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Synthesis of a Borylated Ibuprofen Derivative Through Suzuki Cross-Coupling and Alkene Boracarboxylation Reactions
Published on: November 30, 2022
A general overview of the use of ibuprofen in paediatrics
1Tours University Hospital, France.
Insights
Ibuprofen effectively treats pain and fever in children, with a linear dose-response relationship. It is well-tolerated and safer in overdose compared to other common medications.
Area of Science:
- Pediatric Pharmacology
- Pain Management
- Rheumatology
Background:
- Ibuprofen is a common non-steroidal anti-inflammatory drug (NSAID) used for acute pain, fever, and juvenile idiopathic arthritis in children.
- Understanding its pediatric pharmacokinetics is crucial for safe and effective dosing.
Purpose of the Study:
- To review the efficacy and safety of ibuprofen in pediatric patients.
- To establish the optimal dosing range and compare its effects to other antipyretics and analgesics.
Main Methods:
- Review of clinical trials and pharmacokinetic data for ibuprofen in children.
- Comparison of ibuprofen's efficacy and safety against paracetamol and aspirin.
Main Results:
- Ibuprofen exhibits linear pharmacokinetics in children, similar to adults, with an effective dose range of 7.5-10 mg/kg.
- It demonstrates comparable or superior efficacy to paracetamol and is as effective as aspirin, with a longer duration of action.
- Adverse effects are typical of NSAIDs, but ibuprofen appears better tolerated in children and safer in overdose.
Conclusions:
- Ibuprofen is an effective and well-tolerated analgesic and antipyretic for pediatric use.
- Its safety profile, particularly in overdose, makes it a favorable option compared to paracetamol and aspirin.
Abstract:
Ibuprofen is prescribed for children for the treatment of acute pain and fever, and for juvenile idiopathic arthritis. The pharmacokinetic characteristics of ibuprofen in children are similar to those in adults and the relationship between dose and response is linear over the range 5-10 mg/kg. Clinical trials of ibuprofen have shown the effective dose range to be 7.5-10 mg/kg. The maximum reduction in temperature occurs 3-4 hours after administration. In comparative clinical trials, ibuprofen has been shown to be equally as effective as or more effective than paracetamol as an analgesic and antipyretic and to have a longer duration of action; it is also as effective as aspirin. The adverse effects of ibuprofen are similar to those of other non-steroidal anti-inflammatory drugs but clinical experience suggests that ibuprofen is better tolerated by children than adults and it is safer in overdose than paracetamol and aspirin.
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