided in the package. It should be washed well after use. The instructions describe in detail the dosages in accordance with the age of the child. The syrup should be given 3-4 times a day. Six hours should pass after your last meal. When syrup is prescribed as a reaction to a vaccination, it should be given once.

In this regard, the child’s condition must be taken into account; sometimes a second appointment is needed after 6 hours. For fever, the medicine is taken for no more than three days. In cases where the temperature does not drop on the fourth day, you need to consult a doctor. It is recommended to take the medication for pain for up to five days.

When the baby is six months or a year old, you can give 2.5 ml. At the age of one to three years, the use of five milliliters is indicated. At 3-6 years old, seven and a half are prescribed. Ages 6-9 years suggest taking ten ml. Children 9-12 are given fifteen.

Contraindications

You can decide when the medication is not given by reading the instructions. It is forbidden to give syrup to children under six months. Doctors do not recommend course therapy when there are diseases such as polyps in the nasal sinuses and diseases of the gastrointestinal tract. You should also not take the drug if you have bleeding disorders or bronchial asthma. Therapy cannot be carried out when the level of potassium in the blood is elevated. Doctors impose a ban on treatment with the drug when a child has a tendency to bleed.

Treatment with a medical drug is not carried out when individual intolerance to the components is noted, in case of severe liver and kidney diseases. Doctors are banning course therapy for patients diagnosed with hyperkalemia and those who have undergone coronary bypass surgery. Doctors advise using the medicine carefully when the child has diabetes or has heart and liver disease.

Side effect

It is worth remembering that despite the fact that, unlike paracetamol, the medicine is safer, there are side effects. Reviews confirm that their manifestation is observed quite rarely. They can cause diseases of the digestive system. Shortness of breath and spasms in the bronchi may also occur.

In some cases, there is a disturbance in perception, both visual and auditory. The child may experience anxiety and depression. Allergic reactions can cause side effects. Their manifestation is expressed by urticaria and itching of the skin. This medicine may cause heart failure and tachycardia. In some cases, there is an increase in pressure.

Overdose

Doctors strongly recommend adhering to the dosage prescribed in the instructions. Otherwise, you will have to deal with negative symptoms. It is manifested by nausea, vomiting and apnea. Children may also experience bradycardia and seizures. Exceeding the dose may result in impaired liver and kidney function.

When the permissible dose has been exceeded, it is necessary to take timely measures. These include emptying the stomach and inducing vomiting. In situations in which the child is very unwell, medical care will be required.

Interaction with other drugs

Taking Ibuprofen can affect therapy with other medications, in particular non-steroidal and diuretic medications. These include insulin and vasodilator medications. In cases where the child is already taking medications, you will need to consult a specialist before starting treatment with syrup.

Terms of sale and storage

Ibuprofen syrup is sold in pharmacies and is available without a prescription. Parents should consult a pediatrician before starting treatment with the drug. This is especially important when the child is not yet two years old.

At home, the medicine must be stored in a dry place. It should be chosen so that children cannot get it. The sealed drug is stored for a shelf life of three years. When the package is opened, the shelf life should be six months.

Compound

Each tablet contains: active ingredient: ibuprofen - 200 mg; excipients: potato starch, magnesium stearate, calcium stearate, povidone, opadry ΙΙ (contains polyvinyl alcohol, partially hydrolyzed, talc, macrogol 3350, lecithin, titanium dioxide (E 171)).

Description

Film-coated tablets are white, with a biconvex surface.

Indications for use

Ibuprofen is used as an analgesic and anti-inflammatory agent in the treatment of rheumatoid arthritis (including juvenile rheumatoid arthritis or Still's disease), ankylosing spondylitis, osteoarthritis and other non-rheumatoid (seronegative) arthropathies. Indicated for the treatment of non-rheumatic inflammatory processes of periarticular tissues: inflammation of the joint membranes, bursitis, tendonitis, tendovaginitis and lower back pain. Can be used to relieve pain from soft tissue injuries (sprains). As an analgesic for the relief of mild to moderate pain in conditions such as dysmenorrhea, dental or postoperative pain, headaches, including migraines.

Contraindications

Glucose-6-phosphate dehydrogenase deficiency;

Hypersensitivity to ibuprofen;

Erosive and ulcerative lesions of the gastrointestinal tract in the acute phase;

Gastrointestinal bleeding;

- “aspirin” asthma and “aspirin” triad;

Hemorrhagic diathesis (von Willebrand disease, thrombocytopenic purpura, telangiectasia), hypoprothrombinemia, hemophilia;

Dissecting aortic aneurysm;

Portal hypertension;

Vitamin K deficiency;

Pregnancy in the third trimester and lactation;

Diseases of the optic nerve, scotoma, amblyopia, impaired color vision;

Arterial hypertension, heart failure stage III-IV according to NYHA;

Pathology of the vestibular apparatus, hearing loss;

Severe renal and liver failure;

Children's age up to 6 years.

Directions for use and doses

Use internally, preferably between meals.

Adults are prescribed 400 - 600 mg (2-3 tablets) 3-4 times a day. For rheumatoid arthritis - 800 mg (4 tablets) 3 times a day. For algodismenorrhea, 400–600 mg (2-3 tablets) with an interval of 4–6 hours. The maximum single dose is 800 mg (4 tablets), the daily dose is 2400 mg (12 tablets).

Children are prescribed a dose of 5–10 mg/kg/day in 3–4 doses. The maximum daily dose is 20 mg/kg, for juvenile rheumatoid arthritis – up to 40 mg/kg. Children 6 – 9 years old (21-30 kg) 100 mg (½ tablet) 4 times a day, maximum daily dose 400 mg. Children 9–12 years old (31–41 kg) 200 mg (1 tablet) 3 times a day, maximum daily dose 600 mg. Children over 12 years old (over 41 kg) 200 mg (1 tablet) 4 times a day, maximum daily dose – 800 mg.

As an antipyretic at a body temperature of more than 38.5°C (in patients with a history of seizures - at a temperature of more than 37.5°C). Prescribed at a dose of 5 mg/kg, at temperatures above 39.2°C - at a dose of 10 mg/kg.

Side effect

From the gastrointestinal tract: Peptic ulcer, perforation or gastrointestinal bleeding. Nausea, vomiting, diarrhea, flatulence, constipation, dyspepsia, abdominal pain, melena, hematemesis, ulcerative stomatitis, exacerbation of colitis and Crohn's disease. Very rarely - pancreatitis.

From the immune system: hypersensitivity reactions, anaphylaxis, asthma, bronchospasm or shortness of breath, rashes of various types, itching, urticaria, purpura, Quincke's edema and, less commonly, exfoliative and bullous dermatoses.

From the cardiovascular system: fluid retention, edema, hypertension and manifestations of heart failure.

From the blood and lymphatic system: leukopenia, thrombocytopenia, neutropenia, agranulocytosis, aplastic anemia and hemolytic anemia.

From the side of the central nervous system: insomnia, anxiety, depression, confusion, hallucinations, optic neuritis, headache, paresthesia, dizziness, drowsiness.

Infections and infestations: rhinitis and aseptic meningitis (especially in patients with autoimmune disorders).

From the senses: visual impairment and toxic optic neuropathy, hearing impairment, tinnitus and dizziness.

From the hepato-biliary system: liver dysfunction, liver failure, hepatitis and jaundice.

From the skin and subcutaneous tissue: Stevens-Johnson syndrome and toxic epidermal necrolysis (very rare), and photosensitivity reactions.

From the kidneys and urinary tract: renal dysfunction and toxic nephropathy, including interstitial nephritis, nephrotic syndrome and renal failure

General violations: general malaise, fatigue.

If you are using other medications at the same time, you must consult your doctor before taking Ibuprofen!

Overdose

Symptoms: abdominal pain, nausea, vomiting, dizziness, lethargy, drowsiness, depression, headache, hypotension, convulsions, cardiac arrhythmias, respiratory depression.

Treatment: drug withdrawal, gastric lavage (only within an hour after administration), activated charcoal, alkaline drinking, symptomatic and supportive therapy (correction of acid-base status, blood pressure).

Interaction with other drugs

May reduce the effect of antihypertensive agents such as ACE inhibitors, beta blockers and diuretics. Diuretics may also increase the risk of nephrotoxicity.

May aggravate heart failure and enhance the effect of cardiac glycosides. May enhance the effect of anticoagulants such as warfarin.

Cholestyramine, when administered concomitantly with ibuprofen, may reduce the absorption of ibuprofen from the gastrointestinal tract.

Simultaneous administration with methotrexate, lithium salts, aminoglycosides leads to a decrease in their excretion.

Cyclosporine and tacrolimus increase the risk of nephrotoxicity.

Co-administration of ibuprofen on the day of prostaglandin administration does not adversely affect the effect of mifepristone or prostaglandins on cervical ripening and does not reduce the clinical effectiveness of drug termination of pregnancy.

It is recommended to avoid the simultaneous use of two or more NSAIDs, including COX-2 inhibitors, as this may increase the risk of side effects. Concomitant use of ibuprofen and aspirin is not recommended due to the potential for increased side effects, including an increased risk of gastrointestinal ulcers or bleeding. Ibuprofen may inhibit the effect of low-dose aspirin on platelet aggregation.

Patients taking fluoroquinolones concomitantly may have an increased risk of developing seizures.

Ibuprofen may enhance the hypoglycemic effect of sulfonylureas.

The risk of gastrointestinal bleeding increases when co-prescribing antidepressants from the group of selective serotonin uptake inhibitors and Ginkgo biloba.

Zidovudine increases the risk of hematological toxicity when used concomitantly.

The simultaneous use of ibuprofen with voriconazole and fluconazole leads to an increase in the duration of action of ibuprofen by approximately 80 to 100%. The dosage of ibuprofen should be reduced when coadministered with voriconazole or fluconazole.

Features of application

Pregnancy. The use of ibuprofen during pregnancy is possible only under strict medical indications. The drug should be taken in the minimum effective dose. The use of ibuprofen may adversely affect pregnancy and intrauterine development of the fetus. There may be an increased risk of miscarriage and cardiac and gastrointestinal defects after using ibuprofen in early pregnancy.

Ibuprofen is an effective and safe antipyretic drug that has anti-inflammatory and analgesic properties, and is intended for use in children of all ages. For fever in children, Ibuprofen is the first antipyretic drug. The drug is available in the form of syrup, rectal suppositories, tablets and suspension. Such a wide selection of release forms has its own field of influence, which is important to know about for use at home. It is recommended to use the drug after a doctor’s permission, so you should first consult with your local doctor.

Main indications for use

The instructions for use of the drug Ibuprofen state that it should be used in the case of complex therapy. The main indications for use include the following diseases:

• infectious diseases accompanied by increased body temperature;
• toothache;
• ARVI and various forms of influenza;
• headaches;
• pain in the joints and muscles;
• musculoskeletal injuries.

Instructions for use provide for a short course of treatment of the above diseases. If it is necessary to use the drug on a long-term basis, it is necessary to monitor the state of functioning of the liver, kidneys and peripheral blood. Ibuprofen for fever for children is used in various forms of release, which depends not only on the age of the patient, but also on the form and type of disease. Let's take a closer look at each release form and find out in which cases the products are indicated for use.

Ibuprofen suppositories: in what cases should they be used?

Ibuprofen for children in the form of rectal suppositories is intended for use from the age of three months. The pediatrician prescribes Ibuprofen suppositories for the child if the following indications exist:

• increased body temperature above 38-38.5 degrees;
• pain in the throat area;
• ARVI;
• inflammation of the inner ear.

If the baby experiences symptoms of fever along with vomiting or nausea, then resorting to the use of forms of Ibuprofen other than suppositories is prohibited. This is due to the fact that during vomiting the entire composition of the drug will be removed from the body. The effectiveness of candles is not inferior to other forms of release of this product. It is not recommended to use rectal suppositories if a young patient has symptoms of diarrhea and diarrhea. The main contraindications for the use of ibuprofen suppositories include:

• inflammatory processes in the intestines;
• ulcerative types of diseases;
• bronchial asthma;
• bleeding in the gastrointestinal tract;
• intolerance to the composition of the drug.

Ointment for the treatment of external inflammatory processes

The activity of Ibuprofen in the form of an ointment is due to its composition. The ointment is used if the following indications exist:

• inflammatory processes in tendons;
• bruise of non-skeletal tissues;
• sharp pain in the lumbar region.

Important to know! Ibuprofen in the form of ointment is approved for use in children over 12 years of age.

The ointment should be used externally only. To use, apply the ointment to the affected areas, then rub thoroughly until the cream is completely absorbed by the skin. The interval between subsequent applications of the ointment should be at least 6 hours. The duration of treatment with ointment is no more than 20 days. Children are prohibited from using the product independently and only as prescribed by a doctor.

The main types of contraindications to the use of ointment are:

• allergic manifestations;
• presence of skin damage;
• post-surgical period;
• symptoms of dyspepsia.

Syrup, tablets and suspension

Syrup is the most popular form of Ibuprofen. Instructions for the use of Ibuprofen in the form of tablets, syrup and suspension state that doctors prescribe the drug for the following ailments:

• toothache;
• disorders of the peripheral nerves;
• arthritis, complicated by infectious symptoms;
• migraines.

A special measuring syringe is included with the syrup. Using this syringe it is convenient to calculate the dosage of the drug.

Dosage and application features

When the temperature rises in children, it is recommended to give preference to this form of release, such as rectal suppositories. The disadvantage of this form of release, such as candles, is the long-lasting effect of achieving positive results. Candles take longer to break down than tablets or syrup. Let's consider the features of using Ibuprofen in all available forms of release.

Pills

Ibuprofen tablets are recommended for children to take between meals. The medication is prescribed in dosages of 5 to 10 mg per 1 kg of body weight. Tablets are prescribed for use throughout the day 3-4 times a day. The basic dosage of taking tablets for children at different ages:

1. Ages from 3 to 6 years – 300 mg/daily dose.
2. Ages from 6 to 9 years – 400 mg.
3. Ages from 9 to 12 years – 600 mg.
4. Ages over 12 years – 800 mg.

Tablets are contraindicated for use in children under three years of age. The above dosage is approximate, and a more precise dosage should be checked with your doctor.

Suspension

Ibuprofen suspension has a quick effect compared to tablets. Before using the drug, shake the bottle thoroughly for 1 minute. Before use, be sure to read the instructions for use.

Important to know! If you do not shake the syrup before use, the required amount of the active substances of the product will not enter the body.

The dosage for using syrup and suspension is almost identical. Both forms of release should be used for children aged 6 months and older. The dosage will be as follows:

• at the age of 6 to 12 months, the dosage is 50 mg;
• from 1 year to 3 years – 100 mg/3 times a day;
• from 4 to 6 years – 150 mg / 3 times a day;
• from 7 to 9 years – 200 mg/3 times a day;
• from 10 to 12 years – 300 mg / 3 times a day.

Repeated administration of the medication is allowed no earlier than 6 hours later.

Candles

Rectal suppositories are intended directly for children aged 3 months and older. The instructions for use stipulate that after use, the candles begin their effect on the body after 20-30 minutes. Suppositories must be stored exclusively in the refrigerator. Insert the candle into the child's anus carefully. First, you should unpack it, then hold it in your hand for about 1 minute, then insert it into the anus, pushing it 3-4 cm with your finger.

Can a child under 3 months of age be given an Ibuprofen suppository? The instructions do not recommend administering the product to children under 3 months of age. If there is a need for this, you should consult a doctor who will prescribe a dosage or another drug. For children from 3 to 9 months of age, 1 suppository with a dosage of 60 mg should be used. The procedure can be repeated no earlier than after 6-8 hours.

Important to know! Children under one year of age are allowed to use Ibuprofen no more than 3 times a day.

Children aged 9 months to 2 years should use one candle 4 times a day. The duration of use of Ibuprofen to reduce fever is 3 days, and as a pain reliever - no more than 5 days. It is strictly forbidden to increase the dose of the medication on your own.

What happens during an overdose

During an overdose, the following symptoms are observed:

• vomiting and nausea;
• abdominal pain;
• migraine;
• headaches;
• decreased appetite;
• mental disorders;
• renal and heart failure.

If there are signs of an overdose of an antipyretic drug, you should go to the hospital. If the symptoms of an overdose disappear after some time, the drug should not be used again. In case of overdose, children may experience worsened sleep and insomnia, so it is important to control the dosage of the drug. If the dosage of the drug has been violated, you can give the child coal tablets. You should not wait for the development of adverse reactions, as they can appear after 2-3 hours.

Main types of contraindications

The instructions for use for any form of Ibuprofen describe the main types of contraindications. If they are present in a child, the use of the drug should be avoided and the doctor who prescribed the medicine should be informed. The main types of contraindications include diseases such as peptic ulcers, colitis, gastritis, and bleeding disorders. If there are impaired functioning of the kidneys, liver, heart and blood vessels, the drug should be used with caution.

If a young patient has diseases of the optic nerve, as well as increased sensitivity to the components of the drug, then this drug in any form of release should be completely excluded. Children under 6 years of age are allowed to use Ibuprofen only as directed by a doctor. During pregnancy and breastfeeding, you must consult a doctor before taking the product in any form.

Drug interactions

If you use Ibuprofen in combination with other types of medications, you should definitely know the following:

1. When using Ibuprofen with other drugs from the NSAID group, a weakening of the effect of the antipyretic drug is observed.
2. When used together with anticoagulants and thrombolytics, the risk of internal bleeding increases.
3. Combined use with gold preparations results in an increase in medicinal properties, as well as a decrease in the rate of elimination of the drug from the body.

It is important to exercise caution and monitor your dosage when taking Ibuprofen. The drug is sold in pharmacies without a prescription, so it is important to follow the dosage prescribed by the doctor. Continuing therapeutic treatment for more than 5 days without a doctor’s prescription is strictly prohibited. At the slightest sign of deterioration in the patient’s well-being, it is necessary to exclude the use of the medicine.

In conclusion, it should be noted that Ibuprofen is a universal remedy that allows you to normalize the condition of young patients, reduce pain, lower high body temperature, and cure viral and infectious diseases. The drug is effective only if it is used correctly.

If a child is experiencing pain or has a high body temperature, the doctor prescribes one of the anti-inflammatory non-steroidal drugs - for example, Ibuprofen. For the youngest, this medication is available in rectal suppositories and sweet orange suspension, but there is also a tablet form. Not everyone knows whether these tablets can be given to children, in what dosage they are taken in childhood, and how they act on the body of young patients.

Release form

Ibuprofen tablets are produced by many pharmaceutical companies in packs of 10-50 pieces and are usually convex and round tablets on both sides, which have a white, white-yellowish or pink film shell. The drug with a higher dosage is available in the form of oval white tablets.

Compound

The main ingredient of the tablets is a substance that has the same name as the drug itself - ibuprofen. Its dosage in one tablet can be either 200 mg or 400 mg. Additional components that make the medicine hard and coated vary from manufacturer to manufacturer. Among them you can find beeswax, starch, sucrose, hypromellose, stearic acid and other substances. If the child is prone to allergies, parents should clarify the presence of such components in the annotation for a particular drug.

Operating principle

Ibuprofen has the ability to inhibit the formation of prostaglandins, so this medicine has analgesic and anti-inflammatory effects. In addition, the use of tablets lowers body temperature during fever. These are the main effects due to which the drug is in demand in pediatrics.

Indications

For children, the medication is prescribed as a symptomatic remedy.

For pain

The medicine is effective for moderate or mild pain and helps get rid of headaches, toothache, neuralgia, pain in muscles, ligaments and others.

At high body temperature

The drug is used for ARVI, chickenpox, sore throat, influenza and other infectious diseases.

Ibuprofen tablets are also prescribed for inflammatory joint diseases - for example, rheumatoid arthritis.

Ibuprofen in tablet form is not prescribed to children under 6 years of age. If a child has reached the age of six, but weighs less than 20 kg, a drug with a dosage of 200 mg of active ingredient per tablet is also not prescribed.

For such young patients, a more suitable form of medication is a suspension, approved from the age of three months. Even with a weight of more than 20 kg, the treatment of a child 6-12 years old should be supervised by a pediatrician. A drug containing Ibuprofen at a dose of 400 mg per tablet is prescribed from the age of 12.

Contraindications

The drug in tablet form is not prescribed not only to children under 6 years of age, but also in the following cases:

If the child has diseases of the gastrointestinal tract - for example, inflammation of the intestines or stomach ulcers.

1. If the patient is allergic to Ibuprofen, other drugs in this group, or auxiliary ingredients of tablets.
2. For hemorrhagic diathesis, hemophilia and other problems with blood clotting.
3. If your child is diagnosed with liver disease.
4. For serious kidney pathologies.

The presence of heart disease or any other diseases in a young patient requires increased attention from a doctor when prescribing Ibuprofen.

Side effects

• During treatment, the child’s digestive system may react to the pills with abdominal pain, vomiting, diarrhea, heartburn and other negative symptoms.
• Taking Ibuprofen sometimes causes headaches, sleep disturbances, anxiety, tinnitus, increased irritability, dizziness, and hearing or vision problems.
• The medicine can cause skin rash, Quincke's edema, bronchospasm and other manifestations of an allergic reaction.
• The medication has a negative effect on hematopoiesis, which results in anemia, a decrease in the level of leukocytes and platelets.
• In rare cases, taking the pills can cause problems with the kidneys, heart or liver.

• It is recommended to drink the drug after meals to avoid side effects on the gastrointestinal tract. The tablet is swallowed and washed down with clean water. It is not recommended to divide it into pieces, chew it, bite it into pieces, or crush it in any other way.
• For children 6-12 years, a single dose is a tablet - at this age they give one dose 200 mg"Ibuprofen." Frequency of taking medication – up to 4 times a day at intervals of at least hours.
• For a child older than one year, the medicine is given one tablet ( 200 mg) - three or four times a day. If necessary, the single dosage can be increased to 400 mg, but no more than once a day. In this case, you can give a tablet with the same content of ibuprofen or a tablet with a dosage 200 mg active substance.
• The maximum permissible amount of medication per day for adolescents over the age of years is mg, that is, tablets of 200 mg or tablets 400 mg. Repeated administration of the medicine is allowed at least 4 hours after the previous dose.
• The duration of treatment with Ibuprofen for pain should not exceed days, unless the doctor prescribes a longer course. If the medicine is used for fever, it can only be given for 3 days in a row without consulting a doctor.

Overdose

If you take more tablets than your doctor has prescribed, you may experience nausea, lethargy, headache, vomiting, abdominal pain, drowsiness and other symptoms. When treating an overdose, alkaline drinking, sorbents and other means are used.

Drug interactions

The simultaneous use of Ibuprofen tablets and other antipyretic or painkillers (as well as antacids, anticoagulants, vasodilators and any other drugs) requires consultation with a doctor.

Terms of sale

The tablet form of Ibuprofen is an over-the-counter drug, so this medicine can be freely purchased at any pharmacy. The average price of 20 tablets is 18-20 rubles.

The medication should be kept at home in a dry place at room temperature.

Tablets must be protected from moisture and hidden from children. Shelf life is 3 years.

Reviews

There are many good reviews about the use of tableted Ibuprofen. The drug is called effective and it is noted that it effectively lowers fever or relieves pain. In most cases, its therapeutic effect begins to appear 20-40 minutes after administration and lasts on average 3-4 hours.

At the same time, the solid form is called less convenient for children than the suspension, so for children 6-10 years old they often choose liquid Ibuprofen, which is easier to dose in childhood.

Some reviews complain about side effects of the medicine - for example, stomach pain or allergies.

For a child over 10-12 years old, this option of Ibuprofen is most preferable. According to mothers, the tablets are small in size and their shell is sweet, so swallowing the product is not difficult for a teenager. The medicine is also praised for its low cost.

Analogues

Instead of Ibuprofen tablets, you can use other medicines with the same active ingredient - for example, "Nurofen", "Faspik", "MIG 200" or "Deblock".

Other drugs belonging to the group of anti-inflammatory drugs with a non-steroidal structure can become a replacement for ibuprofen:

• Paracetamol preparations – "Efferalgan", "Panadol", "Paracetamol", "Perfalgan", "Calpol" and others.
• Products in which ibuprofen is supplemented with paracetamol - "Ibuklin", "Nurofen" "MultiSymptom", "Next", "Brustan".
• Medicines based on nimesulide - "Nise", "Nimesan", "Nimesil", "Nemulex", "Aponil" and others.
• "Voltaren" and other preparations of diclofenac sodium.
• "Analgin".

The effect of all these drugs on the body is similar, but their active ingredients and dosages differ, so you should choose the appropriate analogue only together with your doctor.

A video cheat sheet about Ibuprofen tablets is attached.

Nurofen is an effective remedy for fever for children. When this drug begins to work - more details in a short video.

Ibuprofen is one of the most popular medications to help relieve pain or reduce body temperature during fever. This medication is produced by many manufacturers and is offered in several forms suitable for children of different ages.

Which drug to choose for a baby, and which one should not be given to a 5-year-old child, how does ibuprofen act on the body of babies and what side effects can it provoke? What doses of Ibuprofen should not be exceeded in childhood so as not to harm the child and what analogues can replace it? Such questions are relevant for any mother, because high fever or pain occurs in all children.

Release form

Ibuprofen is presented in pharmacies in the following options:

• Suppositories. They have a smooth surface, a white tint and an elongated shape. These rectal suppositories are sold in a pack of 10 pieces.
• Suspension. This preparation has a tart-sweet taste, smells like orange and is packaged in 100 ml plastic or glass bottles. The bottle comes with a spoon or syringe to accurately measure out the orange (Ibuprofen-Akrikhin) or white-cream medicine.
• 5% ointment. It is represented by a yellowish-white or white homogeneous mass, which has a slight peculiar odor. One tube includes 25 grams of ointment.
• Pills. They are produced by different companies in two dosages. These tablets are round in shape and have a pink, white-yellow or white shell. One pack includes from 10 to 50 tablets.
• 5% gel. It is produced in the form of a light yellow or colorless transparent substance that has a specific odor. One tube can contain from 20 to 100 g of gel.
• Capsules. They have a white body and a green cap, and inside these gelatin capsules there is a white-yellow or white powder. They are sold in packs of 10-100 pieces.

Compound

The main component of any form of medicine due to which the drug has a therapeutic effect is called ibuprofen. Its amount in different types of medication differs:

• One suppository contains 60 mg.
• From 5 ml of suspension 100 mg is obtained.
• 1 g of ointment or gel contains 50 mg.
• One tablet contains 200 or 400 mg.
• 1 capsule contains 200 mg.

Excipients in different forms of Ibuprofen are also different:

• In candles these are only solid fats, and there are no other chemical additives.
• The suspension contains citric acid, orange flavor, glycerol, sorbitol and other substances.
• The ointment includes macrogol 400, dimexide and macrogol 1500.
• The tablets may contain ingredients such as sucrose, stearic acid, beeswax, corn starch, hypromellose and others.
• Additional components of the gel are lavender oil, ethyl alcohol, propylene glycol, neroli oil, dimexide and other substances.
• Capsules contain magnesium stearate, talc, gelatin, croscarmellose sodium and other compounds.

Operating principle

Once in the child’s body, ibuprofen affects the formation of substances called prostaglandins. They are responsible for the development of the inflammatory process and the conduction of pain impulses, therefore the main effects of the drug are reducing the activity of inflammation and pain relief.

In addition, such compounds are responsible for increasing body temperature in response to infection by viruses, bacteria or other factors, so the use of Ibuprofen helps in the fight against fever.

The effect of the medicine develops 20-40 minutes after its use, and the duration of the therapeutic effect depends on the form used, dosage and age of the patient. For example, rectal suppositories have a very long-lasting effect (up to 8 hours), and the antipyretic effect of tablets or capsules lasts up to 3-4 hours.

Indications

Ibuprofen is a popular symptomatic medicine for painful sensations of various natures. It is prescribed to children for ear pain due to otitis, painful teething, pain in muscles or ligaments due to injuries, headaches due to VSD and in other situations. The medication copes well with moderate or mild pain.

In addition, the drug is often used as an antipyretic. It is prescribed for chickenpox, flu, colds, sore throat and other diseases, one of the symptoms of which is fever. It is no less often recommended to be given to children who have a fever after vaccination.

The medicine is also in demand as an anti-inflammatory agent. It is prescribed for arthritis, bursitis, tendinitis, inflammatory complications after surgery and in other cases. Especially often, for such problems, local forms are used - gel and ointment.

At what age is it allowed to take it?

Ibuprofen is contraindicated in children under 3 months of age. For three-month-old toddlers, the medicine is prescribed in the form of suppositories or suspension. In this case, it is recommended to use suppositories up to 2 years of age, and suspensions up to 12 years of age. In addition, the prescription of medication to babies 3-6 months old must be supervised by a pediatrician.

The solid form is not used in children under 6 years of age or in older children weighing less than 20 kg. Such restrictions apply to tablets and capsules containing ibuprofen at a dose of 200 mg. The drug with a dosage of 400 mg per tablet is prescribed to adolescents 12 years of age and older. The use of 5% gel is recommended from the age of 6, and 5% ointment - only from the age of 12.

Contraindications

The drug is not prescribed:

• For ulcerative or inflammatory diseases of the gastrointestinal tract, as well as bleeding from the intestines or stomach.
• If you are intolerant to any ingredient of the drug or allergic to other anti-inflammatory drugs with a non-steroidal structure.
• For blood diseases.
• If liver or kidney function is impaired.
• With hearing loss.
• When the amount of potassium in the blood increases.

The suspension is also contraindicated in cases of glucose-galactose malabsorption and is prescribed with caution to children with diabetes mellitus. Gel and ointment are not prescribed for eczema, weeping dermatoses and skin lesions. The presence of any chronic disease in a child requires increased attention from a doctor when using Ibuprofen.

Side effects

• Ibuprofen often causes negative gastrointestinal symptoms, including nausea, abdominal pain, loose stools, heartburn and others.
• The medicine may cause skin itching, bronchospasm, rash, Quincke's edema or other form of allergy.
• When treated with Ibuprofen, children often complain of headaches or dizziness. In some patients, mothers report agitation, drowsiness, anxiety, and sleep disturbances.
• Occasionally, the medication increases blood pressure or provokes tachycardia.
• The drug can affect hematopoiesis, resulting in a decrease in the number of blood cells.
• Sometimes treatment with this drug disrupts the functioning of the kidneys, and also causes problems with vision or hearing.

Instructions for use and dosage

• Ibuprofen suppositories are administered into the rectum, 1 suppository at a time, and the frequency of use depends on the age of the small patient. If the child is 3-9 months old, then the daily dose is 180 mg of the medicine, that is, 3 suppositories. For babies 9-24 months, four times of use is acceptable - up to 240 mg of ibuprofen per day. The medicine in this form is used at intervals of 6-8 hours.
• Suspension, capsules and tablets should be given to the child after meals or during meals. This way, in most cases, it is possible to avoid the negative effects of such forms of medication on the digestive system. In this case, the tablets are washed down with water and are not crushed, and the capsules are swallowed without opening.
• The suspension often separates during storage (part of the drug settles), so this form of the drug should be shaken before each use. A child under one year old is given 2.5 ml of medicine at a time, but babies 3-6 months old are prescribed a double dose, and children 6-12 months old can be given the medicine up to 4 times a day. For children over one year old, the drug is prescribed three times in the following dose: at 1-3 years - 5 ml, at 3-6 years - 7.5 ml, at 6-9 years - 10 ml, at 9-12 years - 15 ml.
• A child 6-12 years old is given 1 tablet 200 mg of Ibuprofen up to four times a day (the pause between doses should be at least 6 hours). For children over 12 years of age, the single dose can be increased to 400 mg, but taking the medication in this dosage is allowed a maximum of three times a day. The same mode of application is used when prescribing the medicine in capsules.
• If the temperature rises in response to vaccination, a child 3-24 months old is given 1 suppository once, and if necessary, another suppository is placed 6 hours later. If a suspension is used in such a situation, then the baby is given a liquid drug in an age-appropriate dosage, and if necessary, the same amount of medication is given again after 6 hours.
• The duration of use of Ibuprofen for fever without consulting a pediatrician should not exceed 3 days. If the temperature is still elevated after three days of treatment, you should consult a doctor.
• For pain, take Ibuprofen for up to 5 days in a row. Longer therapy with this drug should be supervised by a specialist. If the medication does not eliminate the pain, you need to choose another treatment with your pediatrician.
• The gel should be applied to the affected areas and then gently rubbed until it is completely absorbed. The dose of such a product for a 6-12 year old child is a strip 2-4 centimeters long, and for a teenager over 12 years old - a strip from 4 to 10 cm. The frequency of use of the gel is up to 3 times a day for children under 12 years old and up to 4 times for patients over 12 years of age. The duration of treatment with this form is 2-3 weeks.
• The ointment is applied to the skin of a child over 12 years of age, applying a strip of such medicine, depending on the extent of the lesion, from 5 to 10 cm in length. Next, the drug is thoroughly rubbed until completely absorbed. Repeated application is carried out at intervals of 4 hours or more. It is recommended to use the medicine a maximum of 4 times a day for no longer than 3 weeks.

Overdose

If a child receives a higher dose of Ibuprofen than recommended for his age, it may cause headache, nausea, tachycardia, stomach pain and other negative symptoms. In such a situation, you should immediately show the little patient to the doctor.

Interaction with other drugs

The drug is often combined with other medications, for example, with antibiotics, if Ibuprofen is used for ear pain caused by purulent otitis media. For inflammation of the upper respiratory tract, the drug is combined with mixtures, drops and cough syrups.

However, Ibuprofen has the ability to interfere with many other medications, such as glucocorticoids, other pain relievers, diuretics, or anticoagulants. Therefore, such a drug should be prescribed together with any other drugs with caution. You should combine Ibuprofen with other antipyretics or alternate them only after consulting your doctor.

Terms of sale

All versions of Ibuprofen are products sold in pharmacies without a prescription. The price of the medicine depends on both the manufacturer and the form of the drug. For example, 10 suppositories or 100 ml of suspension costs an average of 60-70 rubles, and the price of tablets is much lower and often amounts to about 20 rubles for 20 pieces.

Storage conditions and shelf life

It is recommended to keep any form of Ibuprofen at home in a place hidden from small children, away from moisture and sunlight. Storing the drug in tablets, capsules, suppositories, gel or suspension is allowed at room temperature, and the ointment should be kept in a cool place (at temperatures below +15 degrees). The shelf life of tablets is 3 years, all other forms are 2 years. Once opened, the suspension should be stored for no longer than six months.

Reviews of the use of Ibuprofen are mostly positive. Mothers confirm that this medicine effectively relieves pain and lowers temperature. Side effects of Ibuprofen, according to parents, are quite rare and are often represented by negative gastrointestinal symptoms, headaches or allergies.

Doctors also note that the medication is effective and approved for children. Dr. Komarovsky calls it one of the drugs of choice for fever in a small child, along with paracetamol.

Suppositories are often chosen for infants and this form is praised for the absence of additional harmful chemical components. In addition, suppositories last longer than the suspension, the bitter-sweet aftertaste of which is sometimes not liked by the small patient.

However, the suspension is also very popular, since this form of Ibuprofen is easy to give even to an infant. Its only disadvantage is the packaging, since the glass bottle can be broken, and such a drug often does not have child protection on the lid.

Tablets are chosen mainly for children over 8-10 years old, who can easily swallow such a medication. They are small in size and the shell is sweet, so children usually do not have any difficulties taking them. The advantages of this Ibuprofen include the low cost of the drug compared to similar drugs.

One of the most popular analogues of Ibuprofen can be called Nurofen. This medication contains the same active substance, is also available in several forms (suppositories, suspension, tablets, gel, capsules) and can be used from 3 months of age.

It differs from Ibuprofen only in the auxiliary ingredients in the composition and in a higher price.

Also, instead of Ibuprofen, the doctor may prescribe other medications that have an anti-inflammatory effect, reduce fever and help with pain. Such means may be:

• Paracetamol preparations. For the youngest, Cefekon D suppositories are prescribed, approved from 1 month, or Panadol, used in children over 3 months. Suspensions with paracetamol (Calpol, Children's Panadol, Efferalgan), also prescribed to infants from 3 months of age, are also popular. The dose of such medications for children should be calculated by the doctor.
• Products containing diclofenac sodium. They are often used for pain caused by inflammation. Children can be prescribed Voltaren suppositories (they are used at any age) or Diclofenac tablets, which are prescribed from the age of 6 years.
• Analgin. This anti-inflammatory drug is available in suppositories (used from 3 months), tablets and ampoules. Injections of this medication are used as emergency aid for fever that poses a danger to the baby.
• Medicines containing nimesulide. Among them, the most popular are Nimesil and Nise. Nimesil is available in sachets of granules and is prescribed to children 12 years of age and older. Nise in suspension or tablets is prescribed from the age of 6 years.
• Products that contain ibuprofen and paracetamol at the same time. Such drugs are Brustan, Next and Ibuklin tablets. The latter can be used in children from 3 years of age.

Topically applied types of Ibuprofen can be replaced with medications in the form of a gel, cream or ointment, which have the same therapeutic effect. These include Dolgit, Voltaren Emulgel, Diclofenac, Nise, Nurofen and other medications.

What is safer - Ibuprofen or Paracetamol?

Both of these medications from the group of anti-inflammatory drugs with a non-steroidal structure are approved for children and are prescribed for both fever and pain.

At the same time, Paracetamol is more often prescribed to babies in the first year of life at high temperatures, since it is considered safer (less likely to cause side effects).

If, in addition to fever, the baby experiences pain or signs of inflammation, it is better to prefer Ibuprofen. In addition, this medicine begins to act faster than Paracetamol and retains the effect for a longer period.

Loctor Komarovsky will talk about the effects of ibuprofen in the video below.

Pain syndrome, fever, reaction to a routine vaccination - the baby’s body is not always able to cope with such conditions on its own; it requires help in the form of analgesic and antipyretic drugs. One of these medications widely used in our country is Ibuprofen. What does it consist of? In what forms is it available? In what cases is the drug prescribed to children? To whom is it contraindicated? How to take it correctly? Let's figure it out together.

Ibuprofen for children in syrup

Composition of the drug

Ibuprofen is the main active component of the drug of the same name. The pharmacological effect of this compound, which is a derivative of propionic acid, has been proven by the results of studies, including those conducted internationally. The concentration of the active ingredient in different forms of the medicine is different.

Forms of release of the drug

Modern pharmaceutical companies produce Ibuprofen in five different forms, which are prescribed depending on the pathological process requiring treatment, the individual characteristics of the patient’s body and his age:

1. Ibuprofen is prescribed to children from 3 months of age in the form of a suspension for oral administration or in the form of suppositories.
2. The medicine in tablets (200 mg or 400 mg) is prescribed from the age of six.
3. Pharmacies also offer the drug in the form of a gel and ointment for external use, which can be used in the treatment of adults and adolescents over 12 years of age.

Ibuprofen is available in the form of syrup, suppositories, tablets, gel and ointment. Pharmacological properties of Ibuprofen

Ibuprofen is a pain reliever that belongs to the group of non-narcotic analgesics. The medicine is also classified as a non-steroidal anti-inflammatory drug. In addition, the drug acts as an antipyretic, that is, it helps normalize body temperature (this property is directly related to the pronounced anti-inflammatory effect).

Indications for use

Ibuprofen is included in the list of essential medications compiled by the World Health Organization. In general, the drug is indicated for use in pain of moderate and low intensity, as well as in cases of elevated body temperature of various etiologies.

It should be borne in mind that the medicine does not affect the progression of the disease, it only effectively relieves symptoms. Depending on the form of release of the drug, the list of indications for its use varies. Ibuprofen injectable solution is prescribed to a premature newborn baby suffering from congenital heart disease. This form of the drug has no age restrictions and can be used for therapeutic purposes (for injections) from the first days of a small patient’s life.

Ibuprofen is most often used at elevated temperatures.

Taking the drug and dosage

Ibuprofen should be taken as prescribed and recommended by a doctor. It will help determine which form of the drug is suitable in a particular case and calculate the optimal dosage taking into account the patient’s age and weight. It should be taken into account that the patient’s body weight is of decisive importance when specifying the required dose.

For example, tablets are contraindicated for persons under 6 years of age whose weight is less than 20 kg. That is, if your son or daughter is already 6 years old, but weighs 19 kg, then it is better to prefer the medicine in liquid form. A baby weighing 20 kilograms or more may be prescribed tablets.

Before taking any medication, you must read the instructions for use. If you compare Ibuprofen dosage regimens from different manufacturers, it is worth noting that there is no fundamental difference in their content. In this case, first of all, you should focus on the recommendations of the pediatrician.

Suspension regimen

The suspension is otherwise called “liquid Ibuprofen for children.” One of the types of suspension - Ibuprofen-Akrikhin - can only be used to treat children under twelve years of age. The medicine can be used for pain, fever and fever in children from 3 months. Giving baby syrup to an infant is permissible only as prescribed by a pediatrician.

Ibuprofen-Akrikhin is used only for the treatment of patients under 12 years of age

The medication regimen is as follows:

1. to relieve a post-vaccination reaction under the age of six months - 2.5 ml of the drug twice a day with a break of at least 6 hours;
2. before reaching one year of age - 2.5 ml 4 times a day;
3. from 1 to 12 years – 5-15 ml three times a day.

The doctor will warn you about the need to give your baby an antipyretic after routine vaccination when filling out the necessary documents. A similar recommendation - as a reminder to young parents - is given by a medical worker from the vaccination office. As a rule, it is advised to give the baby 2.5 ml of syrup immediately after vaccination, then repeat the dose 4 hours later. The child will need to take the medicine again before going to bed.

Is it possible to give pills to infants?

In accordance with the instructions for use of Ibuprofen, taking this drug in tablet form is permissible only after reaching the age of six. The instructions for use do not provide for any special conditions (including the permissibility of making a decision to prescribe a medicine at an earlier age). That is, giving pills to infants is strictly prohibited. A similar recommendation can be given regarding ointment and gel.

Ibuprofen-based products for external use (gel, ointment) should not be given to persons under the age of twelve.

Dosage of liquid Ibuprofen for children of different ages

You can see the dosage of the drug in liquid form for patients aged six months to twelve years in the table below. All data presented in this article is based on the manufacturer's official instructions. Before giving the drug to a child, you should definitely consult with your pediatrician, including regarding the regimen for taking the baby syrup.

How long does it take for the drug to start working?

Almost all parents are concerned about the question: if you give your baby medicine, how long will it take for it to work and will the child feel better? If the drug is used to normalize body temperature, it begins to act after about 15 minutes. Depending on the individual characteristics of the patient’s body, the effect of the medicine can begin no later than half an hour after administration. The duration of the antipyretic effect is on average about 8 hours. In children, the duration may be shorter - for babies under one year old, the interval between doses of the suspension can be reduced to 6 hours.

Ibuprofen begins to act within 15-30 minutes, and the duration of its antipyretic effect lasts for 6-8 hours. Contraindications

Taking Ibuprofen in any form is contraindicated for newborns and infants under three months of age. From 3 months you can use suspension and suppositories; taking tablets is prohibited until 6 years of age.

The drug can be used with caution, only as prescribed by a doctor, for women during pregnancy (first and second trimester), persons suffering from alcoholism or undergoing therapy with specific medications (for example, anticoagulants).

• individual intolerance to the components of the drug;
• hyperkalemia;
• chronic intestinal inflammation;
• recovery period after undergoing coronary artery bypass surgery;
• kidney disease;
• severe liver failure;
• bleeding in the intestines or stomach;
• impaired hemostasis;
• peptic ulcer of the digestive canal;
• Fernand-Vidal triad (including with a partial combination of symptoms);
• 28 – 40 weeks of pregnancy.

Ibuprofen is prohibited during late pregnancyPossible side effects

If you take Ibuprofen in significant doses for a long period of time, the likelihood of ulcers and erosions on the walls of the digestive canal increases, bleeding (intestinal or gastric) may occur, and vision may be impaired. Side effects of Ibuprofen also include:

• increased sweating;
• inflammatory processes in the oral cavity;
• hepatitis;
• blood diseases (including anemia);
• dyspnea;
• bronchospasm;
• impairment of the kidneys and cardiovascular system;
• nervous disorders (including sleep disorders, hallucinations, depressive states);
• aseptic meningitis;
• hearing loss;
• decreased vision.

It is recommended to take the drug in the minimum possible dosage and, if possible, limit the course of treatment with its use, since there are known cases of overdose of Ibuprofen, which led to the development of a complex of complications.

Most often, an overdose leads to negative reactions from the gastrointestinal tract; it can also cause depression, headaches, drowsiness, respiratory arrest, and atrial fibrillation.

Analogues of the drug

A similar active chemical compound is used in the production of a number of medicines for external and internal use.

1. In the first case, the following drugs can be noted: Ibuprofen-Verte, Dolgit, Nurofen and Ibufen.
2. Drug substitutes intended for oral administration include: Advil, Ibuprom, Nurofen, Solpaflex, Ibuprofen-Hemofarm.

Nurofen - generic Ibuprofen

Preparation	Release form	Average cost of packaging, rubles	Age restrictions
Ibuprofen	Pills	17 - 85	From 6 years old
	Syrup	60 - 95	From 3 months
	Gel	≥60	From 12 years old
	Ointment	≥32
Nurofen	Pills	≥100	From 6 years old
	Gel	≥170	From 12 years old
	Syrup	200	From 3 months
	Candles	100
MIG 400	Pills	≥70	From 12 years old
Panadol	Soluble tablets	≥ 100	From 6 years old
	Coated tablets
Efferalgan	Rectal suppositories	150	From 1 month
	Baby syrup	110
	Effervescent tablets	170	From 15 years old

Ibuprofen is an effective drug with antipyretic properties. This pharmaceutical product has an anti-inflammatory and analgesic effect on the human body. Due to its high effectiveness and safety, mothers use Ibuprofen for fever for children from the first months of their life. You will find a comprehensive description of Ibuprofen and its effect on the baby’s body below.

Ibuprofen is an effective antipyretic drug for children, which is available in several forms:

• candles;
• pills;
• syrup;
• ointment.

Each release form has its own characteristics that should be taken into account when treating children.

Indications for use

Ibuprofen for children is used to eliminate:

• infectious diseases accompanied by high body temperature;
• toothaches;
• ARVI and influenza of various forms;
• attacks of headaches;
• pain in joints and muscle tissues;
• consequences from mechanical injuries of the musculoskeletal system;

The instructions for use for Ibuprofen indicate that it is not recommended to use it for a long time. If there is a need for a long course of treatment, then the child should periodically check the condition of the kidneys, liver and vascular blood.

Let's take a closer look at each of the release forms of Ibuprofen.

Candles vs temperature

This form of release is suitable for reducing fever in infants. The suppositories are inserted into the baby’s rectum, due to which the therapeutic effect is achieved more quickly. For young children, fever is treated with Ibuprofen in the following cases:

• viral diseases;
• ARVI;
• fever after vaccination;
• redness in the throat;
• otitis media of various types;
• febrile seizures;
• painful sensations.

The child begins to feel relief within half an hour after the administration of the suppository.

Children are given Ibuprofen for fever in small doses:

• 3-9 months (8.5 kg) – 60 mg at 8 hours. The maximum dose is 180 milligrams per day;
• 9 – 24 months (8.5 – 13.2 kg) – 60 mg every 6 hours. the daily dose should not exceed 240 milligrams of ibuprofen.

Increasing the dose on your own is strictly prohibited. This can only be done by the attending physician after a thorough diagnosis of the small patient.

If a baby has vomiting and nausea at a high temperature, he can only be given Ibuprofen suppositories. This limitation is due to the fact that when vomiting, the tablet and syrup do not have time to be fully absorbed by the tissues and enter the blood.

Contraindications to the use of suppositories:

• gastrointestinal disorder;
• intestinal inflammation;
• ulcerative and erosive formations;
• attacks of bronchial asthma;
• stomach bleeding;
• allergic reaction to the constituent components.

Tablets against fever

Children are given Ibuprofen tablets for fever in the following cases:

• pain in the joints and spine;
• febrile seizures;
• acute headache and toothache;
• mechanical damage to soft tissues and musculoskeletal system;
• all forms of influenza;
• infectious lesions of the ears, nose and throat;
• inflammatory processes in the body;
• severe pain.

Dosage of Ibuprofen tablets (based on three times a day):

• from one to three years – 90-95 mg.
• from three to six years – 140-155 mg.
• from six to nine years – 185 – 205 mg.
• from nine to twelve years – 305 mg.

The dosage of Ibuprofen for children is determined only by the attending physician. It is not recommended to do this on your own, as there is a high probability of developing side effects.

Pediatricians also calculate the dosage of Ibuprofen based on the child’s weight. As a rule, the formula used for this is 5-10 mg per 1 kilogram of body weight for three times a day. The maximum permissible dose is 35-45 mg of ibuprofen.

The weight dosage in tablets at temperature will look like this:

• for 15-22 kg – 250 – 350 mg.
• for 22-31 kg – 350 – 400 mg.
• for 32-42 kg – 550 – 650 mg.
• more than 42 kg – 850-875 mg.

If a child has a temperature of more than 39°C, then Ibuprofen is used at the rate of 10 mg of active substance per kilogram of weight.

Syrup at high temperature

The syrup has the same rapid action as suppositories. Shake it well before use. This condition is mandatory, since otherwise the required amount of beneficial microelements will not enter the child’s body.

Ibuprofen in this form can be given to babies over six months old. As with other forms of the drug, with syrup you must also adhere to a strict dosage:

• six months - a year - 50-65 ml per day;
• one year – three years – 300 mg in three doses;
• four to six years – 450 mg three times a day;
• seven - nine years - 600 mg in three doses;
• ten to twelve years – 300 mg every eight hours.

The interval between taking syrup against high fever should not be less than five and a half hours.

Indications for use

• flu;
• acute viral infections;
• neuralgic diseases;
• pain in joints and muscles;
• ear diseases;
• angina;
• high body temperature;
• other inflammatory processes occurring in the body.

Ointment for fever

In this form, Ibuprofen for children is used to reduce fever that has increased for the following reasons:

• tendon inflammation;
• severe bruises of soft tissues;
• piercing pain in the lumbar region.

The only peculiarity of this form of the drug is that it can only be used by children over 12 years of age.

The ointment is taken externally. It should be applied to painful areas and rubbed thoroughly until completely absorbed by the epithelium. The time interval between uses is at least six hours. The course of treatment should not exceed 20 days.

The medication must not be used as self-medication.

Ibuprofen overdose

Regardless of what form of medication is used to reduce fever, parents should strictly adhere to the dosage prescribed by the pediatrician. Otherwise, the child may develop:

• severe pain in the abdomen;
• gagging;
• attacks of nausea;
• ear noise;
• blurred vision;
• breathing problems;
• migraine attacks;
• disruptions in heart function;
• kidney problems;
• jumps in heart rate.

If at least one of the above symptoms appears, pediatricians recommend giving the baby an activated carbon tablet (1 tablet per 10 kg) or rinsing his stomach. Further use of Ibuprofen against high fever should only be under the supervision of a pediatrician.

Side effects

Long-term use of Ibuprofen to lower the temperature may have the following consequences:

• decreased protective functions of the immune system;
• disorders and ailments of the gastrointestinal tract;
• short-term cardiovascular diseases.

Combining Ibuprofen with other drugs to lower fever

Before combining Ibuprofen with other non-steroidal drugs, there are several points to consider:

• Ibuprofen in combination with other non-steroidal drugs will have a weak antipyretic effect;
• The combination with an anticoagulant and thrombolytic will provoke the development of internal bleeding;
• Parallel use with pharmacological agents containing gold will have a high effect, but slow elimination from the body.

Ibuprofen and Paracetamol

Today, there is still debate among pediatricians about what is better to give to young children with a high temperature: Paracetamol or Ibuprofen?

Paracetamol is considered safer for the health of a small patient, since it has a minimal list of contraindications. But its scope of activity is not as extensive as that of Ibuprofen, since it only has an antipyretic effect. Some parents note that the drug begins to act only 2 hours after administration, while Ibuprofen lowers the temperature within half an hour after entering the body.

Some parents are afraid to use this drug so as not to cause side effects, but experts say that Ibuprofen will not harm the child in small doses, so they advise using it to quickly achieve a therapeutic effect.

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