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ACETAMINOPHEN
(TYLENOL, FEVERALL, TEMPRA)
WHAT IT'S USED FOR
Acetaminophen reduces fever and it relieves the pain of teething, earache, sunburn, cuts,
bruises, headache, etc.
DOSAGE
(Click here to see dosing chart below)7 mg per pound every 4 hours. The dosage we use is 7 milligrams per pound of bodyweight
(for metric users, that's 15mg per kilo). For example: a 22-pound child would get 154 mg (22x7=154).
This is about one-teaspoon of children's liquid. Don't worry
about giving 160mg instead of 154mg - the difference is minimal. This dose can be given every four
hours, or realistically, five times a day.
DR. SEARS HELPFUL HINTS
Acetaminophen starts taking effect within 45 to 60 minutes and should last four hours. If it wears-
off too soon, then use a dose of Ibuprofen.
For very high or stubborn fevers, alternate between Acetaminophen and Ibuprofen every three hours
(i.e., give a dose of acetaminophen then three hours later give ibuprofen then three hours later
acetaminophen, etc.) These two medications are safe to use together like this.
1 tsp (5ml) of children's liquid
contains 160 mg of acetaminophen.
Feverall suppositories are a good alternative if the child is vomiting, or is very resistant to take
medicine by mouth. The suppositories can be cut-up to get the proper dose.
Some packages come with a cup that is "measured" in
child's weight or age - these cups will under dose so you should use your
own dropper or cup that measures in teaspoons or milliliters.
SAFETY/SIDE EFFECTS
Acetaminophen has been safely used in children for many years. There are minimal side- effect
concerns in a healthy child. It has a high safety margin, i.e. it takes about seven
times the regular dose to be harmful. If given at the proper doses, it is
safe to use "around the clock" for several days.
INTERACTIONS
Acetaminophen can be used along with any antibiotic, cold or cough remedy (providing
Acetaminophen is not one of the ingredients).
HOW SUPPLIED
(see dosing chart below)
Children's liquid 160mg/5ml
Chewable tablets 80mg or 160mg
Junior strength caplets 160mg
Rectal suppository (Feverall brand) 80mg, 120mg,
325mg (may be cut for proper dose)
A study in 2001 has shown that giving an initial double dose of acetaminophen for high fevers is both safe and more effective to bring down that high fever fast. Only give a double dose if the fever is high. You can only give a double dose once every few days if needed. Any other doses should be the regular dose.
Dose is every 4-6 hours. When treating fever or pain, I like to use a "strong but safe" dose
so your child will feel better sooner. I have designed this chart with narrow weight ranges so you can
give the best dose. Dosing chart for suppositories is below regular chart.
Weight:
Milligram Dosage
Infant Drops 80mg/0.8ml
Children's liquid 160mg/5ml
Children's soft chews 80mg each
Junior strength Caps or chews 160mg each
5-8 lbs
40mg
½ dropper (.4ml)
¼ tsp (1.25ml)
N/A
N/A
9-10 lbs
60mg
¾ dropper (.6ml)
1/3 tsp (1.8ml)
N/A
N/A
11-16 lbs
80mg
1 dropper (.8ml)
½ tsp (2.5ml)
N/A
N/A
17-21 lbs
120mg
1 ½ droppers (1.2ml)
¾ tsp (3.75ml)
N/A
N/A
22-26 lbs
160mg
2 droppers (1.6ml)
1 tsp (5ml)
2 tablets
1 tablet
27-32 lbs
200mg
2 ½ dropper (2ml)
1 ¼ tsp (6.25ml)
2 ½ tablets
33-37 lbs
240mg
3 droppers (2.4ml)
1 ½ tsp (7.5ml)
3 tablets
1 ½ tablet
38-42 lbs
280mg
3 ½ droppers (2.8ml)
1 ¾ tsp (8.75ml)
3 ½ tablets
43-53 lbs
320mg
4 droppers (3.2ml)
2 tsp (10ml)
4 tablets
2 tablets
54-64 lbs
400mg
Use Liquid
2 ½ tsp(12.5ml)
5 tablets
2 ½ tablets
65-75 lbs
480mg
3 tsp (15ml)
6 tablets
3 tablets
76-86 lbs
560mg
3 ½ tsp (17.5ml)
7 tablets
3 ½ tablets
87-95 lbs
640mg
4 tsp (20ml)
8 tablets
4 tablets
>95 lbs
Give
Adult
Dosage
Dosing chart for Acetaminophen suppositories. You will notice these doses tend to be a
little higher than if given orally. This is safe for two reasons:
1. Suppositories are absorbed less consistently than an oral dose.
2. Suppositories are meant for short-term use (just while your child can't
tolerate oral intake) and giving a little higher dose for one day will not be harmful.
AskDrSears.com is intended to help parents become better informed consumers
of health care. The information presented in this site gives general advice
on parenting and health care. Always consult your doctor for your individual
needs.