Important: This information is a general guideline. Always consult your paediatrician or pharmacist before actual administration. It is safest to use medication as prescribed by a doctor, especially for babies under 24 months of age.

TL;DR

  1. Acetaminophen: 10-15mg/kg, every 4-6 hours
  2. Ibuprofen: 5-10 mg/kg, every 6-8 hours
  3. Dexibuprofen: 3-4 mg/kg, every 8 hours

Cross-medication is possible after consultation with your doctor. Do not cross-administer medications of the same class. Accurate dosing is important. Consult a healthcare professional for children under 2 years of age. Always use after consulting a doctor or pharmacist.

  1. Tylenol official website - https://www.tylenol.com/safety-dosing/dosage-for-children-by-weight-age

Major fever reducers

  1. acetaminophen (Tylenol)
  2. ibuprofen (Children’s Advil)
  3. dexibuprofen (children’s dexibuprofen)

Characteristics and dosage

Acetaminophen (Tylenol)

  • Usually the only fever reducer available for babies over 3 months of age.
  • Antipyretic, analgesic effects
  • Less stomach upset so can be given with or without meals
  • Dose: 10-15 mg per kilogram of body weight
  • Dosing interval: every 4-6 hours (no more than 5 times in 24 hours)

Ibuprofen (Children’s Burupen)

  • Generally not recommended for babies under 6 months.
  • Antipyretic, analgesic, and anti-inflammatory effects
  • More likely to cause gastrointestinal upset than acetaminophen
  • Dose: 5-10 mg per kilogram of body weight
  • Dosing interval: every 6-8 hours

Dexibuprofen (Children’s Dexibuprofen)

  • Improved form of ibuprofen, works faster
  • Same effect at a lower dose than ibuprofen
  • Dose: 3-4 mg per kilogram of body weight
  • Dosing interval: every 8 hours

Cross-dosing

  • It is generally possible to cross-combine acetaminophen and ibuprofen/dexibuprofen, but this should only be done after consulting your doctor.
  • Cross-medication of drugs in the same class (e.g. ibuprofen and dexibuprofen) should be avoided.

Precautions

  • Always follow the directions on the product label.
  • Use the measuring tool provided for accurate dose measurement.
  • For children under 2 years of age, a healthcare professional should be consulted to determine the appropriate dose.
  • Use only one medicine containing acetaminophen, and do not use products with the same ingredient at the same time.

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