Dosage of paracetamol for a child of 9 years. Paracetamol - instructions for use of tablets and syrup for adults and children

A first aid kit for children is a must-have in every home where there is a baby. The most accessible and common analgesic and antipyretic agent, allowed from a very young age, is paracetamol. This is salvation both at high temperature and at pains of various origins.

It is on sale in the form of suppositories, sweet syrup, tablets. It is quickly absorbed, begins to act within 30-40 minutes after consumption, has a minimum of contraindications, is prescribed for children in whom hyperthermia is accompanied by convulsions.

The listed arguments are often decisive when buying, however Parents should consider the following nuances:

up to 5 years of age in the treatment of babies, it is better to use suppositories, syrups, suspensions;
strict adherence to dosage proportions is required in order not to expose the body weakened by the disease to the risk of excessive intoxication.

In this material, we will analyze in detail what dosage at a temperature is possible for children of different ages, how to give it correctly. This form of the drug raises the most questions. Main:

from what age is allowed, dosage;
how to divide a pill into parts;
admission rules;
what to do with an overdose.

We will consider them:

Can paracetamol tablets be given to children?

Reminder to parents: the numbers squeezed out on the tablets indicate the content of the active substance - paracetamol - in milligrams, sometimes in grams. They are written on a blister.

Available options: 200 (0.2), 325 (0.325), 500 (0.5). This makes it easier to determine the norm in the number of pieces.

The first thing to remember is that this form not used in treatment at all. The instructions indicate - with, pediatricians recommend with 5.

It is better to crush the pill or part of it into powder, dilute it with a slightly warm liquid (sweetened water, compote, tea). It is advisable to make a binding to food intake: give the medicine in an hour or two.

Experiments to create mixtures of the drug in question with No-shpa, analgin and other medicines are strictly prohibited.

Contraindications:

individual intolerance to the main substance;
impaired functioning of the liver or kidneys;
blood diseases.

Paracetamol for children: dosage in tablets at a temperature

Paracetamol 200 mg

This dosage is the most convenient, since the calculation is carried out with a multiplicity of 100.

Regulated norm from 3 to 6- 150-200 mg. Pediatricians, without further ado, prescribe a pill. For thin babies, half is enough. Permissible maximum 800 mg / day (no more than 4 pieces).

For older kids ( from the age of 6) the norm is increased to 1.5-2.

If the fever does not subside, the medicine is given again. The minimum interval between doses is 4 hours.

It is strictly not allowed to use the agent in question in parallel with other drugs containing paracetamol. If you have given a pill and the fever does not subside, use other non-drug methods:

ventilate the room;
solder the baby with water;
make lotions (on the forehead, armpits, inguinal region).

Paracetamol 325 mg

This option designed for children 6-12 years old. One full pill is given at a time. You don't need to share or add anything. Can be crushed into powder.

The frequency of reception is similar to that indicated above.

Moms who strictly follow the rules are interested in how to accurately calculate the dose of paracetamol for children?

Medical response: take 10-15 mg for every kilogram of body weight. For example, for 2 years, the weight norm is 11.5 kg. Hence, ≤ 172.5 mg is required. It is simply impossible to separate the required amount from the tablet. But there are suitable suppositories containing 170 mg of an antipyretic substance.

Dosage of 500 mg tablets

Such packaging is considered "adult". Teenagers from 12 years old given as a single tablet.

Positive results should not be expected immediately after taking the drug. The temperature drops after about 30 minutes - an hour, usually to 37-37.5 °.

Do not use this medicine for more than 3 days without a doctor's permission.

Attention, an overdose of paracetamol in children, what to do in such a situation?

Anxiety symptoms: arrhythmia, pallor, vomiting or severe nausea, abdominal pain. An acute attack of pancreatitis is not excluded. Usually these symptoms are noticeable almost immediately, but may occur within 24 hours after ingestion. With severe poisoning, liver failure progresses to hemorrhage, loss of consciousness. Unbearable pain in the lower back, blood in the urine signals kidney dysfunction.

Urgent hospitalization required.

If no more than an hour has passed after taking the drug, you can give activated charcoal on your own, but still take the baby to the hospital.

Remember the main thing:

it is impossible to reduce the heat with the “strongest” remedy, it is necessary to use only approved drugs and in a suitable form;
temperature up to 38.5 ° is not brought down, the body must fight itself;
do not risk the health of babies, even a one-time increase in the dose is fraught with irreversible consequences.

A high temperature causes discomfort for absolutely everyone: malaise, aching muscles and joints, headaches. The child suffers all these symptoms much harder. He can't take long when his head hurts. This is the main reason for knowing how to reduce the temperature and reduce the suffering of the baby. Doctors give advice on the use of paracetamol as a cold medicine.

How much paracetamol can you give a child?

Children's Paracetamol for colds has several dosage forms:

candles;
pills;
syrup.

Absolutely all of them are similar in their effect on the body. But tablets are considered the cheapest analogue of the drug.

If the child has a fever, then the suspension should be taken several times a day. But it is important to observe the correct interval between taking the medicine, it should not be less than 6 hours. Thus, it turns out that in a day you can bring down the temperature no more than 4 times.

The rate of medication used is calculated taking into account the weight of the child. For 1 kg of weight, 10 mg of a cold remedy falls. For example, if a child weighs 10 kg, then he should be given 100 mg of the drug. This is half the medicine. The temperature begins to decrease half an hour after taking the pill. During this time, it is necessary to monitor the general condition of a small patient.

Paracetamol tablets 200g

The drug "Paracetamol" at a dosage of 200 mg has recently become quite common. Its main property is the ability to be instantly absorbed into the blood and thereby lower the temperature. It is widely used not only against colds, but also as a drug for toothache, and it is also taken for neuralgia and osteochondrosis.

The rate of taking the medicine is determined by the age of the person. Children under the age of 3 years are not recommended to give such a drug. It is better to replace it with a similar drug, only in the form of a syrup. If it is not possible to purchase a liquid remedy, then you can dissolve the fourth part of the tablet in water and give the baby a drink. You can lower the temperature of babies in this way only once a day.

A child from 3 to 6 years old can already be given half a tablet. Between taking the drug, you should observe a clear period of time - 6 hours. It is advisable, if possible, not to give "Paracetamol" more than 2 times a day. Children in the age group from 6 to 12 years can already be given one tablet 4 times a day.

For adult patients, experts are allowed to take pills already 6 times a day every 4 hours.

Can a child be treated with paracetamol tablets?

Many mothers are wondering if it is possible to give the child "Paracetamol" in tablets. Doctors are sure that it is possible, but some recommendations should be followed:

This medicine can be used to reduce body temperature, which exceeds 38 degrees.
You don't need to take medication right away. You can try some traditional medicine.
If the temperature does not decrease within 3-4 hours, then medicine should be given to the child.
If a child, in addition to a high temperature, has a toothache or general malaise, then you can not wait for these 4 hours, but give the drug immediately.

Paracetamol is a lifesaver for mothers whose children are sick. But we should not forget that he, like any drug, has its limitations:

It is important to carefully study what is included in the preparation and find out if the baby is allergic to one or another component.
Do not give paracetamol tablets to babies under 3 months old. It is better to replace it with a liquid syrup with antipyretic action.
It is forbidden to give paracetamol to those children who suffer from disruption of the gastrointestinal tract.
It is forbidden to use this drug for those who have diseases of the kidneys or rectum.

It is important to understand that in case of uncertainty in the correct choice of a drug, it would be better to consult with doctors. Do not experiment on your child.

Danger of overdose

Any doctor will say with confidence that even a very slight overdose of drugs can have a negative effect on the human body. Now, if a baby is given a whole instead of the norm in a quarter of a tablet, then there is a possibility that the kidneys will be damaged, up to hepatic coma. Naturally, there are not so dangerous symptoms of an overdose. For example, nausea, dizziness or vomiting. Less commonly, there may be pain in the abdomen in the navel, and there is also a violation of the stool.

A very common occurrence after taking the drug is drowsiness. This sign indicates that the body is fighting the disease, so all its forces are directed to this process.

The most dangerous consequence of an overdose of a drug is considered to be acute intoxication of the body. This is the case when it is strictly forbidden to deal with the consequences of improper medication at home. You need to contact the experts immediately.

In addition to these main consequences of an overdose, there are several other less dangerous adverse reactions of the body to taking the drug:

Allergic reaction such as skin rash, itching or hives.
There may be swelling and a decrease in the number of urges to go to the toilet.
Slight dizziness, as well as unpleasant pain in the occipital region of the head. These symptoms are a signal to go to the clinic.
Colic in the kidneys.
Low blood pressure.
Nephritis.

When the child has taken the medicine, he must be under constant supervision. This is necessary in order to control the body's reaction to the drug.

Tablets or syrup?

In the pharmacy, pharmacists provide a choice of "Paracetamol" in several dosage forms. Tablets are in great demand. Their most significant advantage is that they contain the substance in its natural form. But tablets are not entirely convenient to use for children under the age of 4 years. In order for the child to drink the medicine, the tablet must be crushed and dissolved in water.

It is for this reason that babies are recommended to buy syrup. It is tasty and does not cause difficulties when taken by a baby. The big disadvantage of this drug is that it contains a lot of additional chemicals, which reduces its effectiveness compared to the drug in a hard shell.

You can also buy candles that are inserted into the anus. The medicine immediately enters the intestines and has its effect on the body.

Compatibility with other medicines

Usually, when the temperature rises, other signs of a cold begin to appear. This is a cough, discharge from the nose, redness of the throat. This suggests that paracetamol alone is indispensable here. You should immediately find out if it can be combined with other drugs. This is important because paracetamol contains caffeine, the dose of which may increase when interacting with other drugs.

It goes well with paracetamol only No-shpa. Analgin can be drunk half an hour after taking paracetamol. It would be better if it was an injection.

Never give Paracetamol and Ibufen at the same time. They are anti-inflammatory drugs. Nurofen can be given as a pain reliever, 2 hours after paracetamol.

If the baby is allergic, then you can give Suprastin along with Paracetamol.

Paracetamol Benefits

What are the advantages of Paracetamol over other medicines? There are several of them:

lowers the temperature
removes inflammatory processes;
practically no side effects;
goes well with other medicines.

There is also another fairly weighty argument in favor of this drug. This is that it costs much less than other similar drugs. Paracetamol can be given to children.

Video: in what doses should antipyretics be given to children

The dosage of Paracetamol tablets for a child of 9 years old is usually 200 mg up to 4 times a day . The dose of the drug in this case depends more on age than on weight, as in children under 3-5 years old.

The antipyretic drug also has a pronounced analgesic property and has a slight anti-inflammatory effect.

Can be applied in the following cases:

influenza and SARS;
in the complex therapy of tonsillitis, bronchitis, tracheitis and pneumonia;
inflammatory processes in the muscles of different localization;
dislocations, bruises, sprains;
headache.

Paracetamol is absolutely safe for a 9-year-old child, but it should be remembered that it is used only as a drug intended for symptomatic treatment, and it does not eliminate the true cause of fever, pain and inflammation.

For effective treatment, it is imperative to consult with a qualified specialist who will establish the root of the onset of pathological symptoms.

Features of the drug

A 9-year-old child is usually given Paracetamol in tablets or capsules. It is also possible to use this substance as part of a complex preparation, for example, for the treatment of a viral infection with the manifestation of cough, headache, nasal congestion. The question of how many tablets of paracetamol can be given to a child of 9 years old can be answered based on the amount of active ingredient in 1 tablet. That is, in a pharmacy you can buy capsules or tablets in the following dosage:

200 mg;
500 mg;
325 mg.

The dosage of Paracetamol for a child of 9 years old is 200-250 mg 3-4 times a day and the maximum can increase to no more than 1.5 grams per day. Higher doses are acceptable in emergency cases and only in a hospital, under the supervision of a physician. Injectable and transfusion forms of the drug are used to eliminate fever in, for example, lobar pneumonia, lacunar tonsillitis or abscess of various localization.

Priorities in the form of drug release

For older children, Paracetamol can be purchased in different tablets, that is, children's and adult dosages, but it is correct to divide the tablet according to the instructions for the drug. In the form of a syrup, an antipyretic for an adult child is not prescribed, but candles will be very effective, especially at night.
Whatever the form of release, it is important to know how to give Paracetamol, at what dose and frequency of administration. Usually the drug is prescribed an hour after a meal and washed down with a sufficient amount of water. In case of urgent need to lower the body temperature, eating is not of particular importance.

Article verified
Anna Moschovis is a family doctor.

Found an error? Select it and press Ctrl + Enter

When a child has a fever, the first medicine that parents use to stabilize the condition is paracetamol, and this is no accident.

The World Health Organization has included this drug in the list of the most effective, safe and cost-effective medicines.

Let us examine in more detail the instructions for the use of Paracetamol tablets for children (200 and 500 mg): recommended dosages at a temperature, is it possible to give medicine to a child at all and how much, what to do if the norm is exceeded?

Description and action

Paracetamol is not new to the pharmaceutical industry. It has been used for healing since 1893. It is one of the safest non-steroidal anti-inflammatory drugs.

The drug has almost no effect on cyclooxygenase, or COX, which is produced in peripheral organs and tissues. Therefore, it has fewer side effects than other NSAIDs.

The drug does not irritate the gastric mucosa, does not lead to a violation of water and mineral metabolism.

At the same time, the drug affects the COX produced by the brain, which is responsible for its antipyretic and analgesic properties. The ability to influence inflammatory processes in the drug is almost absent.

Paracetamol is well absorbed from the gastrointestinal tract, so tablet dosage forms along with rectal suppositories are most preferred.

The drug acts quickly, and already 30 minutes after ingestion, its highest concentration is observed. The action lasts up to 4 hours.

The lack of effect when using Paracetamol is a reason for immediately seeking medical help.

Release form and composition

The drug is available in tablets of 0.2 g and 0.5 g (200 and 500 mg). This form is recommended for children over 6 years of age due to possible overdose.

Use from 2 years is allowed, although other forms at this age are preferable.

According to its physical properties, it is a pure white or creamy, pinkish crystalline powder, which is soluble in alcohol and insoluble in water.

Indications

The drug is used if:

the temperature has risen to 38 ° C and above (age up to 5 years), up to 38.5 ° C (age after 5 years) and lasts at least 4 hours;
complaints of toothache, headache, muscle pain.

Paracetamol is effective precisely for viral infections ().

They also use the remedy for chicken pox, measles, influenza, teething, after injuries and burns.

It does not help with bacterial infections, complications of SARS, the effect is short-lived or absent.

Contraindications

The list of contraindications is small in comparison with other drugs. This includes:

individual intolerance;
age up to 2 years;
diseases of the digestive tract with the formation of ulcers and erosions, gastric bleeding, inflammation, active bleeding;
progressive pathologies of the kidneys, liver, severe forms of insufficiency of these organs;
intolerance to acetylsalicylic acid or other NSAIDs;
hyperkalemia (high levels of potassium in the blood).

How much and how to give

The maximum course of treatment is:

up to 6 years - 3 days;
after 6 years - 5 days.

What dose of Paracetamol tablets is needed for children, how to take the medicine correctly?

When prescribing a dose, they are guided not by the age, but by the weight of the baby. 10-15 mg of the active substance is prescribed per 1 kg.

A single dose of Paracetamol tablets for children weighing 10 kg is 100-150 mg (0.1-0.15 g), or 1/2-3/4 tablets with a dosage of 200 mg (0.2 g).

Re-admission should be no earlier than 4-5 hours later, allowed during the day 4-5 receptions.

A safe daily dose is up to 60 mg/kg body. This means that a child weighing 10 kg per day should not be given more than 3 tablets of 200 mg.

For adolescents over 12 years of age who weigh more than 40 kg, the maximum single dose is 1 g (5 tablets of 0.2 g), daily - 4 g (20 tablets of 0.2 g).

Method of application, special instructions

The remedy is given inside. After eating, 1-2 hours must pass, otherwise absorption slows down. Drink plenty of clean water. If the child is small, then the tablet is crushed into powder.

Paracetamol is an ambulance that does not cure, but only eliminates the manifestations of the disease. If the cause of the disease is not eliminated, then the temperature and pain will return.

Reception features

The question of what dose of paracetamol to give a child in tablets should be decided after consulting a doctor. In the treatment, the following features of the reception are taken into account:

if there is liver disease, reduce the dose;
while using other drugs, you need to make sure that they do not contain paracetamol;
do not give the child alcohol-containing products, since alcohol enhances the absorption of the drug.

Overdose

Taking the drug in a single dose of more than 150 mg / kg of body weight of a child causes severe, in some cases fatal liver damage.

Stages of poisoning:

The development of liver failure is indicated:

neuropsychiatric disorders (sleep, dizziness, speech impairment, hallucinations);
pain in the right side under the ribs;
swelling, an increase in the abdomen;
jaundice;
bleeding;
heart rhythm disturbances;
insufficiency of functions of other organs.

Death from an overdose occurs in 3-5 days.

In case of an overdose, the stomach is washed, given to the patient, and an ambulance is called. Paracetamol's antidote is acetylcysteine.

In case of liver failure, hospitalization is carried out, treatment is symptomatic. In severe cases, a liver transplant may be required.

Children tolerate poisoning more easily than adults, especially those under the age of 6, due to the nature of their metabolism. In mild cases, treatment is carried out at home.

How can an overdose occur?

The safe dosage of the drug is 0.2 mg. So, in order for a child weighing 10 kg to become poisoned, he needs to take 1.5 g of the drug per day, which is 7.5 tablets.

Overdose occurs for several reasons:

parents in a hurry did not pay attention to the content of the active substance;
at the same time gave other drugs with paracetamol;
increased the frequency of admission;
the baby accidentally took the medicine on his own, because it was in an accessible place.

Side effects

Although Paracetamol is well tolerated in most cases, it causes side effects:

In recent years scientists talk about harm and toxicity.

Studies have shown that children who are often prescribed Paracetamol at the age of 1–3 years develop allergic diseases by the age of 6–7 years - eczema, allergies.

Safety is maintained with infrequent use.

There is also evidence that with prolonged use of Paracetamol more than 1 tablet per day, if the total amount of medication taken is 1000 or more tablets in a lifetime, the risk of developing severe forms of analgesic nephropathy (kidney disease), which leads to terminal renal failure (complete loss of kidney function).

drug interaction

Paracetamol interacts with other drugs, which may affect the safety of therapy.

The following effects may be observed:

an increase in the harmful effects on the liver, a decrease in the antipyretic effect of Paracetamol in combination with barbiturates, antiepileptic drugs, rifampicin;
enhancing the action of coumarin derivatives, salicylic acid, caffeine, codeine;
increase in the level of methemoglobin - with simultaneous use with phenobarbital.

It is forbidden to combine Paracetamol tablets with other drugs that contain this active ingredient (Parafex, Paravit, Cold Flu, Coldrex and others).

average price

The average price of Paracetamol 0.2 g, 10 tablets - 6 rubles.

Terms and conditions of storage

The dosage of Paracetamol in tablets for a child of 9 years old is usually 200 mg 3 times a day. The dose of the drug in this case depends more on age than on weight, as in children under 3-5 years old.

The antipyretic drug also has a pronounced analgesic property and has a slight anti-inflammatory effect.

Can be applied in the following cases:

For effective treatment, it is imperative to consult with a qualified specialist who will establish the root of the onset of pathological symptoms.

Features of the drug

200 mg;

The dosage of Paracetamol for a child of 9 years old is 200 mg 3-4 times a day and the maximum can increase to no more than 1-1.2 grams per day. Higher doses are acceptable in emergency cases and only in a hospital, under the supervision of a physician. Injectable and transfusion forms of the drug are used to eliminate fever in, for example, lobar pneumonia, lacunar tonsillitis or abscess of various localization.

Priorities in the form of drug release

Whatever the form of release, it is important to know how to give Paracetamol, at what dose and frequency of administration. Usually the drug is prescribed an hour after a meal and washed down with a sufficient amount of water. In case of urgent need to lower the body temperature, eating is not of particular importance.

Found an error? Select it and press Ctrl + Enter

IMPORTANT. The information on the site is provided for reference purposes only. Do not self-medicate. At the first sign of disease, consult a doctor.

Tablets "Paracetamol" for children: instructions for use and dosage

Among all the antipyretic drugs used in childhood, Paracetamol can be called the most popular. It effectively brings down the temperature and helps to eliminate pain of different localization. Especially for children's use, such a drug is produced in the form of a sweet suspension and rectal suppositories. Depending on how old the child is, ordinary tablets may also be suitable for him.

Release form and composition

Tablets "Paracetamol" are produced by various pharmaceutical companies, so in pharmacies you can find not only a medicine with that name, but also tablets on the box of which there is a note about the manufacturer (such drugs are called "Paracetamol MS", "Paracetamol-LEKT", "Paracetamol- UBF" and so on).

Usually the solid form of the drug looks like small round tablets that are white in color, but may also be white-yellow or white-cream. They are packaged in blisters and sold in boxes of 10 or more. The main ingredient in any of these medicines is also called paracetamol. Depending on its amount per tablet, the medicine is made in two dosages - 200 mg and 500 mg. Abroad, tableted "Paracetamol" is also available in a dose of 325 mg.

Auxiliary components of the drug differ from company to company. Among them you can see gelatin, starch, povidone and other ingredients.

If a child has intolerance to such substances, they should be specified in the annotation for the selected tablets.

Operating principle

After the tablets enter the stomach, paracetamol is absorbed quickly enough, after which this substance penetrates the bloodstream to the brain tissues and affects the centers of pain and thermoregulation. In these centers, under the action of such a compound, cyclooxygenases are blocked (these enzymes affect the synthesis of prostaglandins), as a result of which pain is eliminated, and body temperature returns to normal.

In peripheral tissues, the action of paracetamol is prevented by cellular peroxidases. Due to their presence, the anti-inflammatory effect of the drug is practically absent, but the tablets also do not have a side effect on water-salt metabolism and the gastric mucosa.

Indications

Tableted "Paracetamol" is used in various cases:

As an antipyretic medicine for elevated body temperature caused by vaccination, childhood infection, flu or other disease.
As an analgesic, if the pain is unexpressed or moderate (with earache, headache, sore throat, toothache, and others).

Is it possible for children?

"Paracetamol" in tablets is not used in the treatment of patients under six years of age. If the child is not yet 6 years old, for example, he is only 2 or 4 years old, then instead of the solid form they give "Paracetamol" in suspension or put candles. The medicine in these types is allowed from the age of 3 months and is most often chosen both for children under 1 year old and for preschoolers. They are often used in children 7-8 years of age or older if it is difficult for a child to swallow a tablet.

Contraindications

Tablets should not be given to small patients with the following features:

Intolerance to paracetamol or any auxiliary component.
Peptic ulcer or erosive changes in the wall of the gastrointestinal tract.
Absence of glucose 6 phosphate dehydrogenase in the body.
Bleeding from the walls of the digestive tract.

In addition, the medicine is not used if the child has serious blood diseases, liver function is impaired, or kidney failure is detected.

Side effects

Taking Paracetamol can cause skin itching, rashes, or other signs of an allergic reaction. In rare cases, such tablets adversely affect hematopoiesis, the state of the gastrointestinal tract, or liver function. If any side effects appear, the medicine is advised to be canceled, and the child must be immediately shown to the doctor.

Instructions for use

"Paracetamol" is taken from 1 to 3 times a day, swallowing a tablet 1-2 hours after a meal and drinking it with water. The dosage is determined taking into account the age of the patient. If, say, a child is 7 years old, then 200 mg can be given at one time, and at 14 years old, a single dosage is 500 mg. Age also affects the maximum allowable daily dose - it is 1.5 g for patients 6-9 years old, 2 g for children 9-12 years old and 4 g for adolescents 12 years of age and older.

The interval between taking the tablets should not be shorter than 4 hours. If the medicine is prescribed for pain syndrome, the duration of use is up to 5 days, longer treatment is possible only under the supervision of a physician.

If the tablets are used for an antipyretic effect, then the course of administration should not exceed three days.

Overdose

If a child takes too many Paracetamol tablets, this will provoke vomiting, stomach cramps, loose stools and other negative symptoms of gastrointestinal irritation. A very large dose of the drug is dangerous for the liver, and since signs of damage to this organ do not occur immediately and can lead to serious consequences, a doctor must definitely examine a child with an overdose (even if he feels fine).

Combination with other drugs

You should not combine taking Paracetamol and other drugs based on the same active ingredient, because this will increase the risk of overdose. It is also not recommended to give tablets together with other antipyretic drugs (for example, acetylsalicylic acid or ibuprofen preparations) without a doctor's prescription.

In addition, the annotation for "Paracetamol" contains a rather large list of other drugs that are incompatible with it. If the child is taking any medication, it should be clarified whether it can be combined with such pills.

Terms of sale

Like other dosage forms, Paracetamol tablets are sold without a prescription. The price of the drug is affected by the manufacturer and the size of the package. On average, 10 tablets containing paracetamol at a dose of 200 mg each cost 3 rubles.

Storage features

The shelf life of the drug may vary from manufacturer to manufacturer and is usually 3 years or 5 years. It is advised to keep the medication at home at temperatures up to +25 degrees, choosing a place inaccessible to children for storage.

Reviews

About the treatment with Paracetamol tablets, they respond mostly positively. According to parents, this drug has a pronounced antipyretic and analgesic effect, as well as good tolerance. The tablets are small in size, so it is usually easy for a child of 6-7 years and older to swallow them. The cost of this form of "Paracetamol" is called low, which is also attributed to the advantages of the drug. Among the shortcomings, a short duration of action is often mentioned (in most cases up to 4 hours).

Paracetamol effervescent tablets

Such a drug is produced by the Hemofarm company and is presented in plastic tubes, inside which there are from 10 to 40 white round tablets. They contain 500 mg of paracetamol supplemented with lemon flavor, lactose, silicone emulsion, sodium saccharinate and some other substances. Such effervescent tablets are prescribed for children over 6 years of age. The drug dissolves before taking in a glass of water.

If the patient is under 9 years old, then he is given only half a tablet, but you can dissolve the whole tablet if necessary. Such "Paracetamol" is taken 1-3 times a day, and the maximum dosage is three effervescent tablets for a child of 6-9 years old, six effervescent tablets for a patient of 9-12 years old and 12 effervescent tablets for a child over 12 years old.

"Paracetamol Extratab"

A feature of such a medication, which is produced in the form of white-yellow oblong tablets, is the presence in the composition of not only 500 mg of paracetamol, but also 150 mg of ascorbic acid. This is a solid analogue of Paracetamol Extra powders, allowed from the age of six. For children 6-12 years old, the drug "Paracetamol Extratab" is given 1/2 tablet up to 4 times a day, and a teenager over 12 years old needs a whole tablet at a time.

Analogues

A replacement for Paracetamol in tablets can be any other tablet preparation with the same active ingredient, for example, Efferalgan or Panadol. Also, instead of these drugs, the doctor may advise a remedy with a similar therapeutic effect, for example, Ibuprofen, Mig 400, Faspic or Nurofen. The basis of such tablets is ibuprofen, which, like paracetamol, effectively brings down the temperature, but at the same time acts a little longer (up to 6-8 hours).

In some cases, instead of such antipyretic drugs, the pediatrician may prescribe other tablets, for example, Voltaren, Nise, Nimesil, Analgin, Next or Diclofenac. However, the use of these drugs without medical supervision is not recommended, because such drugs have their own age restrictions and contraindications, and their action is due to different active substances.

For information on which medications to use as antipyretics, see the following video.

mother of two children with medical education

Copying site materials is possible only if you set an active link to our site.

Paracetamol for children

Doctors do not recommend bringing down the temperature if it does not exceed 38 degrees. But if the mercury column of the thermometer has risen above this indicator, then the temperature must be urgently lowered. An adult person most often uses paracetamol. It also helps kids a lot, but for them there is a special children's version.

Existing forms of the drug

Children's paracetamol is available in three forms: syrup, suppositories and tablets.

Paracetamol dosage for children

The drug in this case is a sweet-tasting suspension. She is very popular with children, and the kids are happy to take the medicine. The suspension is allowed from the second month of a child's life. In some cases, pediatricians give the green light to the use of the drug immediately from the moment of birth, choosing an individual dosage.

Dosing accuracy is determined using a special syringe with measured divisions. Paracetamol (the dosage for children is listed a little lower) is even somewhat cloying in taste, but it cannot be diluted with water. It is better to give the child to drink it after taking it.

The dose is calculated as follows:

from 0 ... 6 months - the amount of the drug will be determined by the pediatrician, taking into account the body weight of the baby;
6 months ... 1 year - 2.5 .... 5 ml;
1 ... .3 years - 5 ... .7.5 ml;
3….6 years – 7.5…..10 ml;
6….12 years – 10…..15 ml.

The number of doses of the drug should not exceed four times in a full day. In this case, the interval between them should be at least 4 hours.

The next format for the release of antipyretic. Suppositories are administered rectally, that is, the candle must be carefully inserted into the child's anus. In this case, paracetamol (the dosage for children in this case also depends on age) is absorbed very quickly in the intestines, bringing down the temperature more effectively.

For babies who are not yet 3 months old, the doctor selects the dose. Suppositories at this age cannot be used at home, as an overdose can be provoked. Assign paracetamol rectally to a baby can only be in a hospital and in the most extreme cases.

When buying candles, you need to pay attention to the indicated dosage in grams.

Children aged:

from 3 to 12 months a suppository is prescribed, weighing 0.08 g;
from 1 year to 3 years - a candle, weighing 0.17 g;
from 3 to 6 years - a candle, a dosage of 0.33 g;
from 6 to 12 years - two suppositories of 0.33 g.

The drug is also used no more than four times in 24 hours. The time interval between doses is at least four hours.

In young children, they are used quite rarely, since it is difficult to make a child swallow it. You can grind the pill into powder and dilute with water or compote (tea, juice). But even in this form, babies are very reluctant to swallow the medicine. In tablets, paracetamol can be given to children (the dosage is tied to the age of the child) only after the child is 2 years old.

Most often, paracetamol tablets are available with a dosage of 200 mg. In this case, a child aged:

2 ... 6 years, ½ tablet is prescribed for admission;
6 ... 12 years old - she is a complete tablet;
over 12 years old - 1 ... 2 tablets.

The number of receptions and the time interval between them are the same as those discussed earlier.

Indications for use

Paracetamol is a classic antipyretic and cannot be used as a drug for the treatment of any disease. An increase in body temperature is a clear sign of the development of the disease. Paracetamol is intended to relieve this symptom and alleviate the condition of a sick child. The use of funds for more than three days is highly undesirable.

Paracetamol is prescribed for use in the following cases:

If the child's body temperature exceeds 38 degrees. In general, it is not recommended to knock it down if the figure is less than 38.5 ... 38.9. But high body temperature can cause seizures in the crumbs.
If the baby has a mild pain syndrome. For example, with a headache, during teething, neuralgia and other conditions.

Paracetamol overdose

It is impossible to exclude an overdose, and even drug poisoning. This can be facilitated by the inattention of parents who simply do not read the instructions. After all, there are indicated the exact doses allowed at a certain age.

The next possible option is a combination treatment. A child may be prescribed a remedy that already contains paracetamol. The simultaneous use of drugs may well cause poisoning.

Incorrectly chosen dosage most often falls on a tablet preparation, when the child receives an “adult” amount of the drug.

An overdose is also possible in case of non-compliance with the recommended time interval. If the drug could not bring down the temperature within an hour, then it is also necessary to use non-drug means to reduce the temperature, in particular, wiping the child with cool water.

The cause of poisoning can be an independent medication by the baby. The suspension is very tasty and the baby, having reached the bottle, can simply drink it completely. If something like this happened, then the child must be carefully observed. If signs of poisoning appear (nausea, vomiting, complaints of abdominal pain), you need to call an ambulance. The baby will be given an entersorbent - a means that reduces the rate of absorption of the drug. In case of severe poisoning, the stomach of the crumbs will be washed and an antidote will be administered.

Paracetamol

The description is current as of 07/07/2015

Latin name: Paracetamol
ATX code: N02BE01
Active ingredient: Paracetamol (Paracetamol)
Producer: Rozpharm LLC, Pharmstandard-Leksredstva, Biochemist, Pharmproekt, Dalkhimfarm, Irbit Chemical Pharmaceutical Plant, Pharmapol-Volga, Mega Pharm (Russia), Anqiu Lu An Pharmaceutical Co. (China), LLC Pharmaceutical company "Health" (Ukraine)

Compound

Paracetamol tablets contain 500 or 200 mg of the active substance.

The composition of the drug in the form of rectal suppositories includes 50, 100, 150, 250 or 500 mg of the active substance.

The composition of Paracetamol, produced in the form of a syrup, contains the active substance at a concentration of 24 mg / ml.

Release form

tablets (6 or 10 pieces in blisters or non-cell packs);
syrup 2.4% (50 ml bottles);
suspension 2.4% (vials 100 ml);
rectal suppositories 0.08, 0.17 and 0.33 g (5 pcs in a blister pack, 2 packs in a pack).

The OKPD code for Paracetamol is 24.41.20.195.

pharmachologic effect

Pharmacological group to which the drug belongs: non-narcotic analgesics, including non-steroidal and other anti-inflammatory drugs.

The drug has antipyretic and analgesic action.

Pharmacodynamics and pharmacokinetics

Paracetamol is a non-narcotic analgesic, the properties and mechanism of action of which are due to the ability to block (mainly in the central nervous system) COX-1 and COX-2, while affecting the centers of thermoregulation and pain.

The drug does not have an anti-inflammatory effect (the anti-inflammatory effect is so insignificant that it can be neglected) due to the fact that the effect of the substance on COX is neutralized in inflamed tissues by the enzyme peroxidase.

The absence of a blocking effect on the synthesis of Pg in peripheral tissues determines the absence of a negative effect on the exchange of water and electrolytes in the body, as well as on the mucous membrane of the digestive canal.

Absorption of the drug is high, Cmax ranges from 5 to 20 μg / ml. The concentration in the blood reaches a maximum within 0.5-2 hours. The substance can pass through the BBB.

Paracetamol with HB penetrates into the milk of a nursing mother in an amount not exceeding 1%.

The substance is biotransformed in the liver. If metabolization is carried out under the influence of microsomal liver enzymes, toxic products of intermediate metabolism (in particular, N-acetyl-b-benzoquinoneimine) are formed, which, with a low level of glutathione in the body, can provoke damage and necrosis of liver cells.

Glutathione reserves are depleted when taking 10 or more grams of paracetamol.

Two other pathways of paracetamol metabolism are sulfate conjugation (predominant in newborns, especially those born prematurely) and glucuronide conjugation (predominant in adults).

Conjugated metabolic products show low pharmacological activity (including toxic).

T1 / 2 - from 1 to 4 hours (in the elderly, this figure may be large). It is excreted mainly in the form of conjugates by the kidneys. Only 3% of the paracetamol taken is excreted in its pure form.

Indications for use

Indications for the use of Paracetamol:

A powdered tablet is an emergency relief for acne (apply the medicine to the affected area for no more than 10 minutes).

When it is necessary to quickly relieve pain and inflammation (for example, after surgery), as well as in situations where oral administration of tablets / suspension is not possible, paracetamol may be administered intravenously.

The drug is intended for symptomatic therapy, reducing the intensity of inflammation and pain at the time of use. It does not affect the progression of the disease.

Why Paracetamol is needed for a cold?

What is Paracetamol? This is a non-narcotic agent with a pronounced antipyretic efficacy, which allows you to stop pain with the least possible negative consequences for the body.

The expediency of using the drug for colds is due to the fact that the characteristic symptoms of an episode of a cold are: high (often spasmodic) temperature, weakness that increases with increasing body temperature, general malaise, pain syndrome (usually expressed in the form of migraine).

The main advantage of the use of Paracetamol on temperature is that the antipyretic effect of the drug is close to the body's natural cooling mechanisms.

Influencing the central nervous system, the agent localizes the action in the hypothalamus, which contributes to the normalization of the process of thermoregulation and allows you to activate the body's defense mechanisms.

In addition, in comparison with most other NSAIDs, the drug acts selectively and provokes a minimum number of side effects.

Does paracetamol help headaches?

The drug is effective for any pain of moderate intensity. However, it is intended for symptomatic treatment. This means that the medicine helps to eliminate the symptoms without eliminating the cause that caused them. It should be used once.

Paracetamol contraindications

Side effects

Sometimes taking the drug may be accompanied by impaired hematopoiesis (agranulocytosis, thrombocytopenia, pancytopenia, leukopenia, neutropenia) and dyspeptic symptoms.

With prolonged use of high doses, a hepatotoxic effect is possible.

Application instruction of Paracetamol

Paracetamol tablets: instructions for use. Can children be given pills?

Dosage for adults and children over 12 years of age (provided that their body weight exceeds 40 kg) - up to 4 g / day. (20 tablets of 200 mg or 8 tablets of 500 mg).

The dose of Paracetamol MS, Paracetamol UBF and drugs from other manufacturers, which are available in tablet form, is 500 mg (if necessary - 1 g) per 1 dose. You can take Paracetamol tablets up to 4 rubles / day. Treatment is continued for 5-7 days.

Children's Paracetamol tablets can be given to a child from the age of 2 years. The optimal dosage of Paracetamol tablets for young children is 0.5 tab. 200 mg every 4-6 hours. From the age of 6, the child should be given a whole tablet of 200 mg with the same frequency of applications.

Paracetamol in tablets 325 mg is used from the age of 10. For children, it is prescribed to take 325 mg 2 or 3 times a day by mouth. (not exceeding the maximum allowable dose, which for this group of patients is 1.5 g / day.).

Adults and children over 12 years of age are recommended to take 1-3 tablets every 4-6 hours. The intervals between doses should not be less than 4 hours, and the dose should not be more than 4 g / day.

During lactation and during pregnancy, Paracetamol is not on the list of prohibited drugs. If you take it while breastfeeding at a therapeutic dose and at intervals recommended by the instructions, the concentration in milk will not exceed 0.04-0.23% of the total dose of the drug taken.

Instructions for candles: how often can I take and after what time does the drug work in the form of suppositories?

Candles are intended for rectal use. Suppositories should be administered into the rectum after bowel cleansing.

Adults are shown taking 1 tab. 500 mg from 1 to 4 r / day; the highest dose is 1 g per reception or 4 g / day.

Instructions for candles Paracetamol for children

The dose of the drug in suppositories for children is calculated depending on the weight of the child and his age. Children's candles 0.08 g are used from the age of three months, candles 0.17 g are recommended for children from 12 months to 6 years old, candles 0.33 g are used to treat children 7-12 years old.

They are administered one at a time, maintaining at least 4-hour intervals between injections, 3 or 4 pcs. during the day (depending on the condition of the child).

If we compare the effectiveness of Paracetamol syrup with the effectiveness of suppositories (it is these dosage forms that are most often prescribed for children), then the first one acts faster, and the second - longer.

Since the use of suppositories is more convenient and safe in comparison with tablets, their use is more relevant than the younger the child. That is, suppositories with Paracetamol for newborns are the optimal dosage form.

The toxic dose for a child is 150 (or more) mg/kg. That is, if a child weighs 20 kg, death from the drug can occur already when taking 3 g / day.

When selecting a single dose, the formula is used: mg / kg 2-3 times a day, after 4-6 hours. The highest dose of Paracetamol for children should not exceed 60 mg/kg/day.

Children's Paracetamol: instructions for use of syrup and suspension

Children's syrup is allowed to be used to treat babies older than 3 months. Children's suspension, since it does not contain sugar, can be used from 1 month.

A single dose of syrup for children 3-12 months - ½-1 teaspoon, for children from 12 months to 6 years old. spoons, for children 6-14 years old. spoons. The frequency of applications varies from 1 to 4 times a day (the child should be given medicine no more than 1 time in 4 hours).

Suspension for children is dosed similarly. How to give children up to 3 months of the drug, only the attending physician can say.

The dosage of children's Paracetamol should also be selected taking into account the body weight of the child. The dose should not exceed mg / kg per dose and 60 mg / kg / day. That is, if the child is 3 years old, the dosage of the drug (with an average weight of 15 kg) will be mg per 1 dose.

If at the indicated dose the syrup or suspension for children does not have the desired effect, the drug must be replaced with an analogue with another active substance.

Sometimes a combination of Paracetamol and Analgin is used to relieve a feverish state (at a temperature of 38.5 ° C and above, which does not go astray). The dosage of the drugs is as follows:

This combination cannot be used frequently, because the use of Analgin contributes to irreversible changes in the composition of the blood.

Ambulance doctors, in order to bring down a very high temperature, use the drug in combination with antihistamines and other antipyretic analgesics.

How quickly does the medicine work?

How long the drug takes to work depends on when it was taken. In order for the effect to come as quickly as possible, the medicine is taken an hour or two after eating. If you drink it immediately after a meal, the action develops more slowly.

How to take paracetamol at a temperature?

As an antipyretic drug, you can use no more than 3 days in a row.

How to take the remedy for pain syndrome?

The duration of the course, if the drug is used to relieve pain, should not exceed 5 days. The expediency of further use should be determined by the doctor.

When taking Paracetamol for a toothache or headache, remember that the drug relieves symptoms, but does not cure the underlying disease.

Overdose of Paracetamol

Overdose symptoms that appear on the first day:

nausea;
pallor of the skin;
vomit;
abdominal pain;
anorexia;
metabolic acidosis;
impaired glucose metabolism.

Through the signs of liver dysfunction may appear.

Severe poisoning provokes:

The most severe consequence of an overdose is death.

Treatment involves the introduction to the patient for 8-9 hours of acetylcysteine and methionine, which are precursors of the synthesis of glutathione, as well as donors of SH-groups.

Further treatment depends on how long the drug was taken and what its concentration in the blood is.

Interaction

The drug reduces the effectiveness of uricosuric drugs. The concomitant use of high doses of the drug increases the effect of anticoagulants by reducing the production of procoagulants in the liver.

Drugs that induce microsomal oxidation in the liver, ethanol and hepatotoxic agents stimulate the production of hydroxylated active metabolites, which can provoke the development of severe intoxication even with a slight overdose.

The effectiveness of the drug decreases with long-term treatment with barbiturates. Ethanol provokes the development of acute pancreatitis. Drugs that inhibit microsomal oxidation in the liver reduce the risk of hepatotoxic effects.

Long-term combined use with other NSAIDs can lead to the development of renal papillary necrosis, "analgesic" nephropathy, the onset of end-stage (dystrophic) stage of renal failure.

Simultaneous use of the drug (in high doses) and salicylates for a long time increases the likelihood of developing bladder or kidney cancer. Diflunisal increases the concentration of paracetamol in the blood plasma by 50% and, consequently, the risk of developing hepatotoxicity.

Myelotoxic agents increase the hematotoxicity of the drug, antispasmodics - delay its absorption, enterosorbents and cholesterol - reduce bioavailability.

Terms of sale

Storage conditions

Keep away from light and moisture, keep out of the reach of children. The optimum temperature for storing syrup is not lower than 18 ° C (it is forbidden to freeze the drug), suppositories - not higher than 20 ° C.

Best before date

Candles and syrup - 2 years, tablets - 3 years.

special instructions

Paracetamol is an antibiotic or not?

The drug is not an antibiotic, its action is aimed at reducing pain and lowering temperature. Antibiotics inhibit the growth and reproduction of bacteria.

Does the drug increase or decrease blood pressure?

It is reliably known that the drug has no effect on blood pressure (BP).

The drug can contribute to the normalization of pressure only indirectly, if its increase is a reaction to pain (by reducing its severity, Paracetamol also reduces blood pressure).

What is the difference between Paracetamol from different manufacturers?

Preparations from different manufacturers may differ slightly in the composition of auxiliary components and price. The basis is the same substance.

Thus, there is no difference in what Paracetamol MS helps with and what Paracetamol UBF in tablets helps with.

Recipe in Latin (sample):

Rp: Sup. Paracetamoli 0.05 (0.1; 0.25)

Rep: Tab. Paracetamoli 0.2

Analogues

Which is better: Paracetamol or Ibuprofen?

Ibuprofen (Nurofen) has a wider spectrum of action and has a more favorable effect on the temperature curve than Paracetamol. The effect of its use comes faster (already in minutes) and lasts longer (up to 8 hours), in addition, the drug is considered less harmful and less likely to provoke allergic reactions.

Ibuprofen is better than its counterpart in removing critically high temperatures. Repeatedly (to control hyperthermia), it is used much less frequently than Paracetamol.

The strength of the antipyretic action is comparable, however, ibuprofen, in addition to analgesic and antipyretic effects, also effectively relieves inflammation in peripheral tissues. This is due to the fact that paracetamol acts predominantly in the central nervous system, and ibuprofen inhibits Pg synthesis not so much in the central nervous system as in inflamed peripheral tissues.

That is, with severe peripheral inflammation, the choice should be made in favor of Nurofen and other drugs based on ibuprofen.

Answering the question “What to choose, Paracetamol or Nurofen?”, Doctors recommend starting treatment of young children with Ibuprofen monotherapy. If necessary, urgently reduce the temperature, you can use any of the drugs. Subsequent treatment must be agreed with the doctor. You should know that suppositories with ibuprofen are contraindicated in children weighing up to 6 kg, and suspension - in children under 3 months.

Can I alternate between Nurofen and Paracetamol?

The use of paracetamol and ibuprofen together may be justified if the temperature is poorly controlled when using each of the drugs in monotherapy. The funds are used interchangeably. Depending on the situation, the doctor, for example, may advise giving Nurofen to the child, and after 10 minutes, put him in a suppository with Paracetamol.

Which is better - Paracetamol or Aspirin?

If we compare the drugs, then they have the same effect when it is necessary to reduce the high temperature.

What is aspirin? Analgesic and antipyretic based on acetylsalicylic acid, NSAIDs with all the side effects inherent in drugs from this group.

When choosing what is better for temperature, you should know that Aspirin relieves fever faster and more efficiently, but the risk of overdose is much higher than the risk of overdose with Paracetamol, in addition, the use of Aspirin for a viral infection can provoke Ray's syndrome in a child - a complication that in every 5th case leads to death.

Aspirin acts on the same structures of the brain and liver as individual viruses, so it is used as the safest and most effective remedy for hyperthermia, which is accompanied by bacterial infections (pyelonephritis, tonsillitis, etc.). Paracetamol is the drug of choice for viral infections.

Alcohol compatibility

Paracetamol and alcohol are incompatible.

Wikipedia notes that the lethal dose of Paracetamol for an adult is 10 grams or more. Severe liver damage leads to death, the cause of which is a sharp decrease in glutathione reserves and the accumulation of toxic products of intermediate metabolism, which have a hepatotoxic effect.

In men who systematically consume more than 200 ml of wine or 700 ml of beer per day (for women it is 100 ml of wine or 350 ml of beer), even a therapeutic dose of the drug can be a lethal dose, especially if a little time has passed between taking Paracetamol and alcohol.

Can paracetamol be taken with antibiotics?

Antipyretics are allowed to be used in combination with antibiotics. At the same time, it is very important that the drugs are not taken on an empty stomach, and the interval between taking them is at least a minute.

Paracetamol during pregnancy and lactation. Is it possible to drink pregnant and lactating drug?

The instructions indicate that the drug crosses the placenta, but so far no negative effect of Paracetamol on fetal development has been established.

Can paracetamol be taken during pregnancy?

In the course of studies, it was found that the use of the drug during pregnancy (especially in the second half of pregnancy) increases the risk of a child developing respiratory disorders, asthma, allergic manifestations, wheezing.

At the same time, in the 3rd trimester, the toxic effect of infections is no less dangerous than the effect of certain drugs. Hyperthermia in the mother can cause hypoxia in the fetus.

Taking the drug in the 2nd trimester (namely, from 3 months to about 18 weeks) can cause malformations of internal organs in a child, which often appear only after birth. In this regard, the remedy is prescribed for episodic use and only in extreme cases.

Nevertheless, it is this remedy that is considered the safest analgesic for expectant mothers.

To the question, is it possible to drink Paracetamol during early pregnancy, there is no definite answer. In the first weeks, taking the drug can provoke a miscarriage and, like any other medicine, cause malformations incompatible with life.

So, can pregnant women take paracetamol? It is possible, but only if there is evidence. Before you take a pill, you should weigh the pros and cons. Sometimes a high temperature in the mother is less dangerous for the fetus than anemia or renal colic due to medication.

Dosage during pregnancy

The use of high doses of the drug during pregnancy can adversely affect the condition of the liver and kidneys. Pregnant women with an increase in temperature against the background of influenza or SARS should start taking the medicine with 0.5 tab. for 1 appointment. The maximum duration of treatment is 7 days.

Paracetamol while breastfeeding. Can breastfeeding mothers drink paracetamol?

Paracetamol passes into breast milk in minimal amounts during lactation. Therefore, if the drug is used during breastfeeding for no more than 3 days in a row, there is no need to stop lactation.

The optimal dosage for breastfeeding is no more than 3-4 tab. 500 mg per day. The medicine should be taken after feeding. In this case, the next time the child is better to feed no earlier than 3 hours after taking the pill.