Doses
| Medicine | Dose | Frequency |
|---|
| Paracetamol | 15 mg/kg per dose (max 1 g) | Every 4–6 hours, max 4 doses in 24 hours |
| Ibuprofen | 5–10 mg/kg per dose | 3–4 times daily, max 30 mg/kg a day |
The BNFC and product labels use age bands. Check both, and check the child is not taking another paracetamol-containing product.
Ibuprofen is not recommended under 5 kg or under 3 months. Use one medicine first; alternate only if distress persists (NICE NG143).
Frequently asked questions
How much Calpol for a child by weight?
Paracetamol 15 mg/kg per dose, up to four times in 24 hours.
Can I give paracetamol and ibuprofen together?
Use one first. NICE suggests alternating only if distress persists or recurs before the next dose.
When should ibuprofen be avoided?
Under 3 months or 5 kg, and in some children with asthma or dehydration.
References
- BNF for Children. Paracetamol; Ibuprofen. bnfc.nice.org.uk
- NICE. Fever in under 5s. NG143. nice.org.uk/guidance/ng143
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