Fortunately, this viral disease is usually self-limited and usually adequate hydration and pain control will help the person through the infection. However, for dengue fever, a caution is given by most doctors regarding home treatment. Nonsteroidal anti-inflammatory agents (for example, aspirin (Bayer, Ecotrin), ibuprofen (Motrin), and other NSAIDs) should be avoided because of the tendency of the dengue viruses to cause hemorrhages. The NSAIDs may add to the hemorrhage symptoms. Other medications such as acetaminophen (Tylenol), codeine, or other agents that are notNSAIDs may be used.
More severe variations of dengue fever (hemorrhagic and shock syndrome) usually require additional supportive treatments; these patients often require hospitalization. IV fluid hydration, blood transfusions, platelet transfusions, blood pressure support, and other intensive care measures may need to be utilized in these patients. Consultation with infectious disease and critical care specialists is often advised to optimize patient care.
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