Candidiasis occurs not only in adults but also in children, because they lack a strong immune system. For the treatment of this disease using different means. Fluconazole for children is appointed is not very often, because it has a lot of side effects. However, the correct use of medication and compliance with the recommendations of doctors reduce the occurrence of adverse effects to a minimum.
The main active agent is fluconazole, and additional components: starch, stearate mania. The disease manifests itself on different surfaces: the mucous membranes, skin, and various forms of medication used for the treatment. Besides capsule therapy for children, you can use candles, ointments, syrup Fluconazole.
Why do children develop candidiasis
Candidiasis in children develops due to excessive reproduction of pathogenic organisms. This contributes to reduction of immunity against viral infections or other complex diseases. Fungi can affect very different parts of the body, with the characteristic symptoms appear not only on visible surfaces. The little patient often develops yeast infection of the esophagus or colon.
Candidiasis can provoke such reasons:
- long-term use of antibiotics;
- hypothermia;
- hormonal changes during puberty;
- frequent colds;
- not enough moist air in the room.
Inherit the abnormal children are parents, especially grudnichki. We can not allow the transition of the disease into a chronic or generalized form, as it will be difficult to get rid of it. A treatment itself must be complex.
Indications
Most often means used to deal with stomatitis and thrush. And children Fluconazole is assigned to the child, for the treatment of such diseases:
- cryptococcal meningitis (particularly, against immunosuppression of HIV or AIDS);
- chromophytosis;
- fungal infection of the skin, the genitals;
- generalized forms of candidiasis, which spread almost all over the body;
- onychomycosis;
- ringworm;
- candiduria;
- balanitis;
- endemic mycoses.
Fluconazole is used not only for the intensive treatment of children. The drug is given and for the prevention of diseases, if they occur more than once every 3 months. Also means necessary for those children who have to undergo chemotherapy courses in the treatment of malignant neoplasms.
Fluconazole effectively destroys the pathogens. Despite the fact that he should not kill beneficial microflora, the child after a course of treatment the doctor prescribes probiotics.
Fluconazole copes with symptoms, as well as eliminating the cause of the disease itself. However, it is necessary to use the medicine properly.
Contraindications and limitations
Fluconazole should not take the children with an allergic reaction to any component of the formulation. It should be used only when prescribed by your doctor. Self-development is fraught with serious complications. In addition, there are fungal organisms that may be resistant to fluconazole. This drug in this case will only aggravate the condition of the baby.
You also need to take into account such contra-indications:
- chronic liver and kidney disease, and loss of functionality of these bodies in decompensated form;
- problems with the heart and blood vessels;
- age up to 4 years;
- simultaneous application means on the basis of cisapride, astemizole;
- problems with the functionality of the hormonal system.
It is strictly forbidden to use Fluconazole without prior approval from a physician. Immunity children have not yet developed well enough to cope with the complications caused by misuse of the drug.
Features of the application in infants and young children
Not recommended fluconazole for the treatment of children who are under 4 years old, but in severe cases, a doctor can prescribe this drug. Depending on the age of the dosage is as follows:
Age |
Norm |
Grudnichkovy |
The dosage of the drug is 50 mg per day. Fluconazole give a child in this case, every 3 days. After the baby will be a year, it will be able to take a means of once every 2 days. Parents should follow a doctor's prescription and does not discontinue therapy immediately after the symptoms disappear. The whole course of using Fluconazole must be met. For the treatment of infants can be used such means when generalized infection |
Children under 4 years |
Here Fluconazole is contraindicated in most cases, and it is better to replace the drug Diflucan in the form of a suspension. Depending on the child's body weight single dose is 3-12 mg principal active ingredient per 1 kg |
If possible, it is best to replace another drug Fluconazole for the treatment of the child's age.
Instructions for use
Dosage children fluconazole, as well as the duration of the application depends on the effectiveness of therapy, the severity of infection, as well as the age and weight of the child. Most often, children 1 tablet of the drug throughout the day. The maximum daily dose is 400 mg Fluconazole. Such a rule is needed in the development of cryptococcal meningitis.
Standard therapy scheme as follows: child registers 6 mg / kg on the first day of treatment, a further amount of medication is reduced by half. Course duration - 14 days. If the patient weighs more than 50 kg, it is necessary to apply the adult dosage. Fluconazole therapy in this case is 1 week.
If body weight less than 50 kg, the rate of the standard preparation - 50 mg. If the infection has spread too much, then, for added effect children Fluconazole is assigned in the form of suppositories and ointments. In cryptococcal meningitis treatment duration increased to 1.5 months. It canceled the drug only if the pathogen is detected in the patient's body.
As can be such, depending on the type of pathology Fluconazole dosage:
- Oral candidiasis. If the child is in the weight range of 15-20 kg, they consume 3 tablets on the first day of therapy and then 1 capsule per day. When the weight 20 to 30 kg on the first day rate is the same, and thereafter it is increased twice. If the weight of 30-40 kg, the primary child is given 5 capsules and then 2 daily. Therapy lasts for 3 weeks.
- esophageal candidiasis. There therapy also depends on the child's weight:
- 15-20 kg - 1 capsule fluconazole day;
- 20-30 kg - 1-2 tablets;
- 30-40 kg - 2 capsules / day;
- 40-50 kg - 3 tablets throughout the day. The total course of treatment is 5 weeks.
If yeast is localized only in the oral cavity, the powder is first diluted with water, and then this mixture was treated with affected tissues using a cotton swab.
candidiasis therapy also provides for strengthening the immune system. For this purpose not only the probiotics, but multivitamin preparations. It is also important to organize a rational and balanced diet.
What side effects are possible
Fluconazole child doctor prescribes for the control of fungal diseases. However, the child's body is not always adequately perceive the drug.
The child may experience the following side effects:
- violation of the gastrointestinal tract functionality;
- changes in taste;
- loss of appetite;
- vomiting, and discomfort or pain in the area around the navel;
- in rare cases of liver toxicity;
- diarrhea;
- problems with the functionality of the nervous system: the children become irritable, moody, they often change the mood, feel dizzy;
- convulsions;
- lethargy and constant fatigue;
- allergic skin rash;
- nosebleeds.
As can be seen, the child taking Fluconazole should be cautious. After the course of treatment your child need to take a blood test to determine the level of hemoglobin. If you exceed the dosage or misuse of funds in children appear edema, developing an arrhythmia. In severe cases, the little patient recorded nervous breakdowns, broken behavior. It even can see hallucinations.
What can replace Fluconazole
When in doubt whether you can Fluconazole children, you can replace it with other drugs.
Among them are these:
- nystatin. Tool can not only kill pathogens but also to prevent its further development;
- Diflucan. This tool is quickly absorbed in the gastrointestinal tract, but just as quickly excreted from the body, so the risk of side effects. The preparation is suitable for long-term treatment, which is necessary when the chronic form of the disease;
- Flucostat. The present tool has a selective effect, however only destroys pathogens. Despite the fact that the main component is fluconazole, the drug acts softer.
Treatment of fungal diseases in children is carried out with different drugs, but to do it on their own should not be. Fluconazole - a cheap and effective means of, but not all doctors consider it absolutely safe. Prior to use, you need to take into account possible contraindications, and see a list of side effects. Improper use of any medication only worsens the patient's condition.
sources:
Vidal: https://www.vidal.ru/drugs/fluconazole__12803
GRLS: https://grls.rosminzdrav.ru/Grls_View_v2.aspx? routingGuid = a35154cb-6bbe-4dc2-b8a1-c478d7407760 & t =
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