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Ketoprofen and its lysine salt in managing children with fever: evidence emerging from comparative trials
Francesco Scaglione1, Giorgio Ciprandi2
1Department of Oncology and Hemato-Oncology, Postgraduate School of Clinical Pharmacology and Toxicology, University of Milan, Milan, Italy.
Insights
Ketoprofen and ketoprofen lysine salt (KLS) are effective fever reducers in children. These non-steroidal anti-inflammatory drugs (NSAIDs) offer a valuable alternative to ibuprofen and acetaminophen for managing pediatric fever.
Area of Science:
- Pediatrics
- Pharmacology
- Infectious Diseases
Background:
- Fever is a common physiological response to infection and inflammation.
- While beneficial, fever can cause discomfort, necessitating symptomatic relief.
- Antipyretics, including NSAIDs and acetaminophen, are used to manage fever.
Purpose of the Study:
- To compare the efficacy of ketoprofen and ketoprofen lysine salt (KLS) against other antipyretics in pediatric populations.
- To evaluate ketoprofen and KLS as management options for children experiencing fever.
Main Methods:
- Review of comparative pediatric studies.
- Analysis of clinical data on ketoprofen, KLS, ibuprofen, and acetaminophen efficacy.
- Focus on symptom relief and safety profiles.
Main Results:
- Ketoprofen and KLS demonstrated significant antipyretic effects in children.
- Ketoprofen lysine salt (KLS) offers improved absorption and reduced side effects compared to acid ketoprofen.
- Both ketoprofen and KLS were found to be valuable options for managing pediatric fever.
Conclusions:
- Ketoprofen and KLS are effective and safe antipyretic options for pediatric use.
- These agents provide a viable alternative to commonly used antipyretics like ibuprofen and acetaminophen.
- Further research may explore long-term efficacy and specific indications for ketoprofen-based therapies in children.
Abstract:
Fever usually is a physiological response to infectious/inflammatory acute events. Namely, fever has positive benefits contrasting noxious agents. However, when fever causes discomfort, it is better to relieve symptoms associated to fever. Antipyretics mainly are non-steroidal anti-inflammatory agents (NSAIDs) and acetaminophen. The NSAIDs class includes many molecules. The most used NSAID to relieve fever is ibuprofen. However, ketoprofen also provides interesting pharmacological characteristics. In particular, salifying ketoprofen with lysine, such as ketoprofen lysine salt (KLS), provides a better and quicker absorption then acid ketoprofen and reduces side effects. The present paper considers the comparative pediatric studies between ketoprofen or KLS and other antipyretics, mainly concerning ibuprofen and acetaminophen. The results showed that ketoprofen and KLS are valuable option in managing children with fever.
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