"Ibuprofen": instructions for use for children. Syrup "Ibuprofen": description, analogues, composition and reviews

Children get sick no less often than adults. An increase in body temperature is accompanied by headache and body aches. Teething is also accompanied by fever and pain. Ibuprofen, which has a line for children, will help alleviate suffering.

Description of the drug Ibuprofen for children

The drug Ibuprofen has been studied for a long time and has been tested. It is the safest for children and eliminates symptoms such as fever and pain.

Introduced by the World Health Organization to the list of vital drugs. Thanks to various release forms, you can easily choose the one you need for a child from 6 months to 12 years.

The unique composition of the cream is a source of important building elements for joints. Effective in the fight against many joint diseases.

Ideal for both prevention and treatment at home. Has antiseptic properties. Relieves swelling and pain, prevents salt deposition.

Compound

Active ingredient: Ibuprofen. 5 ml of suspension contains 100 mg. To make it easier for children to take the drug, sucrose, dye and orange flavor are added to it.

Also includes:

• Sodium salt of carboxylated methyl cellulose;
• Propylene glycol;
• Lemon acid;
• Cremophor;
• Kropsovidone;
• Distilled water.

Their action is aimed at ensuring that the concentration of the drug remains constant and the effectiveness of the effect does not decrease.

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It has the following properties:

• Relieves pain syndrome
• Promotes regeneration of cartilage tissue
• Effectively relieves muscle hypertonicity
• Fights swelling and eliminates inflammation

Release forms

Ibuprofen comes in the form:

1. Rectal suppositories

Used in case of colds and after vaccination. This form is convenient for children from six months (less often from 3 months) to 2 years.

1. Ointments for external use

Used for bruises and sprains for children over 12 years old.

1. Suspensions, syrup and tablets

The purpose is similar to the form of candles, but it can also be used for:

• damage to the autonomic nervous system;
• headache;
• toothache;
• infectious arthritis;
• joint diseases.

pharmachologic effect

Ibuprofen belongs to the group of non-steroidal anti-inflammatory drugs. Main actions: dulling severe pain and getting rid of fever. The drug is made from propionic acid, which prevents the growth of bacteria.

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Indications for use in children

1. To reduce elevated body temperature caused by:

• cold;
• infectious diseases;
• teething;
• carrying out vaccination.

1. To reduce pain of various etiologies and intensity:

• dental;
• head;
• muscular;
• ear pain;
• less sore throat.

Instructions for use in children and dosage regimens

How to take ibuprofen correctly for children and in what doses depends on the chosen form of release.

1. Candles

Administered rectally to children from 3 months to 2 years. The dosage depends on the symptom that appears and the child’s body weight.

• To reduce fever and headaches caused by colds and infectious diseases

A single dose is determined by calculating from 5 to 10 mg per 1 kg of body weight up to 4 times a day. The daily dose should not exceed 30 mg per 1 kg of weight.

For example: a child weighing 10 kg per day can take no more than 300 mg. Considering the weight of one suppository (60 mg), it is allowed to administer suppositories 5 times.

Since the maximum amount of drug administration per day does not exceed 4, you can administer 1 suppository 4 times at equal intervals.

For children whose weight does not exceed 8 kg, 1 suppository is administered no more than 3 times a day at regular intervals (8 hours).

For children weighing from 8 to 12.5 kg, 1 suppository is administered no more than 4 times a day at regular intervals (6 hours).

• After vaccination

Children under one year old - 1 candle per day.

Children from one to two years old - 1 candle per day. Re-use is allowed after 6 hours.

1. Suspension and syrup (identical in dosage)

The suspension must be shaken before use. The dosage depends on age and body weight. The child’s mass in kg will allow you to determine more accurately, since all children are different and differ in weight and development.

• In cases of symptomatic treatment of ARVI and colds, it is recommended:

For a weight from 7 to 9 kg, it is recommended to take 2.5 ml 3-4 times a day, from 10 to 15 kg - 5 ml 3 times a day, from 16 to 20 kg - 7.5 ml 3 times a day , from 21 to 29 kg - 10 ml 3 times a day, from 30 to 40 kg - 15 mg 3 times a day.

• For pain and fever caused by the vaccine

Children from 5 to 7.6 kg, i.e. up to six months, it is allowed to take 2.5 ml immediately when symptoms appear. If necessary, repeat the dosage after 6 hours.

Since the packages with syrup and suspension are equipped with special measuring syringes, it is easy to measure the required amount of medicine.

1. Pills

Intended for use by children over 3 years of age, provided that the child can swallow the medicine. Prescribed when body temperature rises above 38.2°, as well as convulsions.

At a temperature above 39.2°, the calculation is made at 10 mg per 1 kg of body weight, if below - 5 mg per 1 kg of body weight. The drug should be taken between meals.

The maximum daily dose should not exceed 20 mg per 1 kg of body weight, with the exception of rheumatoid arthritis. With this disease, the daily dose is increased to 40 mg per 1 kg.

Dosage of ibuprofen tablets:

• For weights from 16 to 20 kg- 100 mg (0.5 tablets) up to 3 times a day, but not more than 300 mg per day;
• For weights from 21 to 30 kg- 100 mg (0.5 tablets) up to 4 times a day, but not more than 400 mg per day;
• For weights from 31 to 40 kg- 1 tablet 3 times a day, but no more than 3 tablets per day;
• For weight from 41 kg- 1 tablet 4 times a day, but no more than 4 tablets per day.

For all forms of release, there is one more rule of administration: to reduce fever, use the drug for no more than 3 days, for pain relief - no more than 5 days

Side effects in children

• Headache and ear pain;
• Ear congestion and hearing loss;
• Visual impairment;
• Nausea and vomiting, less often the appearance of a peptic ulcer;
• Dryness and pain in the nasopharynx;
• Increased pressure;
• Diarrhea;
• Edema;
• Blood diseases;
• Itching and rash on the skin.

If at least one of the symptoms appears, you should stop taking ibuprofen and consult your doctor.

Overdose

In cases of violation of the daily dosage norm or self-medication lead to the appearance of:

• nausea and vomiting;
• headaches;
• impaired concentration;
• decreased activity of the heart and kidneys.

When one of the conditions appears You should rinse the stomach as soon as possible, provide the child with plenty of fluids and take activated charcoal. Don't panic, it's better to call an ambulance and report what happened.

Interaction with other drugs

1. Use not recommended together with other non-steroidal anti-inflammatory drugs. Particular attention should be paid to products containing acetylsalicylic acid, which reduces the effect of ibuprofen.

1. Use is contraindicated with diuretics and blood pressure-lowering drugs to eliminate negative effects on the kidneys.
2. Sharing is not recommended use with medications aimed at lowering blood sugar levels.
3. Use is contraindicated together with antidepressants.

special instructions

Long-term use of ibuprofen negatively affects the gastrointestinal tract, namely the mucous membranes.

Possible peptic ulcers, bleeding, liver dysfunction.

Therefore, it is necessary to undergo examinations:

• Blood for hemoglobin;
• Feces for occult blood;
• Ultrasound of the abdominal organs.

Analogues

Ibuprofen has long been studied and is actively used in world practice. At the same time, it is a very cheap drug. The average cost of the suspension is 71 rubles, and 20 tablets are 14 rubles.

It is the active ingredient of other medicines, including:

1. Ibufen for children

Suspension for children containing 2 g of ibuprofen per 100 ml. Like ibuprofen, it has a white color and an orange aroma. The price of 1 bottle is within 100 rubles.

1. Nurofen for children

White suspension with orange or strawberry flavor, complete with a measuring syringe. The content of ibuprofen in 5 ml of suspension is 100 mg. Cost from 190 to 230 rubles.

For children over 6 years of age, tablets containing 200 mg of ibuprofen are available. The cost of 8 pieces is about 120 rubles.

1. Maxicold for children

The taste and dosage of ibuprofen are absolutely identical to the drug Nurofen. The price is on average 150 rubles.

Contraindications

1. Intolerance to substances included in the drug;
2. Allergic reactions to other non-steroidal anti-inflammatory drugs;
3. Liver and kidney diseases;
4. Age less than 3 months;
5. Exacerbation of diseases of the gastrointestinal tract;
6. Blood clotting disorders.

Ibuprofen - long-lasting and effective drug. Like any other, it has a number of contraindications. Before use, children should carefully study the instructions and consult a pediatrician. Self-medication can have serious consequences, especially at a very young age.

Ibuprofen is a drug that has a pleasant taste and is well tolerated by children. It has an anti-inflammatory, analgesic effect, and also has an antirheumatic effect.

What is the composition of the medication Ibuprofen (syrup)?

Ibuprofen is available in the form of a syrup (suspension) for oral administration. The active substance of the dosage form is ibuprofen. Among the auxiliary components: polysorbate 80, citric acid, glycerol, sorbitol, xanthan gum, sodium saccharinate, orange flavor, sodium hydroxide and hydrochloric acid solution, methyl parahydroxybenzoate, purified water, and propyl parahydroxybenzoate.

Ibuprofen syrup is available in bottles. They must be stored out of the reach of children. The sale of the drug is designed for two years from the date of its pharmaceutical manufacture, after which its use is contraindicated, since the drug will lose its therapeutic effect.

What is the effect of Ibuprofen (syrup)?

Ibuprofen belongs to the group of NSAIDs, a derivative of phenylpropionic acid. It has an anti-inflammatory effect, in addition, it has analgesic and antipyretic effects. The mechanism of action is based on inhibition of prostaglandin synthesis as a result of blocking cyclooxygenase.

In addition, this medication inhibits platelet aggregation. With prolonged use, the drug has a desensitizing effect on the body.

What are the indications for use of Ibuprofen (syrup)?

I will list the situations when Ibuprofen is indicated for use:

Rheumatoid arthritis;
Osteoarthritis;
Psoriatic arthritis;
Ankylosing spondylitis;
Presence of articular syndrome due to gout;
Neuralgia, myalgia;
Nephrotic syndrome;
Tendinitis, bursitis, and tendovaginitis;
Radiculitis;
Neuralgic amyotrophy;
Sprain;
Hematomas;
Feverish state;
Symptomatic treatment of ARVI.

As an adjuvant, Ibuprofen syrup is prescribed for infectious and inflammatory pathologies of the ENT organs (rhinitis, laryngitis, tonsillitis, pharyngitis), bronchitis, pneumonia, toothache, adnexitis, dysmenorrhea, algodismenorrhea, in addition, postoperative pain.

What are the contraindications for use of the drug Ibuprofen (syrup)?

The instructions for use prohibit the use of the medication Ibuprofen (syrup) in the following cases:

Peptic ulcer in the acute stage;
Hypertension;
Ulcerative colitis;
Hemophilia;
Optic nerve diseases, amblyopia;
Heart failure;
Color vision impairment;
Cirrhosis of the liver;
Edema, hypocoagulation, leukopenia;
Pregnancy;
Hemorrhagic diathesis;
Hearing loss.

The drug is prescribed with caution: for hyperbilirubinemia, during lactation, for enteritis and gastritis, for renal pathology and for other conditions.

What are the uses and dosage of Ibuprofen (syrup)?

The dose of Ibuprofen is determined individually, depending on the disease and the severity of symptoms.

Typically, syrup is recommended to be used after meals in an amount of 5-10 mg/kg. At the age of three months to 12, the dose is 50 mg; from one to three years – 100 mg; from four to six years - 150 mg; from 7 to 9 years, the amount of the drug is 200 mg; from ten to twelve - 300 mg. In this situation, the frequency of use of the medication per day is three times; you must first consult with a pediatrician.

What are the side effects of Ibuprofen (syrup)?

Ibuprofen in syrup can cause the following side effects: nausea, vomiting, so-called abdominal pain, heartburn, anorexia, loose stools, flatulence, headache, insomnia, dizziness, possible hearing loss, tinnitus, etc. In addition, agitation, as well as drowsiness and depression.

Other negative reactions to the drug: heart failure, allergic reactions, tachycardia, increased blood pressure is typical, in addition, edema syndrome, impaired renal function, as well as thrombocytopenia, leukopenia, possible agranulocytosis, allergic reactions, in rare situations aseptic meningitis occurs. Editorial team www.! After reading these instructions for use, also carefully study the official paper leaflet accompanying the drug. It may contain additions at the time of release.

Overdose from Ibuprofen (syrup)

Symptoms of syrup overdose: abdominal pain, nausea, vomiting, lethargy, drowsiness, headache, tinnitus, depression, metabolic acidosis, in addition, coma, decreased blood pressure, convulsions, tachycardia, bradycardia. In such a situation, symptomatic treatment is urgently carried out, after washing the stomach.

special instructions

With prolonged use of the drug Ibuprofen, damage to the gastric mucosa may occur, and bleeding from the digestive tract may also occur.

How to replace Ibuprofen (syrup), what analogues should I use?

Medicine Advil, MIG 400, Ibuprofen, Nurofen Period, Burana, Dolgit cream, Iprene, MIG 200, Pedea, Advil Liquid-gels, Brufen retard, Children's Motrin, Ibuprofen-Hemofarm, Dolgit, Ibalgin, Nurofen Migranin, Nurofen active, Ibusan , Deblock, Bonifen, Ibuprofen Lannacher, Ibuprom, Faspik, ArthroKam, Nurofen forte, Nurofen, in addition, Nurofen Express, Ibuprofen-Verte, Solpaflex, Brufen SR, as well as Ibuprom Max, Nurofen UltraCap, Ibufen, Ibutop gel, Ibuprofen Nycomed, Ibuprofen Sandoz and Brufen are analogues.

Conclusion

In this article you can read the instructions for use of the drug Ibuprofen. Reviews of site visitors - consumers of this medicine, as well as the opinions of specialist doctors on the use of Ibuprofen in their practice are presented. We kindly ask you to actively add your reviews about the drug: whether the medicine helped or did not help get rid of the disease, what complications and side effects were observed, perhaps not stated by the manufacturer in the annotation. Ibuprofen analogues in the presence of existing structural analogues. Use for the treatment of inflammation and fever, as well as pain relief in adults, children, as well as during pregnancy and lactation.

Ibuprofen- non-steroidal anti-inflammatory drug, a derivative of phenylpropionic acid. It has anti-inflammatory, analgesic and antipyretic effects.

The mechanism of action is associated with inhibition of the activity of COX, the main enzyme in the metabolism of arachidonic acid, which is a precursor of prostaglandins, which play a major role in the pathogenesis of inflammation, pain and fever. The analgesic effect is due to both peripheral (indirectly, through suppression of prostaglandin synthesis) and central mechanisms (due to inhibition of prostaglandin synthesis in the central and peripheral nervous system). Suppresses platelet aggregation.

When applied externally, it has an anti-inflammatory and analgesic effect. Reduces morning stiffness and helps increase range of motion in joints.

Pharmacokinetics

When taken orally, ibuprofen is almost completely absorbed from the gastrointestinal tract. Concomitant food intake slows down the rate of absorption. Metabolized in the liver (90%). 80% of the dose is excreted in the urine mainly in the form of metabolites (70%), 10% - unchanged; 20% is excreted through the intestines in the form of metabolites.

Indications

• inflammatory diseases of the joints and spine (including rheumatoid arthritis, ankylosing spondylitis, osteoarthritis, gouty arthritis);
• moderate pain syndrome of various etiologies (including headache, migraine, toothache, neuralgia, myalgia, postoperative pain, post-traumatic pain, primary algodismenorrhea);
• febrile syndrome with “colds” and infectious diseases;
• intended for symptomatic therapy, reducing pain and inflammation at the time of use, does not affect the progression of the disease.

Release forms

Film-coated tablets 200 mg and 400 mg.

Suppositories for rectal use for children 60 mg.

Gel for external use 5%.

Ointment for external use 5%.

Syrup or suspension for oral administration.

Effervescent tablets Ibuprofen - Hemofarm.

Instructions for use and dosage

Ibuprofen is prescribed to adults and children over 12 years of age orally, in tablets of 200 mg 3-4 times a day. To achieve a rapid therapeutic effect, the dose can be increased to 400 mg (2 tablets) 3 times a day. When a therapeutic effect is achieved, the daily dose of the drug is reduced to 600-800 mg. The morning dose is taken before meals with a sufficient amount of water (for faster absorption of the drug). The remaining doses are taken throughout the day after meals.

The maximum daily dose is 1200 mg (do not take more than 6 tablets in 24 hours). Take a repeat dose no more often than after 4 hours. The duration of use of the drug without consulting a doctor is no more than 5 days.

Do not use in children under 12 years of age without consulting a doctor.

Children from 6 to 12 years old: 1 tablet no more than 4 times a day; the drug can only be used if the child’s body weight is more than 20 kg. The interval between taking tablets is at least 6 hours (daily dose no more than 30 mg/kg).

Apply externally for 2-3 weeks.

The maximum daily dose for adults when taken orally or rectally is 2.4 g.

Side effect

• NSAID gastropathy (abdominal pain, nausea, vomiting, heartburn, loss of appetite, diarrhea, flatulence, constipation; rarely - ulceration of the gastrointestinal mucosa, which in some cases is complicated by perforation and bleeding);
• irritation or dryness of the oral mucosa;
• mouth pain;
• ulceration of the gum mucosa;
• dyspnea;
• bronchospasm;
• hearing impairment: hearing loss, ringing or tinnitus;
• visual disturbances: toxic damage to the optic nerve, blurred vision or double vision
• dryness and irritation of the eyes;
• swelling of the conjunctiva and eyelids (allergic origin);
• headache;
• dizziness;
• insomnia;
• anxiety;
• nervousness and irritability;
• psychomotor agitation;
• drowsiness;
• depression;
• confusion;
• hallucinations;
• heart failure;
• tachycardia;
• increased blood pressure;
• allergic nephritis;
• skin rash (usually erythematous or urticaria);
• skin itching;
• Quincke's edema;
• anaphylactoid reactions;
• anaphylactic shock;
• fever;
• allergic rhinitis;
• anemia (including hemolytic, aplastic);
• thrombocytopenia and thrombocytopenic purpura;
• agranulocytosis;
• leukopenia;
• increased sweating.

Laboratory indicators:

• bleeding time (may increase);
• serum glucose concentration (may decrease);
• creatinine clearance (may decrease);
• hematocrit or hemoglobin (may decrease);
• serum creatinine concentration (may increase);
• activity of “liver” transaminases (may increase).

Contraindications

• hypersensitivity to any of the ingredients included in the drug. Hypersensitivity to acetylsalicylic acid or other NSAIDs, incl. anamnestic data on an attack of bronchial obstruction, rhinitis, urticaria after taking acetylsalicylic acid or other NSAIDs; complete or incomplete acetylsalicylic acid intolerance syndrome (rhinosinusitis, urticaria, nasal polyps, bronchial asthma);
• erosive and ulcerative diseases of the gastrointestinal tract in the acute stage (including peptic ulcer of the stomach and duodenum, Crohn's disease, ulcerative colitis);
• inflammatory bowel diseases;
• hemophilia and other bleeding disorders (including hypocoagulation), hemorrhagic diathesis;
• period after coronary artery bypass surgery;
• gastrointestinal bleeding and intracranial hemorrhage;
• severe liver failure or active liver disease;
• progressive kidney disease;
• severe renal failure with creatinine clearance less than 30 ml/min, confirmed hyperkalemia;
• pregnancy;
• children under 6 years of age.

Use during pregnancy and breastfeeding

Contraindicated during pregnancy. Use with caution during lactation.

special instructions

Treatment with the drug should be carried out in the minimum effective dose, in the shortest possible short course. During long-term treatment, monitoring of the peripheral blood picture and the functional state of the liver and kidneys is necessary. When symptoms of gastropathy appear, careful monitoring is indicated, including esophagogastroduodenoscopy, a complete blood count (hemoglobin determination), and a stool test for occult blood.

If it is necessary to determine 17-ketosteroids, the drug should be discontinued 48 hours before the study.

Patients should refrain from all activities that require increased attention, rapid mental and motor reactions. During the treatment period, ethanol (alcohol) intake is not recommended.

Drug interactions

Concomitant use of ibuprofen with acetylsalicylic acid and other NSAIDs is not recommended. When administered simultaneously, ibuprofen reduces the anti-inflammatory and antiplatelet effect of acetylsalicylic acid (an increase in the incidence of acute coronary insufficiency in patients receiving small doses of acetylsalicylic acid as an antiplatelet agent is possible after starting ibuprofen). When prescribed with anticoagulant and thrombolytic drugs (alteplase, streptokinase, urokinase), the risk of bleeding simultaneously increases. Concomitant use with serotonin reuptake inhibitors (citalopram, fluoxetine, paroxetine, sertraline) increases the risk of developing serious gastrointestinal bleeding.

Cefamandole, cefaperazone, cefotetan, valproic acid, plicamycin, increase the incidence of hypoprothrombinemia. Cyclosporine and gold preparations enhance the effect of ibuprofen on the synthesis of prostaglandins in the kidneys, which is manifested by increased nephrotoxicity. Ibuprofen increases the plasma concentration of cyclosporine and the likelihood of developing its hepatotoxic effects. Drugs that block tubular secretion reduce excretion and increase plasma concentrations of ibuprofen. Inducers of microsomal oxidation (phenytoin, ethanol (alcohol), barbiturates, rifampicin, phenylbutazone, tricyclic antidepressants) increase the production of hydroxylated active metabolites, increasing the risk of developing severe intoxications. Inhibitors of microsomal oxidation - reduce the risk of hepatotoxicity. Reduces the hypotensive activity of vasodilators, natriuretic and diuretic activity of furosemide and hydrochlorothiazide. Reduces the effectiveness of uricosuric drugs, enhances the effect of indirect anticoagulants, antiplatelet agents, fibrinolytics (increasing the risk of hemorrhagic disorders), enhances the ulcerogenic effect with bleeding of mineralocorticosteroids, glucocorticosteroids, colchicine, estrogens, ethanol (alcohol). Enhances the effect of oral hypoglycemic drugs and insulin, sulfonylurea derivatives. Antacids and cholestyramine reduce absorption. Increases the blood concentration of digoxin, lithium preparations, methotrexate. Caffeine enhances the analgesic effect.

Analogues of the drug Ibuprofen

Structural analogues of the active substance:

• Advil;
• ArthroCam;
• Bonifen;
• Brufen;
• Brufen retard;
• Burana;
• Deblock;
• Children's Motrin;
• Dolgit;
• Ibuprom;
• Ibuprom Max;
• Ibuprom Sprint Caps;
• Ibuprofen Lannacher;
• Ibuprofen Nycomed;
• Ibuprofen-Verte;
• Ibuprofen-Hemofarm;
• Ibusan;
• Ibutop gel;
• Ibufen;
• Yprene;
• MIG 200;
• MIG 400;
• Nurofen;
• Nurofen for children;
• Nurofen Period;
• Nurofen UltraCap;
• Nurofen forte;
• Nurofen Express;
• Pedea;
• Solpaflex;
• Faspik.

If there are no analogues of the drug for the active substance, you can follow the links below to the diseases for which the corresponding drug helps, and look at the available analogues for the therapeutic effect.

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, chicken pox, 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 the doctor 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. The 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 a suitable 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 available in pharmacies in the following varieties:

• 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 case 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 medications, 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 at the international level. 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 as 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 stop 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

A drug	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, because 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 temperature, which 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.

Found a mistake? Select it and press Ctrl + Enter

Ibuprofen is a drug from the category of non-steroidal anti-inflammatory drugs of non-selective action. The main effects of its use are antipyretic, anti-inflammatory and analgesic. These properties make it possible to widely use Ibuprofen to eliminate pain of moderate and low intensity, as well as to reduce body temperature during infectious diseases or after vaccinations in children.

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What is Ibuprofen

This medicinal substance belongs to the class of non-steroidal drugs and has analgesic, antipyretic and anti-inflammatory effects.

Indications for its use are the following conditions:

• hyperthermia, characteristic of infectious and inflammatory diseases, and Ibuprofen also helps with fever after vaccination;
• pain syndrome of medium and low intensity.

Due to the large number of contraindications, it is not recommended to decide on the use of medication on your own. Treatment must be prescribed by a doctor.

Ibuprofen cannot be prescribed to a child in the following cases:

• bleeding disorders;
• erosive and ulcerative lesions of the mucous membrane of the digestive tract;
• bleeding from the gastrointestinal tract;
• severe kidney and liver pathologies;
• chronic colitis and enterocolitis;
• excess potassium in the blood;
• hypersensitivity to the components of the drug.

While using Ibuprofen, you should carefully monitor the child's condition and seek the advice of a pediatrician if the following side effects occur:

• gastropathy;
• stomatitis;
• hepatitis;
• attacks of shortness of breath, bronchospasm;
• tinnitus, hearing disorder;
• blurred vision, dry conjunctiva, toxic optic neuropathy;
• tachycardia, arterial hypertension;
• polyuria, nephrotic syndrome;
• decreased myocardial contractility;
• decrease in the amount of formed elements in the peripheral blood;
• allergic manifestations;
• hyperhidrosis.



Release forms of Ibuprofen for children

The following forms of this drug are used in pediatric practice:

• suspension for oral administration;
• syrup;
• suppositories for rectal use;
• pills;
• solution for infusion;
• forms for topical use - gel and ointment.

Each of the dosage forms must be used in strict accordance with the instructions for use.



Suspension

The dosage form has an orange tint and an orange taste and aroma. Available in 100 ml glass or plastic bottles.

For accurate and convenient dosing, a measuring syringe and measuring spoon are included in the kit. 5 ml of suspension contains 100 mg of active substance.



Instructions for use

A single dose of a suspension with Ibuprofen is calculated based on the child’s weight: 5-10 mg per 1 kg of body weight.

The frequency of administration is three times a day.

For children in the first year of life, the drug can be given only as prescribed by a pediatrician. The maximum permissible dose for an infant is 10 ml per day (2 ml 4 times a day).

If fever and pain in a baby aged 3-4 months occur as a result of vaccination, then the drug should be given to the child according to the following regimen: for 5-7.6 kg of body weight - 2.5 ml of suspension twice a day with an interval of at least 6 hours between doses.

Syrup

A substance with the scent of orange, packaged in dark glass containers.

The screw cap is equipped with a child lock feature. 5 ml of syrup contains 100 mg of ibuprofen.

Dosage regimen

Ibuprofen syrup is given to children from one year to 12 years of age in a dosage of 5 to 15 ml 3 times a day. The duration of use is determined by the attending physician.

It is strongly not recommended to exceed the indicated duration of treatment.



Candles

Suppositories are white or almost white in color and have a torpedo-like configuration. Each suppository contains 60 mg of ibuprofen. Packaged in blister packs of 5 pieces.

Instructions for use

Suppositories are intended for rectal use. The dosage is based on the child’s body weight. The maximum daily dose cannot exceed 30 mg per 1 kg of weight.

A single dose ranges from 5 to 10 mg per 1 kg of weight.

With a body weight of 5.5-8 kg, a single dose is 60 mg every 6-8 hours; no more than 3 suppositories per day.

From 8 to 12.5 kg - 4 suppositories per day.

Children under 12 months are advised to administer 1 suppository and, if necessary, another one after 6 hours. This regimen is used for fever resulting from immunization.

As an antipyretic, suppositories with ibuprofen can be used for no longer than 3 days in a row, and as an anesthetic - for no more than 5 days.


If symptoms persist after the specified period, consultation with a specialist is necessary.

Pills

The tablets have a pink or light pink color, a round biconvex shape and, thanks to the film coating, a smooth surface. The content of ibuprofen in 1 tablet is 200 mg. The package contains 1, 2 or 5 contour packs of 10 tablets each.

Ibuprofen is also available in the form of effervescent tablets.

Dosing

The daily dose for children over 12 years of age is up to 6 tablets (1.2 g per day). This amount should be divided into three doses.

When a stable therapeutic effect is achieved, the daily dosage can be reduced to 3-4 tablets.

The morning dose should be taken before meals and with sufficient liquid. This is necessary to ensure the fastest possible absorption of the active substance in the gastrointestinal tract. There must be at least 4 hours between uses of ibuprofen tablets. The duration of taking the drug should not exceed 5 days. Extension of the course of treatment is possible only by the doctor's decision.