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Pediatric and Adolescent Medicine

Fever: What to do?

Dosage of Fever and Pain Medicine

Fever is characterized by elevation of body temperature over 100.4 (F) or 38.0 (C) when taken rectally or over 100.0 (F) or 37.7 (C) when taken under the arm, in the ear or on the forehead. You can find Fahrenheit to Celsius conversion table at the bottom of this page.

If your infant is younger than 12 months, temperature should be always taken rectally.

If your infant is younger than 8 weeks and has elevated temperature, make sure she(he) is not overdressed, repeat the measurement within 1/2 hour and if it is still elevated call your doctor or go to Emergency room.


Important:

  • Children less than two months of age should not be given acetaminophen without calling the physician first.
  • Ibuprofen SHOULD NOT be given to children under six months of age.


Calculations:

  • Milliliter is abbreviated as ml or cc. 5ml equals one teaspoon (tsp). 
  • Don't use household teaspoons, which can vary in size. 
  • ​Aspirin should not be used in children to treat fever or pain.



There are two fever reducers available -acetaminophen (Tylenol)-indicated for children of any age and ibuprofen (motrin, advil)-indicated only after 6 months of age.

IBUPROFEN

(Minimum of 6 hours between doses)

Weight (lbs) (over 6 mths) Oral Drops 50mg/1.25ml (1 dropper) Suspension 100mg/5ml (1 tsp) Chewable Tablets 50mg Chewable Tablets 100 mg Caplets 100mg
12-17 1.25 ml 2.5 ml
18-22 1.87 ml 3.75 ml 1 1/2 tabs
23-34 2.5 ml 5 ml 2 tabs 1 tab
35-44 7.5 ml 3 tabs 1 1/2 tabs
45-55 10 ml 4 tabs 2 tabs 2 caps
56-66 12.5 ml 5 tabs 2 1/2 tabs
67-88 15 ml 6 tabs 3 tabs 3 caps
89 and over 20 ml 4 tabs 4 caps

Ibuprofen: 10 mg/kg (4.5mg/lb) of body weight per one dose. 


Example: You have 9 month old baby who weighs 18 lb (8 kg).

  • 18 lbx4.5mg=80 mg
  • 8kgx10mg=80 mg
  • Infant's ibuprofen comes in droppers where 100 mg of medicine contains in 2.5 ml.
  • So if you need 80 mg you should take 2 ml of infant Ibuprofen drops.


Please pay attention that Infant's Ibuprofen is twice as concentrated as Children's Ibuprofen

ACETAMINOPHEN

(Minimum of 4 hours between doses)

Weight (lbs) Infant/Children's Suspension 160mg/5ml (1tsp) Children's Chewable Tablets 80mg Junior Strength Chewables or Caplets 160mg
6-11 1.25 ml
12-17 2.5 ml
18-23 3.75 ml
24-35 5 ml 2 tabs
36-47 7.5 ml 3 tabs
48-59 10 ml 4 tabs 2 tabs
60-71 12.5 ml 5 tabs 2 1/2 tabs
72-95 15 ml 6 tabs 3 tabs
96 and over 4 tabs
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