Tablets "Nurofen" for children
Nurofen can be called one of the most popular drugs prescribed for fever and to reduce pain. For the youngest patients, Nurofen is made in the most convenient forms for use in babies. These are rectal suppositories used in infants older than 3 months to two years of age, as well as a sweet suspension, which is prescribed for children from 3 months to 12 years.
However, the dosage in such forms of Nurofen is designed for children of the first years of life, therefore, as one grows older, one candle is not enough for a child, and a single dose of syrup becomes very large. In such situations, rescues tableted drug. At what age is it given to children when such tablets are required in pediatrics, and at what dose are they advised to use if the child is sick?
Release form and composition
Nurofen tablets can be found in two versions of the package - in silver boxes and orange boxes, which contain the inscription "from 6 years old." Both of these drugs are white tablets of small size with a round shape. On the one hand, their sweet shell has a black Nurofen inscription.
The composition of the tablets is the same - the main component is ibuprofen at a dose of 200 mg. Sodium citrate and sodium lauryl sulfate, as well as stearic acid, croscarmellose sodium and silicon dioxide are added to it to form the core of the drug. For the manufacture of shell used sucrose, macrogol 6000, acacia gum, talc, titanium dioxide and carmellose sodium.
Tablets are placed in blisters of 6, 8, 10 or 12 pieces, and in one pack can be from one to eight blisters, so for sale there are silver packaging containing from 6 to 96 tablets. As for Nurofen in orange boxes, there is only 1 blister with 8 pills inside such a pack.
Operating principle
Ibuprofen contained in tablets blocks cyclooxygenase enzymes, which disrupts the formation of substances that cause an increase in body temperature, inflammation and the conduction of pain impulses - prostaglandins. Due to this effect, the drug has an anti-inflammatory effect, pain relief and fights fever.
The pills taken inside start to act after about 45-60 minutes, when their active ingredient enters the blood and accumulates in the maximum amount.
After binding with protein molecules, it is transferred to the site of inflammation and other organs, where it exerts its action. Drug metabolism takes place in the liver, therefore dysfunction of this organ can affect the treatment with Nurofen. The removal of the drug depends on the normal functioning of the kidneys, since a large part of ibuprofen leaves the children's body with urine.
Indications
This drug is prescribed:
- With fever, the cause of which is ARVI, flu or other infection.
- In case of pain resulting from injury, stretching, contusion, inflammatory disease.
- With headaches and migraines.
- With myalgia, neuralgia, as well as with toothache.
From what age is prescribed?
As noted on the orange-colored Nurofen tablets, this medicine is permitted for children over 6 years of age. The instruction also clarifies that this drug in the shell is used only with a weight greater than 20 kilograms.If a six-year-old child weighs less, it is better to give him a suspension, calculating its dosage by weight of the body.
Tablets in silver boxes also have an age limit of up to 6 years.
Both versions of the medication are not used in babies of the first years of life, because they contain a dosage that will be effective only for patients older than six years, and a smaller dose is required for small children. In addition, a child of 7 years and older is already able to swallow a pill and does not protest against such a dosage form.
Contraindications
Nurofen tablets are not prescribed not only to patients under six years of age. but also in such cases:
- If a high level of potassium is detected in a baby’s blood test or a coagulogram shows unfavorable changes in blood clotting.
- If the organs of the digestive system of a small patient have erosive or ulcerative changes.
- If bleeding from the stomach wall, cerebral vessels or other localization has begun.
- If the patient does not tolerate ibuprofen or another component of the tablets.
- If the baby has been diagnosed with a serious illness of such important organs as the kidneys, liver or heart.
- If a child has an allergic reaction to acetylsalicylic acid or other anti-inflammatory drugs of the group of nonsteroidal drugs.
- If a child does not tolerate fructose, his body lacks enzymes (sucrase, isomaltase), or he has glucose-galactose malabsorption.
In addition, with many pathologies, Nurofen treatment requires the supervision of a physician. Such diseases include bronchial asthma, diabetes, anemia, systemic lupus erythematosus and other diseases.
Side effects
The drug can cause the following side effects:
- Rash, runny nose, skin inflammation, redness and other manifestations of allergies.
- The digestive tract of some children reacts to receiving Nurofen by nausea, discomfort or pain in the stomach and other symptoms of irritation of the gastrointestinal tract.
- In children with asthma, Nurofen often provokes the aggravation of this disease.
- Sometimes treatment with pills causes insomnia or headaches.
- In very rare cases, the drug worsens blood formation, inhibits kidney function, causes swelling and other negative reactions.
Instructions for use
Reception scheme:
- The drug give the child to swallow and drink regular water. To reduce the risk of negative effects of Nurofen on the digestive system, taking the pill is recommended during or immediately after a meal.
- A single dosage for patients over 6 years old is one tablet, and children over 12 years old can be given 2 tablets at once, but the maximum dosage for patients 6-18 years old is 4 tablets per day.
- The drug is usually prescribed three times with a break between doses of 8 hours, but if necessary, Nurofen can be given 4 times a day, that is, every 6 hours. Breaks less than six hours between two pills are not recommended.
- Regarding the duration of treatment, it is important to know that Nurofen tablets are discharged only as a short-term treatment of symptoms such as pain and fever. Typically, this medication is used only 1-3 days to eliminate the symptoms. If after 2-3 days of reception improvements are not observed, you should consult with your doctor.
Overdose
Too high a dose of Nurofen can affect the digestive tract (cause dyspepsia symptoms, pain or even bleeding), the nervous system, kidneys, liver and other organs. In the most severe cases of overdose in a small patient, see cyanosis, weakening of breath, convulsions and other dangerous symptoms. Symptomatic remedies are used in treatment, as well as forced diuresis (a lot of drinking, so that ibuprofen leaves the child’s body more quickly).
Interaction with other drugs
Abstract tablets pills a fairly large list of drugs that should not be combined Nurofen or treatment should be with caution. These drugs include nimesulide, cyclosporine, caffeine, antacids, ketorol, some antibiotics, diuretics, and many other medications. Some of them interfere with the action of ibuprofen, others - increase the side effects.
Therefore, if a child takes any medication, this must be taken into account before giving the patient a Nurofen tablet.
Terms of sale
As well as children's Nurofen in candles and suspensions, the tablet preparation can be obtained without any difficulties at any pharmacy, since it is a non-prescription medicine. The average price of 8 tablets for children is 100-110 rubles, and 10 tablets in a silver box - 80-90 rubles.
Storage features
Keep Nurofen tablets at home must be out of the reach of children. It is also important that the drug is not affected by fever (it should be no higher than +25 degrees) or humidity. Medicine with an expired shelf life of 3 years from the date of release is unacceptable in the treatment of children.
Reviews
There are many positive reviews about the treatment with Nurofen pills for children, which confirm the high efficacy of this drug. According to parents, the drug quickly helps with headaches, reduces fever, eliminates pain in the joints, muscles, back and so on.
Adverse drug reactions are rare and they are often represented by negative symptoms of the gastrointestinal tract or allergies. The size of the tablets is small, and their shell is sweet to the taste, so with the ingestion of such Nurofen in most patients, problems are not observed.
One of the main disadvantages of the drug is that parents call it cost, which is why they often prefer cheaper counterparts.
Other types of Nurofen in tablets
Let us examine them in more detail.
"Nurofen Forte"
In such tablets in the shell ibuprofen is contained in a dosage of 400 mg each, so the drug is allowed in pediatrics only from 12 years. Like the usual Nurofen, Forte is represented by round white tablets, but the inscription on one of the sides of such a medicine is red and there is 400 next to the word Nurofen. There are 6 to 24 tablets in one package.
The indications for taking Nurofen Forte are the same as for applying Nurofen tablets. Possible negative effects on the children's body, a list of contraindications, symptoms of overdose and storage characteristics of these drugs also coincide.
The only difference is the dosing regimen, since Nurofen Forte can be given to children over 12 years old by one tablet no more than two times a day.
"Nurofen Express Neo"
Such a preparation in a coated tablet contains ibuprofen in the same dose as the tableted Nurofen - 200 mg in each tablet. One package of this type of Nurofen includes from 6 to 24 round-shaped tablets with the inscription N >> on one side. It is also available in capsules and gel, as well as in tablets with double the amount of the main ingredient (forte).
The main feature of the Express Neo tablets, as their name implies, is a faster action. It is due to the form of ibuprofen, in which this substance is contained in the preparation. This is sodium dihydrate, which is absorbed faster, so the anesthetic and antipyretic effect develops already 30-35 minutes after taking the pill.
The drug is allowed to apply in children from 12 years of age.
Preparations "Long" and "Multisimptom"
The main difference of these types of Nurofen is the presence in the tablets of the second active ingredient - paracetamol. In the preparation "Long", he added 500 mg dose to 200 mg ibuprofen.
Paracetamol is less (only 325 mg) in Monsympt tablets, and ibuprofen dosage is doubled (to 400 mg per 1 tablet).
Both drugs are contraindicated up to 12 years and are used mainly for pain syndrome, but can be prescribed in a feverish state.
Nurofen Plus
This type of Nurofen is also two-component - in its composition, in addition to ibuprofen in the amount of 200 mg, in 1 tablet there is codeine, the dosage of which is 10 mg in each tablet. The drug is different capsule form and the inscription N + on one side. In one pack of this medicine is from 2 to 48 such tablets.
Due to the presence of codeine the analgesic effect of the drug Plus is stronger, therefore, such a remedy is needed after injuries, with toothache, with the treatment of neuralgia, with migraine, with rheumatic pains and in some other cases. Since codeine is an opioid analgesic, Nurofen Plus is sold by prescription and is not given without a doctor’s prescription. In childhood, the drug is contraindicated in patients younger than 12 years.
Analogs
The most popular analogue of Nurofen, often bought instead of such tablets, since its cost is somewhat lower, is Ibuprofen. It is also available in coated tablets containing 200 or 400 mg of the main substance.
Depending on the dosage, this medication is prescribed for children over 6 years old and over 12 years old. In addition, Ibuprofen has forms for younger children (suspension, candles), so it can also replace Nurofen for children.
Other solid form preparations based on ibuprofen, appointed instead of Nurofen, are “Deblock”, “Mig 400”, “Nebolin Caps”, “Faspik” and others. They are represented by tablets or capsules and are able, depending on the dosage, to fully replace the tablets Nurofen or “Nurofen Forte”.
In addition, in case of fever or severe pains, the doctor may recommend other medicines that can lower the temperature and eliminate painful sensations. These include "Efferalgan"," Next ","Voltaren"," Analgin "," Perfalgan ","Nise"," Panadol ","Ibuklin», «Diclofenac», «NimesilAnd many other drugs.
However, it is not recommended to give them without examining the child and prescribing a pediatrician, because their basis are different active ingredients, and the contraindications and age limits of such medicines are also different.
All about the drug "Nurofen", its active substances, method of use, side effects and contraindications, see the following video.