Drotavarin aur Mefenamic Acid Tablet Bachon ke Liye Surakshit Nahi Hai
Drotavarin aur mefenamic acid ki goli bachon ke liye surakshit nahi hai aur inke upyog se bachna chahiye kyunki inke bachon mein upyog ke liye paryapt suraksha data nahi hai.
Mefenamic Acid ke Liye Suraksha Jankari
- Mefenamic acid ek NSAID (non-steroidal anti-inflammatory drug) hai jise bachon mein bukhar ke ilaaj ke liye aam taur par upyog nahi karna chahiye kyunki iske side effects ka khatra hai 1
- Adhyayan batate hain ki mefenamic acid ka upyog bachon mein bukhar ke ilaaj ke liye paracetamol (acetaminophen) ke uchch khurak (20 mg/kg) ke samaan antipyretic prabhav dikhata hai, lekin suraksha chintaon ke karan iska upyog seemit hona chahiye 1
- Mefenamic acid ko dard ya chronic inflammatory conditions ke liye bachaya jana chahiye, na ki mamuli bukhar ke ilaaj ke liye 1
Drotavarin ke Liye Suraksha Jankari
- Drotavarin hydrochloride ka upyog bachon mein baar-baar hone wale pet dard (recurrent abdominal pain) ke ilaaj mein kiya gaya hai, lekin yeh anticoagulant ke roop mein bachon mein vyapak upyog ke liye adhikrit nahi hai 2
- American College of Chest Physicians ke disha-nirdesh bachon mein anticoagulation ke liye specific dawaon ka ullekh karte hain jisme UFH (unfractionated heparin), LMWH (low-molecular-weight heparin), ya VKAs (vitamin K antagonists) shamil hain, lekin drotavarin ka ullekh nahi karte 3
- Bachon mein thrombosis ke ilaaj ke liye anticoagulation ke liye vishisht disha-nirdesh hain, jisme drotavarin shamil nahi hai 3
Bachon mein Antiplatelet aur Anticoagulant Therapy ke Liye Disha-Nirdesh
- Bachon mein antiplatelet therapy ke liye, American College of Chest Physicians aspirin ki 1-5 mg/kg pratdin ki khurak ka sujhav dete hain (Grade 2C), na ki mefenamic acid ka 3
- Bachon mein anticoagulation ke liye, disha-nirdesh UFH, LMWH, ya VKAs ka upyog karne ka sujhav dete hain, vishesh clinical paristhitiyon ke anusar 3
- Kawasaki disease jaise vishisht conditions mein, aspirin ka upyog antiplatelet agent ke roop mein kiya jata hai (1-5 mg/kg pratdin), na ki mefenamic acid ka 3
Surakshit Vikalp
- Bachon mein bukhar ke ilaaj ke liye, paracetamol (acetaminophen) ek surakshit vikalp hai, jise 15-20 mg/kg ki khurak mein diya ja sakta hai 1
- Dard ke ilaaj ke liye, bachon mein paracetamol ya appropriate dosage mein ibuprofen jaise anya NSAIDs ka upyog kiya ja sakta hai 1
- Bachon mein anticoagulation ki zaroorat hone par, chikitsak ko American College of Chest Physicians ke disha-nirdesho ka palan karna chahiye jo UFH, LMWH, ya VKAs ka upyog karne ka sujhav dete hain 3
Savdhaniyan aur Sujhav
- Bachon mein kisi bhi dawa ka upyog karne se pahle, unke vazn, umar aur clinical sthiti ke anusar khurak ka nirnay karna chahiye 1, 2
- Bachon mein NSAIDs jaise mefenamic acid ka upyog karte samay vishesh savdhani baratni chahiye kyunki inse gastrointestinal bleeding, renal dysfunction aur anya side effects ho sakte hain 1
- Bachon mein anticoagulants ka upyog karte samay, bleeding ke khatra ka dhyan rakhna chahiye aur niyamit monitoring ki zaroorat hoti hai 3