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Medicines for Fever or Pain Relief     

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Acetaminophen

Acetaminophen is available without a prescription. Children older than 2 months of age can be given any one of the acetaminophen products (such as, Tylenol). They all have the same dosage. Give the correct dosage for your child's weight every 4 to 6 hours.

 

 

 

 

 

 
                      Type                               May Give
Weight            (Dosage Form)            Dose           Every
-----------------------------------------------------------------
10-11 pounds     drops (80 mg/0.8ml)        1/2 dropper    4-6
                                                           hours
-----------------------------------------------------------------
12-17 pounds     drops (80 mg/0.8ml)        1 dropper      4-6 
                 syrup (160 mg/5 ml)        1/2 tsp        hours
-----------------------------------------------------------------
18-23 pounds     drops (80 mg/0.8ml)        1+1/2 droppe   4-6 
                 syrup (160 mg/5 ml)        3/4 tsp        hours
                 chewable tablets (80 mg)   1+1/2 tablets 
-----------------------------------------------------------------
24-35 pounds     drops (80 mg/0.8ml)        2 droppers     4-6 
                 syrup (160 mg/5 ml)        1 tsp          hours
                 chewable tablets (80 mg)   2 tablets 
                 chewable tablets (160 mg)  1 tablet           
-----------------------------------------------------------------
36-47 pounds     drops (80 mg/0.8ml)        3 droppers     4-6 
                 syrup (160 mg/5 ml)        1+1/2 tsp      hours
                 chewable tablets (80 mg)   3 tablets 
                 chewable tablets (160 mg)  1+1/2 tablet   
-----------------------------------------------------------------
48-59 pounds     syrup (160 mg/5 ml)        2 tsp          4-6 
                 chewable tablets (80 mg)   4 tablets      hours
                 chewable tablets (160 mg)  2 tablet       
-----------------------------------------------------------------
60-71 pounds     syrup (160 mg/5 ml)        2+1/2 tsp      4-6 
                 chewable tablets (80 mg)   5 tablets      hours
                 chewable tablets (160 mg)  2+1/2 tablets
                 adult tablets (325 mg)     1 tablet           
-----------------------------------------------------------------
72-95 pounds     syrup (160 mg/5 ml)        3 tsp          4-6 
                 chewable tablets (80 mg)   6 tablets      hours
                 chewable tablets (160 mg)  3 tablets 
                 adult tablets (325 mg)     1 to 
					    1+1/2 tablets  
-----------------------------------------------------------------
96+ pounds       syrup (160 mg/5 ml)        4 tsp          4-6 
                 chewable tablets (80 mg)   8 tablets      hours
                 chewable tablets (160 mg)  4 tablets
                 adult tablets (325 mg)     2 tablets        
-----------------------------------------------------------------
Abbreviations: mg = milligrams  ml = milliliter  tsp = teaspoon 

Suppositories: Acetaminophen is also available as a rectal suppository in 120-mg, 325-mg, and 650-mg dosages. Suppositories are useful if a child with a fever is vomiting often or having seizures caused by the fever. Use the same dose as listed above for the suppository. Most suppositories can be cut (for example, cut in half) to supply the right dose for your child's age.

Ibuprofen

Ibuprofen (Advil, Motrin) is available without a prescription. Give the correct dosage for your child's weight every 6 to 8 hours.

 
                      Type                               May Give
Weight            (Dosage Form)            Dose           Every
----------------------------------------------------------------
12-17 pounds   drops (50 mg/1.25 ml)      1 dropper     6-8 hours
----------------------------------------------------------------  
18-23 pounds   drops (50 mg/1.25 ml)      1+1/2 dropper 6-8 hours
               liquid (100mg/5ml)         3/4 tsp             
               chewable tablets (50 mg)   1+1/2 tablets      
----------------------------------------------------------------  
24-35 pounds   drops (50 mg/1.25 ml)      2 droppers    6-8 hours
               liquid (100 mg/5 ml)       1 tsp                
               chewable tablets (50 mg)   2 tablets   
               chewable tablets (100 mg)  1 tablet
----------------------------------------------------------------  
36-47 pounds   drops (50 mg/1.25 ml)      3 droppers    6-8 hours
               liquid (100 mg/5 ml)       1+1/2 tsp            
               chewable tablets (50 mg)   3 tablets 
               chewable tablets (100 mg)  1+1/2 tablet
----------------------------------------------------------------
48-59 pounds   liquid (100 mg/5 ml)       2 tsp         6-8 hours
               chewable tablets (50 mg)   4 tablets         
               chewable tablets (100 mg)  2 tablets
----------------------------------------------------------------  
60-71          liquid (100 mg/5 ml)       2+1/2 tsp     6-8 hours
               chewable tablets (50 mg)   5 tablets            
               chewable tablets (100 mg)  2+1/2 tablets
----------------------------------------------------------------
72-95 pounds   liquid (100 mg/5 ml)       3 tsp         6-8 hours
               chewable tablets (50 mg)   6 tablets    
               chewable tablets (100 mg)  3 tablets
               adult tablets (200 mg)     1+1/2 tablets 
----------------------------------------------------------------
96+ pounds     liquid (100 mg/5ml)        4 tsp         6-8 hours
               chewable tablets (50 mg)   8 tablets
               chewable tablets (100 mg)  4 tablets
               adult tablets (200 mg)     2 tablets 
-----------------------------------------------------------------
Abbreviations:  mg = milligrams  ml = milliliter  tsp = teaspoon 

Alternating or Combining Acetaminophen and Ibuprofen

If instructed by your health care provider to alternate ibuprofen and acetaminophen, do it as follows:

  • Alternate doses of ibuprofen and acetaminophen every 4 hours.

  • Alternate medicines for only 24 hours or less, then return to a single product.
     

Combining acetaminophen and ibuprofen is generally not recommended. Combining can cause confusion, dosage errors, and poisoning.

Avoid Aspirin

Children (through age 21 years) should not take aspirin if they have chickenpox or influenza (any cold, cough, or sore throat symptoms). This recommendation is based on several studies that have linked aspirin to Reye's syndrome, a severe encephalitislike illness. Most pediatricians have stopped using aspirin for fevers associated with any illness.
 

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Written by Robert Brayden, MD, Associate Professor of Pediatrics, University of Colorado School of Medicine.
Copyright © 2006 McKesson Corporation and/or one of its subsidiaries. All Rights Reserved.
 
 
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