At what temperature can an antipyretic be given to a baby after vaccination?

What antipyretics can be given after DTP, Pentaxim and other vaccinations?

From infancy, a person receives a number of vaccinations. Starting from the first days of life, babies are vaccinated against hepatitis B, diphtheria, whooping cough, polio, tetanus, mumps, measles, influenza, and rubella. In some children, immunization passes without any changes in well-being, but in most it causes short-term illness. Hyperthermia after DTP and Pentaxim occurs quite often.

On the one hand, such a symptom indicates the correct formation of immunity and does not pose a threat to health. Elevated temperature can lead to poor appetite, sleep disturbances, and seizures. When the thermometer readings are high, doctors recommend using antipyretic medications.

The choice of such medications for children should be approached responsibly: many drugs are prohibited for use in infancy due to the high likelihood of developing adverse reactions. Infants are often prescribed antipyretic drugs in the form of suppositories and syrup.

Komarovsky recommends giving antipyretic drugs on the day of vaccination and for several days after it. This approach will prevent fever.

Viburkol suppositories

This remedy is homeopathic and is widely used in pediatrics to relieve signs of fever in infants. Viburkol suppositories are used as emergency aid at temperatures above 38.5 degrees.

The composition of Viburkol suppositories includes the following components:

• Atropa bella-donna D2;
• Matricaria recutita D1;
• Calcium carbonicum Hahnemanni D8;
• Plantago major D3;
• Solanum dulcamara D4;
• hard fat.

Place the suppository into the anus. The drug does not cause burning, pain, or itching. As a rule, children tolerate the procedure calmly. For babies up to six months of age, it is recommended to put two candles a day. Older children are allowed to use 4-6 suppositories per day, depending on the severity of hyperthermia.

In acute cases, pediatricians prescribe suppositories every 15-20 minutes until the condition improves. The total course should not exceed two weeks.

Viferon candles

The drug is used when the increase in temperature is caused by an infectious-inflammatory process in the body. The main active component of suppositories is alpha-2B interferon.

Vagiferon suppositories

The preparation also contains ascorbic acid, α-tocopherol acetate, sodium ascorbate, polysorbate 80, disodium edetate dihydrate, confectionery fat and cocoa butter. Viferon can be used by newborns.

Children under seven years of age are prescribed one suppository at a dosage of 150,000 IU twice a day. For older children, suppositories with a concentration of the active substance of 500,000 IU are given twice a day. The therapeutic course is 5 days.

Paracetamol

Children's Paracetamol is available in the form of syrup. The medication is recommended for use if a child suffers from headaches, joint pain, high temperature against the background of ARVI, influenza, bacterial pathology: after vaccination, the immune system weakens, so children often get sick. The manufacturer of Paracetamol also suggests using syrup to relieve post-vaccination reactions. The active substance of the suspension is paracetamol.

The preparation also contains propylene glycol, sugar, sodium benzoate, citric acid, flavoring, trisodium citrate, sorbitol, distilled water. With caution, pediatricians prescribe this remedy to infants up to three months old. In order not to harm the baby, it is important to use the drug correctly.

Optimal doses of syrup depending on the age of the child:

• from three months to a year, give 2.5-5 ml of Paracetamol per day;
• for children 1-6 years old use 5-10 ml of solution;
• Children under 14 years of age should drink 10-20 ml of suspension per day.

It is strictly forbidden to use Paracetamol in newborns under 30 days.

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.

Is it necessary to give Nurofen to a child after DPT vaccination?

DPT is a vaccine that promotes the formation of immunity to three dangerous infectious pathologies: whooping cough, diphtheria and tetanus. The drug contains toxoids and whole microbial cells of pathogens.

DPT vaccine

When such substances enter the body, they begin to stimulate the production of antibodies. The process of the immune system fighting a foreign substance can sometimes be accompanied by an increase in the thermometer readings. In some children, DPT does not cause hyperthermia, in others it provokes fever and associated symptoms.

In most cases, an increase in temperature is a normal reaction of the body to the vaccine. After a few days, the thermometer readings should return to normal.

Caring parents are wondering whether it is worth giving their baby the antipyretic drug Nurofen to improve their well-being or to prevent fever. Doctors have different opinions on this issue.

Some doctors are against taking antipyretic drugs immediately after vaccination. They argue their point of view as follows:

• any medication is an additional burden on the body;
• the drug can provoke allergies;
• If you give your child Nurofen as a preventive measure, the reaction to the vaccine will be erased, and you can miss the development of post-vaccination complications.

Another group of doctors believes that high fever is not such a harmless phenomenon. They advocate taking Nurofen as a preventive measure for hyperthermia.

Doctors who advocate taking Nurofen justify their opinion as follows:

• It is better to prevent a reaction than to eliminate it later;
• high temperature can cause the development of serious conditions.

Dr. Komarovsky notes that you should not take Nurofen unless absolutely necessary.

Dr. Komarovsky recommends giving an antipyretic in the following cases:

• for prevention purposes, if the child is prone to convulsive conditions due to hyperthermia;
• at high thermometer readings.

The pediatrician advises giving Nurofen in syrup form. The drug will reduce fever, eliminate muscle, headache and joint pain, and prevent the development of a local reaction to DTP in the form of redness and swelling.

If your temperature rises

Many parents are interested in whether it is worth taking Nurofen if their child has a fever. You need to understand that hyperthermia is of three types in severity: weak (up to 37.2), moderate (37.2-37.8), strong (38 and above).

In the last two cases, it is recommended to use an antipyretic drug. Taking Nurofen is especially indicated at temperatures above 38 degrees. This condition is dangerous due to the development of convulsive seizures, loss of consciousness, and delirium.

What vaccinations can cause hyperthermia?

If the child is properly prepared for vaccination and nothing threatens his health, the temperature may not rise at all. However, this is not at all an indicator that immunity is not formed, but a manifestation of a purely individual reaction of the body to the vaccinating drug.

At elevated body temperatures, antibodies are better produced, viruses and bacteria die faster. Usually, in the first two days after the injection, a child’s thermometer reading may jump to 38 degrees, but this is not a reason to lower the temperature. If it lasts longer than two days, and taking antipyretics does not work, you should call a doctor.

What vaccinations most often cause a temperature reaction?

• Immediately after birth (in the maternity hospital), the baby is vaccinated against hepatitis B. The vaccine is considered weakly reactogenic; the vaccination may cause a slight increase in temperature, which does not have to be brought down.
• Before discharge from the maternity hospital, the newborn is administered anti-tuberculosis serum. BCG vaccination rarely results in fluctuations in thermometer readings. However, if the injection site becomes suppurated, the temperature may rise.
• Vaccination against polio is performed with an oral preparation that does not cause any special complications. An increase in temperature to 37.5 °C can occur only two weeks after the injection.

• Mumps vaccination is not characterized by threatening symptoms. The child’s body sometimes reacts with signs of a mild cold with a low fever. There is no point in knocking it down, it goes away on its own.
• A one-year-old baby is given a one-time measles vaccination. If the child is healthy, there is no need to be afraid of threatening temperature symptoms. In weakened children, a slight rise in temperature may be observed after two weeks.
• The most reactogenic vaccine can be considered the DTP vaccine, which protects against infection with tetanus, diphtheria and whooping cough. The child’s body most often reacts to the administration of the combined drug with an increase in temperature, which will have to be brought down.

For you: Relevance of flu vaccination for a one-year-old child: is it necessary?

When to expect temperature rise

The moment of development of hyperthermia depends on the composition of the vaccinating drug. Injection with an inactivated vaccine (killed virus fragments) can cause hyperthermia after 2-3 days. You don’t have to lower the temperature, it will go away on its own, but it can last for a week. Vaccination with live (weakened) virus cells can cause a fever in a child on the second day after vaccination, and last for two weeks.

According to doctors, no matter what temperature the vaccine causes, it is necessary to take antipyretic drugs already when the thermometer reaches 37.5 °C. A critical increase in hyperthermia symptoms threatens febrile convulsions.

When should you lower your temperature?

Doctors advise starting to bring down a high temperature if it exceeds 38.5-39°C. The condition when the thermometer reading is above 40-41 degrees is very dangerous if it persists for several days. From the cardiovascular system, a heart attack can occur, which can lead to death. High temperature often causes pathologies of the nervous system such as convulsions and respiratory arrest. In some cases, fever causes swelling of the brain and a deadly drop in blood pressure.

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.

What antihistamines can be given to children up to one year after vaccination?

There are many antihistamines. But not all of them are suitable for relieving post-vaccination allergies in infants. The body of newborns is weakened and may respond poorly to high doses of medications. Medicines that eliminate allergic symptoms are available in the form of oral drops, syrup, injection suspension, ointment, dragees and tablets.

Pharmaceutical companies produce the following antihistamines for children under one year of age:

• Zyrtec. An antiallergic agent in the form of oral drops, which is approved for use from six months of age;
• Cetrin. Used for babies from 6 months. Available as drops for oral administration;
• Diphenhydramine. The drug can be used from birth in case of severe allergies. The drug is administered parenterally in a hospital setting;
• Suprastin. Suitable for children from one month of age. The medicine is administered by injection under the strict supervision of doctors;
• Diazolin. Can be used from two months. Available in the form of dragees and tablets. The product is ground into powder and added to baby food;
• Psilo-balm. This is a gel that eliminates body rashes, skin itching, and swelling. It is allowed to be used by newborns;
• Pipolfen. Suitable for treating children from two months. Administered by injection;
• Allergozan. Available in the form of an ointment and suitable for newborns;
• Fenistil. The drug exists in the form of oral drops and gel. Used from one month of age.

Contraindications for use and drug substitutes

Nurofen has its contraindications. If you ignore the prohibitions, this can lead to the development of adverse reactions.

It is better not to use syrup to lower the temperature and relieve pain if the baby has one of the following conditions:

• decreased hearing acuity;
• individual intolerance to the constituent elements of the drug;
• disturbances in the functioning of the stomach and intestines. The presence of ulcerative pathology, erosive gastritis, inflammation;
• development of a hypersensitivity reaction in response to the use of other non-steroidal anti-inflammatory drugs;
• severe bleeding from the stomach or intestines;
• diseases of the circulatory system. These include hypocoagulation, hemophilia, leukopenia;
• presence of the “aspirin triad” syndrome. It is characterized by allergic-type runny nose, bronchial asthma and nasal polyposis. Unpleasant symptoms develop after taking acetylsalicylic acid;
• severe hypotension of the liver and kidneys.

Pediatricians prescribe Nurofen with caution for the following conditions:

• gastritis;
• liver pathology;
• hives;
• taking other non-steroidal anti-inflammatory medications;
• previous stomach and intestinal ulcers;
• undergoing a course of treatment with anticoagulants;
• bronchial asthma.

The drug in the form of syrup often causes an allergic reaction, unlike tablets and suppositories. If Nurofen is not suitable or is not available in the pharmacy, then parents can purchase an analogue of this drug.

List of popular substitutes allowed for children:

• Advil. Contains the same active ingredient as Nurofen. Features a more advanced formula. Advil is better tolerated by infants and rarely causes adverse reactions. In addition to relieving symptoms of fever and inflammation, the drug is also a good immunostimulant. What is especially useful for weakened children in the post-vaccination period;
• Ibuprofen. Usually prescribed to children from six months of age. It is created on the basis of the same active substance as Nurofen. But, according to parents, Ibuprofen is less tolerated;
• Paracetamol. Contains another active ingredient – ​​paracetamol. Effectively relieves symptoms that occur against the background of fever and acute inflammation. WHO recognizes Paracetamol as the safest antipyretic drug for infants.

Child's temperature after vaccination

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Mechanism of development of hyperthermia

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What vaccines cause fever?

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Is it necessary to lower the temperature after vaccination?

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How to reduce fever after vaccination

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Temperature in infants

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When to see a doctor

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The best candles for children under 1 year old

The most convenient form of medicine for a baby is suppositories. They act quickly, and parents do not have to worry about their newborn choking on the pill.

In rectal form, pharmacies sell drugs based on two components - paracetamol and ibuprofen.

Choose the right product:

Important! Each of the drugs has a dosage according to the child’s age. When purchasing an antipyretic, tell the seller the baby’s age.

How to give Nurofen to a baby after DPT vaccination: dose and administration

To normalize temperature in infants after DTP vaccination, children's Nurofen is used. It is produced in the form of syrup. Before using Nurofen, you should read the instructions for the drug and consult your doctor.

The dosage and frequency of medication should be selected by the pediatrician individually for each patient. The doctor must take into account the baby’s health status, his weight, tendency to hyperthermia, and current thermometer readings.

Nurofen for children

The manufacturer suggests using Nurofen for infants as follows:

• Infants 3-6 months old should be given 2.5 ml of syrup at a time. The child should receive no more than three single doses per day;
• for babies from six months to one year of age - 2.5 ml, up to four times a day;
• Children from 1 year old should be given 5 ml three times a day.

How to alleviate the condition of a vaccinated baby

Fever-relieving medications begin to be given if the thermometer reading has passed the mark of 38°C. You can bring down a child’s fever at lower degrees by using baby suppositories with paracetamol. In addition, you should take care to humidify the air in the room, lighten the baby’s clothes, and don’t forget to drink frequently. The first day after vaccination is the most critical period when it is necessary to monitor the child’s condition so as not to miss signs of an increase in fever.

What drugs to use

Before the start of the vaccination process according to the National Vaccination Calendar, parents should stock up on the following medications in advance:

• Drugs whose main active ingredient is paracetamol - Tylenol, children's Panadol, Eferalgan or Cefekon. Antipyretics for young children are produced in the form of syrups or suppositories (suppositories). They are given at night in the absence of high temperatures.

• At temperatures above 38 °C, you should use Nurofen, Ibuprofen or other medications from the group of non-steroidal anti-inflammatory drugs. The drugs are made in the form of syrups, convenient for treating children.

Along with medications that lower a child’s fever after vaccination, home remedies will help lower the temperature. You can wipe the baby with cool water or water with a little vinegar added, and apply compresses with chamomile infusion. What actions are strictly prohibited:

• use vodka rubdowns, vodka dries out the baby’s skin;
• reduce the temperature with aspirin; it is forbidden to give it to children under 12 years of age;
• go for a walk or bathe a baby who has been vaccinated;
• include new foods in the diet or change it, force feed.

An increase in temperature after vaccination does not threaten the child with anything particularly dangerous if you keep the situation under control. When going for vaccination, it is important to properly prepare the baby so that he is healthy and feels good. Parents should stock up on a set of children's dosage medications to help bring down the temperature. However, if there are threatening signs of fever, do not hesitate to call a doctor.

What can I use to coat the swelling?

Redness and swelling often occur in the area where the vaccine was administered. Normally, the compaction should not exceed 8 cm. After a few days, the local reaction goes away. A large red spot indicates the development of inflammation.

Troxevasin

Available in gel form. Helps well with swelling and pain. The drug improves trophism, has P-vitamin activity, increases capillary tone, and reduces inflammation in the vascular wall.

Gel Troxevasin

Troxerutin is used as the active ingredient. The auxiliary components include disodium EDTA, carbomer, triethanolamine, purified water and benzalkonium chloride. To stop a post-vaccination local reaction, the gel is applied to the swollen area in the morning and evening.

The product is rubbed in until completely absorbed. The success of therapy depends on the regularity of use of the medication. As a rule, a week's course is enough to eliminate pastiness and redness at the site of vaccine administration.

Vishnevsky ointment

It is a combined drug with antiseptic, anti-inflammatory, regenerating effects. Suitable for treating suppuration. The ointment is quite effective and at the same time safe.

Vishnevsky ointment

The medication is often prescribed to newborns to relieve swelling and inflammation at the puncture site. The composition contains xeroform, castor oil, tar. To relieve swelling, the product is applied to the skin in a thin layer and covered with a bandage on top. Use Vishnevsky ointment twice a day.

How to properly make a soda compress after vaccination?

Many parents resort to traditional medicine methods due to their safety and effectiveness. A soda compress helps relieve local post-vaccination reactions in the form of thickening or redness. Algorithm for preparing the product:

• pour boiled water into a glass;
• dissolve a teaspoon of baking soda in it;
• take a piece of sterile gauze and blot the material with water and soda liquid;
• apply to the swollen area.

It is recommended to make such lotions a day after vaccination. The compress helps relieve pain and prevent the development of swelling. The procedure is carried out 2-3 times a day.

Before using the traditional method, you should consult your pediatrician.

How many times can the drug be given to a child?

Parents who decide to give their baby Nurofen after DPT are interested in how many times a day and for how long this remedy can be used. As a rule, to obtain a therapeutic effect, it is enough to drink syrup 2-3 times a day.

Nurofen syrup

The frequency of administration is determined by the doctor individually based on the patient’s health condition. To normalize the temperature, the duration of the course should not be more than three days. If the drug is used to reduce the severity of pain in the injection area, then it can be taken for up to five days.

As a rule, on the second day the unpleasant symptoms begin to become less pronounced. If upon completion of the course the pain and hyperthermia have not gone away, then you should consult a doctor. The doctor will select another (more effective) drug or prolong the use of Nurofen.

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

Polysorb and Enterosgel after vaccination

Polysorb and Enterosgel are sorbents that remove harmful compounds from the body. After immunoprophylaxis, some children develop stool disorders and vomiting. This may be a normal reaction of the body.

But if we are talking about the DPT drug, then often digestive disorders are explained by the negative effects of toxic elements: merthiolate, Tween-80, aluminum salts. If a child has a chronic pathology of the liver or kidneys, then it may worsen after vaccination. Disturbances in the functioning of these organs cause intoxication.

Polysorb and Enterosgel

Among enterosorbents, pediatricians recommend giving children Polysorb or Enterosgel. Both drugs are quite effective. The product is dissolved in water and given to the child to drink. The dosage is calculated individually, taking into account the baby’s weight. For example, Polysorb is given to infants weighing up to 10 kg 0.5 teaspoon per day. For children weighing up to 20 kg, the dose is doubled.

Enterosgel is given to infants in the amount of one teaspoon per day, divided into four doses. For children 1-2 years old, the dose is doubled. Older children are prescribed a teaspoon three times a day.