Dr. Amir Rezazadeh, a specialist in Clinical Pharmacy and faculty member at the Iran University of Medical Sciences, emphasized that heatstrok
e is not merely an increase in body temperature; it is a thermoregulatory disorder, typically accompanied by a rapid loss of fluids and essential electrolytes.
He warned that neglecting heatstroke or treating it improperly can quickly escalate into a medical emergency. “One common mistake families make is the arbitrary administration of antipyretics, such as acetaminophen or ibuprofen, to a child suffering from heatstroke,” he noted.
Dr. Rezazadeh explained that these medications are designed to treat fevers caused by infections and are ineffective at lowering body temperature during heatstroke. Furthermore, administering them in a state of dehydration can significantly increase the risk of liver and kidney damage.
The clinical pharmacist stressed that the most critical steps in managing pediatric heatstroke involve gradually cooling the body and replenishing fluids and electrolytes. Recommended initial actions include moving the child to a cool, shaded area, dressing them in lightweight clothing, cooling the body with compresses or lukewarm water, and administering oral rehydration solutions (ORS).
He also highlighted the role of food safety in preventing the worsening of dehydration. “During warmer months, food spoils more rapidly. Gastrointestinal poisoning can lead to diarrhea and vomiting, which aggravates dehydration and worsens the child’s condition. Therefore, maintaining strict hygiene in food preparation, using safe drinking water, and ensuring proper food storage are of utmost importance,” he added.
Regarding heat-related skin conditions such as prickly heat (heat rash), Dr. Rezazadeh advised using only authorized and standard health products. “Choosing products with proven authenticity and regulatory approval reduces the risk of allergic reactions caused by substandard items. Additionally, the use of appropriate sunscreen is highly recommended whenever children are exposed to sunlight.”
In conclusion, he noted that high ambient temperatures can affect the stability and efficacy of certain medications. “Properly storing medications under recommended conditions and keeping them away from extreme heat is a vital aspect of summer health care,” he stated.