How much children's Nurofen does an adult need for a headache?

Parents combine the use of certain medications that have an antipyretic effect. The child’s body can react to the toxic substances of medications, so pediatricians advise taking groups of medications with the same properties at intervals. Paracetamol, Nurofen, and Ibufen D are considered the safest for children. However, their effect can be observed after a few hours. How long after can you give Nurofen after Paracetamol, what effect should you expect from a double dose of antipyretics?

Effect of Paracetamol, suppositories for children under 12 years of age

The pediatrician has the right to prescribe several medications for the child for fever with a frequency of use once every 4-6 hours. Observing time intervals, children should be given a less concentrated drug first. Paracetamol is available in suppositories, which is convenient for rectal use for children from 0 to 12 years old. The effect of the drug begins after 20-30 minutes. But how long after can you give Nurofen to a child after Paracetamol?

Please note the following:

• An organism infected with ARVI does not always respond quickly to antipyretic drugs.
• A severe infection attached to the body after a cold or bronchitis can “keep” the temperature.
• Reducing the fever to 38.5 degrees is not recommended so that the baby can fight the disease on his own.

Paracetamol remains in the blood for about 4 hours. Its action is aimed at local immunity, so it cannot cope with serious complications after acute respiratory viral infections or acute respiratory infections. In this case, anti-inflammatory drugs are prescribed.

Necessity of application

Children's Nurofen for adults is not usually prescribed by doctors . The medicine in the form of syrup must be taken in emergency cases when the medicine is not available in the form of capsules or tablets. The main indications for using the suspension are pain and hyperthermia. Nurofen syrup can be used theoretically as an anti-inflammatory agent for an adult patient, but such use is rather impractical.

Instructions for use recommend using the liquid form of the medicine for children from 3 months to 6 years. After reaching this age, the child can be given children's tablets. They contain less active ingredient than capsules for adults. Children over the age of 12 are already recommended to use the standard form of Nurofen, but giving them syrup is not contraindicated.

Adults should not take Nurofen in liquid form if they are hypersensitive to ibuprofen or are likely to have an allergic reaction to the flavorings that make up the syrup. The medicine can affect blood counts, so it is also not recommended for people with a tendency to bleed. The syrup should not be taken if you have renal, hepatic or decompensated heart failure.

How does Nurofen work?

“Nurofen” is similar to “Paracetamol” only in the effect, they both reduce fever, only the active substance in 5 ml of the “Nurofen” suspension is ibuprofen, as well as glycerol, citric acid, sodium citrate and chloride. Paracetamol suppositories contain 0.08 g of active substance and solid fat. Imagine that you are giving your child a double dose of an analgesic and an antipyretic. This will cause hepatonecrosis. The dosage should be calculated according to the instructions:

• children under 1 year of age take 1 suppository, which contains 125 mg of the active substance;
• children under 3 years of age can take 2 suppositories of 125 mg or 1 suppository of 250 mg;
• children over 3-4 years old take 2 suppositories of 250 mg at a time.

Nurofen relieves fever only after 40 minutes. Its effect lasts for 6 hours. Similarly to Paracetamol, you should not take the drug in excess of the dose. Therefore, the doctor indicates how long after Nurofen can be given after Paracetamol.

Release form and composition

Nurofen is available in the following forms:

• Film-coated tablets: biconvex, round, white or almost white, with a black Nurofen imprint on one side (6 or 8 pieces per blister, 1 or 2 blisters in a cardboard pack or plastic container; 10 pieces per blister, in a cardboard pack or a plastic container 1, 2 or 3 blisters; 12 pieces per blister, in a cardboard box or plastic container 1, 2, 3, 4 or 8 blisters);
• Gel for external use 5%: homogeneous, colorless, transparent or slightly opalescent, with the smell of isopropyl alcohol (30 g, 50 g or 100 g in aluminum tubes, 1 tube in a cardboard box).

Active ingredient: ibuprofen – 0.2 g per tablet; 5 g per 100 g gel.

Auxiliary components:

• Tablets: sodium lauryl sulfate, stearic acid, croscarmellose sodium, colloidal silicon dioxide, sodium citrate dihydrate;
• Tablet shell: talc, titanium dioxide, carmellose sodium, sucrose, macrogol 6000, acacia gum, black ink;
• Gel: sodium hydroxide, isopropyl alcohol, hyethellose, benzyl alcohol, purified water.

Intervals and duration of action

If the baby needs to bring the temperature down to 39 degrees, it is recommended to insert a suppository with an amount of 125 or 250 mg of the active substance into the anus. After 30 minutes a reaction is observed. As a rule, the high temperature drops to 37.5-37.8 degrees. Then the body fights the infection on its own.

If the temperature does not go down, there is no point in giving a drug that does not help. Therefore, parents are recommended to use an analogue, but how long after can Nurofen be given after Paracetamol?

Note:

1. The effect of Nurofen lasts 6 hours. The temperature drops to body normal.
2. It is allowed to give to the child according to instructions up to 4 times a day.
3. Paracetamol should be taken 2-4 times a day.

When drawing up a treatment regimen, it is important to know how long after Nurofen can be given after Paracetamol. If the effect of the latter is weak, after 4 hours you can give 2.5 ml of Nurofen. This is a single dose based on the child’s age. You cannot take more than 10 ml. Therefore, taking into account the composition of Paracetamol, we divide the intake of Nurofen according to the instructions (4 times a day maximum) by two. Medications should be alternated at intervals of 4-6 hours.

Indications of the active substances of the drug Nurofen ® for children

Symptomatic treatment as an anti-inflammatory and antipyretic agent: inflammatory and degenerative diseases of the joints and spine (including rheumatic and rheumatoid arthritis, ankylosing spondylitis, osteoarthritis), articular syndrome with exacerbation of gout, psoriatic arthritis, ankylosing spondylitis, tendinitis, bursitis, radiculitis , traumatic inflammation of soft tissues and the musculoskeletal system. Neuralgia, myalgia, pain syndrome due to infectious and inflammatory diseases of the ENT organs, adnexitis, algodismenorrhea, headache and toothache. Fever in infectious and inflammatory diseases, childhood infections, post-vaccination reactions in children (in appropriate dosage forms).

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When the temperature does not drop, what to do?

It also happens that the temperature does not drop, the fever persists, and the child is not able to fight the temperature on his own. So, how long after can you give Nurofen after Paracetamol? Komarovsky notes:

• The interval between taking one drug is 6 hours.
• The interval between similar products is 4 hours.

Therefore, after giving a child one medicine, a similar one should be taken no earlier than 4 hours later. The same drug should be taken at least 6 hours later.

Dosage

The doctor usually prescribes an individual dosage, depending on the clinical picture. When making appointments, the following factors are taken into account:

• severity of the disease;
• patient's age;
• dosage form of the drug.

If the patient has increased sensitivity of the stomach, excessive secretion, or pathology of the gastrointestinal tract, then the dose is prescribed strictly during meals.

Standard dosage recommendations:

• Children over twelve years old, adults. 1 tablet up to 4 times a day.
• When the disease is complicated by adults. 2 tablets up to 3 times a day.
• Maximum dose. For adults up to 1200 mg, for children up to 800 mg.

It is forbidden to take the product more often than once every six hours. If tablets, capsules or suspension do not have the desired effect, and symptoms persist, then you should contact a medical facility. The doctor will adjust the dosage or prescribe an analogue.

Expert opinion: what do pediatricians say?

Paracetamol contains active substances that have antipyretic and anti-inflammatory effects. The latter is so insignificant that it can be neglected. Therefore, an analogue is prescribed - Nurofen or Ibufen. They can relieve pain, reduce fever, and have a strong anti-inflammatory effect. Paracetamol contains only an analgesic and an antipyretic. Nurofen contains a complex of substances. Paracetamol will help an adult with the primary symptoms of flu or a cold, but a child will not.

If the disease is prolonged, there is no point in treating it only with suppositories. Paracetamol maintains the temperature so that it does not rise, say, until the next dose of Nurofen. For example, after Nurofen the temperature rose, but 6 hours had not passed. They give Paracetamol to prevent the temperature from rising, and after 4 hours they give Nurofen again. If we are talking about a re-infection, acute respiratory infection, how many days after can you give Nurofen after Paracetamol? In this case, there are no restrictions, since the substances leave the body within half a day.

Contraindications

Absolute contraindications for Nurofen in tablet form:

• Severe arterial hypertension;
• Heart failure;
• Hemorrhagic diathesis, hemophilia and other coagulation disorders, hypocoagulation conditions;
• Exacerbation of erosive and ulcerative lesions of the digestive tract (including peptic ulcers, ulcerative colitis, exacerbation of duodenal and gastric ulcers, Crohn's disease);
• Gastrointestinal bleeding;
• Severe renal and/or liver dysfunction;
• Incomplete or complete acetylsalicylic acid intolerance syndrome;
• Pathology of the vestibular apparatus, hearing loss;
• Intracranial hemorrhages;
• The period after coronary artery bypass surgery;
• Impaired color vision, scotoma, amblyopia, optic nerve diseases;
• Glucose-6-phosphate dehydrogenase deficiency;
• Pregnancy period (third trimester);
• Breastfeeding period;
• Children under six years of age;
• Hypersensitivity to the main or auxiliary components of the drug.

Relative contraindications for tablets:

• Cerebrovascular diseases;
• Cardiac ischemia;
• Blood diseases of unknown origin (anemia and leukopenia);
• Chronic heart failure;
• Arterial hypertension;
• Peripheral arterial diseases;
• Bronchial asthma;
• Diabetes;
• Dyslipidemia;
• Concomitant kidney and/or liver diseases;
• Severe somatic diseases;
• History of peptic ulcer of the duodenum and stomach;
• Colitis, enteritis, gastritis;
• Amnestic evidence of bleeding from the gastrointestinal tract;
• Nephrotic syndrome;
• Hyperbilirubinemia;
• Liver cirrhosis with portal hypertension;
• Long-term use of non-steroidal anti-inflammatory drugs (NSAIDs);
• Simultaneous use of anticoagulants (clopidogrel, warfarin, acetylsalicylic acid, etc.), oral glucocorticosteroids (including prednisolone) and selective serotonin reuptake inhibitors;
• Pregnancy period (first and second trimesters);
• Elderly age;
• Children under 12 years of age;
• Frequent drinking of alcohol, smoking.

Absolute contraindications for Nurofen in gel form:

• Incomplete or complete acetylsalicylic acid intolerance syndrome;
• Children under 12 years of age;
• Hypersensitivity to the main or auxiliary components of the drug or to other NSAIDs.

Relative contraindications for the gel:

• Concomitant diseases of the liver, kidneys and gastrointestinal tract;
• Rhinitis, urticaria, polyps of the nasal mucosa;
• The period of pregnancy and breastfeeding.

Adverse reactions

Any medications can cause a number of negative reactions. Almost all side effects of Nurofen are dose-dependent. Most reactions occur when taking more than 1200 mg per day. Observed:

• bleeding disorders;
• feverish conditions;
• subcutaneous hemorrhages;
• nonspecific allergic reactions;
• swelling of the face, larynx;
• tachycardia, shortness of breath.

If the dosage exceeds six tablets per day, abdominal pain, nausea, vomiting, constipation, and ulcerative stomatitis may occur. Severe adverse reactions include bronchospasm, heart failure, acute renal failure and interstitial nephritis.

Important! If you have any symptoms, you should contact a medical facility. Any such reactions are treated symptomatically. In severe conditions, the doctor prescribes ECG monitoring, tracking the dynamics of key vital signs. Gastric lavage is also used to neutralize a high dose of the active substance.

Additional Information

Nurofen is a decongestant and analgesic drug. A popular remedy quickly acts on the source of pain, relieves spasm and relieves the syndrome. When taken orally, it is quickly absorbed into the blood and is excreted from the body for a long time.

Important! As the dosage increases, the risk of developing severe intoxication increases. Nurofen is often used for home treatment. Patients purchase medications to relieve pain of varying degrees of intensity. To avoid a negative reaction, you must follow the instructions, do not exceed the permissible dosage, and maintain a time interval between repeated doses.