Which Chinese herbal medicine for fever reduction is the best?

There are actually many kinds of antipyretic drugs now, and the main thing is to choose according to your actual situation, so that you can prescribe the right medicine for your condition. Otherwise, it will lead to many adverse reactions. Generally speaking, antipyretic drugs with Chinese patent medicine ingredients will be better, mainly because they can fundamentally relieve the symptoms of your related diseases without causing too serious side effects.

2. Acetaminophen (also known as paracetamol)

Trade name: Tylenol, Baifuning, Anjiare, etc.

Usage: 10-15 mg/kg body weight per time, once every 4 hours, not more than 5 times in every 24 hours.

Advantages: It is absorbed quickly and completely, and can produce an antipyretic effect within 30 minutes of oral administration. The side effects are relatively small, there is basically no irritation to the gastrointestinal tract, no effect on platelet function and coagulation function, and no nephrotoxicity, so it is relatively safe. Doctors usually use this medicine for children under 2 years old. It can also be taken with milk or juice.

Disadvantages: Although it takes effect quickly to reduce fever, the time it takes to control body temperature is shorter than other drugs, and the time it takes to control fever is about 2 to 4 hours.

Acetaminophen Acetaminophen is the most commonly used antipyretic in pediatric clinical practice and is also the first choice antipyretic recommended by the World Health Organization (WHO) for high fever in infants and children over 2 months old. Acetaminophen is a relatively safe antipyretic drug that has a rapid and reliable antipyretic effect, has few adverse reactions, and can be kept on hand at home.

3. Nimesulide (use with caution)

Product Name: Ruizhiqing

Usage: The usual dose for children is 5 mg/day per kilogram of body weight, taken in 2 to 3 times.

Advantages: According to published academic papers, experts compared nimesulide and ibuprofen and found that the outstanding advantage of nimesulide is that it has fewer adverse reactions to the digestive system. Because its incidence of liver damage is relatively low (about 1/1 million), it is often widely used in the treatment of inflammatory fever and pain in clinical practice.

Disadvantages: In recent years, there have been many reports of severe liver damage related to the use of nimesulide around the world. From 2002 to 2005, countries such as Spain, Türkiye and Ireland withdrew the drug from the market.

4. Lysine

Product Name: Levitra

Usage: intramuscular injection or intravenous injection. For children, take 10 to 25 mg/kg of body weight per day, divided into 2 doses.

Advantages: strong antipyretic effect, rapid onset, mild and long-lasting effect, and can avoid gastrointestinal irritation caused by oral aspirin and ibuprofen. Since ibuprofen and acetaminophen are both tablets, aqueous solutions, and suspensions (drops), and do not have intravenous or intramuscular injection forms, doctors often choose these drugs for children who have difficulty taking oral medications.

Disadvantages: Because it contains aspirin, long-term use may induce Reye's syndrome, and some may induce anaphylactic shock and severe asthma attacks. Therefore, children under the age of 16 should use it with caution, and be careful to inquire about their allergy history when using it.

Note: This type of drug has obvious dose dependence, that is, the efficacy increases with the increase of dose, so overdose should be avoided, otherwise it will cause liver damage.