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Aspirin and ibuprofen can be dangerous for patients with dengue fever. Therefore, doctors have warned absolutely not to use Aspirin and Ibuprofen as an anti-inflammatory pain reliever when having dengue fever. So what medicine to take for dengue fever?1. Symptoms of Dengue fever
Every year and during the epidemic season, dengue fever often has a rapid increase in the number of infected patients and complicated developments. When sick, the first symptoms appear are pain all over the body, muscle pain, joint pain, headache, fever (continuous high fever 39-40 degrees Celsius), nausea, diarrhea, abdominal pain... Most people when they first get dengue fever think only of the flu or a common viral fever.
Patients often have to be hospitalized to treat dengue fever according to the doctor's regimen. However, patients with dengue fever initially without knowing the disease often arbitrarily buy pain relievers, antipyretic drugs to use and self-treat at home.
But not all antipyretic analgesics are suitable and effective for dengue symptoms, even some antipyretic drugs are contraindicated or detrimental to dengue fever.
Characteristic bleeding usually occurs from the 6th day onwards (when the fever has begun to subside) and manifests in various degrees: subcutaneous hemorrhage, bleeding in the root, gastrointestinal bleeding When hemorrhagic fever becomes severe, it can cause shock with manifestations: rapid pulse, sweating, excitability, cold limbs, low blood pressure, damage liver injury, elevated liver enzymes (SGPT, SGOT)...
2. What medicine do you take for dengue fever?
The first medicine to use when treating dengue fever is antipyretic. There are many active ingredients that have antipyretic effects with different trade names, but what medicine to take for dengue fever? Common antipyretic drugs on the market can be divided into 2 main categories:
Antipyretic drugs with active ingredient is paracetamol (acetaminophen) Group of antipyretic, analgesic, non-steroidal anti-inflammatory drugs - NSAIDs (Aspirin, diclofenac). , ibuprofen, piroxicam, meloxicam...).
Thuốc hạ sốt paracetamol
3. Why not use Aspirin and Ibuprofen in dengue fever?
Aspirin is a drug with antipyretic and analgesic effects at high doses and antiplatelet aggregation at lower doses. However, aspirin is contraindicated in dengue fever. This is explained by the anti-platelet and anticoagulant effects that make the bleeding caused by dengue fever uncontrollable, especially gastrointestinal bleeding, making the disease worse.
Therefore, do not use aspirin for adults and children when having dengue fever, especially for children, aspirin also causes Reye's syndrome (causes brain edema, fatty liver failure, mortality rate up to 30-50). % and there is a risk of permanent brain damage sequelae). In addition, aspirin also causes burning of the gastrointestinal tract, respiratory failure, especially causes bronchospasm and aggravates asthma.
Group of non-steroidal anti-inflammatory drugs (NSAIDs) besides Aspirin, there are also diclofenac, ibuprofen, piroxicam... Especially Ibuprofen is often used to reduce pain and inflammation for patients with fever. Although the platelet aggregation effect of these drugs is not as strong as aspirin, this property still exists to varying degrees, so the risk of bleeding that is difficult to stop in dengue fever still occurs.
Therefore, Ibuprofen and other NSAIDs are not recommended for the symptomatic treatment of dengue.
Commonly used dengue fever reducing drugs
When fever symptoms begin and the cause has not been diagnosed (may be dengue fever or not), the patient is best advised to use paracetamol (antipyretic drugs) acetaminophen). This medicine should be stocked in every family's medicine cabinet.
Các ban xuất huyết ở người bị sốt xuất huyết
4. Note when using antipyretic drugs
The use of antipyretic drugs is always a matter to consider, but not so that the symptoms of fever persist without the use of drugs. Fever is an acute reaction, which can easily lead to complications whether in children, adults or the elderly. Therefore, it is necessary to be very urgent in reducing fever immediately, avoiding prolonged high fever.
As mentioned above, paracetamol (acetaminophen) fever reducer is a common and relatively safe medicine that can be used at home when you have a fever, but still have to follow strict rules as follows:
Fever from 39 degrees Celsius is required to use antipyretic. For children who only need a fever above 38.5 degrees Celsius, they must take medicine immediately because the child's temperature rise rate up to 39-40 degrees Celsius is very fast, this is a dangerous temperature threshold. Carefully read the instructions for use, do not overdose, do not use in combination with drugs containing the same active ingredient paracetamol because it can easily lead to an overdose. Paracetamol for children has many dosage forms (tablets, oral syrups, powders, nuggets, effervescent tablets and suppositories), do not use a combination of different routes of administration, only one dosage form is used to avoid the risk of drug poisoning causing liver damage, impaired liver function. Before using the drug should combine cool compress, rest in a well-ventilated place, drink enough water. Monitor body temperature regularly Look for signs of dengue fever to quickly visit the hospital. Do not take consecutive doses of paracetamol over a period of less than 4 hours.
Khi sốt cao trên 39 độ C thì người bệnh cần dùng thuốc hạ sốt ngay
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