Nimesulide for children
Non-steroidal anti-inflammatory drugs can be called one of the most popular medicines, because all people face heat, pain, or inflammation. Nimesulide is a representative of the group of these drugs and is often prescribed for adults. This Russian-made medication is cheaper than its counterparts and copes well with severe pain and inflammation. However, not everyone knows whether Nimesulide is suitable for children.
Release form and composition
A medicine with this name is available only in tablet form. These are usually small round light yellow tablets packed in 10, 20, or more pieces in one pack. Their main component is called exactly the same as the drug itself - nimesulide. Its amount per tablet is 100 mg. As auxiliary ingredients, different manufacturers add microcrystalline cellulose, povidone, talc, lactose and other compounds.
Their list is important to clarify for patients with intolerance, to avoid an allergic reaction to the drug.
Operating principle
"Nimesulide" is able to influence the inflammatory process, increased body temperature and pain sensations, since it prevents the formation of prostaglandins - substances responsible for the development of inflammation, the appearance of pain and fever. The drug inhibits their synthesis, is an effect on the enzyme called "cyclooxygenase 2". The result of this effect will be a decrease in temperature, the elimination of pain and a decrease in the activity of the inflammatory response.
Indications
Since Nimesulide has a pronounced analgesic effect, most often this medicine is prescribed for pain syndrome. The drug is in demand for acute pain after surgery, in the practice of dentists, for various injuries, for headaches and so on. Due to the anti-inflammatory effect, Nimesulide is often used for tendinitis, bursitis, arthritis and other inflammatory diseases.
The antipyretic effect of the medication is slightly weaker than its other effects; the febrile syndrome of the indications indicated in the annotation has been removed by many manufacturers, but it is also possible to use tablets at elevated body temperature.
Are children prescribed?
"Nimesulide" is contraindicated in children under 2 years old, but in the form of tablets of 100 mg does not apply until the age of 12, because one such tablet contains a dose calculated for patients over 12 years of age. If you need to give medicine to a younger child (for example, at 6 years of age), choose Nimulid, which is produced in the form of a suspension containing 50 mg of nimesulide in 5 ml.
Many mothers are afraid to give children such a sweet syrup, because in European countries, nimesulide is prohibited for children under 12 years old (in any form). Such a ban is associated with a high risk of adverse effects of the drug - for example, on the liver. However, in our country, children 2-11 years old are prescribed the drug quite often, since pediatricians have not previously noted in their practice any negative effects of nimesulide on the liver, and the antipyretic and analgesic effects of drugs with this active ingredient are quite high.
Doctors (including the famous pediatrician Komarovsky) say that Nimesulide copes well with fever and pain when paracetamol and ibuprofen are ineffective.In order to minimize the harmful effects of nimesulide on the children's body, doctors advise to resort to this medicine only in a situation when the antipyretic agent based on paracetamol or ibuprofen did not give the expected decrease in temperature or did not ease the pain.
In addition, the drug should start taking with slightly lower doses than recommended in the annotation to the suspension or tablets.
Contraindications
The drug is not used:
- With intolerance to any of its components, as well as an allergic reaction to other anti-inflammatory drugs with non-steroid structure.
- In inflammatory or ulcerative pathologies of the gastrointestinal tract, as well as bleeding from the intestinal wall or stomach.
- For serious diseases of the kidneys, heart or liver.
- If you have problems with blood coagulation.
- With the simultaneous use of other anti-inflammatory drugs, anticoagulants, diuretic and some other drugs.
Instructions for use
The drug is swallowed after eating, drinking water. A child over 12 years old is given 1 tablet twice a day. Duration is determined individually.
Side effects and overdose
During treatment with Nimesulide, negative symptoms may arise from the digestive system, such as pain in the stomach or nausea. In rare cases, the medication causes allergies, shortness of breath, swelling, headache, drowsiness and other symptoms.
If you exceed the dose (for example, give a whole pill to a child 10 years or younger), nausea, drowsiness, apathy, or vomiting may occur. Significant overdose is dangerous for the development of kidney failure, gastrointestinal bleeding, hypertension and other conditions that require the immediate help of physicians. There is no antidote to nimesulide, therefore symptomatic agents are used in the treatment.
Terms of sale and storage
You can buy Nimesulide at the pharmacy only by prescription. The price of packing of tablets depends on the number of pieces, the manufacturer and varies from 40 to 130 rubles per pack. Keep the medication at home should be at a temperature below +25 degrees - out of the reach of children dry place. The shelf life of the drug is 3 or 5 years.
Reviews
About the treatment of "Nimesulide" there are many good reviews. They confirm the high efficacy of tablets with severe pain and praise the drug at an affordable price. Among the minuses often mention side effects from the gastrointestinal tract or an allergic reaction. Children are given such a drug less often than analogues in a liquid form, but among adolescents it is quite in demand, since it is easy for them to swallow a pill, and the therapeutic effect begins to manifest itself quickly.
Analogs
Instead of "Nimesulide" you can use any other drug with the same active ingredient - for example, «Nise», "Nimulid" or Nemux. Such drugs are not only tablets that need to be swallowed, but also other forms - sachets of granules, suspension, gel, lozenges.
This allows you to choose the most suitable analogue, taking into account both the patient's age and the disease. For example, when stretching or bruising, Nimulid or Nise gel is often used. This medicine acts at the site of injury, effectively eliminating pain, swelling and redness.
In addition, medications containing diclofenac, paracetamol, ketorolac or can be a substitute for severe pain, active inflammation or fever. ibuprofen. These drugs include Panadol, «Voltaren», "Nurofen", «Ketanov», «Efferalgan» and other means.
They are produced in rectal suppositories, suspensions, ampoules for injections, tablets, syrup (bottles of 100 ml, 150 ml, and other volume) and other forms. However, each of them has its own age limits and contraindications, so the choice of any of these drugs for replacement should be made together with the doctor who deals with the child. He will tell about the dosage.
About analogues of the drug Nimesulide, see the following video.
