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Analgin from temperature: children's dosage

Analgin is a very popular pain reliever that also has the ability to lower body temperature if it is elevated. Previously, this medication was often used for fever in both adults and children, but now the opinions of doctors and parents about its safety for babies have changed. Is it possible to bring down the temperature of a child with Analgin and in what dose is it permissible to give this drug to a small patient?

Are children given?

The annotation to Analgin notes the possibility of using such a drug from the age of three months, however, in practice, babies up to one year old are prescribed this remedy only if there are serious indications. This means that it is strictly forbidden to give the drug to a baby who is not yet a year old without a pediatrician's prescription.

A child over a year old is allowed to use the medication in candles with an appropriate dosage (for children). The solid form can be used in children who can swallow a pill without any problems. Most often, such a remedy is prescribed for a child aged 6 years and older. As for injections, they are in demand in pediatrics only in situations where the temperature is critically high.

Contraindications to the use of Analgin at a temperature in children are:

  • Intolerance to the drug.
  • Problems with hematopoiesis.
  • Renal failure
  • Severe liver pathologies.
  • Acute abdominal pain (before diagnosis).

Treatment with Analgin requires special attention and supervision of the doctor if the patient has allergic diseases, trauma, bronchial asthma or low blood pressure. For any ailments, for example, bleeding or inflammation of the oral mucosa, the medication is immediately canceled.

In what cases analgin can be used for children, you will learn from the following short video. The popular pediatrician E.O. Komarovsky.

How does it work at high temperatures?

The active ingredient in Analgin is sodium metamizole. In such a compound, the property is noted to interfere with the conduction of pain impulses, due to which the medication is especially in demand for pain. It is often taken for headache, toothache, muscle pain, or other severe pain. It is prescribed after surgery, with burns, radiculitis or injuries.

Like other drugs from the group of non-steroidal anti-inflammatory drugs, which include Analgin, this drug also has an antipyretic effect. This causes its use at elevated temperatures, if it is a symptom of pneumonia, acute respiratory viral infections, bronchitis and other pathologies.

Taken orally, Analgin is absorbed very quickly. The approximate time for the onset of action of this form of medication is 20-30 minutes after administration. The onset of action of the injection form is observed 10-20 minutes after the injection. The effect of the drug lasts for 4 hours or longer.

Dangers and contraindications

Used to lower the temperature in children, Analgin can provoke the following side effects:

  • Allergy, up to anaphylaxis.
  • Pronounced prolonged hypothermia.
  • Fainting.
  • Decrease in blood pressure.
  • Inhibition of the production of leukocytes, which leads to inflammatory and infectious complications.

The negative effect of the medication on the body of some children is sometimes fatal. That is why, in the treatment of babies, Analgin is used extremely rarely and mainly one-time, when safer medicines are not available.

If the dosage of Analgin is exceeded, the child develops drowsiness, vomiting, shortness of breath, tachycardia, abdominal pain and other signs of poisoning.

An unnecessarily large dose negatively affects kidney function, can provoke seizures, a sharp drop in pressure, hemorrhages and other dangerous symptoms. In many cases, children with an overdose require hospitalization and serious treatment.

In what forms is it produced

Analgin happens:

In tablets. Usually they are round white tablets in jars or blisters of 10 pieces or more. The dosage of metamizole in 1 tablet is 500 mg, and talc, calcium stearate, povidone and other compounds act as auxiliary substances in such a solid form.

In rectal suppositories. These are bullet-shaped suppositories of white color with a yellowish or creamy shade. They are packed in 5 pieces in one blister and are sold 10 pieces in one pack. Each suppository can contain 100 mg or 250 mg of active ingredient, supplemented with solid fats.

In ampoules for injections. Such a liquid preparation has a concentration of 25 or 50% and is available in 1 and 2 ml ampoules. The pack can contain 5-10 ampoules. This form of Analgin is used intramuscularly or injected into a vein. In addition to metamizole, ampoules contain only sterile water.

Instructions for use

It is advised to give the drug at a temperature in children with indicators above +38.5 degrees. Although sometimes it is necessary to bring down the temperature below this figure, for example, with the risk of seizures.

Since the medicine has a negative effect on the gastric mucosa, drink the tablet form for fever is advised during meals or immediately after meals.

Before introducing a candle to the child, it is worth doing an enema, as this will improve the effect of the treatment. The suppository is gently injected into the small patient's anus, after which the child needs to lie in bed for at least 30 minutes.

Analgin injections for children under one year old should only be intramuscular. It is unacceptable for the medication to get under the skin or inside the skin, since this method of administration will cause an inflammatory reaction or irritation. Intramuscular injections are also acceptable at home. The drug is injected into the muscle tissue of the shoulder or thigh, as the injection into the buttocks can cause the drug to enter under the skin.

Intravenous administration of Analgin is performed only in a hospital, where you can monitor the heart rate, respiration and blood pressure. The solution is injected very slowly, and the child should be in a supine position during the injection.

Analgin from temperature: children's dosage

The amount of the drug in injections or tablets for children under 8 years old is calculated by weight, multiplying the baby's body weight in kilograms by 5 or 10 mg. This is how the daily dosage is calculated, and since the frequency of use of Analgin in children is 2-3 times a day, it is divided into 2-3 doses.

A single dose of the drug at 2-3 years of age is usually 50-100 mg of metamizole, at 4-5 years old - 100-200 mg, and at 6-8 years old - 200 mg. For children 8-13 years old, from 250 to 300 mg of the drug is taken at one time, and at the age of 14 and older, a single dosage can be increased to 500 mg.

Suppositories are used at the age of 3-12 months, half a candle per day. For children 1-3 years old, it is permissible to inject 1 candle 1-2 times a day, and at 4-7 years of age - one candle per day with a dosage of 250 mg or 1 candle with a dosage of 100 mg 2-3 times a day. For a child over 8 years old, suppositories are used in an amount of 1 to 3 pieces during the day.

The duration of the use of Analgin at high temperatures should not be more than 3 days. If you need to continue treatment, you should consult a doctor and have a blood test.

Use together with other drugs

Analgin should not be given at the same time as other pain medications, as this will increase the toxic side effects of the drugs.

Combination with other antipyretics (eg, Paracetamol) increases the risk of collapse and hypothermia.

If you combine metamizole and barbiturates, the antipyretic effect will decrease, and the addition of the drug with sedatives or tranquilizers, on the contrary, will enhance its effect.

When the drug is used together with antidepressants or allopurinol, its toxic effect will increase.

The injectable form should not be combined in the same syringe with any other drugs. It is permissible to mix it only with a glucose solution or saline solution.

Analgin treatment increases the effectiveness of glucocorticoid hormones (prednisone, dexamethasone and others). The same interaction is noted in the treatment of hypoglycemic drugs and indirect anticoagulants.

To quickly reduce the temperature in a child, a combination of Analgin with Diphenhydramine is often used, to which Papaverine is sometimes added. An alternative version of such a mixture, called lytic, is the combination of metamizole with the drugs No-shpa (replaces Papaverine) and Suprastin (replaces Diphenhydramine). The use of an antipyretic drug together with Diphenhydramine is especially in demand in case of "white" fever.

If a child has intestinal, biliary or renal colic, Analgin is prescribed in an injectable form, combining the medication with any antispasmodic (Papaverine, Drotaverin).

How to buy and store

To buy medicine for your child at the pharmacy, you must first get a prescription from your doctor. It is important to keep the drug at home in a place away from small children at a temperature not exceeding 25 degrees Celsius. The shelf life of suppositories is 3 years, and of solution for injections or tablets - 5 years. In this case, the opened ampoule is allowed to be stored for no more than 15 minutes.

Reviews

Doctors speak of Analgin for children as an antipyretic medication, only as a quick-acting and temporary way to bring down a high temperature. Pediatricians, including Dr. Komarovsky, are more inclined to use less dangerous drugs, such as Paracetamol, for fever in babies. They allow the use of Analgin if other non-steroidal drugs are ineffective or are not available in the home medicine cabinet, and the situation is critical.

Among the advantages of Analgin, mothers often call the availability and low price of such a medicine, as well as the pronounced effect when using it. They note that the remedy quickly helps at temperatures, and if given rarely, it does not have any negative effects on the child's body. As for the cons, parents consider them a high risk of side effects, such as hypothermia.

What can be replaced?

To reduce high fever in children, instead of Analgin, drugs containing paracetamol are most often used:

  • Suppositories or Panadol suspension.
  • Syrup, suppositories, tablets or suspension Paracetamol.
  • Candles or Efferalgan syrup.

Also effective antipyretic analogues of metamizole approved for children are ibuprofen and nimesulide. In the treatment of a child over 3 years old, you can also use the combined agent Ibuclin containing both ibuprofen and paracetamol.

You will learn more about analgin from Komarovsky's transfer in the next video.

Watch the video: What is Metamizole (July 2024).