Contents
Candles to reduce body temperature are used in the treatment of children and adults. This form of release is of particular relevance when it is not possible to take the drug orally. The active ingredient is absorbed through the intestinal mucosa, enters the bloodstream and is distributed throughout the body, providing an antipyretic effect. The whole process occurs bypassing the upper gastrointestinal tract, without causing irritation.
In addition to antipyretic properties, candles can have a number of other effects. They reduce pain, stop inflammation, and make you feel better. The list of contraindications for preparations in the form of suppositories is much smaller than for tablets, capsules or syrups. However, they can also cause side effects, so you should consult a specialist before starting treatment.
In the article, we have collected the most commonly prescribed temperature suppositories for children and adults, examined the features of their use, as well as the pros and cons of each drug. [1], [2], [3].
Why are suppositories better than pills?
The need to use candles in most people is strongly associated with the treatment of constipation, hemorrhoids, gynecological diseases. However, contrary to popular belief, they operate not only at the local level. This is their main difference from tablets.
The active ingredients contained in the suppository quickly penetrate into the bloodstream, affecting the body as a whole (systemic action). This is possible due to the high suction capacity of the rectal mucosa, as well as a well-developed circulatory system of the pelvic organs.
A suppository, unlike a tablet, does not have to travel a long way through the entire gastrointestinal tract. The drug is not exposed to the acid-base environment, its activity is not inhibited by digestive enzymes.
Candles can be used regardless of the meal. They do not have a pronounced effect on the liver and kidneys, which reduces the likelihood of allergic reactions and side effects. All this enhances the effectiveness of the drug. A tablet taken in the same dose often has a weaker effect than a candle.
Sometimes a person cannot take a drug orally for fever due to certain circumstances, for example, when he has vomiting, or an exacerbation of diseases of the digestive system occurs. Candles are convenient to use in the treatment of young children. In some cases, such a dosage form is the only one possible for use.
Pros and cons of using candles on temperature
The use of candles from temperature provides the following advantages:
The drug has an effect bypassing the organs of the digestive system.
Suppositories can be used against the background of nausea, vomiting, with diseases of the gastrointestinal tract, in violation of the swallowing process.
A person does not have to feel the taste and smell of the drug, which is not always pleasant.
The drug is absorbed into the blood quickly. It takes not much more time than with intramuscular injection.
Allergy to the active components of suppositories occurs less frequently than to other dosage forms.
Candles are convenient to use for the treatment of children and the elderly.
Despite all the positive characteristics, candles are not without drawbacks. These include:
The absence of many drugs in this form of release.
Inconvenience of use due to the need to comply with hygiene rules.
Candles cannot be used outside the home, they must be stored in certain conditions.
Part of the drug may leak out of the anus if not administered correctly.
The inability to use suppositories for diseases of the rectum, as well as for diarrhea.
Temperature suppositories for adults
Adults without serious diseases can use suppositories containing several components to reduce the temperature. This allows you to quickly get rid of heat and pain, make you feel better.
All drugs that are used in the treatment of children and pregnant women can be used to reduce temperature in adults, but the dosage should be higher, according to the available instructions. For paracetamol suppositories, it is 500 mg 1-4 times a day [1].
Cefekon N
Candles Cefekon N – 80 rubles. Active ingredients: naproxen, caffeine, salicylamide. The drug allows you to get rid of pain, reduce body temperature, reduce inflammation. It is used as an antipyretic for colds, infectious and non-infectious diseases. Candles are administered rectally, 1 suppository per day [4].
Pros:
The effect develops quickly, within 30 minutes.
Complex action.
Cons:
Contraindications in the form of stomach ulcers, pregnancy and lactation.
Not to be offered to children under 16 years of age.
Side effects in the form of increased blood pressure, heart palpitations, dizziness.
Allergic reactions are possible.
Indomethacin
Candles Indomethacin – 150 rubles. The main active ingredient is indomethacin. The drug from the group of NSAIDs, has the ability to relieve inflammation, reduce body temperature and stop pain. Candles are prescribed for diseases accompanied by hyperthermia and pain in soft tissues, joints, muscles. The suppository is administered rectally, 1-2 times a day for 50 mg or once at a dosage of 100 mg [5].
Pros:
It has a complex effect.
Rapidly absorbed, bioavailability with rectal administration reaches 90%.
The effect develops half an hour after ingestion.
Cons:
The drug does not affect the course of the disease, but only relieves the symptoms.
An extensive list of contraindications, including heart disease, gastrointestinal tract, hematopoietic disorders.
Do not use in the treatment of children under 15 years of age, pregnant and lactating women.
The drug interacts with many substances, which limits its scope and requires consultation with a doctor.
Diclofenac
Suppositories Diclofenac – price 150 rubles. The main active ingredient is diclofenac. Referring to the group of NSAIDs, the drug has an antipyretic effect, relieves inflammation and pain. Candles are prescribed for inflammatory and infectious diseases, accompanied by fever and pain. Initial daily dose – 100 mg, divided into 2 doses [6].
Pros:
Pronounced analgesic effect.
The drug begins to act quickly, half an hour after the introduction of the suppository.
It is possible to use in the treatment of pregnant women in the I and II trimester, but only after consultation with a specialist.
Cons:
The drug should not be prescribed to pregnant women in the third trimester and children under 15 years of age.
Side effects in the form of allergic reactions, abdominal pain, stool disorders, dizziness, vertigo and more.
Storage restrictions at + 20 degrees.
Analgin
Rectal suppositories Analgin – 100 rubles. The main active ingredient is metamizole sodium. The drug reduces body temperature, relieves spasms and pain. It is used for fever provoked by infectious and non-infectious diseases. Candles of 250 mg are administered rectally, 2 pieces, 2 times a day.
Pros:
Quick effect that develops within 20 minutes.
The drug does not affect the water-alkaline balance of the body, does not irritate the mucous membranes.
complex effect.
Low price.
Cons:
Weak anti-inflammatory effect.
Prohibition for use by children under 3 years old, pregnant and lactating women.
Side effects in the form of an allergic reaction, disorders of the urinary system and hematopoietic organs.
Candles from temperature for children up to a year
In childhood, candles from temperature are used especially often. This is due to the fact that it is inconvenient for a child to offer tablet preparations. With suppositories, such problems will not arise. The main thing is to read the instructions for use [7], [10].
Paracetamol
Rectal suppositories Paracetamol – price 50 rubles. The active substance is paracetamol. The drug affects the central nervous system, blocking the center of thermoregulation and pain. For children under one year old, the drug is prescribed at a dosage of 100 mg. The daily dose should not exceed 60 mg/kg body weight. Suppositories are used to reduce fever in infectious and non-infectious diseases, as well as to get rid of toothache, headache and muscle pain. [8], [9].
Pros:
The effect develops within 30 minutes – 2 hours. Body temperature decreases gradually.
The drug does not affect the organs of the gastrointestinal tract, does not lead to a delay or removal of fluid from the body.
The toxicological activity of the drug is low.
Can be used in children 1-3 months old to reduce body temperature during vaccination.
Cons:
Do not use in the treatment of patients with liver and kidney damage.
Possible side effects in the form of allergic reactions and abdominal pain.
The drug interacts with some drugs, so it can be used only after medical consultation.
Ibuprofen
Ibuprofen rectal suppositories – price 100 rubles. The main active ingredient is ibuprofen. A drug from the group of NSAIDs. It relieves fever, reduces pain and stops the inflammatory reaction. Candles are used at elevated body temperature against the background of various diseases. With their help, you can reduce the intensity of toothache, headache, muscle and other types of pain. Candles with a dosage of 60 mg are used for children 3-9 months up to 3 times a day.
Pros:
Long-term effect that lasts for 8 hours.
Gradual decrease in body temperature.
The possibility of using for the treatment of children under one year old.
Cons:
Numerous contraindications, including: bronchial asthma, stomach ulcers, severe damage to the liver and kidneys.
Do not administer to children under 3 months of age.
Side effects in the form of allergic reactions, increased blood pressure, impaired kidney function.
Efferalgan
Candles Efferalgan – 150 rubles. The main active ingredient is paracetamol. The drug affects the central nervous system, blocking the center of pain and thermoregulation. Candles can be used at elevated body temperature with SARS, influenza, infectious diseases, reactions to the vaccine. They are used as an anesthetic for dental, headache, muscle and other types of pain. For children 3-5 months old, suppositories with a dosage of 80 mg are used, for children from 6 months to 3 years, a drug with a dosage of 150 mg is used. Candles can be inserted every 4-6 hours, but not more than 4 times a day.
Pros:
Does not affect water-salt metabolism.
Does not irritate the intestinal mucosa.
Gradually lowers the temperature.
Cons:
Does not have an anti-inflammatory effect.
Absorbed slowly, within 2-3 hours.
The presence of contraindications in the form of blood diseases, severe liver and kidney damage.
Prohibited use for children under 3 months.
Panadol
Panadol rectal suppositories – price 100 rubles. Each suppository contains 125 mg of paracetamol. The drug belongs to the group of analgesics. Its use allows you to reduce pain, lower body temperature. Suppositories with a dosage of 125 mg are used to treat children from six months to 2,5 years with infectious diseases accompanied by a hyperthermic reaction. You can use the drug as an anesthetic. Do not use more than 4 suppositories per day. Without consulting a doctor, treatment should not last longer than 3 days.
Pros:
Gradual decrease in body temperature.
Rare side effects.
OTC sale.
French production.
Cons:
The presence of contraindications in the form of blood diseases, inflammation in the rectum, serious disorders in the liver and kidneys.
Prohibited use for children under 6 months.
Weak anti-inflammatory effect.
Tsefekon D
Rectal suppositories for children Cefekon D – price 70 rubles. The main active ingredient is paracetamol in different dosages. For children aged 1 to 3 months, candles of 50 g are used. They are prescribed for diseases accompanied by fever and pain. Single dose – 1 suppository. Re-introduction is possible after 4-6 hours.
Pros:
Rapidly absorbed in the gastrointestinal tract. The effect develops within half an hour.
Bioavailability in children is similar to that of adults.
Can be used to treat newborns (after consulting a doctor).
The drug reduces the temperature, relieves pain.
Cons:
Allergic reactions are possible.
The drug is able to distort the levels of glucose and uric acid in the blood plasma.
Candles should not be used for longer than 5 days.
Viburcol
Rectal suppositories homeopathic Viburkol – price 500 rubles. Active Ingredients: Chamomilla, Belladonna, Dulcamara, Plantago, Pulsatilla, Konghe. Candles are used as an antipyretic for respiratory diseases in children, as well as to reduce pain during teething. Candles are administered rectally, 1 suppository 2 times in 24 hours (for children under 6 months).
Pros:
Natural composition.
No contraindications, except for individual intolerance to the components that make up the composition.
May be used in conjunction with other drugs.
Made in Germany.
Cons:
The drug is homeopathic, which means that its effectiveness has not been proven by science.
Adverse reactions in the form of allergies and diarrhea.
Restrictions on storage temperature of 15-25 degrees.
High price.
Nurofen
Nurofen rectal suppositories for children – price 100 rubles. The main active ingredient is ibuprofen with a dosage of 60 mg. The drug has an antipyretic and analgesic effect, effectively stops the inflammatory reaction. It is used at elevated body temperature against the background of infectious and inflammatory diseases, as well as from various types of pain. Children aged 3 months to six months are administered 1 suppository with a dosage of 60 mg no more than 3 times a day.
Pros:
Long-lasting effect that lasts up to 8 hours.
It has a triple action: reduces body temperature, inflammation and pain.
High bioavailability.
Cons:
Can only be used for children from 3 months.
The drug does not affect the progression of the disease.
The presence of contraindications in the form of intolerance to NSAIDs, severe renal and hepatic insufficiency, blood clotting disorders, body weight less than 6 kg.
The drug interacts with other drugs.
Dafalgan
Rectal suppositories for children Dafalgan – 300 rubles. The main active ingredient is paracetamol. The drug is prescribed for children older than 1 month to reduce body temperature and relieve pain. The dosage of paracetamol in one suppository is 80 mg. Candles are used for various conditions accompanied by a hyperthermic reaction.
Pros:
A small number of contraindications and side effects.
Gradual decrease in body temperature.
Candles do not irritate the intestinal mucosa.
The drug is produced in Switzerland.
Cons:
High price.
Restrictions on storage temperature of 15-25 degrees.
The presence of contraindications in the form of pathologies of the liver and kidneys of a severe course.
Weight less than 5 kg.
Candles for children from one year and older
To reduce body temperature, children older than a year are prescribed the same drugs as newborns. Their mechanism of action, indications and contraindications remain unchanged. Only the dosage is subject to adjustment.
According to the instructions for the drugs: [7]
Cefecon D at a dosage of 100 mg at the age of 1-3 years, at a dosage of 250 mg at the age of 3-10 years.
Viburkol. The drug is used to reduce body temperature in children older than a year, administering up to 6 suppositories per day.
Efferalgan suppositories are used to treat children from six months to three years at a dosage of 150 mg, and for children from 5 to 10 years at a dosage of 300 mg.
Nurofen suppositories for children aged 9 months to 2 years are prescribed at a dosage of 60 mg 4 times a day. The maximum daily dose is 240 mg.
Suppositories Viferon for children older than a year and up to 7 years old are administered at a dosage of 3000000 IU per day. For children older than 7 years, the dose is increased to 5000000 IU.
Ibuprofen suppositories are prescribed for children from 9 months to 2 years at a dosage of 60 mg up to 4 times a day. The maximum daily dose is 240 mg.
Cefecon D is prescribed for children from 3 to 10 years old at a dosage of 250 mg.
Candles Paracetamol for children from one to 5 years old is prescribed at a dosage of 100 mg up to 2 pieces at a time. Children aged 5-10 years – 1 suppository at a dose of 250 mg.
Suppositories Analgin can be used in the treatment of children older than 3 years. The daily dose should not exceed 10 mg/kg. To reduce body temperature, use 1-2 suppositories 100 mg, 2 times a day.
[Video] Pediatrician of the Scientific Center for Children’s Health Lashkova Yuryevna Sergeevna – how to help a child if he has a fever. Tips for parents: