Emilia vexler
06/04/2021 11:59
Clarín.com
Society
Updated 06/04/2021 11:59
In the City of Buenos Aires, the group aged 18 to 59 years with comorbidities and those over 50 who are not in a risk group are already being vaccinated against the coronavirus.
In the Province for months they began to vaccinate these groups with risk diseases.
Beyond the race in the AMBA on who vaccinates before whom, these young vaccinated people are showing something more than the vaccination card on social networks.
They speak of
fever, fatigue, muscle pain and the "shock" of the vaccine
: the normal adverse effects of the doses.
Be it AstraZeneca, Sputnik V or Sinopharm.
And a question is rekindled: is it useful to take paracetamol or ibuprofen, preventively, before receiving the doses?
The answer is unanimous.
Before it has no effect, but afterwards
either of the two works.
Roberto Debbag, president-elect of the Latin American Society of Pediatric Infectology, is forceful.
"Not".
Paracetamol and ibuprofen do not have
any preventive effect
in the event of this eventual "shock" of the vaccine.
It is "eventual" because, remember, it happens to some people and not to others.
The expert also has his qualms about the effect of his subsequent shot.
"Taking them prior to the injection
does not change the evolution of adverse effects
. The same thing happens with traditional vaccines and with Covid vaccines. It only worked, preventively, as documented, if an analgesic was taken before the meningococcal vaccine b. It avoided the fever, "he explains.
According to Debbag, an in-depth study on AstraZeneca and taking acetaminophen showed that "
post-vaccine acetaminophen does not reduce local effects
(pain in the arm from the puncture) and systemic
effects
(muscle and joint). Yes, fever and headaches , but not in a significant way. "
So he suggests that acetaminophen should only be used "for the comfort of the patient if he has a fever or headache."
In the vaccination posts of the City and Province of Buenos Aires it is recommended to take paracetamol every 8 hours, in case any of the adverse effects after the vaccine begin.
Within 24 to 48 hours, they should go away.
If not, and before the symptoms worsen, you should consult the nearest prepaid, social work or hospital.
What doctors say in Argentina
In the case of Covid vaccines, there is no research to show the usefulness of these drugs.
In fact, at the beginning of the pandemic in the world it was not recommended to take paracetamol or ibuprofen before the injection due to their possible interference with the efficacy of the vaccine.
But this today
lost weight in the medical community.
"There is no special indication for the prophylactic (preventive) use of ibuprofen or paracetamol. It was even said that it could influence the action of the vaccine. It was never confirmed. What I recommend is, at the slightest post-vaccine symptom,
take any of Both
. Paracetamol is preferred because it is more effective in reducing fever and acts well in the event of subsequent symptoms, "says Arnaldo Casiro to
Clarín
. He is the head of Infectology at Hospital Álvarez.
Beyond what is shown on social networks and the specific recommendation made by vaccinators at immunization posts - "You can get to feel bad, take paracetamol every 8 hours" - the renowned infectologist Eduardo López, who is part of the government advisory committee on health issues, gives numbers.
"Between
30% and 35% of those who are vaccinated
present these adverse effects. And these symptoms are managed perfectly well with paracetamol. From to 1 gram every 8 hours. In general, they improve in 24 hours", says López.
He agrees with Debbag and Casiro that these medications do not work to prevent these ailments from occurring.
Mark "mild pain" and "edema" and "swelling" at the puncture site as the most transient symptom.
Not necessarily the most frequent.
Among vaccinated people,
between 10% and 15%
could suffer a more rare effect: asthenia - fatigue, extreme tiredness - or cold pocks.
López, in particular, clarifies that "in the day to day" the reality is that
paracetamol
is indicated
to control these symptoms.
"The use of ibuprofen to treat any of the post-vaccine symptoms
it does not have a contraindication either
", he assures.
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