Analgin on temperature: pediatric dosage
Analgin is a very popular pain medicine, which also has the ability to reduce body temperature if it is elevated. Previously, such a drug was often used in 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 the temperature of the child to Analgin and in what dose is it permissible to give this drug to a little patient?
Do they give children?
In the annotation to Analgin, the possibility of using such a drug from three months of age is noted, but in practice for babies up to one year this remedy is prescribed only if there are serious indications. This means that giving the drug to a baby, which has not yet turned a year, is strictly prohibited without a pediatrician's prescription.
A child older than one year old is allowed to use the medication. candle light with the appropriate dosage (child). Solid form can be used in children who can easily swallow a pill. Most often, this tool is prescribed to 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 of the drug.
- Problems with blood formation.
- Renal failure.
- Heavy pathology of the liver.
- Acute abdominal pain (before diagnosis).
Special attention and control of the doctor requires treatment with Analgin, if the patient has allergic diseases, injuries, bronchial asthma or low blood pressure. For any ailments, such as bleeding or inflammation of the oral mucosa, the medication is immediately canceled.
In which cases of analgin can children you will learn from the following short video. Commented on the popular pediatrician E.O. Komarovsky.
How does it work at high temperatures?
The active ingredient in analgin is metamizole sodium. In such a compound, they note the property of interfering with the conduction of pain impulses, due to which the medicament is especially in demand for pain. It is often taken for headache, toothache, muscle, or other severe pain. It is prescribed after surgery, for burns, radiculitis or injuries.
Like the other drugs from the group of nonsteroidal anti-inflammatory drugs, which include Analgin, this medicine has a fever-reducing 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 quite rapidly. The approximate time of onset of action of this form of the drug 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 persists for 4 hours or longer.
Danger and contraindications
Used to reduce the temperature in children Analgin can provoke such side effects:
- Allergies, up to anaphylaxis.
- Severe hypothermia.
- Fainting
- Decreased blood pressure.
- Inhibition of leukocyte production, which leads to inflammatory and infectious complications.
The negative effect of the drug on the body of some children is sometimes fatal. That is why in the treatment of babies Analgin is used extremely rarely and mostly one-time, when safer drugs are not available.
If you exceed the dosage of Analgin in a child drowsiness, vomiting, shortness of breath, tachycardia, abdominal pain and other signs of poisoning occur.
An excessively large dose adversely affects kidney function, and can provoke seizures, a sharp drop in pressure, hemorrhages, and other dangerous symptoms. In many cases, children with overdose require hospitalization and serious treatment.
In what forms is produced
Analgin is:
In tablets. Usually they are round white tablets in jars or blisters of 10 or more. Metamizole dosage in 1 tablet is 500 mg, and talcum, calcium stearate, povidone and other compounds act as auxiliary substances in such solid form.
In rectal candles. These are bullet-shaped suppositories of white color with a yellowish or cream shade. They are packaged in 5 pieces in one blister and sold in 10 pieces in one pack. Each candle can contain 100 mg or 250 mg of the active substance, 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. A pack may contain 5-10 ampoules. This form of Analgin is administered intramuscularly or injected into a vein. In addition to metamizol, ampoules contain only sterile water.
Instructions for use
Giving the drug at a temperature in children is advised at rates above +38.5 degrees. Although sometimes you want to bring down the temperature below this figure, for example, at risk of seizures.
Since the drug has a negative effect on the gastric mucosa, drink tablet form with fever is advised during a meal or immediately after a meal.
Before introducing a candle to a child, it is worth making an enema, as this will improve the effect of the treatment. The suppository is gently inserted into the small patient in the anus, after which the child must lie in bed for at least 30 minutes.
Analgin injections for children up to one year should be only intramuscular. It is unacceptable that the drug gets under the skin or inside the skin, since this route of administration will cause an inflammatory reaction or irritation. Intramuscular injections are acceptable and at home. The drug is injected into the muscle tissue of the shoulder or thigh, since an injection into the buttocks can lead to the drug getting under the skin.
Intravenous administration of Analgin is performed only in the hospital, where heartbeat, respiration and blood pressure indicators can be monitored. The solution is injected very slowly, and the child during the injection should be in a supine position.
Analgin on temperature: pediatric dosage
The amount of drug injections or tablets for children up to 8 years of age is calculated by weight., multiplying the baby’s body weight in kilograms by 5 or 10 mg. So count the daily dosage, and since the frequency of using Analgin in children is 2-3 times a day, it is divided into 2-3 doses.
A single dose of medication at the age of 2-3 years is usually 50-100 mg of metamizol, at 4-5-year-old - 100-200 mg, and at 6-8-year-old - 200 mg. For children 8-13 years old, they take from 250 to 300 mg of the drug at a 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 for half a candle per day. Children 1-3 years old can be administered 1 candle 1-2 times a day, and at 4-7 years old one candle per day with a dosage of 250 mg or 1 candle with a dosage of 100 mg 2-3 times a day. A child older than 8 years old suppositories are used in an amount of from 1 to 3 pieces during the day.
Duration of use of Analgin at high temperatures should not be more than 3 days. If you need to continue treatment, you should consult with your doctor and do a blood test.
Use with other drugs
Analgin should not be given simultaneously with other painkillers, as this will increase the toxic side effects of drugs.
Combination with other antipyretic drugs (for example, 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.
If you use the drug with antidepressants or allopurinol, its toxic effect will increase.
The injection form should not be combined in the same syringe with any other drugs. It is permissible to mix it only with glucose solution or saline.
Treatment with Analgin improves 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 of the child is often used. combination of analgin with diphenhydramine, to which sometimes papaverine is added. An alternative version of such a mixture, called lytic, is the combination of metamizole with drugs. No-shpa (replaces papaverine) and suprastin (replaces Diphenhydramine). Use of antipyretic medication together with diphenhydramine especially in demand with “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, Drotaverinum).
How to buy and store
To purchase medicine for your child at a pharmacy, you must first receive a prescription from a doctor. It is important to keep the drug at home away from small children at a temperature not higher than 25 degrees Celsius. The shelf life of suppositories is 3 years, and the solution for injection or tablets is 5 years. In this case, the opened ampoule is allowed to store no more than 15 minutes.
Reviews
Doctors speak of Analgin for children as an antipyretic drug, only as a fast-acting and temporary way to bring down the heat. Pediatricians, among whom Dr. Komarovsky, with a fever in babies are more likely to use less dangerous medicines, for example, Paracetamol. They allow the use of Analgin, if other nonsteroidal drugs were ineffective or absent in the home medicine chest, and the situation is critical.
Moms among the advantages of Analgin are often called the availability and low price of such a drug, as well as a pronounced effect when using it. They note that the tool quickly enough helps at a temperature, and if given rarely, it does not have any negative effects on the children's body. As for the minuses, parents attribute to them a high risk of side effects, for example, hypothermia.
What can be replaced?
To reduce the high temperature in children, instead of Analgin often use drugs containing paracetamol:
- Candles or suspension Panadol.
- Syrup, suppositories, tablets or suspension Paracetamol.
- Candles or syrup Efferalgan.
Ibuprofen and nimesulide are also effective antipyretic analogues of metamizole approved for children. In the treatment of a child older than 3 years, you can also use the combined tool. Ibuklincontaining both ibuprofen and paracetamol.
Learn more about analgin from the transfer of Komarovsky in the next video.