What are the commonly used medicines for children's fever?

Fever in young children is self-limiting and generally will not endanger the child's life. When fever occurs, the body temperature should be monitored in time. As long as it does not exceed 38.5 degrees, physical cooling can generally be performed. Of course, if it exceeds 38.5 degrees, this indicates a high fever state and must be treated with medication in time. There are many such drugs, such as aspirin, paracetamol, ibuprofen and other drugs.

1. Aspirin

It is an ancient antipyretic drug that has been used since 1899. It has a strong antipyretic effect, but it has serious side effects, mainly gastrointestinal bleeding and thrombocytopenia. The most serious side effect is Reye's syndrome, with a mortality rate of 30%. The UK has clearly stipulated that aspirin is prohibited for children under the age of 16. Currently, this drug is being phased out in domestic pediatrics.

2. Acetaminophen

That is, paracetamol, which is a relatively safe antipyretic drug. It has no gastrointestinal irritation or bleeding, does not affect platelet function, has no nephrotoxicity, and will not cause granulocytopenia and aplastic anemia. Its antipyretic effect is proportional to the dose, but excessive doses can cause liver toxicity. This drug is recommended by the World Health Organization (WHO) as the first choice antipyretic drug for high fever in infants and children over 2 months old. The dosage is 10-15 mg per kg of body weight, once every 4-6 hours. It is currently sold in all hospitals and large pharmacies. Representative drugs include Children's Motrin Syrup, Children's Baifuning Drops, etc.

3. Ibuprofen

Nonsteroidal anti-inflammatory drugs have obvious antipyretic and analgesic effects with few side effects. The drug takes an average of 1.16 hours to take effect in reducing fever, and lasts nearly 5 hours on average. The average temperature drop is 2.3 degrees, with a percentage drop of 88%. Pediatric experts believe that this product can replace intramuscular injection of antipyretics and is suitable for children with high fever caused by infectious diseases. Ibuprofen is suitable for children over 6 months old, with a dosage of 5 to 10 mg per kilogram of body weight, once every 6 to 8 hours. It is currently sold in all hospitals and large pharmacies, and representative drugs include Thorne oral solution, etc.

4. Bupleurum injection

It is an injection extracted from the traditional Chinese medicine Bupleurum. The drug has a slow and weak antipyretic effect and few side effects. The specification is 2 ml per vial. For children under 3 years old, 1/3 to 1/2 vial should be injected intramuscularly each time, and for children over 4 years old, one vial should be injected each time.

5. Nimesulide Granules

This product is a non-steroidal anti-inflammatory drug with anti-inflammatory, analgesic and antipyretic effects. It can be used to treat chronic joint inflammation (such as rheumatoid arthritis and osteoarthritis); pain and inflammation after surgery and acute trauma; pain caused by otolaryngitis; dysmenorrhea; fever caused by upper respiratory tract infection and other symptoms.