The fever is a symptom, not a disease. Thus, the treatment of fever means symptomatic intervention.
Both paracetamol and ibuprofen are effective in reducing fever and reducing the most pain. Except in rare cases of exogenously conditioned hyperthermia, when only the physical removal of temperature from the body surface (lukewarm bath) is used, the fever is treated with antipyretics: paracetamol or ibuprofen.
Paracetamol, on the other hand, is recommended for patients who have gastrointestinal problems, kidney disease, stomach ulcers or inflammatory bowel disease. Paracetamol is metabolized in the liver, so it should be avoided by individuals with impaired liver function or people who drink more alcohol. Due to the possible side effects of ibuprofen and other NSAIDs, paracetamol may be better used for the elderly with chronic diseases.
Paracetamol needs some time to take effect. It generally takes 45 minutes for it to take effect and twice as much for the patient to feel pain reduction. Because of such a long period of action, people often take more paracetamol than they should because they think the dose they have taken is not enough.
But for back pain and osteoarthritis, ibuprofen may be a better choice. Specifically, studies show that paracetamol (acetaminophen) is ineffective in treating lower back pain and has had very poor results in patients with osteoarthritis.
For certain types of pain, such as sports injuries and muscle pain, ibuprofen may work better because of its anti-inflammatory properties. Other studies show that ibuprofen is also more effective in reducing menstrual pain. Ibuprofen is used to lower fever due to common cold, flu and other inflammatory diseases, in response to the vaccine received, to relieve mild to moderate pain caused by the common cold, flu and inflammatory diseases, headache, pain due to injury, toothache, and pain. premenstrual syndrome, the pain of rheumatic origin, treatment of rheumatic diseases such as arthritis and arthrosis.
Ibuprofen is best taken during or after meals.
Combination of paracetamol and ibuprofen
If you are over 16 years of age, you can take paracetamol and ibuprofen alternately because they are metabolized differently in the body and do not interact. Both paracetamol and ibuprofen generally have similar indications, although ibuprofen has advantages in reducing inflammation. Paracetamol is a painkiller other than non-steroidal anti-inflammatory drugs (NSAIDs) and acetylsalicylic acid and acts differently from ibuprofen. If you need more severe pain relief, your doctor may advise that you take ibuprofen and paracetamol together.
Ibuprofen and paracetamol can be taken together or taken at intervals. If you are taking ibuprofen and paracetamol at the same time, follow the recommended daily doses for each of these medicines. If the pain persists, see your doctor or pharmacist.
Combination of paracetamol and ibuprofen in children
Parents should take caution when dosing their children with paracetamol and ibuprofen as the amount of the drug depends on the child’s age and body weight and should be dosed at appropriate intervals. Paracetamol is the first choice and ibuprofen is used in the case of high temperature.
It is also important to choose the appropriate form of medicine. In newborns and infants are most often used suppositories and in older children syrup. A child who vomits and has a high temperature should be given the medicine in the form of suppositories and make up for lost fluid so as not to dehydrate. If the child has diarrhea and fever, the drug should be given in the form of a syrup.
It is important to remember that children should not be given both medicines at the same time. It is recommended that paracetamol be given first, and if it is not effective within 1 to 4 hours, replace it with ibuprofen at the next dose. Such alternate administration of paracetamol and ibuprofen in children is recommended only if the effect cannot be achieved with a single drug.