Vitamins for a child- this is good remedy to maintain health, strengthen immunity and provide the body with the substances necessary for growth and development. And in winter, they are simply an integral component of a children's first aid kit. And in order to get the maximum benefit from them, you first need to know what children's vitamins to give your child and how to do it correctly.

According to pediatricians, after winter, children develop drowsiness, lethargy and poor appetite. This is due to a lack of vitamins. Experts believe that in such a situation it is better not to wait for the first signs of hypovitaminosis, and start giving vitamins to the child in advance.

If prevention was not started on time, and the child caught a cold, or his nails began to exfoliate, his skin began to peel off, small wounds appeared in the corners of his lips, you need to take immediate action. But note that giving vitamins to a child is half the battle, you must also provide proper nutrition. Then a positive result will not keep you waiting.

Due to the high content of vitamins in food, a balanced diet for children will help to avoid hypovitaminosis (acute deficiency of vitamins) and beriberi (acute lack of vitamins). However, a slight lack of useful elements is quite possible, especially in winter.

Children's vitamins are very convenient to use. It is enough to take a pill once or drink a spoonful of syrup.

It is better to give vitamins to a child in the morning. At this time, the baby is very active, and nutrients are well absorbed. The doctor will decide whether to take vitamins before or after meals, you can also read this information in the instructions. Most importantly, try to give them at the same time.

Please note that vitamins do not accumulate in the body, so stocking up on them will not work. And such fat-soluble vitamins as A, E, D in large quantities can be dangerous for crumbs.

Regardless of the type of vitamins (syrup, drops, dragee or gel), the dosage must be strictly observed. Particular attention should also be paid to the storage of drugs. Vitamins should be kept in a dark, dry, and most importantly, out of the reach of children place.

When you start giving vitamins to your child, carefully observe his reaction (at least the first 2-3 days). This is especially true for coated tablets. The flavorings contained in it can cause allergies. If a rash and redness appear, you will have to stop taking vitamins. Also, you need to abandon vitamins with vomiting and diarrhea. When the child feels better, you can try again.

Vitamins and minerals are necessary for every person, and growing - especially. When choosing certain complexes for their babies, parents often make a mistake - they increase the dosage without consulting a pediatrician. Unfortunately, many parents do not know how to give vitamins to children.

You can argue - vitamins and minerals for children are not medicines; the child's diet is often far from ideal, and giving an extra lozenge or a spoonful of syrup is useful. But, just like medicines, vitamins have a number of contraindications, many lead to allergies.

Therefore, we will talk about how often to give vitamins to children and how best to do it. We will pay special attention to the smallest - babies up to a year. It is at this time that the child develops immunity. General recommendations that you will find in the article are suitable for all children.

When to start taking vitamins for children under one year old

First you need to decide - do you need vitamins for children up to a year in your case? If the child is on breastfeeding, then the state of his immune system is determined by the mother's concern for herself - the baby receives all the nutrients with mother's milk. The exception is vitamin D, which is synthesized in the body by exposure to sunlight. On artificial feeding, a child can be given vitamins from 3-4 weeks of life.

After 6 months, vitamins should be introduced into the diet of children on any feeding. Be sure to visit your pediatrician. Only a doctor is able to determine which vitamins and how much your baby needs..

What is the best way to give vitamins to children?

Vitamins for kids are available in the form of drops, gels. You need to choose the form of release that will be easier for the child to give.

Pediatricians prescribe both a complex of vitamins and just one element. Closely monitor the condition of the child in the first three days. Some vitamins cause allergies. If you give a vitamin to a baby up to a year old, the first alarm signal will be reddening of the cheeks. Also, the fact that a vitamin or complex is not suitable is indicated by nausea and diarrhea.

What is the correct way to give vitamins to children so that they constantly receive useful substances, because the elements do not accumulate in the body. Usually, taking vitamins is cyclical, for example, once every three months (the frequency of taking is determined by the doctor).

How often should children be given vitamins?

If immune support is required, it is usually enough to give vitamins once a day (provided that otherwise is not indicated in the instructions). Vitamins are best absorbed in the first half of the day, when the child is most active and useful elements are better absorbed.

How often should children be given vitamin or multivitamin complexes if their intake is prescribed for the treatment of hypovitaminosis conditions? Follow the dosage and frequency indicated by your pediatrician.

Wanting to improve the health of their baby, parents do not pay attention to how often to give children a vitamin or multivitamin. It is not for nothing that we mention all the time in the article that the need for vitamins, dosage, etc. should be determined by the doctor. Proper vitamin intake is especially important for young children. If you want the elements to be useful and not harmful, follow the recommendations of the pediatrician.

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Should I give vitamins to a child? On this occasion, heated discussions between supporters of vitamins and their opponents do not cease. The former are sure that the child should receive additional nourishment in the form of ready-made complexes from pharmacies. The second insist that the child receives all the necessary substances from food. But is there a middle ground? How to determine the lack of vitamins in a child?

What do experts say about vitamins for children?

The best nutrition for an infant, which contains all the necessary substances and trace elements, is perfectly absorbed by a small body - breast milk. But sooner or later, the child has to be weaned and transferred to an "adult" diet, which includes a standard set of dishes. Here, parents face an important task - to provide a growing body healthy eating optimal combination of proteins, fats and carbohydrates.

Famous Dr. Komarovsky recommends that every parent honestly answer the question: is the child's diet balanced enough? Under a balanced diet, the doctor means the daily presence in the menu of fresh vegetables and fruits, a variety of cereals, dairy products, meat and fish dishes. If the parent gives an affirmative answer, you should not be afraid of a vitamin deficiency, according to Komarovsky.

Pediatrician the highest category Nelli Zorina adheres to the point of view that vitamins should be given to children from the age of one and a half, paying particular attention to the content of iodine and iron in vitamin complexes. It is from the lack of these substances, according to the doctor, that modern children suffer the most.

Another question is, what is the quality of the products that come to our table? Specialists of the well-known pharmaceutical company "Geyji" conducted research, according to which most products, even fresh vegetables and fruits, began to lose their beneficial features, and the amount of useful vitamins, trace elements and minerals is irreversibly reduced. If you believe the figures of the researchers "Gagey", the calcium content in ordinary potatoes in recent years has decreased by 78%, carrots have lost one of their most useful miners - magnesium - by 75%. Vitamin B6 has become less in bananas by 95%, and apples have lost 60% of vitamin C.

WHO specialists(World Health Organization) are convinced that in practice it is very difficult to determine in what dose vitamins enter the body with food: each person has different needs and the ability to absorb nutrients from food.

What problems does a lack of vitamins in a child lead to?

The body of a small child is very sensitive to the lack of a particular substance. Many health problems, ranging from increased excitability to obesity, occur precisely because of a deficiency of vitamins, beneficial trace elements and minerals.

• Vitamin A deficiency leads to dry, brittle nails. Vision is reduced, the skin becomes dry and flaky.
• Lack of vitamin B1 leads to a decrease in appetite, increased excitability, indigestion, circulatory disorders (legs and hands in this case are constantly cold).
• Vitamin B6 deficiency fraught with general weakness, increased nervousness, anxiety.
• In the absence of vitamin C in the diet the child may be sick more often, suffer from bleeding gums and nosebleeds.
• Vitamin D deficiency leads to a sedentary lifestyle, sleep becomes intermittent, appetite - poor. Metabolism may be disturbed, and the child will be obese, or, on the contrary, gain weight very slowly.

Harmful and useful vitamin D for children

Heated debate flares up about the need to take vitamin D. In Russia, it is customary to prescribe it to a child in liquid form almost from the very first day of life, while in Europe doctors recommend that mothers walk more often on fresh air, "bath" children in sunbathing, feed cereals and fatty fish (there, in their opinion, vitamin D contains the most).

In such children, in their opinion:

• Higher stress tolerance.
• Less risk of developing a disease such as hay fever.
• Better mood.
• Higher performance.
• Faster development.

Doctors are united in one thing, no matter which drug to choose: the Russian "Aquadetrim", the Finnish "Devasol" or the American "Baby Drops". The main thing is to give it systematically and coordinate the dosage with your doctor..

Vitamins for children by age

Here is a table with examples: what vitamins do children need, according to age needs

Age	Name of vitamins	Benefits for the body	Note
12 to 24 months	Vitamins: D, PP, B2, B1, B6, B 12, A	Helps to increase body weight Active growth of the child The development of organs and tissues of the baby	Make sure that the complex does not contain vitamin K - it can provoke bleeding, have a negative effect on the child's immune system, cause an allergic reaction
24 months		Contribute to the harmonious development of the child physical growth Smooth psycho-emotional state	Vitamin K should not be given
From 3 years	Vitamins: A, B1, B6, B2, C, PP, B12	Vitamins strengthen the immune system, which is extremely important for this stage of the child's growth. It is worth considering the fact that a three-year-old child begins to attend kindergarten, which means that more attention should be paid to the prevention of colds. Vitamins also increase stress resistance and help the child adapt to a new environment.	As before, it is better to choose complexes that do not contain vitamin K. Pay attention to the dosage recommended by the manufacturer
4-5 years	Vitamins: D, A, PP, B1, B6, B12 Trace elements: calcium and phosphorus	Microelement compounds help to form salts in the body that strengthen the bones of the child Vitamins provide the baby with substances for active growth Helps build muscle mass	Insufficient amounts of vitamins, trace elements can lead to bone deformity Growth retardation
From 6 years to 7	Trace elements: folic acid, iodine, phosphorus, iron and calcium Vitamins: A, C, B1, B6, E	Preparation for school, growing intellectual loads, creative and logical games: during this period, the child's brain structures are actively formed and require additional resources from the body. Vitamins and trace elements help the child grow up active, full of strength and energy.	You should carefully monitor the dosage - it can vary significantly from manufacturer to manufacturer.
7 to 9 years old	Vitamins: D, A, B1, B6, B2 Trace elements: iron, copper, manganese, panthogenic and folic acid	Vitamins help the development of brain structures, nervous, cardiovascular and respiratory systems of the body. In this period the immune system the child is finally formed and rebuilt to an adult rhythm	It is recommended to carry out fortification in the autumn-winter period, when the body is especially vulnerable. Courses recommended by pediatricians
9 years and older	Vitamins: A, E, D, PP, all B vitamins	During this period, vitamins are especially needed for the child. Deficiency can have a negative impact on the growth and development of the child's physical and mental activity.	It is believed that at this age the need for vitamins in children is the same as in adults. Only children feel the deficit much more acutely, reacting with a general breakdown

When to give vitamins to a child: we make a decision

Of course, there will be no harm from additional fortification. However, it is strongly not recommended to abuse vitamin complexes.

When making a decision, you should pay attention to the following factors:

1. Give vitamins in the season of colds(autumn, winter and spring) when the body is weakened and the immune system needs additional support.
2. Be sure to give vitamins to weakened children, after acute respiratory infections, acute respiratory viral infections and other diseases, especially if they were treated with antibiotics.
3. Vitamins can be given from 24 months, when the baby is weaned. But in order to choose the right vitamin complex contact your doctor. The pediatrician will advise: how to correctly compose the baby's daily menu.
4. Organize your child the right daily routine. Conditions for normal development should include not only good nutrition, but also sound sleep, outdoor walks, sunbathing, and water treatments.

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How to use antipyretics correctly

An increase in temperature occurs with so many diseases, so it is very important that the child be examined by a doctor to exclude such serious causes of hyperthermia as meningitis, pneumonia, purulent otitis, and similar severe infections. If the child is examined and the doctor has diagnosed ARVI, how should parents behave?

If the temperature is above 38 C in a child under one year old and above 38.5 C in a child older than a year old, and / or the child is lethargic, lies down, has a headache, does not drink well, in this case, antipyretics can be used.

Often, antipyretics do not have a good effect, as parents do not follow a few simple rules:

Dosage of antipyretic drugs

Attention: any prescription of drugs should be done only by the attending physician!

Paracetamol (panadol, calpol, eferalgan, cefecon, etc.) syrups, suppositories, tablets. It is dosed at the rate of 15 mg per kg of body weight after 6 hours no more than 4 times a day. For example, for a child weighing 10 kg, it is convenient to use suppositories containing 150 mg of paracetamol.

Do not combine two drugs in one dose, without enhancing the effect, this enhances the side effects of both drugs.

Parents should remember that one should not try to lower the temperature to the cherished norm of 36.6 C, it is enough to achieve a decrease to 38 - 38.5 C. In this case, the child will feel more comfortable, and the body will fight the infection.

If, despite your correct actions, the temperature does not decrease, or the child vomits, headache, severe lethargy, call a doctor or ambulance for re-examination and diagnosis.

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Topic: how often can you give antipyretics

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how often can you give antipyretics

1. The temperature should be reduced if it rises more than 38.5 C (provided that the child has never had convulsions against a fever). Naturally, it is worth lowering the temperature earlier if there are serious violations of the child's well-being: severe headache, nausea / vomiting, etc. Children of the first year of life should lower the temperature a little earlier - up to 38 C. It is not necessary to achieve 36.6 C - it is enough to bring down the high temperature at least to 38-37.5; do not give antipyretics prophylactically. prophylactic and course intake of antipyretics does not adequately assess the course of the disease, can hide the development of complications such as pneumonia, for example, or evaluate the effectiveness of an antibiotic if it is used for treatment.

2. Of the drugs used are paracetamol and ibuprofen. Strictly follow the instructions: dose accuracy is important. For children, use syrups or suppositories (useful for allergies to syrup components or nausea/vomiting).

3. The child must not be wrapped up. The air in the room where the child is located should be cool and humid.

5. Drink a lot, drink a lot, drink a child. More than 1-1.5 liters of liquid. Drink anything: water, compote, fruit drink, weak tea. just to drink! At a temperature, water is medicine! Better slightly acidified drink.

And alternate between efferalgan and paracetamol. Together with rubdowns, this gives a significant effect. (My cub doesn’t like rubdowns, he screams like a cut! But after the rubdown, the effect is noticeable, it immediately revives when the temperature drops)

We of course alternated ibupofen and paracetamol

BUT, the temperature was stable, moreover, even after an injection with a lytic mixture (our dad injects well), still nothing has changed dramatically

the doctor sincerely advised to bring any drug containing ibuprofen and paracetamol from abroad. And only when they began to give an import version, everything finally changed.

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Antibiotics are powerful drugs that can destroy various types of bacteria, some types of fungi and opportunistic microflora.

Their impact on the body can hardly be overestimated: these drugs save millions of lives, but it must be admitted that they act quite aggressively, and the consequences are serious. After all, along with pathogenic bacteria and rods, antibiotics destroy a large part of the beneficial and necessary bacteria that live in the intestines, on the mucous membranes.

Almost all antibacterial agents have an impressive list of contraindications and side effects. Therefore, when parents are wondering how often they can give their child antibiotics, remember that antibiotics are prescribed by a doctor. Therefore, you can give them to your baby only when the doctor considers it necessary.

Uncontrolled feeding a child with antibiotics is a crime against his health and well-being.

When do children need antibiotics?

It is important to remember that all diseases caused by viruses cannot be treated with antibiotics. Antibacterial agents, no matter how modern and expensive they may be, are not capable of destroying viruses.

Children's doctors try not to prescribe antibiotics for mild, even bacterial, infections. Since for the use of such a serious and sometimes risky therapy, certain indicators are needed. Antibiotics, for example, will prescribe crumbs up to 6 months, after three days of non-decreasing temperature above 38 degrees. But a child at 2-3 years old at a similar temperature, the doctor can only recommend antipyretic and vitamins.

Let's try to figure out how long you can take antibiotics and how often you can repeat courses of treatment with them.

Duration of antibiotic treatment

The usual average course of antibiotic treatment is 3 to 14 days on average. In some situations, the doctor is forced to extend the drug, but this is an exceptional, extreme measure.

It's not a whim of the manufacturers who have announced exactly such maximum terms of treatment with antibiotics, and not the formal approach of doctors. It’s just that any “harmful” microorganism that an antibiotic is sent to fight against gradually “gets used” to the effect. And this, according to scientists, takes about 14 days. Some of the bacteria die in the first few days from the start of treatment, but there is always a part of the most hardy and cunning microorganisms that cannot be destroyed by this antibiotic.

With such mutated bacteria, immunity will gradually be dealt with. But the body "remembers" everything. And the next time similar microbes get into it, they will be able to quickly adapt to the already familiar antibiotic.

It is for this reason that it is better to write down in a separate notebook what antibiotics and when you treated your child. So that at the next illness, when the doctor intends to write you a prescription for antibacterial drugs, you could tell the specialist which drugs are already "familiar" to the bacteria in your baby's body.

Based on this information, the doctor will be able to choose a remedy that will effectively cope with the pathogens of the new disease. The same drug is usually not prescribed for small intervals between diseases.

You can not interrupt the appointed course on your own. If the pediatrician prescribed antibiotics in suspension for your baby for 7 days, and you feel better on the second day, you should not stop taking the antibiotic.

Remember - the child felt better because a large part of the bacteria in his body was destroyed. But not all. And the rest are looking forward to when you stop attacking them with medicine. Then they will calmly, having formed their own defense against the antibiotic, transfer the disease to the level of chronic.

Antibiotics should be stopped early and the doctor should be notified if:

• 72 hours after the start of antibiotic therapy, the child does not noticeably improve, or his condition has worsened. Probably, the reason is that the microbes are resistant (accustomed) to this antibiotic, or the drug was chosen erroneously, and the bacteria are insensitive to it. In this case, the pediatrician will prescribe a different drug for the child.
• If the child has a severe allergic reaction after the first dose of the antibiotic. It is usually expressed skin itching, rash, swelling, disorders of the digestive organs, the temperature may continue, but the situation will become much more complicated.

Sequence of treatment of children with antibiotics

If the specific causative agent of the infection is known, the doctor will choose a narrowly targeted antibiotic that can cope with the cause of the disease. But more often, doctors find themselves in a situation where the name of a “harmful” bacterium is unknown, and time is running out. Then broad-spectrum antibiotics are prescribed. As you know, they are divided into groups.

The very first group is penicillin("Amoxicillin", "Augmentin", "Ampicillin", "Ampioks", "Mezlocillin", etc.). It is with such drugs, not the most aggressive, but not the most effective, alas, that the doctor usually begins treatment.

They are followed by antibiotics - representatives of the "Macrolides" group("Erythromycin", "Roxithromycin", "Clarithromycin", "Azithromycin", "Sumamed", "Midekamycin", "Zinerit", "Josamycin", etc.). In view of the prevalence of these drugs, there are now a fairly large number of strains of bacteria that are resistant to macrolides.

Only if the drugs of the first two groups did not have the desired effect, the doctor will turn to the third group of antibiotics - "Cephalosporins". The most popular in the practice of children's doctors are Cetriaxone, Cefix, Cefazolin, Cefalexin, Cefurotoxime, Klaforan, Cefobid, and others. These antibiotics extend their action to most bacteria and fungi known to science. Children are allowed to take 1-3 generation cephalosporins. Antibiotics of the 4th generation in pediatrics try not to use. Cephalosporin antibiotics can be prescribed to you immediately at the beginning of treatment, if the disease is severe, the baby’s condition is at risk, and the doctor does not have time to “sort through” antibiotics of other groups.

Topical antibiotics in the form of drops, sprays, ointments, creams are excreted from the body much faster than their counterparts in the form of tablets, suspensions, injections.

Unfortunately, today's reality is such that doctors in polyclinics do not "bother" much with the choice of drugs, and quite often prescribe antibiotics unreasonably. For example, with SARS. Do not think that doctors studied poorly in medical universities, this is simply the generally accepted approach, fully approved by the Ministry of Health - in any incomprehensible situation, prescribe antibiotics! Therefore, our children already receive a sufficient amount of extra drugs, it is not worth stuffing them with heavy antibiotics every time.

When can a course of antibiotic treatment be repeated?

The well-known children's doctor Yevgeny Komarovsky is sure that the more a child drinks antibiotics or takes them in injections, the more often and more severely he will get sick.

Bacteria become insensitive to drugs, and each time it becomes more and more difficult to cure such a baby.

It is not affected by conventional means, and therefore the doctor, if necessary, prescribe antibiotic therapy again, will be forced to look for and prescribe infrequently taken drugs, which, as a rule, are very expensive. And their impact is often not fully tested in clinical settings. And hardly any parent in their right mind is ready to help pharmaceutical corporations experiment on their own child!

Therefore, the course of treatment with the same antibiotic is not recommended to be carried out more than twice in a row with a break of no more than three months. Otherwise, you will have to prescribe a new antibiotic to the child.

How many times a day can children be given antibiotics?

As much as the instructions for use of this particular drug provide. Parents should remember that each remedy has its own period of validity. One antibiotic is active for 4 hours, the other for 12 hours. That is why, in order to ensure the continuity of the drug's effect on pathogens, it is necessary to strictly observe the daily schedule of single doses.

Most penicillin antibiotics are prescribed to be taken 3-4 times a day. Macrolides are mostly taken 2-3 times a day. Very convenient antibiotics that need to be taken only once a day (these are in the groups of cephalosporins and nitrofurates).

Read the instructions carefully and do not forget that the number of doses depends on age. From what age, which drug in what dosages to take is an arithmetic problem not for parents. Only a qualified doctor will give the correct answer.

Parents need to know about the time of removal of the antibiotic from the body. For some reason, we believe that the drug, which is excreted faster, is better in itself and more suitable for the child. This is not entirely true. In fact, faster-release antibiotics have less time to kill pathogens. And drugs that are excreted longer, respectively, cause more significant damage to microbes. Penicillins are completely eliminated from the body within half an hour - an hour. Macrolides - after 6 - 12 hours.

Cephalosporins begin to be excreted after a couple of hours, the rest of the drug is gradually excreted through the intestines over 24 hours, and then through the skin. Tetracycline antibiotics are mostly eliminated after about 12 hours. They are not prescribed for children under 8 years of age, because the substance can be "deposited" in the tooth enamel and bone skeleton.

The most "difficult" antibiotics for a child's body are aminoglycosides. They are excreted for almost 110 hours, bacteria are destroyed more efficiently, but the risk of intoxication increases. Therefore, pediatricians prescribe aminoglycosides in exceptional cases.

• Taking antibiotics should be accompanied by "protective" therapy. So that after the end of the course of antibiotic treatment for another six months not to treat the consequences that these drugs can cause, at the same time as taking antibacterial drugs, you need to start taking medications that will protect the baby's body from destructive effects. To prevent dysbacteriosis, crumbs can be given "Linex", bacteriophages "Bifidumbacterin", "Bifiform", etc. How many days to take such drugs, the doctor will tell, they usually continue to be given to the child for several more days after the end of antibiotic treatment.
• Antibiotics cannot be replaced by other drugs! There are parents in the world who categorically refuse to give their children antibiotics. But at the same time, without a doubt, they give their children immunomodulators for illnesses, and even then they write about successful treatment on the Internet. Do not repeat their "feat"!

Immunomodulators cannot defeat bacteria, they increase defensive forces child's body. For the baby’s own immunity, the uncontrolled intake of such drugs is very harmful, since the immune system gradually becomes “lazy” and loses the ability to withstand external threats without chemical support.

Antibiotics cannot be replaced by anything. One can only realize the principle of their action and the need for the child, if the doctor strongly recommends them. Moreover, there are diseases that cannot be cured without antibiotics, such as sinusitis, purulent tonsillitis, pneumonia, meningitis, sepsis, etc.

Injections or pills?

There is an opinion that antibiotics that are injected into the ass or into a vein are more effective in treating the disease. This is nothing more than a mass delusion, which, however, was true 20 years ago.

If your doctor prescribes injections, ask if there is a less painful alternative.

You are on the side of the baby, but he does not want to endure pain.

If the drug has analogues in the form of a suspension, drops, tablets or capsules, ask if the baby can take them.

The fact is that the antibiotic substance in modern tablets and suspensions has an absorbability of up to 95%. This is more than enough for the treatment process to proceed at a normal pace and without injections that injure the child's psyche.

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• How often to give

As a pediatrician, I often answer questions from parents about whether their children should definitely take multivitamins or other vitamin supplements. Parents think that by giving their children extra vitamins, they are making a contribution to the future, to the health of their babies. And some believe that multivitamins can increase appetite in children (they won't, sorry). However, everyone's body is different and they need different vitamins to be healthy.

Should I give at all?multivitamins for children

Actually this is not required. It turns out that most kids don't need multivitamins, which makes buying and using them a waste of money. In addition, overdosing on vitamins can be dangerous, and this situation is quite common because most chewable multivitamins for children look and taste like candy.

In addition, the false belief of many parents that multivitamins are a reliable source of everything children need can lead adults to believe that their child is getting everything his body needs from sugary pills, when in reality this will be far from the case.

Remember the main thing: The best way to get vitamins is not to eat a pill, but a normal meal. The human body absorbs vitamins better from foods. If your child consumes a variety of foods, including fruits, vegetables, whole grains, dairy products, meat, fish and seafood, then he gets everything his body needs. Therefore, you should always strive for a variety of diet - it is much more useful than any vitamin supplements.

Should some children take extra vitamins?

Yes, there are groups of children who cannot get all the vitamins they need from their diet.

• Children who are breastfed. Modern milk formula is already fortified with vitamin D, which is so important for bone growth and other processes in the body. Breast milk is not, although it is indeed the ideal food for babies and mothers should breastfeed whenever possible. Vitamin D is the vitamin of the sun, and if all children were regularly exposed to sun rays, the need for additives would disappear. But the reality is that young children are not regularly exposed to the sun. If you have a child whose diet consists mainly of breast milk, talk to your doctor about which drug is best to give and how much.

• Children on vegetarian, vegan or other alternative diets. These diets do not mean that you cannot get all the nutrients you need from a diet that does not contain animal products or is different from the average. But it is not always easy to get children to eat all the food they need and in the quantities they may need, so to get some nutrients, such as iron, may require a fairly large number of products. Iron is very important for normal organ growth and brain development. So talk to your doctor about which vitamins your child needs to take extra.

• Children with a very restricted diet. Many children refuse to eat fruits or vegetables, some can live on a "white diet" for years - pasta, rice, potatoes, bread and milk, some refuse everything except chicken nuggets and french fries. Obviously, vitamins may not be the best way out of this situation, but at least they will not allow the body to become unbalanced. You should work with your doctor to find ways to expand your child's diet and make it healthier. In the meantime, you are looking for and establishing an optimal diet. Multivitamins with minerals will help prevent nutritional deficiencies in the child's body.

If your child does not belong to any of these categories, you should not buy any vitamins. Instead, it is better to spend money on a variety of healthy foods.

Nurofen is considered a real lifesaver when the baby gets sick. The analgesic properties of the drug for 15 minutes reduce the temperature, anesthetize and calm the child. But it is not recommended to abuse it. But how often can Nurofen be given to a child so as not to harm? To do this, you should familiarize yourself with all the indications and contraindications for the use of the drug, and carefully adhere to the dosages indicated in the instructions.

When is Nurofen used?

Nurofen is available in several forms - tablets, syrup, suppositories. Children like the taste of syrup, especially in the set it comes with a measuring spoon and a syringe, which are perceived as a toy.

Main indications for use:

• Flu;
• ARVI or ARI;
• Complications after vaccinations (high temperature);
• childhood infections;
• Migraine;
• Teething in babies with fever and pain;
• Pain that occurs for various reasons (a toothache or a headache, muscle pain, neuralgia, and others).

Nurofen has several qualitative advantages over other drugs, for example:

• No dyes;
• No sweeteners;
• Multifunctionality.

Nurofen itself has a sweetish aftertaste, and with this in mind, the drug can be taken even by children with diabetes.

Nurofen can be given to a child only in case of a high temperature (38 degrees and above), it is not recommended to bring down the temperature below this level - you need to give the body the opportunity to cope with the disease itself. Babies from 3 months to 1 year old should be given Nurofen suppositories, but syrup can also be given, but in minimal doses.

One Nurofen suppository contains 60 mg active substance(ibuprofen). It is allowed to put candles three times a day, 1 piece each. The maximum allowable amount is 180 mg.

The dosage is calculated based on the weight of the child - 30 milligrams per 1 kg of weight. With age, the allowable daily dosage may increase:

• Up to 1 year - 2.5 ml per dose three times a day;
• From a year to 3 years - 5 ml per dose three times a day;
• 4-6 years - 7.5 ml per dose three times a day;
• 7-9 years - 10 ml per dose three times a day;
• 10-12 years - 15 ml per dose three times a day.

Nurofen can be given after 8 hours if the temperature starts to rise again. It is strictly forbidden to take Nurofen every hour. If the body temperature does not decrease, then Nurofen can be given to children again after 30 minutes, but the maximum daily dose should be taken into account. Nurofen tablets can be given to children only after the age of 12 years.

Contraindications and side effects

Nurofen, despite its beneficial qualities, can also cause some side effects, such as gastrointestinal diseases - colitis, gastritis, abdominal pain, intestinal obstruction, allergic reactions, insomnia, irritability, headache, impaired kidney function and others.

Nurofen should not be used as an antipyretic for health problems such as:

• Respiratory diseases - rhinitis, bronchitis, asthma;
• Allergic reactions - urticaria, itching;
• Gastrointestinal diseases - gastritis, intestinal infections, peptic ulcer;
• Violation of the functions of the kidneys, liver;
• Age from birth to 3 months;
• Decreased hearing acuity;
• Blood diseases (blood clotting disorders, leukopenia, hemophilia).

At the first sign of resistance to Nurofen, it should be discontinued and consult a doctor to remove side effects and for the appointment of analogues.

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Nurofen is a very popular drug based on ibuprofen. It can have both analgesic and antipyretic effects. Although it is most often used for adults, children are often shown to take a similar drug. But you need to understand how many days Nurofen can be given to a child - and how often it can be given. But let's go in order.

Release form

The use of the drug, how much it can be given to children, directly depends on the form of its release. For adults, it is most often produced in the form of standard tablets, for children it is most often produced in the form of a suspension (which is taken orally, that is, it must be drunk) and in the form of special suppositories (which, accordingly, are used rectally).

Application

The drug should be given in cases where the baby's body temperature has risen above 38.5 or even 39 degrees. But if it is lower, then children should not be given drugs, because this is a “useful” temperature, which favorably affects the immune system and allows you to destroy pathogenic bacteria and organisms.

After Nurofen has been successfully taken in one form or another according to the instructions, it is necessary to wait a few hours, at least three, but four is better. If after this time there has not been a decrease, then it is worth giving some other antipyretic agent suitable for the baby. It can be candles, it can be panadol or something similar that is allowed to be taken by a doctor. After that, a time of 3-4 hours is expected and Nurofen is given again - and thus the drugs alternate to achieve the maximum effect.

Please note, however, that some antipyretic drugs can interact negatively with Nurofen, so be sure to read the instructions for use, the section that describes interactions with other drugs, before giving them. If there is no negative interaction, they can be given to the child.

Dosages

How much to give Nurofen depends on the age of the child and, importantly, his weight - this information is also described in detail in the instructions for the drug, but the main thing to remember is that the optimal dosage is 10-15 mg for each actual kilogram of the body.

• up to six months and with a baby weighing from 5 kg - drink no more than about three times a day with a dosage of about 2.5 ml;
• at the age of about six months to a year, the frequency of administration can be increased up to 4 times a day, the amount of the drug remains the same;
• further Nurofen is allowed to be given up to 3 times a day in the following dosage: up to 5 ml for the age of up to 3 years; up to about 7.5 ml for children under 6 years old; up to 10 ml for children under 9 years of age and no more than 15 ml for children under 12 years of age.

Nurofen packaging is usually supplied with a special measuring disposable syringe - it is much more convenient to measure the right dose, you don’t have to worry that the child will receive too much or not enough of the drug.

For rectal suppositories the order of use is as follows:

• no more than 1 candle for babies up to a year;
• for children older than a year - up to 3 times a day.

In what form to use Nurofen for children - it does not matter, in both cases, the effectiveness of its impact will be approximately the same. However, if the baby is sick and vomits, and in infants this happens more often than others, then it is preferable to use candles, since the liquid medicine simply will not be properly absorbed by the body.

Before bringing down the temperature with medication, make sure that the child is dressed in accordance with room temperature and does not corny overheat. It is permissible to wrap the baby only if there is a chill, this will help him survive this condition with the least discomfort.

Contraindications

There are several restrictions on the use of this drug that must be considered before giving Nurofen to a child:

• If the child is less than three months then the use of this drug is strictly contraindicated. The doctor may allow an exception to be made after weighing the potential risks, but it is definitely not possible to make such a decision on your own.
• Going beyond the dosage prescribed in the instructions is strictly prohibited, it can be dangerous for the child.
• It is strictly forbidden to give the drug for more than 3-5 days in a row. Any exceptions must be agreed with the doctor without fail.

Summing up

Although many parents ask the question about the right doses of the drug, the answer is not so straightforward. How often you can potentially give Nurofen to a child with a fever depends on a number of different factors. and it is better that the pediatrician makes the decision regarding them. Because there are too many "variables" that are important to consider. But even if you give medicine, it is still important to remember what its dosage is, so as not to overdo it and not harm the child.

Nurofen is quite a serious drug, and frequent use for a child is not entirely desirable. It is good to give it at night, and then twice the next day if the child's temperature is above 38. You can give Nurofen once a day, and give another medicine the rest of the time. Quite crumbs who are not three months old are not given Nurofen.

In Komarovsky's program, it is said about the temperature. I tend to trust him. That the child needs to reduce the temperature with Nurofen or Panadol when he feels unwell. If the child has a temperature of 38.2, but the child is in a normal condition, then there is no need to lower it. If a child has 37.3 and he is crying, lethargic, he is shivering, then it is necessary to reduce. If the child has a fever (at least up to 37) and a stuffy nose, then it is necessary to shoot down. Here is a simple rule. Give the remedy 1 time in 4 hours and no more than 4 times in 24 hours.

Nurofen for children is available both in the form of a suspension for oral administration and in the form of suppositories for rectal use. The daily dose of the drug largely depends on the body weight of the child, so before using Nurofen, you should carefully read the instructions. Nurofen is usually prescribed in the form of a suspension no more than 3 times a day with a dose of 2.5 milliliters to 15 milliliters. Almost the same dosage is used when using Nurofen suppositories - one suppository per day for children under one year old and no more than 3 per day for older children. Nurofen helps both to reduce the temperature, for example, with SARS, and serves as a good pain reliever for toothache and various kinds of injuries. Ibuprofen, namely this substance that is part of Nurofen, has long established itself as an excellent medicine for diseases of the joints and neuralgia, migraines.

No more than three times a day. He acts long time and it is good to give it at night. And during the day, if the temperature is too high, it is better to use vinegar rubdowns, give anti-allergy drugs and paracetamol. If your doctor has prescribed antibiotics or antiviral drug then let's get them. Just do not forget that paracetamol works with heavy drinking.

The instructions say that you can give the child only after 8 hours. But we have a doctor with an ambulance, which can be given after 6 hours, but not earlier. The main thing is not to exceed the daily dose. This happens about 4 times a day, and if the temperature is below 38.5, then the child does not need to bring it down, let the body fight itself.

But we had that the temperature was high and the action of Nurofen was enough, only 4 hours, and then the temperature crept up again. And then we alternated taking Nurofen with suppositories, for example tsifekonquot ;.

Nurofen can be given every 6 hours and only in difficult cases, when the temperature rises above 38 degrees in less than 6 hours, then this drug can be given after 4 hours, but not often.

As a rule, if Nurofen does not cope, then it is better to give the child paracetamol - it will bring down the child's temperature for a long time and more effectively.

Nurofen for children can only be given if the child's temperature is above 38 degrees, since at 38 the child's body must fight itself, so the child develops a name system. You can give no more than 4 times a day, but preferably every 8 hours. In general, now doctors advise to alternate children's syrup and rectal suppositories.

Depending on the age of the child, a certain amount of ml of Nurofen is given. In general, the effect of the drug lasts up to 8 hours, you can give it 3-4 times a day. Read carefully the instructions Nurofen for children

Nurofen is an analgesic, antipyretic drug, the main active ingredient of which is ibuprofen. Giving Nurofen in the form of a suspension can be given to children from 3 months (or at least weighing more than 5 kilograms). The dosage for children is 5-10 mg per kilogram of the child's body, the maximum dosage is 20-30 milligrams per kilogram of the body at a time. Give no more than 1 time in 6 hours, that is, a maximum of 4 times a day. It is advisable to alternate drugs, once Nurofen, once a candle, such as Cefekon. Depending on the age and weight of the child, the dosages are approximately as follows:

If the child has a temperature over 38.5 degrees, then it is worth giving an antipyretic. A temperature of 38 - 38.5 C is useful, with it immunity begins to be developed and the microorganisms of the disease die.

Before giving Nurofen to a child, read the instructions (!). Although many mothers speak of this remedy mostly positively, as well as pediatricians prescribe it with an increase in body temperature, it has contraindications and side effects(vomiting, diarrhea, rash…).

If, 3-4 hours after taking Nurofen, the temperature is still above 37C, then it is recommended to give another remedy (panadol, calpol, suppositories, etc.). We wait again for 3-4 hours, if again> 37C, we give Nurofen, we wait again, if necessary, give another, should be alternated. These medicines have different active substances.

Nurofen is contraindicated in children under 3 months (!)

Do not give more than 3-5 days in a row (!)

Do not exceed the dosage indicated in the instructions (!)

It is worth consulting with a doctor, as it concerns the baby (!)

Any antipyretics, including Nurofen, are given at intervals of 4-6 hours.

Be healthy!

A high temperature in a child is always a concern for parents, no matter whether a fever is detected in a very tiny baby or already in a grown-up son or schoolgirl daughter. According to doctors, the use of antipyretics is indicated when the thermometer is above + 38 + 38.5 degrees.

Among medicines with such an effect, Nurofen is often chosen. After giving this drug, a caring mother is interested in how quickly the temperature begins to “fall” and the child will feel better. If the medicine does not work, you should know when it is allowed to give the medicine again. These and some other questions are worth considering in more detail.

Forms and composition of Nurofen

The drug, which can be given to children, is produced in three versions:

• Rectal suppositories administered to patients aged 3 months to 2 years. Their advantage is a very simple composition, since in addition to the main ingredient represented by ibuprofen at a dosage of 60 mg, they include only solid fats. And therefore, this form of medicine is called the most preferable for infants and children prone to allergies.

• Suspension, which has an orange or strawberry flavor. According to mothers, most children take this sweet drug with pleasure, and it is very easy to dose the syrup, since a measuring plastic syringe is attached to the bottle. The medicine is prescribed from 3 months of age to 12 years. Its composition includes ibuprofen at a dose of 100 mg / 5 ml and additional compounds in the form of flavor, gum, glycerol, maltitol and other substances. The drug does not contain sugar and dyes.
• Coated tablets, permitted for children over 6 years of age. They have a small size, a smooth surface and a sweet shell, so schoolchildren usually do not have problems with swallowing. Each tablet contains ibuprofen at a dosage of 200 mg and auxiliary components, including stearic acid, sucrose, macrogol and other substances.

Mechanism of action and indications

Present in each form of Nurofen, ibuprofen affects the production of prostaglandins, due to which the drug has a fairly pronounced antipyretic effect.

This leads to the most frequent use of the drug for fever caused by viral infection, vaccination, infection with bacteria and other factors.

Inhibition of prostaglandin synthesis also leads to an analgesic effect, so Nurofen is also used for pains of different localization, for example, in the joints, ear, tooth, throat, back, and so on.

When should not be given to children?

Like many other drugs, Nurofen has a lot of contraindications, so the use of childhood without consulting a doctor is not recommended. The drug is prohibited:

• with hypersensitivity to any of its components;
• in diseases of the gastrointestinal tract, occurring with ulceration or inflammation of the wall of the digestive tract;
• with serious kidney disease;
• with hyperkalemia;
• with violations in the blood coagulation system;
• with bleeding;
• with severe liver pathologies.

In addition, suppositories are not used for inflammation of the rectum, and the suspension and tablets are not prescribed for children with fructose intolerance and other problems with carbohydrate digestion. If the child has immune pathologies, asthma, anemia, diabetes and other diseases, you can give Nurofen only under the supervision of a doctor.

When does the medicine start to work?

The onset of the antipyretic and analgesic action of Nurofen primarily depends on the form of the drug, as well as the duration of the therapeutic effect after taking:

• Active substance rectal suppository absorbed about 15-20 minutes, so this form of medication begins to act approximately 20-30 minutes after the suppository has entered the intestinal lumen. The duration of the antipyretic and analgesic effect of such Nurofen is up to 8 hours.

• Ingredients suspensions absorbed in the digestive tract for at least half an hour, so the effect of the syrup is observed after about 40-60 minutes after the child has taken this sweet medicine. The effect of the suspension is not as long-lasting as that of candles, but in most children the temperature drops by at least 4-6 hours (on average, by 6-8 hours).
• Active Ingredient tablets enters the bloodstream and accumulates there in sufficient quantities for 40-50 minutes, so the effect of such Nurofen begins to appear 45-60 minutes after swallowing the pill. The duration of action of this form of medication is 6-8 hours.

Possible side effects

The body of a small patient may react to the use of Nurofen:

• nausea;
• exacerbation of bronchial asthma;
• painful sensations in the abdomen;
• urticaria, dermatosis, itching of the skin or other allergy symptoms;
• headaches.

In rare cases, the drug may adversely affect the cellular composition of the blood, kidney function, the condition of the oral mucosa, liver function, or blood pressure.

If such ailments appear, you should immediately stop treatment and contact the pediatrician observing the child.

Mode of application and dosage

Depending on the dosage form, application and dosage are different:

• suppositories Nurofen is used 1 suppository three times a day (if the child weighs 6-8 kg and is 3-9 months old) or four times a day (if the child weighs 8-12 kg and is 9-24 months old).
• suspension give to children with a syringe, and the dosage of such a medicine depends on the weight of the patient and his age. The exact numbers can be obtained from the attending physician or from the table in the annotations to the syrup. For example, if a child is 6 months old and his body weight is 7000 g, then the drug should be given 2.5 ml up to 3 times a day.

• Tablet Nurofen It is recommended to swallow after meals with water. Usually therapeutic effect achieved by taking one tablet, but children over 12 years old can be given two tablets at once, without exceeding the maximum daily dosage for children, which is 800 mg (4 tablets).

Treating a child with Nurofen for more than 3 days for fever or 5 days for pain is not recommended. If symptoms persist, take the little patient to the doctor to clarify the causes of this situation and choose another treatment.

When can the medicine be given again?

Taking the next dose of any form of Nurofen in most cases is recommended by the manufacturer only 8 hours after the previous one. If necessary, the drug can be given a little earlier - after 6 hours, but use with an interval of less than six hours is prohibited.

If more than 40-60 minutes have passed after the introduction of a suppository or taking a suspension or tablet, and the temperature does not go astray, the child is advised to give an antipyretic agent based on paracetamol, for example, enter the Cefecon D suppository or give Efferalgan syrup.

At the same time, such treatment should be discussed with the pediatrician, since the combination of several drugs from the group of non-steroidal anti-inflammatory drugs can increase the risk of their side effects.

Consequences of an overdose

If you ignore the recommendation not to use Nurofen again earlier than after 6-8 hours, this may cause the dosage of the drug to be exceeded. It is often manifested by nausea, abdominal pain, weakness, tinnitus, headache and other negative symptoms. If the overdose is significant, the child becomes drowsy and his internal organs are disrupted, which requires immediate medical care. In order to prevent such a dangerous state, d It is impossible to give Nurofen to a child at a dose higher than prescribed by the doctor.

What to do if after taking the antipyretic the temperature has not decreased? Dr. Komarovsky knows the answer to this question.