Is it necessary to give fenistil after vaccination with DPT Komarovsky?

Description of drops

The antihistamine drug Fenistil is produced by the pharmaceutical company Novartis Consumer Health SA (Switzerland).

The gel and tablets are absolutely safe, so they are prescribed even to newborns. "Fenistil" is a symptomatic remedy that, although it does not eliminate the causes of allergies, can quickly eliminate its manifestations.

The medicine successfully eliminates:

• hives;
• eczema;
• dermatitis;
• hay fever;
• rhinitis.

Dimetindene maleate, the main component of Fenistil, is the active substance of the pharmaceutical drug, providing its sedative, anti-allergenic, antipruritic effect. Thanks to the ability of dimethindene to reduce the permeability of capillaries, the severity of allergic symptoms is sharply reduced.

Production of "Fenistil" is carried out in different forms of release. The following medicinal types are equally convenient to use:

• capsules (tablets);
• drops;
• emulsion;
• gel.

If the drug is prescribed orally, children under 12 years of age can take it exclusively in the form of drops. In other cases, Fenistil in the form of vaccinations is better; it is better not to give tablets.

Is it worth doing DTP?

Currently, vaccination refusal can be observed. Remember: the disease threatens much greater problems than the consequences that arise after the DPT vaccination. Komarovsky, according to him, has heard different reviews about vaccination, but there are always more pros than against. After all, having had diphtheria or tetanus, immunity to these diseases does not appear. Medicine does not stand still, and vaccines are becoming more purified and safe. It's worth thinking about this. There is no need to risk the health and life of the child. A high-quality vaccine and an attentive doctor can reduce the risks of developing side effects. Health to you and your children.

Which antihistamine is best to give to a newborn before vaccination?

To prevent allergies after DTP in a child, various drugs are used. Pharmaceutical companies offer domestic and imported antihistamines.

Most often, doctors prescribe Fenistil. But sometimes this drug is not suitable in terms of tolerability or price. Therefore, it is useful to know what other medications can be used to prevent the development of an allergic reaction to a vaccine.

Before DTP vaccination, a newborn can be given the following antihistamines:

• Suprastin . Available in the form of tablets and injection solution. To eliminate allergy symptoms, the child is given 1/4 of the tablet three times a day, after mixing the drug with food or water. In case of severe side effects, injections are given. A single dose is 0.25 ml. For prevention purposes, Suprastin is taken a couple of days before and several days after the administration of DPT;
• Claritin . The medicine is produced in the form of syrup and tablets. Newborns should be given Claritin syrup. The daily dose is equal to one teaspoon;
• Tavegil . Available in the form of tablets, syrup and injection solution. Pediatricians prescribe the last two forms of Tavegil for children under one year of age. For mild allergies and for prevention purposes, syrup is recommended. The optimal dosage is 2-2.5 ml twice a day;
• Zyrtec . This is an effective drug. Available in the form of nasal drops. Before use, the nasal cavity is cleaned. To relieve allergy symptoms, it is enough to instill the medicine once a day;
• Erius . Syrup is used for newborns. Tablets are indicated for children over 12 years of age. As a preventive measure and for treatment, infants are given 2.5 ml of syrup once a day.

Fenistil has advantages over the drugs discussed above: it is not addictive and quickly eliminates allergy symptoms. This medication is suitable for stopping a pronounced negative reaction.

Before replacing Fenistil with another antihistamine, you should consult your pediatrician.

Vaccination schedule

According to the approved schedule, DTP vaccination is carried out in 4 stages. Ideally, a child should be vaccinated starting at 3 months, and the next two injections should be given at intervals of 2 months. DPT revaccination should occur exactly one year after the last vaccination.

If for some reason the scheduled vaccination did not start at 3 months, then it is done later, but with an interval of 1.5 months between vaccinations. The fourth vaccination is scheduled a year after the third injection.

Features of vaccination:

• this vaccine can only be administered to children under 4 years of age;
• then you can only use a drug that does not contain a pertussis component;
• up to 6 years of age you can get the ADS vaccine, and after 6 years - ADS-M.

But in fact, it is not always possible to vaccinate on time, because children very often suffer from respiratory diseases. And sometimes a simple runny nose can delay the start of vaccination indefinitely. Therefore, the question arises whether it is worth postponing vaccination if the child is not bothered by anything other than rhinitis.

Fenistil for children: recommendations from doctors

Every baby receives vaccinations against various infections within the first days after birth. And not a single doctor can say exactly how the child’s body will respond to the next vaccine.

Therefore, many pediatricians convince parents to give Fenistil to babies 2-3 days before vaccination. This will make it possible to reliably stop painfully acute reactions to the injection of a vaccine pharmaceutical.

However, not all doctors support such recommendations. After all, this antihistamine itself can either be an allergen or cause dizziness, nausea, abdominal pain, and overexcitement.

In addition, taking this drug blurs the picture of the body’s condition after vaccination, which leads to an incorrect interpretation of the results achieved.

That is why some experts believe that it is necessary to give Fenistil to babies only the next day or one day after vaccination - and then only when clear allergic manifestations are detected: fever, rash, itching, swelling.

The child’s parents should not independently decide on the prescription of the drug - only a doctor can deal with this problem.

Pediatrician's opinion

The well-known pediatrician Dr. Komarovsky believes that vaccination for rhinitis is possible only if a runny nose appears with minor symptoms.

The DTP vaccine, according to Komarovsky, saved millions of children's lives. Before vaccinations began, almost twenty percent of children suffered from diphtheria, of which almost all died. Today, these statistics have improved, all thanks to the start of vaccination. Therefore, vaccination is mandatory for a child.

A runny nose and DTP are incompatible only with high body temperature and acute inflammation of the mucous membrane or paranasal sinuses. If at the time of vaccination the child does not have a fever, but the general health is poor, the baby’s eyes are watery, there is a cough, there is no appetite and other signs of intoxication appear, the vaccination should be done after complete recovery.

Adverse reactions to vaccination

After administering the DTP vaccine to your baby, the following side effects may occur:

• An increase in temperature, which is generally characteristic of the active functioning of the immune system,
• General malaise, in young children accompanied by increased tearfulness, capricious mood,
• Pain at the injection site, especially if the injection was made in the thigh and not in the buttock,
• Redness, swelling and swelling at the injection site,
• The appearance of infiltration,
• Convulsions due to a strong increase in temperature are very rare,
• Episodes of high-pitched screaming are rare,
• Allergic reactions (Quincke's edema, anaphylactic shock, skin rash) are extremely rare, in approximately 0.3% of cases.

Adverse reactions can develop either immediately after administration of the vaccine or later. Reactions usually occur within two days after vaccination.

Since it is impossible to predict or recognize by any symptoms whether a particular child will develop immediate allergic reactions or not, it is necessary to observe very young children, allergic children and children especially sensitive to this vaccine for half an hour after vaccination. Vaccination is allowed when the vaccination site is equipped with the means necessary to take measures as part of anti-shock therapy.

How to reduce the risk of side effects of the DTP vaccine

Due to the fact that both the vaccine itself and the excipient - thiomersal - are considered potential allergens, it is recommended to use anti-allergy medications before the child is vaccinated. Thiomersal is generally a very dangerous substance that has extremely toxic, teratogenic, mutagenic and carcinogenic properties. But its amount in one dose of vaccine intended for an infant is so small that it only acts as an allergen. Allergic reactions to the vaccine itself and its preservative do not occur very often, but they greatly frighten parents.

Dangerous diseases

The DTP vaccine will protect against whooping cough, diphtheria and tetanus. How dangerous are these diseases?

Whooping cough is a disease caused by an acute infection. There is a very strong cough, which can cause respiratory arrest and convulsions. A complication is the development of pneumonia. The disease is very contagious and dangerous, especially for children under 2 years of age.

Diphtheria is an infectious disease. Easily spreads by airborne droplets. Severe intoxication occurs, and a dense coating forms on the tonsils. Swelling of the larynx may occur, and there is a high risk of disruption of the heart, kidneys and nervous system.

Tetanus is an acute and infectious disease. Damage to the nervous system occurs. Contracts muscles on the face, limbs, back. There are difficulties when swallowing, it is difficult to open the jaws. Respiratory problems are dangerous. In most cases, the outcome is fatal. The infection is transmitted through lesions on the skin and mucous membranes.

Admission rules

If the local police officer prescribed Fenistil to the baby before vaccination, then the baby should be given it in the form of drops. An antiallergic agent for internal use will take effect half an hour after use. The maximum effect of blocking histamine receptors will last almost 12 hours.

It is allowed to use the gel if necessary to lubricate the red, swollen injection site in infants.

It should be borne in mind that Fenistil causes drowsiness. To make children less capricious, antihistamine is given 3 times a day, and children should take the bulk of the pharmaceutical before going to bed at night.

The dose is calculated individually by the doctor, depending on the weight and age of the infants, starting from 1 month of life.

Average norm for children under 1 year:

• single dose - from 3 to 10 drops;
• The maximum daily dose is up to 30 drops.

Fenistil should not be heated: it will lose its healing properties. The use of this drug is not associated with the digestion process, so drops are added to milk, compote or juice, or given to drink from a spoon (it tastes like sweet syrup).

If the introduction of the vaccine is not accompanied by inadequate reactions of the child’s body, then one day after the injection, Fenistil is canceled.

Moderate and severe side effects

More serious side effects cannot be ruled out. They are much less common:

• Body temperature can rise to 39–40 degrees.
• Febrile seizures may occur.
• The injection site will become significantly red, exceeding 8 centimeters, and swelling of more than 5 centimeters will appear.
• Diarrhea and vomiting will occur.

If such reactions to the vaccine occur, the child must be shown to a doctor immediately.

In very rare cases, more severe adverse reactions may occur:

• Anaphylactic shock.
• Quincke's edema.
• Hives, rash.
• Convulsions with normal body temperature.

DTP is a vaccine (Komarovsky especially notes this), which causes such side effects in one case in a million.

This reaction may appear in the first 30 minutes after the injection. Therefore, the doctor recommends not leaving immediately after vaccination, but staying near the medical facility during this time. Then you should show the child to the doctor again. All this is done so that it is possible to provide the necessary assistance to the baby.

Prevention before vaccination

Preparing to vaccinate young children means a thorough medical examination. This rule should be strictly observed in the prevention of infants before DPT injections, which are done 3 times every 3-6 months.

Children are examined by specialized specialists, supplementing their conclusions with the results of urine and blood tests, which must confirm the compliance of all indicators with established standards.

Care and foresight on the part of parents ensure that infants do not experience any undesirable consequences of vaccination.

Main properties, release forms and composition

Fenistil is a medicine recommended for use in children over 1 month of age to eliminate an acquired allergic reaction. The medication is sold in pharmacies in the form of an emulsion, gel for topical application, and drops for oral administration.

The cost of drops in pharmacies varies from 355 to 389 rubles. per bottle. In Ukraine, the medicine is sold for 126-135 UAH. The gel can be purchased for 91-98 UAH. or 303-450 rub. depending on the volume of the tube. The emulsion is sold in Ukraine at a price of 93-111 UAH. In Russia it costs 340-409 rubles.

Regardless of the form of release, Fenistil contains the active component dimethindene. The main substance is an artificially synthesized drug that stimulates the suppression of the influence of irritants on the body. Using Fenistil for infants, the growth of the rash, redness and swelling of soft tissues over large areas is blocked. The substance is contained in an identical volume in any form of release.

Drops are available in small dark glass bottles of 20 ml. The lid is equipped with a built-in dosing dropper, which makes it easy to give the drug to your baby. The kit comes with instructions in Russian.

Composition per 1 ml of the drug:

• dimethindene maleate - 1 mg;
• citric acid monohydrate;
• propylene glycol;
• sodium saccharinate;
• purified water and other substances.

The liquid is transparent, odorless. Children under one year of age are allowed to use the drug.

The properties of the drug are based on blocking histamine H1 receptors. Fenistil effectively fights itching and allergies. It has a mild sedative effect as it affects the central nervous system.

It is recommended to give Fenistil in the morning, the effect begins to appear after 30 minutes, and the full effect occurs after 5 hours.

Drops are stored in a dark and cool place, away from children. Shelf life from the date of opening is 2 years. The drug is sold in pharmacies without a prescription.

Taking the drug before DTP vaccination

One of the very first vaccinations that are carried out in infancy is DTP, which forms in tiny children a high resistance to diphtheria, whooping cough, and tetanus. The body of children often responds to the administration of this vaccine with painful sensitivity to the ingredients of the vaccine.

The skin of children becomes covered with rashes; a runny nose makes breathing difficult; severe tearing appears, etc. The condition of children after vaccinations is alleviated by the administration of the effective antihistamine "Fenistil", which allows them to safely endure post-vaccination complications in the form of allergies.

This safe medicine is the latest generation antihistamine, which has replaced Suprastin and Tavegil.

Massive positive reviews from parents prove that this pharmaceutical:

• has a beneficial effect on the body of children;
• helps them easily survive the unpredictable period of time after vaccination.

Let's decipher DTP

What do these letters mean?

— A – adsorbed vaccine.

- K - whooping cough.

— D – diphtheria.

- C - tetanus.

The vaccine consists of weakened bacteria - the causative agents of the above diseases, sorbed on the basis of aluminum hydroxide and merthiolate. There are also acellular vaccines that are more purified. They contain particles of microorganisms that stimulate the body to produce the necessary antibodies.

Let us note what Dr. Komarovsky says: “DTP vaccination is the most complex and can be difficult for a child to tolerate. The pertussis element it contains makes it difficult to tolerate.”

One vaccine will protect against diphtheria, whooping cough and tetanus. These diseases can lead to a sad outcome, and how dangerous they are, we will consider further.

Vaccinations with Fenistil drops are not scary

To protect the baby from a persistent reaction to vaccination, the doctor may prescribe the drug, both before and after the manipulation. The medicine is a chemical compound containing the active substance dimethindene in varying dosages depending on the form of release of the drug Fenistil:

• A 0.1% solution of drops is packaged in bottles (20 ml) equipped with a dispenser;
• each capsule contains 4 mg of dimethindene;
• The gel is produced at a 0.1% concentration in tubes of 30 mg.

Once in the body, Fenistil blocks the development of the body's allergic response to the components of the vaccine, stopping the intensification of allergy symptoms. Increasing capillary permeability with slowing down the release of fluid protects against the formation of edema.

Prescribing drops before vaccination is justified only if symptoms of any type of allergy have been registered. To relieve external manifestations, a gel is used; it is also effective for sunburn and mosquito bites.

How long does the protection last?

After the DTP vaccination is given (Komarovsky explains it this way), the immune system begins to produce antibodies to measles, diphtheria and tetanus. Thus, it was found that after vaccination a month later, the level of antibodies in the body will be 0.1 IU/ml. How long the protection lasts depends largely on the characteristics of the vaccine. As a rule, immune protection lasts for 5 years. Therefore, the interval of scheduled vaccinations is 5–6 years. In older age, it is enough to do DTP once every 10 years.

If you are vaccinated with DTP, then the likelihood of getting diphtheria, tetanus or measles is very low. It is believed that a person in this case is protected from these viruses.

In order not to harm the body, it is necessary to remember that there are a number of contraindications.