Antipyretic candles for children from 0 months. The most effective antipyretic drugs for children. Indications for the use of antipyretic drugs in children

A rise in temperature in a newborn is a serious cause for concern for parents. After all, a high temperature can be a harbinger of a disease or infection. Antipyretics will help to relieve the temperature and alleviate the condition of the child.

Important points when taking antipyretic drugs:

Only the attending pediatrician can prescribe an antipyretic for a newborn child.
It is recommended to bring down the temperature if it is above 38 °.
Strictly follow the instructions, observe the doses of the drugs.

On the topic of temperature in newborns:

(what thermometer and in what place to measure: in the mouth, under the arm, rectally)

List of antipyretics

Medicines for newborns for temperature are available in the form of syrups, suspensions, solutions and rectal suppositories.

Daleron. Suspension. Dosage: up to 3 months. - 10 mg, 3-12 months. - 60-120 mg. You can not take more than 4 times a day. The time between doses of the drug is 4 hours. The maximum duration of administration is 3 days.
Dolomol. Suspension. Dosage: 1-3 months. - determined by the doctor, 3-12 months. - from 2.5 to 5 ml. Drink at least 1 hour after eating. Drink plenty of liquid. Take 4 times a day at intervals of 4 hours. The maximum duration of admission is 3 days.
- Dolomol Candles. Dosage: 3-6 months. - 80 mg 5 times a day, 6-12 months. - 80 mg per day 2-3 times. The daily dose is a maximum of 4 grams.

ibuprofen. Candles. Dosage: 5.5-8 kg - 1 supp. per day 3 times, 8-12.5 kg - 1 supp. per day 4 times. The interval between doses is 6 hours. Not desirable for children under 3 months. The duration of admission is 3 days.
Ibufen. Suspension. Dosage: 7-9 kg - 2.5 ml (50 mg). Take after meals, no more than 3 times a day. The minimum time between doses is 6-8 hours. Shake the bottle before use. The drug is not recommended for children weighing up to 7 kg.
Ifimol. Solution. Dosage: up to 3 months. - 10 mg, 3-12 months. - 60-120 mg. Take at intervals of 4 hours, no more than 4 times a day. The duration of admission is 3 days.
Kalpol. Suspension. Dosage: 3-12 months. - from 2.5 to 5 ml. Newborns up to 1 month don't want to give. Drink after meals, at least 1 hour later. Drink plenty of water. The recommended dosage per day is 3-4 times with a 4-hour interval. The duration of application is 3 days.
Nurofen. Suspension. Dosage: 3-6 months. (not less than 5 kg) - 2.5 ml (1-3 times a day), 6-12 months. - 2.5 ml (1-4 times a day). To accurately calculate the dosage, use the instructions and a measuring spoon. Give a maximum of 4 times a day. The duration of admission is 3 days. If children 3-6 months. after taking the drug there is no improvement within a day, you need to contact your pediatrician.
- Nurofen Candles. Dosage: 6-8 kg - 0.5-1 supp. (maximum 3 times a day), 8-12.5 kg - 1 supp. (maximum 4 times a day). The interval between applications is 6 hours. It is not advisable to put children under 3 months old. and body weight up to 6 kg. The duration of admission is 3 days.

Panadol for children. Suspension. Dosage: 6-8 kg - 4 ml, 8-10 kg - 5 ml. It is not recommended to give more than 3-4 times a day. Children up to 3 months. only prescribed by a doctor.
- Panadol children's Candles. Dosage: up to 3 months. - 10 mg, 3-12 months. - 60-120 mg. Put a maximum of 4 times a day with a 4-hour interval. Can be used 5-7 days.

Paracetamol for children. Syrup. Children 3-12 months. give 2.5 - 5 ml 3-4 times a day. The frequency of admission is 4-6 hours. Take the drug before meals. It is allowed to add to water and give through a bottle. Children up to 3 months. give only as prescribed by a doctor. It is not advisable to use up to 1 month.
- Paracetamol for children Suspension. Toddlers 1-3 months. - about 2 ml, and 3 -12 months. - 2.5-5 ml. Daily intake - 3-4 times. Give undiluted, always before meals. Drink water. 4 hours - the minimum time between doses. Babies up to 1 month old Not recommended.

Tylenol. Suspension. Dosage: up to 3 months - the doctor sets, 3-12 months. - 2.5-5 ml. Take no more than 4 times a day. Children up to 1 month. contraindicated. The duration of admission is 3 days.
- Tylenol Solution. Dosage: 3-6 months. (up to 7 kg) - 350 mg, 6-12 months. (over 10 kg) - 500 mg. Maximum 4 times a day, after meals. Children under 1 month old drug is not recommended.
- Tylenol suppositories. Dosage: 3-6 months. - 160 mg in two doses, 6-12 months. - 80 mg 3 times a day. Apply no more than 4 times a day. Babies up to 3 months do not put.

Cefekon D. Candles. Dosage: 4-6 kg (1-3 months) - 1 supp. (50 mg), 7-12 kg (3-12 months) - 1 supp. (100 mg). Apply 2-3 times a day. The time between applications is 4-6 hours. Children up to 1 month. Not recommended. The duration of admission is 3 days.
Efferalgan. Syrup. A measuring spoon is included with the syrup, into which the amount of syrup is collected, which corresponds to the weight of the child. Take a day no more than 3-4 times. Between doses, the minimum time is 4-6 hours. The maximum period of use is 3 days. Newborns weighing up to 4 kg syrup is not recommended.
- Efferalgan Solution. Dosage: up to 3 months. - 10 mg, 3-12 months. - 60-120 mg. Take no more than 4 times a day with a 4-hour break. The duration of admission is 3 days.
- Efferalgan Candles. Dosage: up to 3 months. - 10 mg, 3-12 months - 60-120 mg. Use 4 times a day. 4 hours is the minimum interval between applications. The duration of admission is 3 days.

Additional proven methods

You can try to bring down the temperature without the help of drugs or just alleviate the condition of the child. A few proven public measures over the years:

Plentiful drink. The more liquid there is, the better the child will sweat, thereby bringing down the temperature in a natural way. If the child still cannot be drunk with raspberry tea, then apply it to the chest more often.

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Comfort temperature. It is not necessary to dress the child “warmerly”. It would be better to undress him, covering him with a diaper.

Wet rubdown. The main thing is not to overdo it with the cold, so that there are no vasospasms. And even more so, no vodka compresses that can cause poisoning.

Prohibited drugs

Video about which antipyretics can be given to children, and which ones cannot?

To relieve fever in newborns, it is forbidden to give drugs that do not include paracetamol or ibuprofen: phenacetin, analgin, amidopyrine, nimesulide, antipyrine, acetylsalicylic acid. These funds are dangerous to the life of the child, because. can cause severe damage to the liver and circulatory system.

How much panic causes many mothers to have a fever in a small child! After all, this fact indicates an inflammatory process in the body. If the kid could talk, then he would tell what exactly worries him. But it was not there! There are cases when, before the arrival of an ambulance, it is necessary to anesthetize and lower the body temperature in order to alleviate the suffering of the baby. What is the most effective antipyretic for your baby: paracetamol-based miles with ibuprofen? In what form and dosage is it safe to take the funds? Many parents ask these questions.

What antipyretic drugs are best for newborns

Modern pharmacology offers a variety of antipyretics for newborns in the form of suspensions, syrups, solutions and rectal suppositories.

In the event of their inevitable use by infants, parents need to learn some rules. It is important to remember that none of the antipyretics is completely harmless. All medications that help reduce fever have contraindications, and their use can cause some complications. Almost all of them include paracetamol. Newborns are not recommended to use an antipyretic if the body temperature is below 38 ° C.

For infants, the following medications are most effective:

Children's paracetamol (syrup).
Children's panadol (suspension and suppositories).
Efferalgan (syrup, solution and suppositories).
Kalpol (suspension).
Ibuprofen (suspension, suppositories).
Ibufen (suspension).
Nurofen (suspension and suppositories).
Ifimol (solution).
Tylenol (suspension, solution, suppositories).
Cefekon D (candles).
Dolomol (suspension and suppositories).
Doleron (suspension).
Viburkol is a homeopathic medicine.

Parents should remember that drugs such as Aspirin (Acetylsalicylic acid), Analgin, Amidopyrine, Antipyrine, Phenacetin and other drugs based on them are not recommended for use as an antipyretic for newborn babies.

Antipyretics for children with teething

When babies teething, their body temperature usually rises, diarrhea and vomiting are also possible. But do not rush to give an antipyretic if the body temperature is below 38 ° C. Thus, the immune system naturally fights the inflammatory process.

A positive effect in this case will have children's Paracetamol and drugs, which include it: Calpol, Efferalgan and others. Paracetamol is well tolerated. But it is not recommended to use it for more than three days in a row. Some children may have individual intolerance to these drugs. Be sure to do a drug tolerance test before use.

With an increase in body temperature during teething, Ibuprofen and preparations based on it are recommended: Nurofen and Ibufen. But parents should be aware that these drugs have more contraindications than Paracetamol. In addition, they are recommended to be used only after the first year of life. It should be noted that these drugs can aggravate diarrhea and vomiting, as they have an adverse effect on the stomach and intestines. In addition, Ibuprofen and related drugs are not recommended for use for more than two days in a row.

Antipyretic for infants after vaccination

In the US, many pediatricians prescribe an antipyretic immediately after vaccination, without waiting for a rise in body temperature. An elevated body temperature after vaccination does not have a particularly positive value, since it does not affect the development of immunity, as, for example, with ARVI. Therefore, Paracetamol suppositories or Ibuprofen should be used. In the evening, before going to bed, it is recommended to use candles.

If the temperature exceeds 38 ° C, then you should give the child a suspension of Ibuprofen. If this condition persists for three days, then you need to call a doctor or an ambulance.

Antipyretic drugs for newborns with angina

Inflammation of the tonsils (tonsillitis or acute tonsillitis) in children is infectious. This is a common disease in children under the age of five. Older children also get angina, but less often. Body temperature during inflammation of the tonsils rises sharply and reaches 38-40 ° C. Antipyretics should be used if the temperature exceeds 38°C. Basically, with angina, doctors prescribe a suspension of Nurofen, Paracetamol, Panadol and Efferalgan. The use of candles is also recommended.

In order to enhance the effect of the above funds, you can give an antihistamine drug (Suprastin, Fenistil, Zirtek) 1-2 times a day.

Use fever relievers at the usual dosage, without exceeding the recommended frequency of use. They should be used no more than 3-4 days, as side effects may occur.

What is better for babies: antipyretic suppositories or syrup

It is important for parents to know that medications in the form of suppositories are absorbed through the rectum more slowly than drugs taken orally. If the antipyretic is prescribed in the form of suppositories, then its dose should be greater than the dose of the drug in the form of a syrup or suspension. If the child has a very high body temperature and a quick effect is required, then a syrup or suspension is preferable in this case. Candles are used when a longer effect is required. For example, a child's body temperature is above 38°C, and the night is ahead. Before going to bed, doctors recommend using candles.

If the child has an individual intolerance to an antipyretic in the form of a syrup or suspension, it causes nausea and vomiting, then the use of suppositories is preferable.

Antipyretic for newborn children with allergies

These drugs begin to act quite quickly, provide a long-term antipyretic and analgesic effect. In addition, they do not cause allergies, which is the main criterion when choosing medicines for children prone to allergies.

Some pediatricians claim that Ibuprofen has a positive effect on the functioning of the immune system.

How to reduce the temperature in a baby with folk remedies

For newborns, in addition to medicines, you can use folk recipes to reduce body temperature, which were used by our mothers, grandmothers and great-grandmothers. Many in search of fragrance-free products opt for alternative treatment.

Often, mothers use vinegar or alcohol to reduce body temperature. These methods are dangerous for a child under three years old, since the baby's skin is able to absorb the substance used, which can lead to poisoning of the body.

The baby should be wiped only with water at room temperature. Rubbing is used in combination with other measures or in the absence of medications. This method is used if infants have not previously experienced convulsions against the background of elevated body temperature and in the absence of neurological diseases.

At elevated body temperature, the newborn should not be warmly dressed and wrapped. Dress it lightly so that excess heat escapes. Maintain the room temperature to 20-21°C.

Antipyretic for an infant: Komarovsky

Body temperature in infants usually rises with SARS and infectious diseases.

The well-known pediatrician Yevgeny Komarovsky claims that in this way the body produces substances that will fight the pathogen. But each child tolerates a rise in body temperature in a different way. Each organism is individual, therefore there are no universal recommendations for all children. Some kids are easier to tolerate this process, others are much worse.

With an increase in body temperature in the baby, all necessary measures should be taken to alleviate his condition.

Drinking water should be at body temperature.

Of the antipyretics, the doctor primarily recommends Paracetamol, as it is one of the priority over-the-counter drugs. This tool is used all over the world and is quite effective. In the event that Paracetamol did not produce an effect, Ibuprofen should be given to the baby after 40 minutes. These drugs are completely compatible. If the effect is absent for 30-40 minutes, then you need to see a doctor.

The temperature should be reduced at an indicator of 39 ° C. And you can use antipyretics no more than four times a day.

Especially for - Ksenia Manevich

Antipyretics (antipyretics) from the group NSAIDs (n steroidal anti-inflammatory drugs) are the most commonly purchased and used therapeutic drugs, both for the treatment of adult patients and for the treatment of children. This circumstance is facilitated by the often erroneous perception of many people about the dangers of high fever, as well as the availability of over-the-counter drugs from this group in pharmacies.

It is worth noting that the frequent and uncontrolled use of certain medications for temperature () in itself can cause the development of various complications (sometimes severe), and their overdose increases the risk of negative side effects several times. In this regard, adults, especially parents of infants and children of a younger age group, need to thoroughly study antipyretic drugs for children, figure out how often antipyretics can be given to a child, which active substance is better to take at a particular age and at what temperature to give an antipyretic to a child.

It is also not superfluous to establish the best and safest medicine included in the list of antipyretic drugs ( , Acetylsalicylic acid , ibuprofen , Metamizole etc.) for your child. Decide on its dosage form (tablets, injections, powders, suspension, suppositories, etc.), dosage (in mg or ml), and also select analogues that are identical in composition.

The criteria for choosing an anti-fever drug should be based primarily on its relative safety (no contraindications, minimal side effects) and good efficacy (strong, fast and long-lasting action that lowers the temperature and reduces other symptoms of fever), and only after its popularity and price.

Indications for the use of antipyretic drugs in children

It should be remembered that the temperature increase that accompanies many diseases, first of all, is a protective mechanism of the human body, aimed at stimulating its immune system (in particular, production) and fighting pathogenic microorganisms. For this reason, it is not advisable to give a child antipyretics to lower body temperature immediately upon detection of its increase (37-38 ° C). It is necessary to give the child's body a chance to independently cope with the disease attacking him, especially since this does not threaten him with any serious negative consequences.

Some studies have definitely shown that the appointment of antipyretic drugs does not reduce the overall duration of fever in children suffering from and does not significantly affect the course of other childhood infections or painful conditions, a symptom of which may be fever (for example, a temperature in a 10 month old baby at).

Although high temperature is accompanied by forcing metabolic processes and accelerating the loss of fluid by the body, its danger is often greatly exaggerated. Most of the infections inherent in children pass with a maximum increase in body temperature up to 39-40 ° C, which is recognized as not dangerous for the health of the child. That is why the WHO (World Health Organization) does not recommend giving antipyretic drugs to children without any concomitant pathologies when the medical thermometer reads 39-39.5 ° C.

Upper limits of normal body temperature of a child depending on age

if the child's temperature is up to 3 months 38 ° C;
if the temperature in a child from 6 months is 38.5 ° C and is accompanied by severe and aching in the joints and muscles;
if the temperature in a child from 6 months is 38-38.5 ° C, with concomitant chronic pathologies of the heart , neurological diseases, history and some metabolic disorders.

Types of fever in children

Depending on the observed state of hyperthermia, modern medicine divides children's fever into two types - pale and pink .

pale fever

This type of fever is characterized by a clearly visible development of pallor of the skin, especially noticeable on the skin of the face, significant chills and coldness of the extremities. With overestimated heat production, inadequate heat transfer is noted, due to a violation peripheral circulation . If such symptoms are detected, the further prognosis of the course of the febrile process is unfavorable, which requires a mandatory decrease in temperature. In this case, most often a sick child needs a parallel intake of antipyretics, vasodilators and antihistamines drugs, as well as warm (the child must be warmly dressed or wrapped in a blanket).

rose fever

In this state, heat production corresponds to heat transfer, the child's body responds adequately to a rise in temperature, and the child's condition is relatively normal. The skin is slightly hyperemic or acquire a pink tint, the skin itself is moist and warm to the touch. In this case, taking antipyretic drugs is needed only when the temperature rises above 39 ° C. For the rest, auxiliary cooling methods should be used: reduce the temperature in the room to 19 ° C, provide the child with plenty of fluids, wipe him with a damp towel dipped in water at room temperature, etc.

Common therapeutic measures

Common ancillary therapeutic measures for childhood fever include:

security bed rest (at a child's temperature above 38-38.5 ° C, accompanied by poor general health);
drinking plenty of water to increase sweating in order to increase heat transfer (rosehip broth, sweetened tea, compote);
provision of food depending on appetite (preference is given to carbohydrate-containing foods);
regular monitoring of bowel movements (use);
reception by a child (with the possibility of increasing the age norm by 1.5–2 times).

Recommendations for the use of antipyretic drugs in children

When patients of the pediatric age group use any antipyretics, including the safest, which is currently considered to be, parents should strictly adhere to certain rules.

In no case should you give a child medicines to reduce fever without consulting a doctor, especially children under 3 months.

Strictly follow the official instructions for use for the selected drug, do not exceed the frequency of taking the therapeutic agent and its dosage, and also follow all additional instructions from the pediatrician.

Do not apply for a long time antipyretics as pain relievers.

Do not resort to taking antipyretic drugs for regular course therapy (for example, 2-4 times a day, regardless of the readings of a medical thermometer). Such treatment tactics significantly affect the temperature curve and can smooth out the symptoms of the disease and create the appearance of false well-being, which is fraught with belated diagnosis. pneumonia or other bacterial infections , the main manifestation of which is often a constant fever. A repeated dose of an antipyretic agent can be taken only after the next rise in temperature to the level indicated above. In the case of this scheme, most patients are limited to taking 2 doses per day, which significantly reduces the risk of a possible overdose.

Do not use antipyretics in parallel with, because if the agent of the infectious process is sensitive to an antibacterial drug, the temperature returns to normal after 1-2 days, and antipyretics can make it difficult to evaluate effectiveness antibiotics .

During the treatment of fever, in case of detection malignant hyperthermia occurring with impaired microcirculation and spasm of skin vessels, additional therapeutic measures should be practiced (infusions antiplatelet agents , rubbing the skin, compresses, etc.), as well as urgently consult with your doctor.

At the entire stage of treatment, parents should give the child plenty of fluids (the drink should be warm or hot), ventilate the room in which the patient stays, monitor its humidity, temperature and cleanliness.

In case of fever, without other signs of colds, which is accompanied by pain syndrome in the abdomen, you must immediately call an ambulance. At the same time, the child does not need to be given any antipyretics, so as not to disrupt the clinical picture of diseases potentially life-threatening and requiring emergency care (for example,).

Antipyretic for newborns

Particular care must be taken when prescribing any children's medicines for newborns up to one month old, the weight of which is often so small that it does not allow the use of a standard dosage form, and undeveloped body systems are not able to fully remove excess substances.

Naturally, in the case of temperature readings of a medical thermometer in the range of 37-38 ° C, it is better to do without the use of any medications, however, at higher thermometer values, sometimes temperature medications for babies are simply necessary. In this case, a pediatrician, without whose advice it is strictly forbidden to use an antipyretic for infants, may advise using suppositories for newborns in the most minimal dosage from the temperature or dilute a small amount of suspension / syrup in a bottle with a drink.

For infants, children's antipyretic suppositories and other dosage forms can be prescribed only from the second month of life and under constant supervision by adults.

Dosage forms of antipyretics for children

Parents who give their child antipyretic drugs for children should remember that such therapy is purely symptomatic, aimed at alleviating one of the painful manifestations of the underlying disease, on the cause of which the determining treatment should be concentrated.

At high temperatures in children, antipyretics in any dosage form should be prescribed in dosages calculated primarily in accordance with the child's body weight, and then with his age (you need to pay attention to the age limits prescribed in the official instructions). So, for example, the recommended remedies for fever in a child at 2 years old may be contraindicated for children at 5-6 months. Also, the choice of a pediatric antipyretic should be based on the convenience of its use, the speed of action, the patient's individual susceptibility to the active ingredient of the drug, comorbidities and cost.

To date, the list of antipyretic drugs in various dosage forms intended for patients of any age category is quite wide (tablets, suppositories, capsules, syrups, powders, suspensions, etc.). Their composition is specially selected for children, and the release form for ease of use in accordance with the age of the child and its functionality.

Antipyretic candles for children

At this time, candles from high temperature for children up to a year and older are recognized as the safest medicinal antipyretic drugs. The rectal method of administering a suppository for children under 1 year old practically eliminates such side effects as nausea / , sometimes occurring when taking tablets, sweet suspensions, syrups and other oral dosage forms, and therefore therapy is more easily tolerated by the smallest patients. The onset of action of the suppositories is observed after approximately 40 minutes and lasts for approximately 4-6 hours.

Rectal administration of dosage forms is best done after emptying the patient's intestines. Some children's candles for temperature can be recommended to a child from one month of his life ( Efferalgan ), if they gain weight over 4 kilograms, but only in minimal dosages and under the supervision of a pediatrician.

Basically, they practice the use of antipyretic suppositories for children from 1 year old, starting from 3 months (,) in doses corresponding to body weight. For children from 1-2 years old, whose parents are wary of medicines based on chemical ingredients, therapy can be offered using homeopathic suppositories, also quite often prescribed by pediatricians to reduce fever.

Rectal suppositories, including as an active ingredient - paracetamol presented with drugs:

Candles Efferalgan in the minimum dosage can be prescribed from 1 month, candles from other manufacturers from 3 months of life. The maximum daily dosage for all suppositories of this group is calculated based on the ratio of 60 mg paracetamol per 1 kg of the child's weight. In 24 hours, you can use no more than 4 suppositories (every 6 hours) corresponding to age and body weight. The duration of antipyretic therapy is best limited to three days.

Rectal suppositories containing as an active ingredient ibuprofen presented with medicines:

All drugs in this group can be used only from 3 months of age. The maximum daily dosage for all these suppositories is calculated based on the ratio of 30 mg ibuprofen per 1 kg of the child's weight. In 24 hours, you can use no more than 3 suppositories (every 6-8 hours) corresponding to age and body weight. The duration of antipyretic therapy is best limited to three days.

Homeopathic rectal suppositories include components of various origins: conhe, plantago, hamomilla, dulcamara belladonna, homeopathic pulsatilla.

These suppositories are indicated for use in combination therapy of childhood respiratory diseases and have anti-inflammatory and antipyretic efficacy. Viburkol can be used from 6 months of age. To reduce fever, children from 6 months of age with medical thermometer readings over 37.5 ° C are prescribed the introduction of 1 suppository 4 times in 24 hours; at a temperature of more than 38 ° C - the introduction of 1 suppository 6 times a day. After normalization of temperature, treatment should be continued for another 3-4 days with the introduction of 1 suppository 1-2 times a day.

Suspensions and syrups for fever for children

Antipyretic suppositories for children from 3 years old are used less often, giving preference to liquid dosage forms, probably due to their faster action and taste.

Various antipyretic syrups, powders in granules in sachets for the preparation of oral solutions and ready-made suspensions mainly contain various flavoring additives and sugar. It is these "sweet" ingredients that help children swallow the medicine, but can also cause nausea or even vomiting, which will lead to a weakening or complete leveling of the effectiveness of the drug taken.

A large amount of sugar in some cases (or any sugar intolerance ) may be contraindicated for the child and therefore parents are obliged to carefully monitor how much it includes this or that drug.

The onset of action of liquid medicinal preparations, as a rule, is noted already after 20-30 minutes and lasts for 4-6 hours. Some drugs can be diluted with water, tea, milk, others are intended for internal use in their pure form.

Starting from the second month of life, according to the instructions (under constant supervision and with caution), the child can be given the same syrup Efferalgan , while the age limit for other similar drugs is most often 3 months ( , Nurofen , ), and sometimes even 6 months. The dosages of liquid medicines are also calculated based on the weight of the patient, and for their accurate measurement, a measuring container (spoon, cup or syringe) is always enclosed in secondary packages.

Liquid based medicines paracetamol :

syrup (30 mg / ml, 90 ml or 150 ml in a vial);
Panadol Baby suspension (120 mg / 5 ml, 100 ml or 300 ml in a vial);
suspension (120 mg / 5 ml, 70 ml or 100 ml in a vial);
syrup / suspension (120 mg / 5 ml, 50 ml or 100 ml in a vial).

In this group, from one month of life, children can take syrup Efferalgan and suspension , other drugs are indicated for prescription only from 3 months.

The average single dose of liquid paracetamol, depending on the weight of the child, varies within and 10-15 mg / kg in 3-4 doses per day. A maximum of 24 hours before the child can drink a suspension or syrup at a dose of 60 mg / kg. The interval between oral administration of any drug should be 4-6 hours. For accuracy and convenience of dosing, you should use the measuring container included in the kit for the selected drug. The duration of antipyretic therapy is best limited to three days.

Liquid preparations containing the active ingredient ibuprofen :

(100 mg / 5 ml, 100 ml or 200 ml in a vial);
Bofen (100 mg / 5 ml, 100 ml in a vial);
(100 mg / 5 ml, 100 ml in a vial).

All of these drugs can be used to treat children who have reached 3 months of age. Single dose liquid ibuprofen depending on the weight of the child, it ranges from 5-10 mg / kg in 3-4 doses per day. For a day, a child can take the drug at a maximum dose of 30 mg / kg.

The interval between oral administration of these medicinal products should be 6-8 hours. Convenience and accuracy of dosing is provided by the measuring container included in the kit for the selected drug. The duration of antipyretic therapy is best limited to three days.

Antipyretic tablets, capsules

Capsules and tablets for fever for children (including effervescent forms) are mainly indicated for use from 6 years of age. This age limit is associated with a rather impressive dose of the active ingredient contained in the solid dosage form and the inability to accurately measure the dosage by dividing the capsule or tablet into parts.

These dosage forms, as well as their liquid counterparts, can also include many different additional substances, which will certainly affect which temperature pills to choose for the treatment of a particular child. Before taking any remedy, parents should make sure that their child does not have allergic reactions on all its components, or start treatment with minimal doses.

The onset of action of solid drugs varies depending on their dosage form. Regular capsules and tablets begin to act in 20-30 minutes ( Nurofen , Piaron , paracetamol it varies within 200-500 mg in 3-4 doses per day. For ibuprofen - within 100-200 mg in 3-4 doses in 24 hours. The duration of antipyretic therapy is best limited to three days.

Overview of antipyretics

When choosing an antipyretic drug for the auxiliary treatment of children, the pediatrician and the child's parents should first of all be guided by its safety. Since common to all NSAIDs, including antipyretics, is the suppression of synthesis, which can cause their main negative effects ( stomach bleeding , erosion/ , aspirin asthma ), this issue must be approached with all responsibility.

Antipyretic drugs, the use of which is not recommended for children

As mentioned above, use drugs from the NSAID group based on (, Nimulid, , Nemulex , Nimid ), due to the excellent focus of their main action (anti-inflammatory efficacy), it is impossible to treat children.

Due to its toxicity, it is also necessary to exclude such substances from the list of children's antipyretics as and can even lead to the development Reye's syndrome .

Popular folk remedies for fever for children, used by many parents mainly in rural areas ( rubbing with vinegar or vodka , alcohol compresses , parka legs, etc.), should be used carefully and only if necessary, especially for infants. In addition to the fact that such folk remedies are ineffective in most cases, they can also harm the child, complicating the course of his underlying disease with toxic effects. ethanol or vinegar (in case of using an excessive amount), penetrating the body through the skin.

Thus, for clinical use in pediatrics in order to reduce temperature, excluding homeopathic, folk remedies and generally accepted recommendations, only drugs containing as an active ingredient remain suitable ibuprofen and paracetamol .

Conclusion

Although the strength of its antipyretic effect ibuprofen somewhat superior paracetamol , however, more frequent development of side effects when using it ( stomach bleeding , , erosion of the gastrointestinal tract , decreased renal blood flow etc.) puts this drug in second place.

Currently, the drug of choice for reducing fever in children is paracetamol .

Usage ibuprofen justified if the child is intolerant paracetamol or in its absence, in case of emergency, the use of an antipyretic agent.

We remind parents that any antipyretic drug for a child can be used only after consultation with a pediatrician and only in the age dosages prescribed by him. Repeated use of the dose of the drug recommended by the doctor is allowed no earlier than 4 hours after the first application. The duration of treatment is best limited to 3 days.

The underlying therapy should be aimed at combating the underlying disease that caused the fever ( SARS , flu etc.). In addition to the main treatment, all additional generally accepted measures (bed rest, heavy drinking, carrying medicinal herbs, cleansing enemas, reception) must be performed.

During periods of increased morbidity, you should prophylactically give your child safe and effective drugs to increase immunity (, etc.), and also harden his body.

The body of a newborn and infant is much weaker than that of an adult, therefore, an infection can cause him more harm. The disease must be treated immediately. Many parents are afraid to give their baby medicines, and for good reason, because if you violate the rules and recommendations on this matter, you can cause even more harm to the baby.

Features of antipyretic drugs

When an infection or virus enters the body, it immediately begins to fight it. This process can go unnoticed, but most often such a sign as an increase in body temperature indicates the ongoing struggle. If an adult is able to cope with this problem and can control his condition, in the case of small children, this phenomenon can be dangerous.

To correct the situation and alleviate the condition of the baby, you must first contact the clinic to the pediatrician. Based on the examination data, he will determine the direction of treatment and prescribe the necessary medications.

In almost every case, an antipyretic for newborns is included in the list of medicines. What are these drugs?

A feature of these drugs is their effect on the body: they interfere with the synthesis of prostaglandin E, which stimulates an increase in temperature to fight microbes. As soon as this process is stopped, the hypothalamus will immediately react and stop attacking the infection in such an aggressive way. For young children, medicines have a more gentle effect and are available in a form that is convenient for taking.

When to give medication

Even an adult needs to drink medicines only after simple methods of fighting the disease become ineffective. For a child, the turning point is a temperature of 38-38.5 degrees. Up to this point, you should not interfere with natural immune processes.

Antipyretic is usually given to infants at a temperature of more than 38.5 degrees. However, it is necessary to look at the condition of the baby in each case.

The fact is that human immunity provides for the ingress of pathogenic microorganisms that provoke various kinds of diseases and inflammations. In order to get rid of them, the body begins to produce antibodies, and also creates unfavorable conditions for the life of the infection. The thermoregulatory center in the brain, that is, the hypothalamus, receives a signal aimed at raising the temperature. It is at this moment that the most active phase of the fight against the disease begins. If the temperature is in the range of 37-38 degrees, you should not worry too much. If the indicators become more serious, then the disease is not so simple. It is at this moment that it is necessary to give the baby the prescribed means to normalize the condition.

If you start treatment late, when the temperature rises above 39 degrees, it will be more difficult to cope with the disease. In addition, such a fever is a sign of serious violations. With a sharp churning of heat, convulsions may occur.

Is it possible to do without medicines?

Since children are more susceptible to the constituent components of the drugs, maximum caution should be exercised during treatment. It is advisable to exclude the use of antibiotics and potent drugs. Sometimes you can do without taking antipyretics. How do you know if this is possible in a particular case?

First of all, you should monitor the condition of the child and follow the recommendations of the doctor. If the temperature does not cause much discomfort to the baby and does not exceed 39 degrees, you can temporarily leave the body alone and not interfere with it on its own to deal with the problem that has arisen. But as soon as you notice that the condition of the newborn is deteriorating, urgently take appropriate measures.

Instead of or together with antipyretics, auxiliary folk methods can be used. These include:

wiping with water;
compresses;
plentiful drink;
nettle decoction;
tea from the leaves of raspberries, lingonberries and currants;
Linden;
pear knot.

However, please note that not all components of the fees are suitable for newborns. Some ingredients may cause allergies.

If you choose an antipyretic for a newborn, keep in mind that at such an early age, the baby still cannot swallow the pill normally, so you need to select other means for him. For children under one year old, forms such as syrup or candles are most suitable. Special series of children's analogues of medicines are being developed to relieve fever and inflammation.

Speaking specifically about syrups, it is worth noting that they should be given if the baby can swallow the entire recommended dose. A huge plus is the pleasant taste of the syrup. It is most often sweet and has a pleasant smell, so there are no problems with its intake. But the negative point can be considered the fact that the composition of such drugs includes dyes and flavors. In fact, they do not pose a threat to the health of the child, but can cause allergies in case of individual intolerance.

The most successful option for antipyretic for babies are candles.

A more suitable option for all newborn babies is candles. They contain oils and active ingredient. There can be no foreign impurities, as in syrup, in candles. Plus, they're even easier to use.

As for the active substances and specific names of medicines, the following are allowed from antipyretics:

paracetamol (acetaminophen) - calpol, panadol, efferalgan;
ibuprofen - nurofen.

Particular attention should be paid to the compatibility of drugs and limitations associated with congenital or secondary diseases.

How to give medication

For the treatment of fever in a small child, candles are most often used. They may vary in the amount of active ingredient they contain, so read the instructions carefully. Using them is extremely simple: lay the baby on the tummy, and then gently insert the candle into the anus. To facilitate the process, it is recommended to additionally use baby cream or oil.

But with syrups, things are different. In order to give it to an infant or newborn, it is best to use a special pipette. With its help, the right amount of the drug is collected and poured into the baby's mouth. In any case, the reflexes will work, and he will drink the medicine. If your child can drink from a spoon, you can use it. Usually, a special measuring spoon or cup is included in the kit, or the recommended volume is indicated in the instructions.

What can not be done at a temperature

Since young children do not perceive the same medicines as adults, it is imperative to know what actions should never be performed. First of all, pay attention to the list of drugs and active substances that are categorically contraindicated for children under 12 years of age. First of all, these are:

acetylsalicylic acid (aspirin);
metamizole sodium (analgin);
nimesulide (nimesil).

Pay attention to the fact that babies are not recommended to give tablets, but you can prepare a suspension. If you urgently need to lower the temperature, consult a doctor. If necessary, they can give an injection of medicine and provide proper care for fever.

Particular attention should be paid to children with congenital pathologies, as well as problems of the central nervous system, respiratory and cardiovascular systems. If you control the condition of the child, complications should not arise. Most importantly, do not engage in self-treatment, because this can lead to complications.

An increase in temperature in an infant is almost always a signal of trouble in a small organism, the cause of which can be both a disease and a reaction to vaccination, teething. Antipyretic drugs will help to alleviate the child's condition at a high temperature.

Dosage forms of antipyretics for newborns

liquid form. It is represented by syrups and suspensions. Using a measuring spoon or the attached device with a piston, the drug is dosed.
Solid form. Candles (suppositories). They are selected depending on the dosage of the antipyretic drug.

Candles and suppositories are inserted into the child's rectum. Syrups and suspensions are administered orally, according to the dosage recommended by the doctor.

List of antipyretics for children under one year old

All modern antipyretics belong to a certain group according to the type of active substance. Good antipyretics include:

funds based on paracetamol (Efferalgan, Panadol, Paracetamol). They can be produced in the form of rectal tablets or suppositories, suspensions. Contraindicated in patients with diseases of the liver, kidneys, suffering from viral hepatitis, diabetes mellitus;
drugs that contain ibuprofen (Nurofen, Ibuprofen, Ibufen). Approved for use only from the third month of a baby's life. They can not be used for asthma, diseases of the liver, kidneys, hearing impairment, blood diseases, ulcers, gastritis;
homeopathic group of antipyretics (Viburkol). Presented in the form of rectal suppositories. Have no age restrictions. They can not be used in case of intolerance to the components.

Important! Antipyretic for a newborn (up to 1 month) from birth is prescribed exclusively by a pediatrician. Self-administration of the drug is dangerous with overdoses and the occurrence of side effects.

Antipyretic suppositories for newborns up to 1 year

The main advantage of antipyretic suppositories is the smaller number of side effects compared to the liquid form. Candles are absorbed through the rectal mucosa without affecting the digestive tract. Flavorings and dyes are added to syrups. This dosage form may cause an allergic reaction in infants prone to allergies.

Antipyretic suppositories based on paracetamol

Candles Cefekon D

Approved for use from 1 month of age.

children weighing 4 - 6 kg (child's age 1 - 3 months) - 1 suppository 50 mg;
infants weighing 7 - 12 kg (child's age 3 -12 months) - 1 suppository 100 mg

Apply no more than 3 times per day. The interval between doses is 4-6 hours.

Candles Panadol

At the age of a child up to a year, it is necessary to purchase suppositories with a dosage of 125 mg of paracetamol in one suppository. Allowed for children from 6 months in a dosage of one candle. It is allowed to put no more than 4 candles per day with 4-hour breaks. It is allowed to apply 5-7 days. Panadol has an analgesic and antipyretic effect.

Antipyretic suppositories based on ibuprofen

Candles Nurofen

It is used from the age of three months. One candle contains 60 mg of ibuprofen. It is allowed to use the drug after 6 hours.

children weighing 6 - 8 kg are prescribed 0.5 - 1 candle no more than 3 times / day;
if the weight of the baby is 8.5 - 12 kg, 1 suppository is prescribed no more than 4 times / day.

Suspensions and syrups for children from one month to 1 year

Often there is confusion with the name of liquid antipyretic drugs for children in terms of referring them to syrups or suspensions. Syrups are based on a concentrated aqueous solution of sucrose and / or its substitutes, and suspensions are a liquid medium in which particles of the active substance are distributed in a suspended state. Over time, with prolonged standing, these particles are able to settle to the bottom, so the suspension must be shaken before use. Both are sweet in taste, but in syrups, the sweetness is mostly due to sugar (most often sucrose), and in suspensions, sweeteners (for example, maltitol) and / or sweeteners, much less often sucrose. Sweeteners are able to be absorbed by the body, as they carry energy value, and sweeteners are substances that are not a source of energy, although they taste sweet. Therefore, if the child is prone to allergies, it is better to choose a product that does not contain sucrose.

Antipyretic suspensions based on ibuprofen

It is used from the age of three months. It is allowed to use the drug after 6 hours.

Suspension Nurofen

Analogues are Ibuprofen suspension, Ibufen suspension, Bofen suspension.

How to give:

infants 3-6 months old with a weight of at least 5 kg are prescribed 2.5 ml 1-3 times a day;
if the child's age is from 6 months to 1 year, 2.5 ml is used 1-4 times a day.

Antipyretic suspensions and syrups based on paracetamol

Children from 3 months to one year old can take 60-120 mg of paracetamol at a time. If the child has not yet reached three months, then the dose is calculated based on the weight of the child - 10 mg per kilogram. Do not use more than 4 times / day. Children under 3 months old used only after medical prescription.

Suspension Panadol

How to give:

with a body weight of 6-8 kg, 4 ml of suspension is prescribed;
8-10 kg - 5 ml of Panadol suspension.

Efferalgan syrup

The dosage is carried out with a measuring spoon, on which divisions are applied corresponding to the body weight of the child, starting from 4 kg and up to 16 kg with an interval of one kilogram. All even digits are indicated, while odd ones are divisions without a digit. Medicines must be taken as much as the child weighs. If the child has not reached 4 kg, the drug is not recommended.

Suspension Kalpol

The analogue is a suspension of Paracetamol for children.

At the age of three months to one year, give the child from 2.5 ml (child's body weight 4-8 kg) to 5 ml (child's body weight 8-16 kg) suspension. Contraindicated in children under one month.

Video: Komarovsky on antipyretics

Antipyretic drugs prohibited for infants

Combined tablet formulations containing ibuprofen and paracetamol (Ibuklin Junior tablets). They can be used for children over 3 years of age.
Analgin. It is not used for children. It can be used as part of a lytic mixture if it is not possible to lower the temperature for a long time by other methods. It is used only in extreme cases as prescribed by a doctor and in his presence.
Aspirin. It is absolutely impossible to use it to lower the temperature in children under 12 years old. The drug is dangerous with complications and the development of dangerous pathologies.

Important! It is strongly not recommended to deviate from age restrictions when choosing an antipyretic drug. The components in the composition of the drug can act in different ways than to provoke the appearance of side effects. For a developing organism, an ineptly selected antipyretic can cause irreparable damage.

Additional temperature reduction methods

Plentiful drink. The baby is often applied to the mother's breast.
Comfortable clothes. The child should not be wrapped up so as not to overheat further. However, it is not necessary to undress him completely.
The temperature in the room should be + 18 + 20 C;
If there is no vascular spasm, after consulting a doctor, the child can be wiped with warm water, but without vinegar in the composition!

With a slight increase in temperature of 37 - 37.5 C, you can do without antipyretic drugs. But seeing a pediatrician is a must. The doctor will determine the cause of the fever and the absence of concomitant diseases.

At what temperature to give an antipyretic to a child up to a year

Normal indicators of a child's body temperature from the first days of life vary between 37.0 - 37.5 C. After a few days, the indicators decrease to 36.1 - 37.0 C. The usual temperature of 36.6 degrees is set by the first year of the baby's life. The following numbers are considered normal:

36.0 - 37.3 C - in the armpit;
36.6 - 37.2 C - oral body temperature;
36.9 - 38.0 C - when measuring rectal temperature.

If, after vaccination or during teething, the child's temperature rises above 37.5 C, doctors recommend giving an antipyretic. Such a temperature after vaccination does not contribute to the development of immunity (as in the case of SARS), there is no positive effect from it. Therefore, you can give a safe antipyretic (according to age indications). At a subfebrile temperature (about 37.0 C), instead of a drug, it is better to do with the additional measures described below to reduce the temperature. If after vaccination there is no increase in temperature, then it is not necessary to give the baby an antipyretic just in case.

Read also: Lytic mixture for children in tablets and ampoules

Thermoregulation in the body of a newborn child works poorly, so the baby is very easy to overcool or overheat. Tight swaddling does not contribute to the child's adaptation to the natural environment; rather, on the contrary, it increases susceptibility to colds.

Ways to maintain normal temperature in infants

The air temperature in the room should be between 20 - 24 C.
In winter, dress the child one layer more than the adult. In summer, one less.
Make sure that at night the baby does not freeze. Cover with a blanket made of natural materials (sheepskin, wool, cotton) or use sleeping bags. They provide thermoregulation and retain heat well.
Maintain the same room temperature at all times. To do this, use a wall thermometer.
If the child is cold, the back of his head will also be cool. This is how they determine whether the baby is frozen.

Signs of high fever

Normally, the skin of a child has a pinkish tint. When the temperature rises, the baby turns red or turns pale. Becomes lethargic, moody, irritable. The body temperature during the measurement will be higher than normal.

Antipyretic drugs are given to the child at high rates - from 38.5 C. If the child's skin is pale and the body temperature is elevated, but below 38.5 C, drugs are given to lower the temperature to prevent the occurrence of seizures.

Important points when taking antipyretic drugs:

Only the attending pediatrician can prescribe an antipyretic for a newborn child.
It is recommended to bring down the temperature if it is above 38 °.
Strictly follow the instructions, observe the doses of the drugs.

On the topic of temperature in newborns:

What is the normal temperature for a newborn?
How to measure the temperature of a newborn (what thermometer and where to measure: in the mouth, under the arm, rectally)

Medicines for newborns for temperature are available in the form of syrups, suspensions, solutions and rectal suppositories.

Daleron. Suspension. Dosage: up to 3 months. - 10 mg, 3-12 months. - 60-120 mg. You can not take more than 4 times a day. The time between doses of the drug is 4 hours. The maximum duration of administration is 3 days.
Dolomol. Suspension. Dosage: 1-3 months. - determined by the doctor, 3-12 months. - from 2.5 to 5 ml. Drink at least 1 hour after eating. Drink plenty of liquid. Take 4 times a day at intervals of 4 hours. The maximum duration of admission is 3 days.
- Dolomol Candles. Dosage: 3-6 months. - 80 mg 5 times a day, 6-12 months. - 80 mg per day 2-3 times. The daily dose is a maximum of 4 grams.

ibuprofen. Candles. Dosage: 5.5-8 kg - 1 supp. per day 3 times, 8-12.5 kg - 1 supp. per day 4 times. The interval between doses is 6 hours. Not desirable for children under 3 months. The duration of admission is 3 days.
Ibufen. Suspension. Dosage: 7-9 kg - 2.5 ml (50 mg). Take after meals, no more than 3 times a day. The minimum time between doses is 6-8 hours. Shake the bottle before use. The drug is not recommended for children weighing up to 7 kg.
Ifimol. Solution. Dosage: up to 3 months. - 10 mg, 3-12 months. - 60-120 mg. Take at intervals of 4 hours, no more than 4 times a day. The duration of admission is 3 days.
Kalpol. Suspension. Dosage: 3-12 months. - from 2.5 to 5 ml. Newborns up to 1 month don't want to give. Drink after meals, at least 1 hour later. Drink plenty of water. The dosage recommended per day is 3-4 times with a 4-hour interval. The duration of application is 3 days.
Nurofen. Suspension. Dosage: 3-6 months. (not less than 5 kg) - 2.5 ml (1-3 times a day), 6-12 months. - 2.5 ml (1-4 times a day). To accurately calculate the dosage, use the instructions and a measuring spoon. Give a maximum of 4 times a day. The duration of admission is 3 days. If children 3-6 months. after taking the drug there is no improvement within a day, you need to contact your pediatrician.
- Nurofen Suppositories. Dosage: 6-8 kg - 0.5-1 supp. (maximum 3 times a day), 8-12.5 kg - 1 supp. (maximum 4 times a day). The interval between applications is 6 hours. It is not advisable to put children under 3 months old. and body weight up to 6 kg. The duration of admission is 3 days.

Panadol for children. Suspension. Dosage: 6-8 kg - 4 ml, 8-10 kg - 5 ml. It is not recommended to give more than 3-4 times a day. Children up to 3 months. only prescribed by a doctor.
- Panadol children's Candles. Dosage: up to 3 months. - 10 mg, 3-12 months. - 60-120 mg. Put a maximum of 4 times a day with a 4-hour interval. Can be used 5-7 days.

Paracetamol for children. Syrup. Children 3-12 months. give 2.5 - 5 ml 3-4 times a day. The frequency of admission is 4-6 hours. Take the drug before meals. It is allowed to add to water and give through a bottle. Children up to 3 months. give only as prescribed by a doctor. It is not advisable to use up to 1 month.
- Paracetamol for children Suspension. Toddlers 1-3 months. - about 2 ml, and 3 -12 months. - 2.5-5 ml. Daily intake - 3-4 times. Give undiluted, always before meals. Drink water. 4 hours - the minimum time between doses. Babies up to 1 month old Not recommended.

Tylenol. Suspension. Dosage: up to 3 months - the doctor sets, 3-12 months. - 2.5-5 ml. Take no more than 4 times a day. Children up to 1 month. contraindicated. The duration of admission is 3 days.
- Tylenol Solution. Dosage: 3-6 months. (up to 7 kg) - 350 mg, 6-12 months. (over 10 kg) - 500 mg. Maximum 4 times a day, after meals. Children under 1 month old drug is not recommended.
- Tylenol suppositories. Dosage: 3-6 months. - 160 mg in two doses, 6-12 months. - 80 mg 3 times a day. Apply no more than 4 times a day. Babies up to 3 months do not put.

Cefekon D. Candles. Dosage: 4-6 kg (1-3 months) - 1 supp. (50 mg), 7-12 kg (3-12 months) - 1 supp. (100 mg). Apply 2-3 times a day. The time between applications is 4-6 hours. Children up to 1 month. Not recommended. The duration of admission is 3 days.
Efferalgan. Syrup. A measuring spoon is included with the syrup, into which the amount of syrup is collected, which corresponds to the weight of the child. Take a day no more than 3-4 times. Between doses, the minimum time is 4-6 hours. The maximum period of use is 3 days. Newborns weighing up to 4 kg syrup is not recommended.
- Efferalgan Solution. Dosage: up to 3 months. - 10 mg, 3-12 months. - 60-120 mg. Take no more than 4 times a day with a 4-hour break. The duration of admission is 3 days.
- Efferalgan Candles. Dosage: up to 3 months. - 10 mg, 3-12 months - 60-120 mg. Use 4 times a day. 4 hours is the minimum interval between applications. The duration of admission is 3 days.

Additional proven methods

You can try to bring down the temperature without the help of drugs or just alleviate the condition of the child. A few proven public measures over the years:

Plentiful drink. The more liquid there is, the better the child will sweat, thereby bringing down the temperature in a natural way. If the child still cannot be drunk with raspberry tea, then apply it to the chest more often.

Comfortable temperature. It is not necessary to dress the child “warmerly”. It would be better to undress him, covering him with a diaper.

Wet rub. The main thing is not to overdo it with the cold, so that there are no vasospasms. And even more so, no vodka compresses that can cause poisoning.

Prohibited drugs

Video about which antipyretics can be given to children, and which ones cannot?

To relieve fever in newborns, it is forbidden to give drugs that do not include paracetamol or ibuprofen: phenacetin, analgin, amidopyrine, nimesulide, antipyrine, acetylsalicylic acid. These funds are dangerous to the life of the child, because. can cause severe damage to the liver and circulatory system.

And the best medicine for a newborn is mother's breast milk, her love and care.

Video: "Antipyretics"

When a child has a temperature, mothers should know exactly when it is possible to knock it down, what antipyretic drugs exist for children, in what dosage and form they are safe to take. To date, Paracetamol is the safest drug for reducing fever in children; it is available in various forms - suppositories, suspensions, syrups, tablets.

Further, a non-steroidal anti-inflammatory drug (NSAID) - Ibuprofen, is allowed for use in children, it is more effective and brings down the temperature for a long time, since it has a prolonged action, respectively, this drug has more contraindications and possible side effects.

Among modern NSAIDs, Nemisulide (granules for suspension Nimesil, Nemulex, suspension Nimulide) has recently been widely used, but it is contraindicated for children due to the lack of sufficient studies. Its use is possible only for children over 12 years of age and only as directed by a doctor.

What form of antipyretic drug to choose?

The variety of forms of preparations for temperature for children can puzzle parents - in what form is it better to take antipyretics? First of all, you should be guided by the age of the baby, as well as a possible tendency to allergies, it also matters how quickly this or that form of the drug works, take into account the active substance.

Syrups, liquid mixtures, chewable tablets - take effect in 20-30 minutes
Candles - act after 40 minutes, but they are more effective and just perfect if the child refuses to take the medicine or feels sick, vomiting occurs from taking the liquid. Candles should be administered after a bowel movement and preferably at night.
Chewable tablets, as well as sweet syrups, are not suitable for all children, the presence of various chemical additives and flavors in them can cause allergies. In addition, even the active ingredients of antipyretics themselves can provoke an allergic reaction, so you should be very careful when taking any remedy for the first time.

Any antipyretic for a child should be used only after consulting a pediatrician. Before using any drug, you should clarify the dosage according to age, and also study the instructions. It is possible that the attending physician can change the dose of the drug according to indications. Re-administration of the medicine is possible no earlier than 4 hours after the first dose, provided that the temperature exceeds 38.5 ° C and the child is difficult to tolerate it.

It should be remembered that antipyretic therapy is symptomatic, and only alleviates the condition of the child, and the basis of therapy should be the treatment of the disease that caused the fever.

Overview of all antipyretics for children

In pediatrics, the following forms of antipyretics are used - antipyretics for children:

Paracetamol - analogues of Panadol, Kalpol, Efferalgan, Dofalgan, Tylenol, Meksalen, Dolomol. A single dose of paracetamol reduces the temperature by 1, maximum 1.5 C and only for 4 hours, with severe fever and up to 2 hours, the possibility of increased sensitivity in a child to paracetamol is also not ruled out.
Ibuprofen - analogues of Ibufen, Nurofen, it is less safe, but more effective.
Viburkol - homeopathic remedy
It is forbidden to use as an anesthetic and antipyretic for children - Aspirin (that is, Acetylsalicylic acid), Amidopyrine, Antipyrine, Analgin, Phenacetin and other preparations based on them.
Among folk antipyretics for children, parents often use rubbing with alcohol or vinegar. These are very dangerous methods that cannot be used for infants and children under 3 years of age, since babies intensively absorb through the skin and this is fraught with alcohol, toxic poisoning of the child.
Plentiful drinking helps to alleviate the child's condition at a high temperature, it can be diversified with freshly squeezed diluted juices, cherry, orange, cranberry juice is especially useful (see how to make natural cranberry juice), lingonberry juice, raspberry jam, various collections of medicinal herbs.

Paracetamol children's has an antipyretic and analgesic effect, in diseases accompanied by high fever - with influenza, SARS, colds, otitis media, teething.
Contraindications: in the neonatal period (up to 1 month, up to 3 months with caution), hypersensitivity to the drug. Use with caution in Gilbert's syndrome, diabetes mellitus, liver and kidney failure, viral hepatitis.
Side effects: itching, rash, angioedema, anemia, methemoglobinemia, thrombocytopenia.
Overdose symptoms: after taking higher doses, nausea, vomiting, impaired liver function, pallor of the skin, lack of appetite may occur in a day.

Paracetamol suspension

Suspension - from 1 month of a child's life
The average price in pharmacies is 50 rubles

1-3 months - 50mg or 2ml
3 m-1 year 60 - 120mg or 2.5-5ml
1-6 years - 120-240 mg or 5-10 ml
6-14 years - 240-480mg or 10-20ml

It should be taken undiluted before meals, then washed down with water, no more than 4 r / day with a break of 4-6 hours.

paracetamol syrup

Syrup - from 3 months
The average price is 90-100 rubles

3 m - 1 year - 0.5-1 tsp or 2.5-5 ml
1-6 years - 1-2 teaspoons or 5-10 ml
6-14 years - 2-4 teaspoons or 10-20 ml

As well as the suspension inside before meals 3-4 r / day every 4-6 hours, for infants, the syrup is added to a bottle of water.

Panadol suspension

The average price is 90-100 rubles.

6-8 kg 3-6 months - 4 ml
8-10 kg 6-12 months - 5 ml
10-12 kg 1-2 years - 7 ml
13-15 kg 2-3 years - 9 ml
15-21 kg 3-6 years - 10 ml
21-29 kg 6-9 years - 14 ml

The dosage is determined by the weight of the child 15 mg per 1 kg 3-4 r / day, the suspension bottle should be shaken before taking the drug

Panadol suppositories

The price is about 80-90 rubles.

Suppositories Panadol can be used for children from 3 months - 3 years
every 4-6 hours
no more than 3 r / day
rectally 1 suppository

Efferalgan syrup

Price 90-100 rubles.
For children weighing from 4 kg to 32, in a measuring spoon there are special divisions from 4-16 kg, can be used from one month to 12 years, diluted with milk, water, juice or without adding liquid.

Efferalgan candles

6-8kg 3-5 months 1 suppository 80 mg
10-14kg 6 months-3 years 1 suppository 150 mg
20-30kg 4-10 years 1 suppository 300 mg

Cefekon D

Price 40-50 rubles.

4-6 kg 1-3 months 1 suppository 50 mg
7-10kg 3m-1year 1 candle 100 mg
1-3 years 1-2 suppositories of 100 mg
3-10 years 1 suppository of 250 mg

A single dose is calculated based on the weight of the child 10-15 mg / kg with an interval of 4-6 hours no more than 2-3 r / day

Kalpol suspension

Price 90 rubles.

3-12 months 60-120mg or 2.5-5ml
1-6 years 120-240mg or 5-10 ml

It is taken 1.5-2 hours after a meal, washed down with water, the suspension should not be diluted.

ibuprofen- used as an antipyretic in cases where paracetamol causes an allergic reaction or is ineffective.
Contraindications: allergic rhinitis, urticaria, allergic cough or bronchial asthma caused by taking NSAIDs or acetylsalicylic acid, children under 3 years old, with blood diseases, impaired liver and kidney function, ulcerative lesions of the gastrointestinal tract, hearing loss.
Side effects: diarrhea, vomiting, nausea, stomach pain, allergic manifestations - urticaria, rash, itching, bronchospasm, insomnia, headache, dizziness, hyperexcitability, cystitis, impaired renal function, anemia, leukopenia, thrombocytopenia.
Overdose symptoms: lowering blood pressure, headache, abdominal pain, metabolic acidosis, tachycardia, acute renal failure, vomiting, tinnitus.

Homeopathic medicine Viburkol, is used for any respiratory diseases in children, it is a multicomponent drug that has anti-inflammatory and antipyretic effects as part of complex therapy. The composition of the product includes: konghe, hamomilla, pulsatilla, belladonna, dulcamara, plantago. Contraindications and side effects can only be caused by hypersensitivity to the components of Viburkol in the form of allergic reactions.

Types of fever in children

Fever in children, depending on the level of hyperthermia, may not proceed in the same way. Therefore, doctors distinguish 2 types of fever - Pink and Pale.

With rose fever, it is not always necessary to take antipyretic drugs.

In this state, heat transfer corresponds to heat production, that is, at the same time, the body responds adequately to the course of elevated temperature and the child feels relatively normal. The skin of the child is pink or slightly hyperemic, it is warm and moist to the touch. In such cases, the use of antipyretics is not justified. With such an unburdened premorbid background, if there is no 39C, drugs should be refrained from, and physical methods of cooling should be used - drinking plenty of water, the temperature in the room should not be higher than 19C, open the child and wipe it with a towel dipped in water at room temperature (see how to bring down the temperature without drugs).

pale fever

Pale hyperthermia is when a child has a pallor of the face and skin, there is a significant chill, cold hands and feet. Heat transfer with increased heat production is inadequate, since the peripheral circulation is disturbed, in this case the prognosis for the further course of the fever is unfavorable, and in this case it is necessary to bring down the temperature. In this case, the child needs to take not only antipyretic drugs, but also antihistamines (a list of all allergy pills) and vasodilators. The child should be wrapped up, put on socks.

When should a child be given antipyretic drugs?

During acute viral and infectious diseases, high temperature is an indicator of increased immunity in the fight against a virus or bacteria, the higher it is, the more effectively the body fights, the maximum amount of antibodies against pathogens is produced. Therefore, if the child more or less tolerates its increase, it is better not to bring down the fever.

Children under 3 months if body temperature exceeds 38C
Healthy children older than 3 months, if the temperature exceeded 39C, accompanied by headache, muscle and joint pain
Children with heart or lung diseases after consultation with a cardiologist if the temperature is over 38.5C
In children with a history of febrile convulsions, a temperature of 37.5 - 38C is an indication for taking antipyretics.

Even taking the safest antipyretic for a child like Paracetamol in suppositories or suspensions, you should know certain rules, follow the instructions clearly, do not exceed the dosage and frequency of administration, and also follow all the prescriptions of the attending physician.

Antipyretics should not be used without consulting a doctor, especially in children under 3 months of age.
Paracetamol is used in children only to reduce the temperature of 38-39C, but not as an anesthetic.
The standard dosage of Paracetamol is considered to be 10-15 mg/kg for oral administration, and the daily dose should not exceed 60 mg/kg.
Paracetamol in suspensions, syrup acts faster than in tablets and suppositories, therefore, in case of emergency, it is better to use it in solution.
A second dose of the drug is given only with a new jump in temperature up to 38-39C, usually more than 2 times a day, admission is not required. You can not use antipyretic drugs, regardless of the temperature, several times a day, so "just in case."
The duration of admission should not exceed 3 days without further consultation with a doctor.
Children taking antibiotics should not be prescribed antipyretic drugs, because after 1-2 days it is normal (with the sensitivity of the infectious agent to this antibiotic).
If, in addition to the temperature, the child has a stomach ache and there are no cold symptoms, you should urgently call a doctor or an ambulance, do not give any antipyretics, as this can distort the clinical picture in a disease requiring emergency care, for example, appendicitis.
If severe hyperthermia and spasms of the skin vessels develop, an antipyretic should be given, the child's skin should be rubbed to redness and an urgent doctor should be called.

Call a doctor immediately

if, in addition to the temperature, the child has convulsions
vomiting or diarrhea
breathing is slow, labored, or too fast
if the baby is not drinking enough fluids
developed a skin rash
if the child shows signs of dehydration - bad breath, infrequent urination, the child does not have tears
if he is lethargic and sleepy
hemorrhages appeared on the body
after some improvement, the child's condition worsened.

Many new parents get lost and panic if their child has a high fever. In order to act correctly in such a situation, you need to know what antipyretics for children exist, how safe they are and in what dosage they should be used.

Pediatricians say that it is not always necessary to bring down the temperature, because this is how the body fights infectious agents. And often the unjustified use of medicines can only delay the course of the disease. Let's find out in which cases the use of drugs is necessary, and what drugs can be given to babies in order to bring down the high temperature.

All viral and infectious childhood diseases that occur in an acute form are accompanied by fever. This is how the body copes with the disease by producing antibodies to infectious agents. Pediatricians say that if the child tolerates the temperature normally, then it is not worth giving antipyretics. But, on the other hand, hyperthermia can provoke convulsions in a child and cause serious complications.

Parents need to know that there are several stages of fever:

Subfebrile (37-38°). With such indicators, it is not necessary to bring down the temperature. Thus, the body signals that the immune system is fighting infectious agents.
Febrile (38-39°). When the thermometer stops at these marks, it is necessary to monitor the condition of the baby. If he behaves calmly, is not capricious, it is not worth bringing down the temperature. But when the condition worsens, and the child becomes lethargic, complains of a headache, you need to help him and give him medicine.
Pyretic (39-41°). This temperature must be brought down necessarily, otherwise complications are possible that affect the nervous system and threaten the occurrence of seizures.
Hyperpyretic (above 41°). This is a dangerous condition that threatens the life and health of the child. With such a high temperature, you must immediately call an ambulance.

At what temperature should you give an antipyretic to a child?

To help parents, special recommendations have been developed explaining in which cases it is necessary to give the baby drugs to relieve fever:

their use is mandatory in children under 3 months with an increase in body temperature up to 38 °;
babies from 3 months old should be given medicine if the temperature has exceeded 39 ° and is accompanied by headache and muscle pain;
children with pathologies of the respiratory and cardiovascular systems can be given medicine only after consulting a doctor and at a temperature above 38.5 °.
if the child's condition is complicated by febrile convulsions, antipyretics can be given already at a temperature of 37.5-38 degrees.

In any case, when a temperature appears in a child, it is necessary to call a doctor who will select the optimal treatment regimen and a safe antipyretic drug.

Forms of antipyretics: what to choose?

On the shelves of pharmacies are a variety of forms of drugs designed to reduce the temperature. Which one is the safest and fastest to help a sick child? When choosing a medicine, first of all, you need to take into account the age of the baby, pay attention to the active substance and the speed of its therapeutic action.

For the youngest patients, it is preferable to give the medicine in the form of a syrup, which usually has a pleasant fruity taste and has a quick curative effect. With individual intolerance to the components of the syrup, the child will be prescribed antipyretics in the form of rectal suppositories. Older children can already be given medicine in the form of chewable lozenges or tablets. How quickly the antipyretic will act depends on the form of release:

Syrups, potions, chewable lozenges are the fastest acting remedies. After taking them, the temperature drops after 20-30 minutes.
In second place are rectal suppositories and tablets. Their action is manifested after about 40 minutes. Suppositories for a child should be placed after a bowel movement.

Parents should be aware that syrups and chewable tablets are not suitable for every child, since they contain flavorings, dyes, sweeteners and other chemical components that can cause allergic reactions. Therefore, it is impossible to independently select an antipyretic agent for a child. The pediatrician should prescribe the drug, taking into account the individual characteristics of the baby and the severity of the condition. The specialist will recommend the optimal dosage of the medication and explain how to take it correctly.

The list of antipyretics for children is not as extensive as for adults. The most popular and safe drugs are ibuprofen and paracetamol. They are produced by many pharmaceutical companies in a wide variety of dosage forms and under different names. A short review of the drugs in this group will help you make the right choice.

Good, effective antipyretics for children - a detailed list

Paracetamol-based drugs include:

Paracetamol (children);
Panadol;
Efferalgan;
Meksalen;
Tylenol;
Kalpol

Paracetamol

Medication from the group of non-narcotic analgesics and antipyretics. It exhibits antipyretic, analgesic and weak anti-inflammatory effect. After taking the prescribed dose of medication, the temperature decreases by 1-1.5 degrees. The therapeutic effect of the drug lasts for 4-6 hours.

Paracetamol is prescribed for acute respiratory viral infections, influenza and other colds, is used in the treatment of otitis media and during the period of eruption of milk teeth. Means based on paracetamol are not prescribed in the first month after birth and are used with extreme caution up to 3 months of age. Taking the medication can cause allergic reactions, changes in blood counts, and if the recommended doses are exceeded, overdose symptoms (nausea, vomiting, lack of appetite) are possible.

For the smallest patients, it is recommended to take a suspension or syrup of Paracetamol. The drug is given to the child before meals, in the dosage prescribed by the doctor. The dose of the medicine depends on the age and weight of the child. The suspension should not be diluted, and the syrup can be added to a bottle of water and given to the baby. The drug can be given no more than 4 times a day, every 4-6 hours. The duration of treatment is not more than three days. The average cost of children's forms of Paracetamol is from 50 to 120 rubles.

Panadol

Children's forms of the drug are produced in the form of a suspension and rectal suppositories and are prescribed to babies from 3 months. The dosage of the suspension is calculated individually and cannot exceed 15 mg of the drug per 1 kg of the child's weight. Shake the vial with suspensions before taking the medicine.

Multiplicity of application - 3-4 times a day. Panadol suppositories are used every 3-4 hours, but not more than 3 times a day. The cost of Panadol varies from 80 rubles per candle to 130 rubles per suspension. Panadol is the best antipyretic drug for children, because it does not cause fluid retention in the body and does not provoke the development of edema.

Efferalgan

The drug for the treatment of children is produced in the form of syrup and suppositories. The package with syrup is equipped with a convenient measuring spoon that allows you to dose the medicine. The syrup can be given to babies from 1 month. The drug can be diluted with milk, juice or water.

Efferalgan suppositories contain different concentrations of the active substance and are selected according to the weight and age of the child. In addition, pharmaceutical companies produce effervescent powder Efferalgan, which, when diluted with water, forms a drink with a pleasant fruity taste. This form of the drug is recommended for children from 2 years of age. The average cost of Efferalgan is 100-120 rubles.

A drug based on paracetamol, which is produced for small patients in the form of rectal suppositories. This remedy is prescribed to reduce the temperature during colds and after vaccination.

It can be used starting from 4 weeks. The drug provides antipyretic, analgesic and anti-inflammatory effects. The price of Cefekon is from 50 rudders.

Another children's handicap of the drug containing paracetamol. The medicine is recommended to be taken 1.5-2 hours after eating. The suspension should not be diluted, the child should swallow it and drink it with water. Calpol is approved for use from 3 months. Many people prefer this drug for the speed of therapeutic action and a minimum of side effects. The price of Calpol starts from 85 rubles.

Paracetamol-based drugs are most effective against viral infections, and pediatricians often prescribe ibuprofen medications to combat microbial infections. The most popular ibuprofen-based products are:

ibuprofen

For children, this drug is produced in the form of rectal suppositories, which are applicable at the age of 3 months to 2 years. Ibuprofen-based medicines are used for individual intolerance to paracetamol or the ineffectiveness of treatment with these drugs. Ibuprofen belongs to the group of non-steroidal anti-inflammatory drugs and has quite a few contraindications and side effects.

Therefore, such drugs can be used in children only as directed by a doctor. Among the side effects may be nausea, vomiting, bronchospasm, skin rashes, itching, dysfunction of the urinary system and blood counts. The drug can have a negative effect on the liver, so you should not make a decision on the treatment of a child with Ibuprofen.

Nurofen

The most popular drug of the ibuprofen series. For children, it is available in the form of a suspension and suppositories. The suspension has a pleasant strawberry flavor, so children drink the medicine with pleasure. Nurofen is distinguished by the speed of therapeutic action, helps to bring down the temperature and alleviate the condition of the child with a wide variety of cold infections.

However, taking the drug can irritate the delicate mucous membrane of the intestines and stomach and cause diarrhea, abdominal pain, and vomiting in the child. The dose of syrup is calculated taking into account the age and weight of the child, suppositories are administered rectally at intervals of 6-8 hours. Nurofen can be prescribed to children from three months. The price of candles is about 110 rubles, the syrup costs a little more - from 120 rubles.

Suspension with antipyretic and anti-inflammatory action, which can be prescribed to children from 12 months. The dosage of Ibufen and the frequency of use depends on the condition of the child. If the temperature does not rise above 39°, you can give the dose prescribed by your doctor up to 4 times a day.

If the baby has a strong fever and the temperature rises above 39 ° Ibufen can be used no more than 2 times a day. Before use, the suspension is shaken and given undiluted to the child. The price of the medicine starts from 90 rubles.

Motrin

The children's form of the drug in the form of a suspension is approved for use from 2 years. This tool helps to quickly reduce the temperature and relieve headaches and muscle pain. The drug is capable of provoking allergic reactions, skin rashes. Sometimes taking Motrin causes abdominal pain, intestinal disorders, headache attacks, vomiting, nausea.

All antipyretic drugs for children must be selected in accordance with the age and weight of the child and taking into account other factors: the clinical picture of the disease, general condition and possible contraindications. Therefore, a specialist should prescribe drugs and select the optimal dosage.

Antipyretics for children: appointment by age

Antipyretic drugs for children up to a year. Paracetamol-based preparations can be used in children from 1 month. The child should be examined by a pediatrician and correctly calculate the dose of the medicine, avoiding overdose and the associated unpleasant consequences.

Antipyretics for children based on ibuprofen are allowed for use only from the age of three months. In infants under one year old, an increase in temperature may be associated not only with an infectious disease, but also with the eruption of milk teeth or with a reaction to a vaccine.

Therefore, the question of prescribing the drug can only be decided by a specialist. Up to 6 months, it is better to use antipyretics in the form of rectal suppositories, in the future - to give the medicine in the form of a suspension or syrup.

Antipyretics for children from 1 year

For babies older than 12 months, you can prescribe drugs based on paracetamol and ibuprofen, choosing the most optimal form of medication. So, for children prone to allergic reactions, it is best to prescribe antipyretic drugs in the form of rectal suppositories.

The same form is chosen in cases where, due to severe pain in the throat, it is difficult for the child to swallow. If a baby is diagnosed with a viral infection, paracetamol-based drugs are prescribed, and with a pronounced inflammatory process and pain syndrome, preference is given to ibuprofen medicines.

Antipyretic drugs for children from 3 years. At this age, the child can already be given medicine for fever in the form of chewable lozenges or tablets. Syrups, potions or suspensions are also relevant. Children take them with pleasure, because they have a pleasant fruit or berry taste and do not cause rejection in babies. In addition, such drugs are easy to dose, as a special measuring spoon is included in the package. If the child needs to be given medicine in a tablet, it is pre-crushed and dissolved in water, milk or tea.

Antipyretics for a child from 6 years. At this age, preference is given to tablet forms, since the dosage of syrup or suspension involves taking a large amount of the drug. Therefore, to achieve the desired therapeutic effect, it is much easier to swallow the pill. If the child suffers from a sore throat, you can pre-crush the tablet and dilute it in a small amount of liquid. Starting from the age of 12, children can already be given antipyretics in the same dosage as adults.

When do you need to urgently call a doctor?

High fever is a dangerous condition that can indicate the development of serious complications. Therefore, parents should carefully monitor the well-being of the baby and immediately call an ambulance if symptoms such as slow and difficult breathing, convulsions, vomiting or diarrhea appear. Signs of dehydration (bad breath, infrequent urination), lethargy, drowsiness, hemorrhages on the body or rash may indicate a deterioration in the condition.

If the child does not have cold symptoms, and fever is accompanied by severe abdominal pain, antipyretics should not be given, as this can distort the clinical picture and make it difficult to diagnose appendicitis.

Antipyretic candles for children from 0 months. The most effective antipyretic drugs for children. Indications for the use of antipyretic drugs in children

List of antipyretics

Additional proven methods

Prohibited drugs

What antipyretic drugs are best for newborns

Antipyretics for children with teething

Antipyretic for infants after vaccination

Antipyretic drugs for newborns with angina

What is better for babies: antipyretic suppositories or syrup

Antipyretic for newborn children with allergies

How to reduce the temperature in a baby with folk remedies

Antipyretic for an infant: Komarovsky

Indications for the use of antipyretic drugs in children

Upper limits of normal body temperature of a child depending on age

Types of fever in children

pale fever

rose fever

Common therapeutic measures

Recommendations for the use of antipyretic drugs in children

Antipyretic for newborns

Dosage forms of antipyretics for children

Antipyretic candles for children

Suspensions and syrups for fever for children

Antipyretic tablets, capsules

Overview of antipyretics

Antipyretic drugs, the use of which is not recommended for children

Conclusion

Features of antipyretic drugs

When to give medication

Is it possible to do without medicines?

How to give medication

What can not be done at a temperature

Dosage forms of antipyretics for newborns

List of antipyretics for children under one year old

Antipyretic suppositories for newborns up to 1 year

Suspensions and syrups for children from one month to 1 year

Video: Komarovsky on antipyretics

Antipyretic drugs prohibited for infants

Additional temperature reduction methods

At what temperature to give an antipyretic to a child up to a year

Ways to maintain normal temperature in infants

Signs of high fever

Additional proven methods

Prohibited drugs

Read more on the topic of temperature treatment:

Video: "Antipyretics"

What form of antipyretic drug to choose?

Overview of all antipyretics for children

Types of fever in children

When should a child be given antipyretic drugs?

Call a doctor immediately

At what temperature should you give an antipyretic to a child?

Forms of antipyretics: what to choose?

Good, effective antipyretics for children - a detailed list

Paracetamol

Panadol

Efferalgan

ibuprofen

Nurofen

Motrin

Antipyretics for children: appointment by age

Antipyretics for children from 1 year

When do you need to urgently call a doctor?