What temperature should be lowered and is ibuprofen harmful for coronavirus? Talked to a therapist

Features of the immune system in children

advises a medical pediatrician How to strengthen a child’s immunity - this is a question that worries every mother who is influenced by advertising from TV or the Internet, which frightens her every day that she and her baby simply need to purchase and use various medicines, vitamins, nutritional supplements, yoghurts, and other products that will instantly “strengthen” the child’s immunity. In this article we will look at how immune defense works in children, what affects it, and in which cases something needs to be done to “strengthen” it, and in which cases not.

Children, immunity and colds

The vast majority of parents sincerely wish the best for their children and, above all, health. But the children still, as luck would have it, get sick all the time. And the most common illness among children is the common cold (ARI or ARVI), especially among those who attend a nursery or kindergarten. Such children can suffer up to 8-10 acute respiratory viral infections per year, and even more. Although colds, even frequent ones, rarely lead to serious complications, they certainly cause serious discomfort not only for the baby himself, but also for mom and dad, due to lack of sleep and forced absences from work or school. Since illnesses such as colds are so common in children before middle school age, there is no shortage of parents looking for ways to prevent high illnesses in children.

How many times do you get sick?

In reality, a child will suffer from colds quite often (normally up to 8-10 times a year until primary school age, and up to 4-5 times a year in secondary school). The high incidence is associated with the gradual development of the protective immune system and its successive “acquaintance” with various strains of viruses that cause colds. Only by “remembering” certain types of viruses, the immune system is able to effectively fight pathogens, preventing or mitigating the severity of the disease.

However, parents, sincerely wanting the best for their children, are constantly looking for means and ways to “strengthen the child’s immunity,” especially since advertising persistently suggests that this is really possible with the help of vitamins, nutritional supplements and “magic” yoghurts or drinks.

Advertised products to “boost immunity” in children

Over the years, a plethora of “immune booster” supplements, vitamins, and other “eat me” products have emerged. However, when scientists checked all the properties declared in the advertisement from the standpoint of evidence-based medicine, it turned out that almost all “immunostimulating” properties do not have statistically significant confirmation,

• large doses of vitamin C (1000 mg per dose) do not have a preventive or therapeutic effect for an already developed cold. Vitamin C strengthens the cell wall and prevents viruses from entering the cell upon contact, but if infection has already occurred, there will be no significant effect. And for prevention, the whole point is not in the amount of vitamin C, but in starting to take it in advance, a month or two before the season of illness. A “sick” single dose of vitamin C during the cold season will only lead to an allergic reaction to it.
• Taking vitamin D certainly helps, but only in cases of deficiency of this vitamin in the body. It is useless if there is no vitamin deficiency, and in “hyper doses” it is also harmful. It’s the same for most vitamins, the prescription gives an effect only against the background of their deficiency or clinical deficiency.
• Echinacea and homeopathic remedies (such as Oscillococcinnum) are not able to cure an already developed viral infection.
• Eating garlic has some beneficial effects on the prevention of acute respiratory infections, but there are not enough statistical data to prove this for sure.
• Taking zinc supplements can shorten the duration of a cold by one day, but cannot prevent the disease itself. In this case, zinc can cause nausea in a child, and if used uncontrolled in the form of a spray, loss of smell.

There are also many nutritional supplements and “superfoods” on the market that are advertised to boost the immune system in one way or another. Where did this term “superfoods” come from, and why are they needed? In some countries, due to the development of “refined” products, there is a shortage of daily intake of vitamins and microelements. At the same time, the doctor must first document such a deficiency, and only then determine the daily diet of certain fortified foods and supplements. Unfortunately, “More is Better” is just a marketing strategy. Of course, some foods are more nutritious or calorie-dense than others, but there is no food that you simply need to eat to protect yourself from a cold. Obviously, the body needs an adequate supply of nutrients to fight infections - but no more than can be obtained by eating a regular diet consisting of a variety of organic foods. In fact, of all the supplements and foods that provide any benefit to the immune system, probiotics are the best. These beneficial bacteria that live in the intestines and participate in biochemical reactions, synthesize vitamins and participate in the absorption of nutrients.

Getting good sleep and reducing stress can improve your immune system. But these are simply solutions for maintaining a healthy lifestyle and maintaining overall physical and mental health: adequate sleep and minimal stress can support the functioning of the immune system, but cannot stimulate it.

So what should parents do? How to “strengthen a child’s immunity” if supplements and vitamins are not able to do this? What if nothing needs to be “strengthened” at all? To answer this question, it is necessary to understand how immunity works in children.

Ibuklin

Ibuklin (ibuprofen + paracetamol) is a combination drug containing the NSAID paracetamol and the non-narcotic analgesic ibuprofen. The pharmacological “bundle” of paracetamol + ibuprofen is perhaps a “classic” for eliminating fever and pain syndromes. Both of these drugs are successfully used individually, but their fixed combination - Ibuklin - is of much greater interest to doctors. Clinical studies have shown its high effectiveness in relieving fever (with acute respiratory infections and similar conditions) and pain (degenerative-dystrophic diseases of the spine and joints, intercostal neuralgia, lumbodynia, etc.) syndromes. At the same time, the effectiveness of paracetamol and ibuprofen in combination is significantly higher than each drug separately: both fever and pain are eliminated much faster, and this more pronounced effect develops already on the first day of pharmacotherapy after 1-2 doses of the drug. Ibuklin has a relatively small number of side effects, which do not exceed those associated with monotherapy using any one of these drugs. The most “vulnerable” place for Ibuklin is the upper parts of the digestive tract, where the drug can manifest itself as heartburn and discomfort in the epigastric region. This fact dictates the need to take measures to protect the gastrointestinal tract, including histamine H2 receptor blockers or proton pump inhibitors in the drug course. The patient should be informed about the danger of drug abuse and the need to strictly adhere to the recommended duration of the medication course, which should not exceed 3-5 days. It should be noted that during clinical trials of Ibuklin, side effects requiring early discontinuation of the drug were not recorded. Both paracetamol and ibuprofen belong to safety class 4 drugs.

Their combination, even when exceeding the recommended dose twice, does not increase toxicity to the kidneys and liver, because Ibuklin contains each of these drugs in a reduced dose, which protects against the risk of overdose. The duration of action of the drug is four times longer than each of its components separately. It should be borne in mind that the doses and concentration ratios of the active ingredients in children's and adults' Ibuklin are significantly different, so it is not possible to obtain a child's dose by simply dividing the tablet in half. Non-steroidal anti-inflammatory drugs and, in particular, Ibuklin, become a real lifesaver for the practicing physician, allowing them to solve problems across a wide therapeutic range. If you adhere to the recommended doses and dosage regimens, then problems are practically eliminated. Ibuprofen acts as an analgesic and has an anti-inflammatory and antipyretic effect. By suppressing cyclooxygenase-1 and 2 (COX 1 and 2), it suppresses the chain of metabolic transformations of arachidonic acid, reducing the concentration of inflammatory mediators and pain reactions of prostaglandins both in the inflammatory focus itself and in tissues not affected by pathological processes. Paracetamol is a non-selective COX blocker, acting mainly in the central nervous system. It has virtually no effect on the mucous membrane of the digestive tract and electrolyte metabolism. Ibuklin relieves joint pain during movement and rest, increases mobility, and eliminates morning stiffness. When taking the drug, it is necessary to avoid the simultaneous use of other NSAIDs or combination drugs containing NSAIDs or paracetamol. When using Ibuklin for more than 5 days, it is necessary to monitor the liver profile and blood picture.

How does the immune system work?

Every day, a child’s body is constantly exposed to viruses, bacteria, fungi and parasites. The vast majority of these microbes (or pathogens) never enter the body because they are retained by the skin barrier, mucous membranes, or destroyed in the stomach by hydrochloric acid. Ironically, another factor that protects the baby from infections is his own bacteria, which coexist with humans for mutual benefit, living on the skin and in the gastrointestinal tract. They help prevent infections by competing with foreign pathogens for nutrients and living space. These initial levels of protection against infection are very effective. It may seem strange, but small children are not poorly protected by nature from bacterial and viral attacks. And even more so for breastfed children, because along with their mother’s milk they also receive immune cells from her. Those pathogenic microbes that do make their way through these barriers must be neutralized before they can multiply and poison the body.

Ibuklin Junior soluble tablets 100mg+125mg No. 20

A country

India
Country of manufacture may vary depending on the batch of goods. Please check with the operator for detailed information when confirming your order.

Active substance

Ibuprofen + Paracetamol

Compound

1 tablet contains: ibuprofen 100 mg, paracetamol 125 mg. Excipients: microcrystalline cellulose 20 mg, corn starch 59.04 mg, lactose 5 mg, sodium carboxymethyl starch (type A) 30 mg, crimson dye (Ponceau 4R) (E124) 0 .2 mg, glycerol 2 mg, colloidal silicon dioxide 5 mg, orange flavor DC 100 pH 1.6 mg, pineapple flavor DC 106 pH 2.5 mg, peppermint leaf oil 0.66 mg, aspartame 10 mg, magnesium stearate 1 mg, talc 3 mg.

pharmachologic effect

Ibuklin Junior is a combination drug, the effect of which is determined by the components included in its composition. Ibuprofen is a non-steroidal anti-inflammatory drug (NSAID), has an analgesic, anti-inflammatory, antipyretic effect. By inhibiting cycloxygenase (COX) 1 and 2, it disrupts the metabolism of arachidonic acid, reduces the amount of prostaglandins (mediators of pain, inflammation and hyperthermic reaction), both at the site of inflammation and and in healthy tissues, suppresses the exudative and proliferative phases of inflammation. Paracetamol - indiscriminately blocks COX, mainly in the central nervous system, has little effect on water-salt metabolism and the mucous membrane of the gastrointestinal tract (GIT). It has an analgesic and antipyretic effect. In inflamed tissues, peroxidases neutralize the effect of paracetamol on COX 1 and 2, which explains the low anti-inflammatory effect. The effectiveness of the combination is higher than that of individual components.

Indications for use

- febrile syndrome. - pain syndrome of weak or moderate intensity of various etiologies: toothache, pain with sprains, dislocations, fractures. As an auxiliary drug for the treatment of pain and fever in sinusitis, tonsillitis, acute infectious and inflammatory diseases of the upper respiratory tract (pharyngitis, tracheitis, laryngitis).

Mode of application

Ibuklin Junior is taken orally. Before use, the tablet should be dissolved in 5 ml (1 teaspoon) of water. The daily dose of the drug is taken in 2-3 doses. The minimum time interval between taking the drug is 4 hours. Children over 3 years old. Single dose - 1 tablet. The daily dose depends on the age and weight of the child: 3-6 years (13-20 kg) - 3 tablets per day; 6-12 years (20-40 kg) - up to 6 tablets per day. In case of impaired renal or liver function, the interval between doses of the drug should be at least 8 hours. The drug should not be taken for more than 5 days as an analgesic and for more than 3 days as an antipyretic without medical supervision.

Interaction

With the simultaneous use of the drug Ibuklin with drugs, various interaction effects may develop. Long-term combined use with paracetamol increases the risk of nephrotoxic effects. Combination with ethanol, glucocorticosteroids, corticotropin increases the risk of erosive and ulcerative lesions of the gastrointestinal tract. Ibuprofen enhances the effect of direct (heparin) and indirect (coumarin and indanedione derivatives) anticoagulants, thrombolytic agents (alteplase, anistreplase, streptokinase, urokinase), antiplatelet agents, colchicine - the risk of developing hemorrhagic complications increases. Enhances the hypoglycemic effect of insulin and oral hypoglycemic drugs. Weakens the effects of antihypertensive drugs and diuretics (by inhibiting the synthesis of renal prostaglandins). Increases the blood concentration of digoxin, lithium and methotrexate. Caffeine enhances the analgesic effect of ibuprofen. Cyclosporine and gold preparations increase nephrotoxicity. Cefamandole, cefoperazone, cefotetan, valproic acid, plicamycin increase the incidence of hypoprothrombinemia. Antacids and cholestyramine reduce the absorption of the drug. Myelotoxic drugs contribute to the manifestation of hematotoxicity of the drug.

Side effect

From the digestive system: rarely - dyspeptic symptoms, with long-term use in high doses - hepatotoxic effect. From the hematopoietic system: rarely - thrombocytopenia, leukopenia, pancytopenia, neutropenia, agranulocytosis. Allergic reactions: rarely - skin rash, itching, urticaria. If side effects occur, you should stop taking the drug and consult a doctor.

Contraindications

- individual sensitivity to the components of Ibuklin (including other NSAIDs), - peptic ulcer of the stomach and duodenum in the acute phase, - complete or incomplete combination of bronchial asthma, - recurrent polyposis of the nose and paranasal sinuses and intolerance to acetylsalicylic acid or other NSAIDs ( including, in the anamnesis),—severe renal failure (creatinine clearance less than 30 ml/min),—damage to the optic nerve,—genetic absence of glucose-6-phosphate dehydrogenase,—diseases of the blood system,—the period after coronary artery bypass surgery,—progressive diseases kidneys, - severe liver failure or active liver disease, - confirmed hyperkalemia, - active gastrointestinal bleeding, - inflammatory bowel diseases, - children (up to 3 years). Use during pregnancy and lactation If necessary, use the drug Ibuklin during pregnancy and during lactation (breastfeeding), the expected benefits of therapy for the mother and the potential risk to the fetus or child should be carefully weighed. If use is necessary, long-term use of the drug Ibuklin should be avoided in the first trimester of pregnancy. If short-term use of the drug Ibuklin is necessary during lactation, cessation of breastfeeding is usually not required. Experimental studies have not established the embryotoxic, teratogenic and mutagenic effects of the components of the drug Ibuklin Junior.

special instructions

The advisability of using the drug as an antipyretic is decided in each case, depending on the severity, nature and tolerability of the febrile syndrome. Ibuprofen may mask objective signs of infectious diseases, so ibuprofen therapy in patients with infectious diseases should be prescribed with caution. To reduce the risk of developing adverse events from the gastrointestinal tract, the minimum effective dose should be used for the shortest possible short course.

Storage conditions

Room temperature

Dispensing conditions in pharmacies

On prescription

Immune “army” that will protect the child

The immune system, like a real army, is made up of many components, each of which plays a unique role in protecting the body from attacks by the “enemy.” There are several types of leukocytes that circulate in the blood and, if necessary, penetrate (migrate) into the tissues of the body to perform their protective functions. When these cells detect bacteria or viruses, they produce chemical alarm signals known as cytokines. These chemicals encourage other white blood cells to join the fight against the pathogen, and control other aspects of the immune response, such as fever and increased blood flow to the site of infection, which causes inflammatory responses such as swelling, redness and pain.

Some white blood cells produce antibodies - proteins that bind to a specific part of the infectious agent, leaving a target mark on it for its destruction. When the immune system fights a new infection, it creates antibodies against that specific pathogen. Once the infection is over, the immune system usually continues to produce these antibodies for many years or decades into the future. It is this “memory” function of the immune system that prevents re-infection with diseases such as chicken pox or measles. Preventive immunization through vaccinations is based on the same “immune memory” effect.

Some other infections (most often bacterial or fungal) stimulate only a short-term immune response, as a result of which long-term immunity to infection becomes impossible, and a child who has had such certain diseases may become ill again. In addition, some pathogens have several strains, each of which is so different from the other that acquired immunity to one strain is not able to protect against others. This is why a child may get colds or flu again and again. Just like in a real army, all cells in the human body wear “insignia” that allow the immune system to distinguish them from “invading invaders.” On the outer surfaces of the body's cells there are signs - proteins that help the immune system distinguish between the body's own cells and pathogenic microorganisms that need to be destroyed.

Composition and release form

Ibuklin contains the following substances:

• active ingredients: ibuprofen and paracetamol;
• auxiliary elements: corn starch, glycerol, magnesium stearate, etc.

The active substances together allow you to achieve maximum effect. Additional components are responsible for the rapid absorption of the drug and transport of necessary elements into the circulatory system.

The composition of the drug allows it to be classified as a combination drug.

The drug is available only in tablet form.

Autoimmune diseases

But sometimes the process of “recognizing” the signs of cell differences is disrupted. In these cases, autoimmune diseases occur—conditions in which the immune system attacks the body's own cells as if they were foreign, leading to a wide range of diseases such as type 1 diabetes, thyroid disease, lupus and rheumatoid arthritis.

Another way the immune system can wreak havoc on a child's body is by overreacting to outside stimuli that pose no real threat. For example, there is no reason why the body needs to protect itself from cat dander or pollen. But sometimes the immune system goes out of control, creating antibodies to many types of harmless substances. These disorders of the immune system are the cause of diseases such as allergic reactions, asthma and eczema. For most people, these conditions are simply an inconvenience, and in some cases the reaction can be fatal. This is precisely an example of a completely unnecessary “enhanced” “excessive” immunity.

Therefore, artificially “strengthening” immunity is not exactly what parents should want. For health, the usual norm is always sufficient: without “enhancements”, but also without deficiency or insufficiency!

When immunity is in short supply

Some children and adults may actually develop immune deficiencies. For example, this might happen:

• due to genetic disorders,
• chemotherapy
• for immunodeficiency diseases

Many of these children really need a “boost” of their immune system. But this can only be done by an immunologist, who will carefully study the causes and nature of immune disorders, find out the current level of immunity, and only then begin to treat immune disorders. The doctor will use methods such as injecting antibodies obtained from donors, giving growth factors to stimulate the production of white blood cells, or even resorting to a bone marrow transplant. For people with true immunodeficiency, it would be dangerous (and potentially fatal) to rely on vitamins, supplements, or “superfoods” to “boost” the immune system, rather than pursuing drug treatment aimed at addressing the cause of the immunodeficiency in the first place.

How to “help the child’s immunity”?

First of all, you need to free yourself from the suggestions of advertising calling on parents to “strengthen” their children’s immunity. Remember that such advertising is based on the generation of natural feelings of parental anxiety and worry.

If you think that your child gets sick too often or often develops infectious complications, then first of all, show him to the pediatrician!

If the doctor believes that the child may actually have an immunodeficiency or a disease associated with a disorder of the immune system, he will prescribe the appropriate tests and studies and refer the baby for a consultation with an immunologist.

If no problems with immunity are identified, then parents need to learn that a child’s normally functioning immune system is capable of coping with a wide variety of pathogenic microorganisms. The vast majority of childhood diseases do not require any “stimulation” of the immune system. Colds, gastrointestinal viral infections, and other mild infections usually go away on their own within a few days. The immune system can cope with many bacterial infections, such as a runny nose or sore throat. But with a number of infectious diseases, the immune system really needs help. But not in the form of “immunostimulants”, in the form of the use of antibacterial or antiviral drugs that can alleviate the course of the disease and even save lives.

Instructions for use

The drug is intended for internal use before meals or 2-3 hours after meals. The tablet should be swallowed whole and washed down with enough water.

An adult can take up to 3 tablets per day with an interval of at least 4 hours. For older people and for those who have problems with the functioning of the kidneys and liver, the interval is 8 hours.

Children who have reached 12 years of age and who weigh more than 40 kg can take 2 tablets per day.

If the tablets are used to reduce the temperature, then they can be taken for no longer than 3 days, for pain relief - up to 5 days. If you need to extend the course of treatment, you should consult a specialist in advance. Otherwise, adverse reactions may occur.

After taking Ibuklin, its high concentration in the blood is immediately achieved. Over time it gradually decreases. If you do not follow the interval, the concentration will reach a minimum value. Therefore, to achieve maximum results, you should follow the instructions.

Another option for helping the immune system is vaccination.

This is a really great and completely “natural” way to strengthen the immune system in a specific and effective way. When vaccinated, the child's body is exposed to part of the pathogenic microorganism or its weakened version, this stimulates the formation of a specific immune response to the specific disease against which the vaccine is created. Such immunity will be active for a long time due to the production of specific antibodies. Some people argue that the immunity provided by vaccination is not as long-lasting or strong as “natural” immunity. In many cases this is true. But let’s not forget that for “natural” immunity (for example, lifelong immunity), you need to get sick from an infectious disease, which in the case of dangerous infections can end sadly. In our opinion, to acquire immunity, you still don’t need to get sick. Immunization is one of the safest and most effective tools you can use to reduce your child's risk of developing certain infections, many of which can be truly life-threatening.

What temperature should be lowered and is ibuprofen harmful for coronavirus? Talked to a therapist

Why is it important to drink a lot of fluids at high temperatures and why give up heavy foods, as well as what “antipyretic” folk remedies can be dangerous to health, said general practitioner Olga Sergeevna Shukh.

– Why might the temperature rise?

– We must remember that body temperature changes throughout the day. So, in the morning a person’s temperature may be lower than usual – even 35.5–36.0 degrees Celsius, and in the evening it may rise slightly by about half a degree. This is an absolutely normal physiological process. If the temperature has risen above 37.0 degrees, then this is a reason to pay attention to your health and understand the reasons for the increased indicators.

Elevated body temperature is a protective reaction of our body to any external “stimulant”. These can be infectious agents: viruses/bacteria and foreign substances that are formed during many inflammatory, allergic processes or during the breakdown of tumor tissues. Physical factors, such as injury or overheating, can also cause an increase in body temperature.

This allows our immune system to activate and fight the disease. Therefore, there is no need to try to knock down the indicators on the thermometer. We always focus on our well-being.

– When should you sound the alarm and go to the doctor?

– If your body temperature exceeds 38.5 degrees Celsius and is accompanied by severe chills and fever, lasts more than 5 days, and there are other symptoms of an acute respiratory infection, you should consult a doctor if at least one of these signs is present.

– What temperature should be lowered?

– Doctors recommend starting to reduce body temperature when the temperature reaches 38.5 degrees. However, this indicator is conditional. It was installed so that a person without medical education could navigate. It's better to monitor your well-being. If, for example, the body temperature has reached 38.0 degrees, but the person feels extremely unwell, then it is necessary to take measures regardless of the values ​​​​on the thermometer. And, conversely, a fever can reach 39.0 degrees, but a person tolerates this condition relatively well, then it is not advisable to reduce this temperature with medications.

In children, it is always necessary to reduce body temperature above 38.5 degrees. At higher values, febrile seizures are possible in young children.

– How can you lower your temperature yourself at home?

– To effectively combat body temperature, the following conditions are necessary. Firstly, the room should have cool air, approximately 18–22 degrees, humidity 40–60%. Frequent airing of the room and wet cleaning are necessary.

Secondly, you need to take a shower with cool water. Sweaty and dirty skin cannot fully remove excess heat. An alternative is wiping with water at room temperature. You need to make sure that your clothes are dry and clean.

Thirdly, a prerequisite is to drink plenty of fluids. This can be drinking water, fruit drinks, warm teas, natural juices, fresh juices. At high temperatures, metabolic processes accelerate, oxygen consumption increases, fluid loss increases, and an increased load on the heart is created, which can be dangerous for chronic patients and children. No medicine will work if you are dehydrated. Food must be easily digestible, so that the body spends energy on fighting the disease, and not on digesting “heavy” food. If you don't want to eat, you don't need to force yourself.

Fourthly, you need to take medications according to the instructions or as prescribed by your doctor.

– When should you call an ambulance?

– An ambulance should be called for a fever above 38.5, which not only does not decrease with medications and other methods, but is also steadily increasing.

For example, you have a high temperature - 38.5 degrees and feel extremely unwell, you took ibuprofen at a dosage of 200 mg. Wait an hour (it is during this period of time that the tablet forms of the drug begin to act). If after a while the temperature does not decrease, but rather increases, then a more effective method is needed (for example, increasing the dosage of the drug or taking another drug).

If the temperature rises, and the measures taken and the medications taken do not help, then it’s time to call an ambulance. A medic will be able to assess the situation. Perhaps this is a viral disease with the development of pneumonia, which causes such a temperature.

However, during a pandemic, you need to understand that ambulances are contact persons for COVID-19 and the risk may outweigh the benefit. Only as a last resort, I recommend calling an ambulance to reduce high body temperature. Therefore, if possible, it is better to go to a clinic or call a doctor at home if it is during the daytime.

– A couple of months ago on social networks they talked about the dangers of ibuprofen and paracetamol, are they really so harmful?

– The side effects of ibuprofen and paracetamol have been known for a long time, but at the same time they effectively help fight fever. In general, any medicine can turn out to be poison if the dosage is violated.

The dosage should be chosen by the doctor depending on the state of health and medical history.

Ibuprofen and paracetamol are safe if taken as directed. If you have a fever, you can take these medications at four-hour intervals. I do not recommend using ibuclin, which contains two substances at once: ibuprofen and paracetamol. In this case, not only does the effectiveness of temperature reduction increase, but the risk of side effects also increases. Including hepatotoxicity (negative effects on liver cells).

You can also get by with paracetamol and ibuprofen separately, alternating these drugs. In some cases, you can additionally take an antispasmodic for spasms of the peripheral vessels of the extremities, when your hands and feet are “icy”.

I would like to draw your attention to the fact that pharmacies have a huge assortment of antipyretic drugs, they all have trade names; you must always pay attention to the active substance so as not to take the same drug in a high dosage.

– And as for the famous “troika”, can it be used in critical cases?

– “Troichatka” consists of three active components: analgin, drotaverine and diphenhydramine. Analgin anesthetizes and reduces temperature, drotaverine is an antispasmodic and acts on smooth muscle cells, dilates peripheral vessels during spasm, diphenhydramine, a first-generation antiallergic drug, has a sedative effect (it makes you want to sleep). These medicinal devices make up the injection that is given by the ambulance crew.

Troychatka can be taken in tablet form. The only thing is that the effect does not develop as quickly as from an injection. After this, the person falls asleep and wakes up feeling well and with a lower temperature. Do not forget that this is only eliminating symptoms, and not treating the cause of increased or high body temperature!

– What should not be done to reduce the temperature?

– You cannot create the so-called “greenhouse effect”: cover with several blankets, dress warmly. This contributes to dehydration of the body.

Do not wipe the sick person with alcohol or vinegar. This can be harmful and cause an allergic reaction or skin burn.

– What other mistakes exist when reducing high temperatures?

– Some people think that by drinking alcohol they will immediately gain weight. On the contrary, because of this, the body begins to experience enormous stress. Moreover, alcohol is not compatible with any of the medications, especially anti-inflammatory ones.

Daria ZIMAK

Photos from open Internet sources

So what to do with “immune yoghurts”? is there or not? Let's summarize:

If your child's immune system is functioning normally - responding properly to infections and not showing signs of overreactivity - then nothing special needs to be done. You just need to stop watching advertising and constantly worry unjustifiably “about immunity”, accepting the fact that no matter how hard we try, children will get sick, and no matter how hard pathogenic microorganisms try, children will get better.

Regarding “yogurts” - the food product is intended for nutrition and nothing more. Naturally, eating is healthy, and not eating is harmful. Yogurt does not cure anything; they are treated with medications correctly prescribed by a doctor and sold in pharmacies.

If you are concerned that your child does have a problem with the immune system, talk to your pediatrician or consult an immunologist.

Instead of looking for a “magic pill” to “strengthen immunity,” teach your child to wash his hands very often, love walks and exercise, and carry out routine vaccinations.
These simple measures will bring much more benefits. Call a doctor at home Make an appointment with a doctor or call +7 (812) 331-17-74

Contraindications and adverse reactions

According to the instructions, the drug should not be taken in the following cases:

• liver problems;
• impaired blood supply;
• excessive sensitivity to the constituent components of the drug;
• acute diseases of the stomach and intestines;
• bearing a child;
• lactation period.

It should be taken with great caution when:

• poor blood clotting;
• kidney problems;
• gastrointestinal bleeding;
• heart failure;
• intestinal disorders;
• bronchial asthma.

After taking Ibuklin, undesirable reactions may occur from many systems of the human body: cardiac, nervous, gastrointestinal, vascular, respiratory, genitourinary. Side effects include:

• vomiting, nausea;
• constant anxiety;
• increased blood pressure;
• dizziness, rapid heartbeat;
• pain in the stomach and head;
• stress, depression;
• deterioration of hearing and visual acuity.

With prolonged use of tablets in an excessive dose, vision may sharply decrease and stomach bleeding may occur. If adverse reactions occur, you should consult a doctor to find an analogue.

Cases of overdose are possible. They are manifested by the side reactions described above.