Ibuklin Junior is a combination drug based on paracetamol and ibuprofen. Has complex therapeutic activity. Widely used to treat infectious and inflammatory pathologies, and also helps relieve pain and fever. Intended for oral administration to patients of various age categories.
pharmachologic effect
The therapeutic property of the drug lies in its unique composition.
Due to the content of Ibuprofen, anti-inflammatory, antipyretic and analgesic effects are noted. It suppresses the production of certain receptors, helping to reduce the production of prostaglandins, which are responsible for the development of pain, inflammation and hyperemia.
Paracetamol in Ibuklin Junior has a slight effect on the mucous surface of the digestive tract and water-salt metabolism. It has a pronounced analgesic and antipyretic effect.
The drug is characterized by a high degree of adsorption. The maximum concentration of medicinal substances is achieved 30-60 minutes after application.
Excretion is carried out primarily by the kidneys, and a small amount is excreted in bile.
Indications of Ibuklin Junior
Indications for prescribing the drug are:
- Headache.
- Some period after the operation.
- Fever.
- Inflammatory damage to the musculoskeletal system and soft tissues due to trauma.
- Arthritis, arthrosis, osteoporosis.
- Angina.
- Sinusitis.
- Pain in teeth.
- Pain in muscles and nerve endings.
- Tenosynovitis.
- Algodismenorrhea.
- Diseases of the upper respiratory tract of an inflammatory nature (laryngitis, tracheitis, pharyngitis).
How to decide whether to lower the temperature?
The answer is simple, regardless of the cause of the temperature. It doesn’t matter whether it is associated with an infection or a post-vaccination reaction, with teething or other reasons.
We lower the temperature when the child feels unwell.
There is nothing so beneficial about a rise in temperature that you have to endure it, and nothing so harmful that you need to take medicine while feeling normal. Therefore, when deciding on the issue of fever reduction, we look not at the thermometer, but at the child. If he feels bad, he’s breathing heavily, lethargic, his muscles or head hurt - you even lower 37.8. But if you can't get a child at 38.8 to get the medicine into him, then there's no need for the medicine.
Contraindications
Absolute contraindications to the use of the drug are:
- Severe pathologies of the cardiovascular system.
- History of liver disease.
- Hyperkalemia.
- Intolerance to the components of the drug.
- Ulcerative lesions of the gastrointestinal tract.
- Kidney pathology.
- Liver failure.
- Children under 2 years of age.
- Lactation.
- Pregnancy.
- Bronchial asthma.
With extreme caution, the medicine is prescribed to persons with gastritis, enteritis, gastrointestinal ulcers, hypertension, and impaired renal and liver function. Also, according to extreme indications, Ibuklin Junior is used for heart failure, diabetes mellitus, in the 2-3 trimesters of pregnancy, in old age and blood diseases.
How to reduce temperature?
Since this question is asked only by parents of young children, I will not write about medications for older children.
There are only three home remedies for kids to reduce their fever: the physical method, paracetamol (acetaminophen) and ibuprofen. If the child's arms and legs are warm, he needs to be undressed, you can hang him with wet towels, wipe him with water at room temperature, wrap his head in a wet scarf, or even put him in a cool shower. Whether or not to give medicine is your choice. Depends on your level of panic and your child's behavior. Small children cool down well on their own; sometimes it’s enough just to free them from their clothes. If your hands and feet are cold—vasospasm has begun—the physical method is not recommended, and the only option left is medication.
Side effects
The medicine is considered quite toxic and can cause a wide range of side effects. The most common of them are:
- Dyspeptic disorders - vomiting, nausea, abdominal pain, bowel dysfunction, flatulence.
- Development of symptoms of hepatitis and pancreatitis.
- Dry mouth.
- Dizziness and headache.
- Insomnia and drowsiness.
- Anxiety, irritability, excitement, depression.
- Tachycardia, increased blood pressure.
- Shortness of breath, even at rest, bronchospasm.
- Allergic manifestations - rash and dry skin, itching, hyperemia, swelling. Possible urticaria, Quincke's edema.
Less commonly, hyperhidrosis, hallucinations, meningitis, and changes in laboratory blood parameters may occur after taking the drug.
When to call an ambulance?
There is no need to call an ambulance. No isolated increase in temperature is a reason for this. Isolated means that there are no other threatening symptoms, such as an unclear rash, severe shortness of breath or a bulging fontanel. Yes, an ambulance can always lower the temperature - with a lytic mixture or a hormone. But this is not necessary and may cause harm. The drug that forms the basis of the lytic mixture - analgin (metamizole) - is prohibited in children throughout the civilized world. In addition, the ambulance is more likely to offer hospitalization.
Fever is not an emergency condition. If it worries you, lower your temperature and go to the doctor. Or call a doctor at home as planned.
Source: telegram.me/fediatrix
Instructions for use
Ibuklin Junior is allowed to be taken by patients over 2 years of age. The dosage and duration of therapy is determined by the doctor according to the diagnosis and age of the patient.
The drug is used according to the following scheme:
- children 3-6 years old - 1 tablet 3 times a day;
- children 6-12 years old - no more than 5 tablets per day;
- over 12 years old - up to 7 tablets are prescribed.
The drug should be taken before meals or 2-3 hours after a meal.
If the liver and kidneys are impaired, patients need to adjust the therapeutic dose.
For small children, for convenience, the tablet can be dissolved in a small amount of water.
The duration of the course should not exceed 5 days. Otherwise there may be negative consequences.
IBUCLIN JUNIOR®
INSTRUCTIONS for the use of the medicinal product for medical use IBUCLIN JUNIOR®
Registration number: P N011252/02-180711
Trade name of the drug: Ibuklin Junior®
INN or generic name of the drug: Ibuprofen + Paracetamol
Dosage form: dispersible tablets [for children]
Composition Each dispersible tablet [for children] contains: active substances: 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) (EI24) 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.
Description Tablets are flat-cylindrical in shape, pink in color, interspersed with a chamfer and a score on one side and have a fruity-mint odor.
Pharmacotherapeutic group: combined analgesic drug (NSAID + analgesic non-narcotic drug).
ATX code: M01AE51
Pharmacological properties
Pharmacodynamics A combined drug whose effect is determined by its constituent components. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that has analgesic, anti-inflammatory, and antipyretic effects. 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 in the site of inflammation 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). 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. Relieves arthralgia at rest and during movement, reduces morning stiffness and swelling of joints, and helps increase range of motion.
Pharmacokinetics
Ibuprofen. Absorption is high, quickly and almost completely absorbed from the gastrointestinal tract (GIT). The time to reach maximum concentration (TCmax) after oral administration is about 1-2 hours. Communication with blood plasma proteins is more than 90%. The half-life (T1/2) is about 2 hours. It slowly penetrates into the joint cavity, accumulates in the synovial fluid, creating higher concentrations in it than in the blood plasma. After absorption, about 60% of the pharmacologically inactive R-form is slowly transformed into the active S-form. Metabolized. More than 90% is excreted by the kidneys (no more than 1% unchanged) and, to a lesser extent, with bile in the form of metabolites and their conjugates.
Paracetamol. Absorption is high, binding to plasma proteins is less than 10% and increases slightly with overdose. Sulfate and glucuronide metabolites do not bind to plasma proteins even at relatively high concentrations. The Cmax value is 5-20 μg/ml, TCmax is 0.5-2 hours. Distributed fairly evenly in body fluids. Penetrates the blood-brain barrier. About 90-95% of paracetamol is metabolized in the liver to form inactive conjugates with glucuronic acid (60%), taurine (35%) and cysteine (3%), as well as a small amount of hydroxylated and deacetylated metabolites. A small portion of the drug is hydroxylated by microsomal enzymes to form highly active N-acetyl-n-benzoquinone imine, which binds to the sulfhydryl groups of glutathione. When glutathione reserves in the liver are depleted (in case of overdose), the enzyme systems of hepatocytes can be blocked, leading to the development of their necrosis. T1/2 – 2-3 hours. In patients with liver cirrhosis, T1/2 increases slightly. In elderly patients, drug clearance decreases and T1/2 increases. It is excreted by the kidneys mainly in the form of glucuronide and sulfate conjugates (less than 5% unchanged). Less than 1% of the administered dose of paracetamol passes into breast milk. In children, the ability to form conjugates with glucuronic acid is lower than in adults.
- — Feverish syndrome;
- — Pain syndrome of weak or moderate intensity of various etiologies: toothache, pain during 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);
Indications for use
Contraindications Increased individual sensitivity to the components of the drug (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 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 kidney disease, severe liver failure or active liver disease, confirmed hyperkalemia, active gastrointestinal bleeding, inflammatory bowel disease, childhood (up to 3 years).
Method of administration and dosage regimen The drug is taken orally. Before use, Ibuklin ® 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 of age 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.
Precautions for use : Chronic heart failure, cerebrovascular disease, dyslipidemia/hyperlipidemia, diabetes mellitus, peripheral arterial disease, smoking, creatinine clearance less than 60 ml/min, history of ulcerative lesions of the gastrointestinal tract, presence of Helicobacter pylori infection, long-term use of NSAIDs, alcoholism , severe somatic diseases, simultaneous use of oral glucocorticosteroids (including prednisone), anticoagulants (including warfarin), antiplatelet agents (including acetylsalicylic acid, clopidogrel), selective serotonin reuptake inhibitors (including citalopram, fluoxetine, paroxetine, sertraline).
Use during pregnancy and lactation If it is necessary to use the drug Ibuklin ® during pregnancy and lactation (breastfeeding), you should carefully weigh the expected benefits of therapy for the mother and the potential risk for the fetus or child. If use is necessary, long-term use of Ibukli ® should be avoided in the 1st 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 ®.
Symptoms of overdose, measures to assist in case of overdose Symptoms: gastrointestinal disorders (abdominal pain, diarrhea, nausea, vomiting, anorexia, epigastric pain), increased prothrombin time, bleeding after 12-48 hours, lethargy, drowsiness, depression , headache, tinnitus, impaired consciousness, heart rhythm disturbances, decreased blood pressure, symptoms of hepato- and nephrotoxicity, convulsions, possible development of hepatonecrosis. Treatment: gastric lavage during the first 4 hours; alkaline drinking, forced diuresis; activated carbon orally, administration of SH-group donors and precursors for the synthesis of glutathione - methionine 8-9 hours after an overdose and N-acetylcysteine orally or intravenously - after 12 hours, antacid drugs; hemodialysis; symptomatic therapy. The need for additional therapeutic measures (further administration of methionine, intravenous administration of N-acetylcysteine) is determined depending on the concentration of paracetamol in the blood, as well as on the time elapsed after its administration.
Possible side effects In therapeutic doses, the drug is usually well tolerated. 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.
Interaction with other drugs and (or) food products When using the drug Ibuklin ® simultaneously 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.
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. With the simultaneous use of indirect anticoagulants, it is necessary to monitor the indicators of the blood coagulation system. Co-administration of Ibuklin ® with other NSAIDs should be avoided. With long-term (more than 5 days) use of the drug, monitoring of peripheral blood and the functional state of the liver is necessary. The drug may distort the results of laboratory tests when quantitatively determining glucose, uric acid in blood serum, and 17-ketosteroids (the drug must be discontinued 48 hours before the test).
Impact on the ability to drive vehicles and machinery During the treatment period, the patient should refrain from engaging in potentially hazardous activities that require increased attention and speed of psychomotor reactions.
Release form Dispersible tablets [for children] 100 mg + 125 mg. 10 tablets in a PVC/A1 blister. 1, 2 or 20 blisters are packed in a cardboard box along with instructions for use and a spoon for preparing the suspension.
Storage conditions: In a dry place, protected from light and out of reach of children, at a temperature not exceeding 25 °C.
Shelf life: 5 years. Do not use after the expiration date stated on the packaging.
Conditions for dispensing from pharmacies By prescription.
Manufacturer Dr. Reddy's Laboratories Ltd. 7-1-27, Ameerpet, Hyderabad – 500016, Andhra Pradesh, India
Manufacturer's Address Dr. Reddy's Laboratories Ltd. Plot No. 137, 138 and 146, Sri Venkateswara Cooperative Industrial Complex, Bollaram, Jinnaram Mandal, Medak District, Andhra Pradesh, India.
Send consumer complaints to the following address: Representative office of Dr. Reddy's Laboratories Ltd.: 115035, Moscow, Ovchinnikovskaya embankment, 20, building 1 Tel, 783-29-01 Fax
special instructions
The medicine must not be combined with non-steroidal anti-inflammatory drugs.
In case of simultaneous use with anticoagulants, it is important to monitor blood counts.
To exclude a bad effect on the liver, you should not drink alcohol during the course of therapy.
While taking Ibuklin Junior, you should refrain from personal driving and work that requires increased attention.
Dose adjustment is necessary for disorders of the liver, kidneys, severe pathologies of the heart, blood and in old age.
Why measure temperature?
The measurement has primarily diagnostic value. We approach conditions in which the temperature is above or below the conventional limit of 38 degrees Celsius a little differently. Since most fevers in our latitudes go away on their own within 3 days, in the absence of threatening symptoms, I recommend observation for 72 hours after the first rise in temperature above 38. If after this period it rises again above 38, a doctor’s examination is necessary to decide whether whether this is a lingering virus (and we continue to observe) or whether more aggressive intervention is required. Thus, we measure temperature to determine treatment tactics, but not to resolve the issue of antipyretic treatment.
