How to properly choose fever-reducing drugs for children
1.Acetaminophen
Note: safer, can always be at home
That is, paracetamol, is currently one of the most commonly used fever-reducing drugs in pediatric clinics, is a relatively safe antipyretic. The effect of fever reduction is rapid, less adverse reactions, you can always have at home. Representative drugs Pediatric Paracetamol Drops, Children’s Paracetamol Oral Liquid. Tylenol drops, Tylenol suspension
2.Ibuprofen
Note: Suitable for children over 6 months old and adults for antipyretic and analgesic
Ibuprofen is also one of the most commonly used antipyretic drugs in pediatric clinics, safe and efficient, with obvious antipyretic and analgesic effects, less side effects, and less gastrointestinal irritation than acetaminophen. The representative drugs are Merlin, Torn oral solution, Foll suppositories (for anal plugging)
3.Compound aminopyrine
Note: Forbidden for infants and young children, caution for older children
Also known as Amineptine, is an injection is one of the most commonly used strong antipyretic drugs in clinical practice. Potentially induce acute hemolytic anemia, the risk of rash and other side effects. If the injection dose of this product will make the child sweat too much, the body temperature drops suddenly, easily cause deficiency.
4.Anacin
Note: There is a cross allergic reaction with aspirin.
The antipyretic effect of Anacin is obvious and rapid, but the side effects are also very obvious, individual patients allergic to the drug, and even shock or even death. Therefore, it is only used for emergency fever reduction when there is no other antipyretic drug available for acute high fever and serious illness. At present, 27 countries have banned or restricted the use of Anacin, but some local hospitals in China are still using it, which deserves a lot of attention.
Fever is a common symptom in pediatric patients, and parents often ask the following small questions in clinical work.
1.Do I need to add 0.5 degree to the anal temperature?
Theoretically, the anal and ear temperatures can best reflect the body temperature, but the ear temperature is influenced by the instrument (different manufacturers), the ambient temperature, the measurement method and other factors that can not be as true to the body temperature as the anal table. However, the anal table is not convenient to use in practice because it is inconvenient to operate and children do not cooperate with it. Other than the axillary temperature or mouth temperature measured by the axillary thermometer than the anal temperature, so the measured value should be added “0.5” in order to compare with the fever standard (anal temperature), such as axillary temperature 38.5 ℃, that is, the equivalent of anal temperature 39 ℃, should promptly take antipyretic drugs to lower the temperature treatment.
2.How many degrees of fever to take antipyretic medicine?
Children’s growth process, fever is one of the more frequent diseases. Pediatric fever body temperature (anal temperature) 37.8 ℃ ~ 38 ℃ for low fever, 38 ℃ ~ 39 ℃ for medium fever, more than 39 ℃ for high fever, more than 41 ℃ for ultra-high fever.
If the body temperature does not exceed 38℃ generally do not rush to reduce the fever, especially before a clear diagnosis is made. If the fever is reduced blindly it may cover up the condition and interfere with the diagnosis of the condition. When the body temperature reaches 39℃ (anal temperature) or more, the fever should be reduced under the guidance of a doctor.
Doctors recommend: children with a body temperature of no more than 38.5 ° C, should not take antipyretic drugs, but should choose physical cooling methods, such as ice, antipyretic paste, etc. 39 ° C (anal temperature) or more only under the guidance of a doctor to take antipyretic drugs.
3.Adult antipyretic drugs for children to eat in half
The child has a fever, there is no special fever medicine for children at home, some parents will reduce the adult fever medicine by half for children to eat. If a child has a fever, it is best to take fever-reducing medication for children, and the medication for children should be calculated in strict accordance with scientific methods. Because each child’s height and weight is different, the general adult medicine stated “half for children” or “1/6 for children aged 1 to 2 years old” and other measurement methods are not accurate, which can easily delay the condition and even cause adverse reactions after taking. If children take adult fever reducers, they are likely to sweat all over and suffer from deficiency.