Paracetamol - a drug that should only be taken in the recommended dosage, or may well develop side effects. The most severe are the side effects of liver and kidneys, so when a significant decrease in the function of these organs paracetamol is contraindicated.

How important is the dosage of paracetamol

A feature of paracetamol is that it may take one-time, even in the maximum recommended dosage, and if there are no contraindications for the patient receiving the drug, the complication is usually not the case. Dangerous high dosage if the patient has any disease is a contraindication to receiving paracetamol.

Contraindications for receiving paracetamol include liver and kidney disease with severely impaired function of these organs. But even if the function of the liver and kidney compromised slightly, take paracetamol is also quite dangerous, it can be done only on prescription.

Do not use acetaminophen and blood diseases Diseases of the blood - always seriously   - Paracetamol inhibits the formation of blood cells, in some genetic diseases (for example, in the absence of the enzyme glucose-6-phosphate dehydrogenase, phenylketonuria) and alcohol abuse (they kill the cells of the liver).

Do not take acetaminophen long courses, if the duration of the course (on prescription) is more than five days, require a laboratory monitoring of the health of the patient. That long-term use often leads to various complications of the liver, kidneys and blood.

The dosage of paracetamol for adults

Adult patients Paracetamol administered in tablets or effervescent tablets and rectal suppositories. Most effervescent tablets are effective because they are quickly absorbed in the gastrointestinal tract and more quickly start to operate. So if, for example, bad headache Why do I so often have a headache? - Look for a cause , The effervescent tablet relieve pain faster. But the effervescent tablets are allowed to accept only adults and adolescents over 15 years weighing more than 50 kg.

Effervescent tablets or soluble sachet contents to be dissolved in a cup of water. If the patient's body weight exceeds 60 kg, the paracetamol is used at a dose of 500 mg two to four times a day with intervals between the reception of at least four hours. This is a rather large dose previously recommended the use of paracetamol at a dose not exceeding 200 mg, which is why he was considered ineffective drug. Compliance with paracetamol is capable of maintaining the desired temperature and to remove moderate and average pain intensity. But for a long time to take such doses is dangerous.

If the patient has some sort of liver or kidney disease, even with a slight violation of their functions, to take paracetamol can only be prescribed by a doctor in individually selected dosage and the intervals between taking the tablets at least eight hours.

The dosage of paracetamol for children

Children's paracetamol available in the form of a suspension, powder for solution for oral administration and as suppositories tsefikon D.

In 5 ml (teaspoon or a measuring spoon) slurry contains paracetamol 120 mg. The suspension is shaken well before use. A single dose of paracetamol suspension is 10-15 mg per kg body weight of the child, but parents generally recommended not to exceed the dosage of 10 mg per kg body weight. Approximate age dose of paracetamol as follows:

• from one month to three - assigned only pediatrician;
• from three months to a year - 2, 5-5 ml (half or full teaspoon) - 60-120 mg;
• from one year to six years - 5-10 ml (one to two teaspoons) - 120-240 mg;
• from 6 to 14 years - 10-20 ml (two to four teaspoons) - 240-480 mg.

Candles tsefikon A discharged at a dose of 50, 100 and 250 mg, administered their children from three months to 12 years and the rate of 10-15 mg per kg of body weight. Before the introduction of candles child it is recommended to make a cleansing enema.

Children as well as adults, should not take acetaminophen for a long time: to reduce the temperature it is recommended to give no more than three consecutive days, with the purpose of pain relief - no more than five.

Overdose

An overdose of acetaminophen is quite possible, therefore it is necessary to adhere strictly to the recommended doses. In case of overdose appear pale skin, nausea, vomiting, abdominal pain Abdominal pain: Types and Symptoms . After a day or more may be signs of liver necrosis - yellow skin or eyes, pain in the right upper quadrant, the growth of intoxication.

With an overdose of paracetamol should immediately (not later than four hours after taking the drug) to wash out the stomach, take activated charcoal Activated carbon - old but indispensable   and call an ambulance - it is possible that further treatment will have to spend in hospital.

Galina Romanenko

Lower back pain can significantly affect the sex life. You can begin to avoid sex for fear of causing a lot of pain, and the partner, if you do not get a proper explanation, may decide that you lose interest in it, which can cause tension in the relationship. That's why people with chronic pain should discuss their personal problems, as a partner, and your doctor.

Sexual problems associated with back pain Low back pain: the spine signals May spread wider than the doctors think, just shy of the patients to talk about it. But as the doctor may not ask about it, the patient is to raise the subject.

Typically, sexual problems occur in people with chronic back pain due to arthritis or problems with the disk, but also in patients after surgery can also be difficult. But none of the types of chronic back pain does not rule out an active sex life.

Talk openly with your partner

As for the pain and difficulties in communicating with partners, it is important to dare to talk about it. Patients are often recognized as the doctors did not hesitate to explain to your partner that they do not want to have sex because of the severe pain, or are hesitant to discuss the change of position, the pain is less worried.

Chronic back pain often leads to bad mood or depression Depression - a little more than a bad mood . This, of course, is also not conducive to an active sex life.

If fewer sex partners, without explanation, affects not only relations but also mutual trust. For example, a partner might think that he was denied not close because of the disease, and because of the links on the side.

Often the patient is not only afraid that having sex will cause more pain, but the partner may worry about how not to cause unnecessary pain. However, if people openly discuss with each other their problems, it is easier to find alternatives to keep their sexual activity and enjoy each other.

Take preventive measures

Planning can help. If you have back pain What to do if the back pain - methods of eliminating discomfort , Receive painkillers before sex (as well as before any other exercise) can help.

If you have spasms in the back, a good idea to take a hot shower beforehand. As with any other physical activity, so as not to damage the muscles, they must first warm up.

In addition to a hot shower can help and application of ice to the sore spot. Ice reduces the strain or muscle strain.

Try new positions

To sex has become more pleasant, it is worth trying the positions in which you will be comfortable.

For this we need to know your body. For example, people who have problems with the spinal discs, it is not necessary to bend forward. In this case, the best will be the position in which the back has the necessary support and relaxation. This is usually supine position. Perhaps it would be more convenient if placed under the pillow back. Pillow under the loin will ease the pressure on this part of the spine. Pillows under the knees and ease the pressure on the back.

Other people have pain occurs when they are deflected back, usually in the case of arthritis, or spinal stenosis. It's easier when they lean forward. In such cases it may be most convenient position on one side. For example, a man suffering from back pain, lying on its side, and the woman in front of him with his back to him. Thus it can control the position of the back, and if necessary to bend forward.

Physical therapy can help people suffering from chronic back pain Back pain: Do not start the process , To develop the flexibility and stability of the spine. A physical therapist will show the patient exercises and stretching workout that will facilitate the movement of the spine.

Stop when you need to

Sometimes back pain does not occur during sex, but later. Perhaps the fact that you did something wrong or too tense. Limit sexual activity safe level load.

During sex possible mild discomfort, but not pain. If you during sex, there was a strong pain, stop immediately. You can always try again when you feel better.