Antipyretics are medications that, as a rule, are most often used by parents as self-medication. These drugs are in every home, everyone used them personally and gave them to their children. It is not surprising that there is such a variety of fever relief products on the pharmaceutical market, and many questions arise in this regard.
Today we will study the instructions for using one of these medications, namely, Nimulid syrup for children, and also find out what its advantage is over other antipyretics.
Composition and packaging
The drug Nimulid has 4 types: syrup, gel, tablets and lingual tablets. The suspension is yellowish, viscous, pleasant to the taste. Available in 60 ml dark glass bottles, complete with a measuring cup in a cardboard box.
Active ingredients: nimesulide – 0.05 g/5 ml. Additional components: sucrose, sorbitol solution, ricin oil, glycerin, vanilla, citric acid.
Pharmacological effects
The drug Nimulid is not a hormonal drug. The drug has anti-inflammatory, analgesic and antipyretic effects. The medicine helps eliminate pain and aching joints, making it much easier for the child to live and have fun.
The suspension is used to relieve pain during various diseases, which also cause an increase in body temperature. The active components of the drug have an inhibitory effect on the growth and reproduction of infectious microbes.
The syrup prevents intoxication of the body, accelerates the recovery of the body and destroys the source of the inflammatory process.
Why is it prescribed to children?
Nimulid suspension for children is prescribed mainly for diseases of the musculoskeletal system, inflammatory processes and pain in soft tissues, as well as for elevated body temperature (not lower than 38 ° C!). The advantage of this medication is that it is able to quickly relieve pain, remove hyperthermia and have an effect for quite a long time (up to 12 hours) in comparison with other antipyretic and anti-inflammatory drugs. It is often prescribed to children after operations.
What kind of drug is this?
This is a non-hormonal and non-steroidal anti-inflammatory, antipyretic and analgesic drug . Belongs to the class of sulfonanilides. The active ingredient is nimesulide, which replaces special enzymes in the human body involved in the synthesis of prostaglandins - mediators of pain, swelling and inflammation. Due to this, the severity of symptoms decreases and the patient’s condition generally improves.
The drug is well absorbed in the intestines. The maximum concentration is reached within 2 hours after the first dose. Almost 100% protein bound. The effect lasts 12 hours , then gradually decreases in parallel with the removal of nimesulide from the body through the liver and kidneys.
At what age is it allowed to take it?
Nimulid, as an antipyretic, is used because of its wide spectrum of action, and is allowed for children from 2 years of age. However, its prescription is carried out only by a doctor in strict order. For children under 12 years of age, this medication is used in the form of a suspension. In this form, it can also be used by adults.
Doctor's opinion
Nimulid in the form of a suspension for children has a wide range of effects.
This remedy quickly relieves fever, temperature, pain, and inflammation. It can be used for children aged 2 years and older. During administration, it is necessary to take into account the child’s weight, otherwise you can give a larger dose and then there is a possibility of an overdose. In addition, it is not advisable to take this remedy for more than 10 days.
This suspension helps eliminate pain and inflammation during various diseases of the ear, nose, and helps with inflammation of the respiratory tract. Also eliminates pain in bones, joints and soft tissues.
Pediatrician
Side effects
- burning and pain in the stomach and esophagus;
- nausea;
- drowsiness;
- headache;
- allergic manifestations (rash and other skin manifestations);
- heart rhythm and blood pressure disturbances;
- decrease in blood hemoglobin level;
- swelling.
Contraindications
Nimulid should not be used in cases of partial intolerance to the elements of the composition, both active and additional.
Contraindications include:
- liver problems;
- erosive and ulcerative lesions of the gastrointestinal tract in the period of exacerbation;
- renal and liver failure;
- internal bleeding;
- cardiac dysfunction;
- severe fever due to ARVI.
Although the product is low toxic, in certain situations it causes side effects. Improper use of a medication or its overdose can lead to a whole range of negative effects that disrupt the functioning of the central nervous system, causing allergies, and disruptions in the normal functioning of the gastrointestinal tract.
Significant changes in well-being are formed in various areas of the body and manifest themselves in the form of:
- diarrhea;
- nausea;
- abdominal pain;
- constipation;
- dizziness;
- blood pressure surges;
- renal failure;
- swelling;
- dysuria;
- itching;
- hives;
- erythema;
- accumulation of fluid in the body;
- peeling.
In these cases, the medication should be stopped or the dosage of the medication reduced.
Instructions for use and dosage
It is preferable to calculate the dosage of Nimulid for children based on body weight:
- from 6 to 8 kg – 2 ml 2 times a day;
- from 9 to 12 kg – 2 ml 3 times a day;
- from 13 to 16 – 4 ml 3 times/day;
- from 17 to 20 – 5 ml 2 times a day;
- – 4 ml 3 times/day;
- from 6 years old - 5-10 ml 2-3 times a day, based on the severity of the disease and as prescribed by the doctor.
You need to drink the syrup before meals; treatment should be carried out for no more than one and a half weeks (10 days).
Thoughts of ordinary people
Reviews from parents who know first-hand what Nimulid suspension is.
The other day, my son and I fell ill with a viral cold. My son was the first to become infected; he is a child, after all, and his immunity is weaker. On the very first day, his temperature began to rise strongly, when it reached 38.7 and no means helped reduce it, I immediately called a doctor. When the doctor arrived, he examined him, brought down his temperature and recommended buying Nimulid in the form of a suspension. As soon as we gave this medicine, the temperature crept down and stopped at 36.9. Now this is the only way I can save myself!
Oksana, 32 years old
My daughter is 5 years old, the other day her knee became very sick and inflamed. Of course, you can’t give your child strong drugs, but since it was the weekend, it was urgent to reduce the pain.
After viewing various children's pain relief products, I saw Nimulid syrup and was attracted by its characteristics. After I gave the suspension to my daughter, the pain decreased within an hour. And even at temperatures this product works well!
Elena, 28 years old
Overdose
Drug abuse manifests itself:
- abdominal pain;
- increased gas formation;
- gastritis;
- peptic ulcer;
- diarrhea and other stool changes;
- stomatitis;
- gagging;
- hepatitis;
- cholestasis;
- jaundice;
- headaches;
- nervousness, restless sleep;
- fears;
- urinary retention, the appearance of bloody inclusions in it;
- other side effects (item “Side effects”).
Interaction with other drugs
Drugs whose effect is enhanced when taken simultaneously with a medication containing nimesulide:
- drugs that reduce blood clotting;
- lithium preparations;
- cyclosporine (effects on the kidneys);
- side effects of methotrexate.
Use with GCS and serotonin reuptake inhibitors can lead to bleeding in the gastrointestinal tract.
Patients taking hydantoin and sulfonamides with nimesulide drugs should visit their doctor more often to closely monitor changes.
Reduces effect:
- furosemide;
- antihypertensive drugs.
special instructions
During treatment, tests on the child's liver function should be done to prevent possible liver failure.
This drug increases the effect of medications to reduce blood clotting. Combined use with Furasemide is undesirable, since the active substance is washed out of the body, which means the treatment will be ineffective. The bottle must be shaken before use. The drugs have competitors for binding to proteins in the blood - Phenytoin and Digoxin, that is, in combination they suppress each other.
Analogs
Among the drugs with the same active substance are known:
- Nimesil;
- Prolid;
- Nimesulide;
- Mesulide;
- Aponil;
- Nise;
- Nemulex;
- Nimegesik;
- Nimika;
- Flolide;
- Aulin;
- Auronym.
Reviews
Anna:
This syrup helped very well with pyelonephritis from pain. When the doctor prescribed it, this medication gave me dubious feelings, as I had read negative reviews about it on the forums. The doctor, in turn, was surprised, since it is considered to be one of the “cleanest”.
Mira:
When the molars were cut, the temperature constantly varied from 38 and even to 39.4. All kinds of antipyretics and even Cefekon were practically powerless. The temperature either dropped for a short time or did not drop at all. Then they saved themselves with Nimulid in combination with rubbing with a vodka solution every half hour.
Irina:
We saved our daughter with Nimulid with a severe sore throat with a temperature of under 40, since neither Nurofen nor Paracetamol gave the desired result. The only thing worth considering is that if you are giving it to your baby for the first time, it is better to halve the required dose first.
Sophia:
Nimulid also helped us with a sore throat, although only after 2 hours. In addition, we also took No-shpa.
Victoria:
Once a doctor prescribed Nimulid for my son for severe bruises (my child is an athlete). Then this syrup helped very well, and now I give it to him, and I take it with my husband in extreme cases when other painkillers or antipyretics do not help.
Features of application
Nimulid suspension for children, reviews of which can be heard from the parents of many recovered children, is used for therapy with the necessary caution. The dosage is selected solely taking into account the individual qualities of the patient. Such accuracy in the use of the drug is established on the basis of test results.
The dosage is privately regulated if there are diseases:
- arterial hypertension;
- visual defects;
- kidney dysfunction.
Sometimes the patient complains of painful manifestations in the liver area. In such situations, strict, regular monitoring of liver and kidney function is established. If early symptoms of liver disease occur, namely: abdominal pain, skin itching, dark urine, stop taking the medication. The attending physician plans further actions.
The drug tends to cause fluid accumulation in organs. People with hypertension and heart failure should take Nimulid especially carefully.
Taking into account the incoming information about vision deterioration from patients using non-steroidal anti-inflammatory drugs, if vision defects appear, the medication should be discontinued. It is necessary to conduct an ophthalmological examination of the patient.
The drug can provoke various problems of the central nervous system. Therefore, this medication should not be prescribed to patients whose activities require special attention, for example, vehicle drivers.
In order to eliminate the formation of side effects, the drug must be used in minimal quantities. In this case, the minimum duration of treatment should also be selected. If there are no positive changes in the patient’s well-being, the use of the medicine should be stopped.
Video
An increase in body temperature is a rather unpleasant phenomenon, but it is not always bad. A certain level of increase may indicate something, namely, whether it is worth using antipyretics, or whether it is necessary to urgently seek medical help. The type of medicine you give to the baby is also important, namely liquid or solid, and an experienced and well-known pediatrician in the CIS countries will tell you in detail and clearly about all these intricacies of dealing with high fever:
For greater awareness of antipyretic drugs, you can read the instructions for Nurofen syrup for children - one of the most popular medicines in this area. There are also “Nurofen” suppositories for children - no less effective than syrup, although many doctors have differing views regarding the type of Nurofen, and you, in turn, can get acquainted with these remedies in our articles and choose the most acceptable one, in your opinion .
Not far behind in terms of popularity is the syrup for children “Panadol”, which is based on the active ingredient paracetamol. However, there are times when you don’t have baby syrup on hand, and in order to urgently bring down the temperature, you can use paracetamol tablets for children according to a certain dosage.
Tell us what other effective ways to lower your temperature do you know? A speedy recovery to your children!
When is the drug used?
The main purpose of Nimulid is to prevent the inflammatory process that occurs due to various diseases, during which the body temperature rises and pain occurs:
- if diagnosed: rheumatoid arthritis, osteoarthritis, tendinitis, bursitis, rheumatism;
- during inflammation in the ear, nose, namely during otitis, rhinitis, sinusitis and other pathologies;
- during inflammation in the upper respiratory tract - with hyperemia of the throat, pharyngitis;
- when inflammation occurs in the heart area;
- when an acute painful feeling occurs in the tooth area;
- during the rehabilitation period after surgical interventions;
- and in general to relieve pain from lesions of soft muscle tissue, bones, joints, as well as fractures.