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Health

High temperature medication

, medical expert
Last reviewed: 23.04.2024
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It must be said that febrile temperature is a symptom at which it is necessary to call the doctor to the house, and not to sit in a queue in the clinic. What to do if the temperature does not go astray 38-39.5 and at the same time the patient's well-being deteriorates markedly? Definitely, to call the ambulance, and the doctors in the emergency room will already help, take the necessary tests, prescribe treatment.

If it was possible to lower the temperature before the arrival of the doctor or the arrival of the ambulance, it is necessary to clearly tell the doctors when the temperature appeared, to what extent it rose and how long it kept in such a state. But in order for the fever to recede, it is often necessary to take certain measures, so the question of how to reduce the temperature of 38-39.5 degrees is on the agenda, if the patient's condition worsens, and ambulance is still on the way?

Medications that help normalize a person’s body temperature are called antipyretic drugs. The most popular in this regard are: the antipyretic "Paracetamol" and drugs from the group of NSAIDs "Ibuprofen", "Acetylsalicylic acid", "Nimesulide", as well as their analogues.

Among the analogues of Ibuprofen, Nurofen, Ibuprom, Ibufen, Solpaflex are most often used to combat fever and fever.

Popular drugs based on paracetamol: "Panadol", "Efferalgun", "Solpadein", "Kalpol", "Tsefekon".

Preparations of acetylsalicylic acid, which are suitable for lowering the temperature: "Aspirin", "Aspirin-Ups", "Upsarin-Ups". These drugs are used less frequently due to the negative effects on the gastrointestinal mucosa and some recent research by scientists who have advanced the theory that aspirin contributes to the development of cancer, making cancer cells more resistant to the action of drugs.

Antipyretic and anti-inflammatory drugs based on nimesulide: Nise, Nimesil, Nimulid. Such drugs are also less popular drugs of paracetamol and ibuprofen, because they are taken with pain syndrome and inflammation, and not as an antipyretic.

There are also quite common due to advertising the combined drugs for heat and pain: “Askofen”, “Copacil”, “Rinza”, “Grippostad”, “Citropack”, “Ibuklin”, “Next”, which help relieve several symptoms of colds and often act faster and stronger than single-component agents.

How to bring down the temperature of a child at home?

For these purposes, paracetamol-based preparations, which are considered the safest for babies, are best suited, preferring forms in the form of syrups, mixtures, and rectal suppositories. So the children's version of the drug "Paracetamol" is represented by a suspension, suppositories and syrup. "Panadol" is produced in the form of suspensions and candles. Efferalgan has such forms of release for children as a suppository and syrup. "Cefecon" can be used for the treatment of children in the form of candles, and "Kalpol" in the form of a suspension.

Second on the list of recommended treatment for children are drugs based on ibuprofen. These are “Nurofen” in the form of suspension and suppositories, “Ibufen” syrup, and also “Ibuprofen” suspension and children's suppositories.

Most of the above drugs can be used to treat children from 1-3 months, which is considered quite acceptable at a temperature of 38-38.5-39-39.5 degrees, which could not be knocked down by other non-drug methods. Suspension on the basis of nimesulide "Nise" is allowed only from 2 years of age. But aspirin drugs in the form of tablets - only from 4 years, and then with great caution (there is evidence that there is a risk of developing Reye's syndrome, characterized by acute liver failure and encephalopathy).

If the use of alternative remedies and drugs does not produce an effect, and the temperature continues to rise, a combination injection of Dimedrol and Analginum (2 ml of each drug), which emergency doctors often turn to, can help. There are 2 more variants of the lytic mixture, which will help to quickly bring down the resistant temperature:

  • Analgin, No-Spa, Suprastin
  • Analgene, papaverine, and diphenhydramine

All drugs are taken in ampoules in equal proportions (1 ml). In this combination, they give the fastest possible effect of reducing the temperature, while not separately used for these purposes.

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Low heat and fever medications

As we see, there is no shortage of drugs for treating fever in adults and children. It used to be treated mainly with acetylsalicylic acid and paracetamol tablets. Now the choice of drugs has expanded, and such a form of release, like rectal suppositories, has appeared so convenient for use in children and pregnant women.

Consider some of the most popular drugs based on paracetamol, acetylsalicylic acid and ibuprofen: Paracetamol, Ibuprofen, Copacil, Ibuklin.

"Paracetamol" - one of the most popular drugs used to reduce body temperature. Most of us are accustomed to tablets with such a name, convenient for the treatment of adults, but in nature there are also children's forms of medicine. Although they are somewhat more expensive, they are still more convenient if you need to bring down the temperature of a small child who is unable to swallow a pill. Moreover, it is much more convenient to dose such drugs than to use pills crushed into powder.

Tablets are designed to treat patients from the age of 3, provided that they can swallow this release form without chewing. A single dose of paracetamol for patients over 12 years old - 325-500 mg (not more than 1500 mg), the frequency of taking the medicine - 3-4 times a day.

Children older than 9 years of age per day should take no more than 1500-2000 mg of paracetamol with a frequency of 4 times a day, and kids 3-6 years old - no more than 1000-1500 mg (250-325 g per dose).

Take the pill whole (or half a tablet) after meals with plenty of fluids.

"Paracetamol" in the form of a suspension can be given to children from 1 month before meals in pure form, after which the child is given some water. Newborns up to 3 months for the reception give 2 ml of suspension, babies up to a year - 2.5-5 ml. Children 1-6 years old should take 5-10 ml of the drug, and children under 14 years old - 10-20 ml.

The frequency of taking the medicine is prescribed by a doctor and does not depend on the age of the child (3-4 times a day). But we must bear in mind that the maximum dose of the drug per day should not exceed 60 mg of paracetamol (2.5 ml of suspension) for each kilogram of the patient's body weight.

Paracetamol syrup is recommended for use from 3 months of age. The dosage of the drug is identical to the suspension. Patients older than 12 years can take medicine in a dosage of 20-40 ml. The multiplicity of reception remains the same.

Rectal suppositories, as well as suspension, are allowed for use from the second month of a baby’s life. For children under 6 years of age, a single dose is calculated as 15 mg of paracetamol for each kilogram of child's weight. The daily dose should not exceed 60 mg per kg of body weight.

For convenience, suppositories are available in different dosages: 80 (baby weight 4-6 kg), 170 (baby weight 8-12 kg) and 330 mg (for children weighing up to 24 kg).

Doctors do not recommend using suppositories if there are inflammatory diseases of the rectum. For other forms of the drug, the main contraindications are hypersensitivity to the components of the drug and severe kidney pathologies or baking with a violation of the functionality of the organs. Syrup and suspension additionally contain sugar, so it is undesirable to give them to children with diathesis and babies with hereditary disorders of glucose metabolism.

The most popular, although infrequent side effects of the drug, are allergic reactions of varying severity. Also possible are: disorders of the blood, renal colic and inflammation of the glomerular system of the organ, urine pus (pyuria), increased excitability or, on the contrary, drowsiness, nausea and epigastric pain (for peroral forms), slight depression of the heart.

“Ibuprofen” is a non-steroidal anti-inflammatory drug that is available in almost everyone’s home medicine chest, though mostly in the form of tablets. Given the multiple indications for use, it can be called almost universal budget medicine.

At a temperature of 39-39, 5 degrees, the drug is used for no more than 3 days. Patients over 6 years old are prescribed 1 tablet of the drug 2-3 times a day with an interval of 6 hours (no more than 3 tablets per day). Adolescents over 12 years old and adult patients can take medicine with an interval of 4-5 hours. In this case, a single dose can be increased to 2 tablets, daily - up to 6.

For children, the drug is available in the form of suspensions and candles. Suspension can be prescribed from 6 months, suppository - from 3 months to 2 years.

For infants up to one year, the suspension is prescribed in a single dose of 2.5 ml, babies under three years old should be given 5 ml of the drug, up to 6 years old - 7.5 ml, up to 9 years old - 10 ml per reception. Take the medicine you need 3 times a day.

The dose for adolescents 9-12 years old is 15 ml with the same frequency of administration and limiting the treatment of fever to 3 days.

Rectal suppositories “Ibuprofen” are prescribed to the children up to 9 months one three times a day, and older ones - 4 times a day with an interval of at least 4-6 hours.

Contraindications for ibuprofen drugs will be greater than for paracetamol. In addition to increased sensitivity to the components of the drug, it is a stomach ulcer and duodenal ulcer, ulcerative colitis and other inflammatory bowel diseases (especially for suppositories), some visual and hearing impairment, liver cirrhosis, liver and kidney function disorders, aspirin asthma. As well as edema syndrome, lack of potassium in the body, severe heart failure, any types of bleeding and bleeding disorders.

The use of the drug may be accompanied by nausea, vomiting, abdominal pain, the appearance of heartburn and other unpleasant reactions from the gastrointestinal tract. As well as headaches, hearing loss, sleep disturbance, drowsiness or increased excitability, impaired kidney and heart work, allergic and local reactions.

It must be said that despite the severity of some side effects of ibuprofen, taking the drug is very rarely accompanied by undesirable reactions, for which the medicine is loved by doctors.

Copacil is a combination drug to reduce the temperature in adult patients. It is produced in the form of tablets and contains 3 active ingredients: acetylsalicylic acid, paracetamol and caffeine with their characteristic effects and contraindications.

The drug in the form of tablets to combat fever and fever should be taken after meals. Single dose for patients older than 16 years - 1 tablet. The multiplicity of reception 2-3 times a day. The minimum interval between doses is 4 hours. The duration of treatment is not more than 3 days.

The drug can not be used with hypersensitivity to its components, gastric ulcer and duodenal ulcer, bleeding from the gastrointestinal tract, blood clotting disorders, severe liver and kidney diseases, when the functionality of the organs is markedly reduced. Contraindications are also severe heart failure and serious diseases of the cardiovascular system, acute pancreatitis, prostatic hypertrophy, glaucoma, epilepsy, alcohol abuse.

The side effects of Copacil are medications that contain aspirin and paracetamol. This is irritation of the gastrointestinal mucosa, which can aggravate gastric and intestinal ulcers, increase asthma attacks in asthmatics, a slight increase in blood pressure, rapid pulse, increased activity of liver enzymes, decrease in blood sugar, bleeding of different localization due to a decrease in blood viscosity, sleep disorders, the development of acute renal failure. Allergic reactions are also possible, including bronchospasm, angioedema, anaphylaxis.

Ibuklin is a multicomponent drug based on two most effective and temperature-safe medicinal substances: ibuprofen and paracetamol. The drug is available in pill form, but has separate forms for adults and children. Children's tablets are easily dissolved in water, forming a suspension, and attract children fruit and berry flavors.

"Adult" pills need to be taken orally, not crushing, but squeezed with plenty of water. This should be done in between meals, continuing the treatment for no more than 3 days.

A single dose for patients older than 12 years is 1 tablet containing 400 mg of ibuprofen and 325 mg of paracetamol. Adults per day can take no more than 3 tablets, adolescents - no more than 2.

Children's tablet "Ibuklina" ("Ibuklin Junior") contains smaller doses of active substances: 100 mg of ibuprofen and 125 mg of paracetamol. This form is designed to treat a temperature of 38-39.5 degrees in children over two years of age. In this case, the tablets themselves must be dissolved in 1 tsp. Water (5 ml).

Children 2-3 years old can be given no more than 3 tablets, and children 4-5 years old no more than 4 tablets per day. The maximum dosage for children 6-8 years is 6 tablets, and adolescents up to 14 years can take up to 8 tablets per day. The daily dose should be divided into 3-4 doses, i.e. Children 2-5 years old should take 1 tablet per dose, and the older guys 2 tablets each.

Contraindications to taking the drug are hypersensitivity to any of its components, gastric and duodenal ulcers (especially in the acute stage or in the presence of bleeding in the gastrointestinal tract), severe pathologies of the liver and kidneys, bronchial asthma, recurrent polyposis of the nose, optic nerve disease, coagulation disorders and some other blood diseases. As well as disorders of glucose metabolism, hyperkalemia, inflammatory bowel disease, etc.

Side effects of the drug are varied, but they develop relatively infrequently. Taking pills can be accompanied by discomfort and pain from the gastrointestinal tract, headache, sleep and vision disorders, changes in blood composition, allergic reactions, increased blood pressure, rapid pulse, the appearance of shortness of breath and edema, some decrease in sugar and hemoglobin in the blood. Malfunctions of the liver and kidneys are observed mainly with long-term medication (more than 5 days, which are allowed for the treatment of pain).

All the above drugs are not prohibited during pregnancy, but to use them during this period should be especially careful, preferring the single-component "Paracetamol" and "Ibuprofen" in the minimum effective doses. The greatest caution should be observed in the first and third trimester of pregnancy.

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