Paracetamol or acetaminophen is one of the most widely used medications for reducing fever and alleviating pain. When administered in the right doses and used correctly, it is safe for children.
However, incorrect dosages or misuse of the drug can lead to serious side effects, including the risk of kidney failure. This article will guide you on how to safely administer paracetamol or acetaminophen to children to minimize the risk of kidney damage.
Benefits and Dosage of Paracetamol/Acetaminophen for Children
Paracetamol or acetaminophen is a pain reliever (analgesic) and fever reducer (antipyretic) that has been proven to be both safe and effective for children. It works by inhibiting certain chemicals in the brain that cause pain and fever.
While generally safe, it’s crucial to always administer the correct dosage. Giving too much paracetamol or using it improperly can harm your child's health.
The dosage of paracetamol/acetaminophen for children is generally determined by their weight and age.
- General Dosage: The recommended dose is typically 10-15 mg per kilogram of the child’s body weight, given every 4-6 hours.
- Maximum Limit: Do not exceed four doses in 24 hours. The total daily amount should not surpass 60 mg per kilogram of body weight.
In addition to adhering to the recommended dosage, always check the product label or instructions, as different products may contain varying amounts of active ingredients. It’s also important to follow your doctor’s instructions when giving paracetamol/acetaminophen to children.
Guide to Providing Paracetamol/Acetaminophen Safely
- Adjust the dose based on your child’s weight and age.
- Use the provided measuring tools such as the spoon or pipette from the medicine packaging. Avoid using teaspoons or tablespoons to prevent dosage errors.
- Follow the recommended intervals. Administer paracetamol every 4-6 hours, but no more than four times in a 24-hour period.
- Be cautious with other medications. If your child is taking additional medications, do not mix them without first consulting a doctor to ensure it’s safe to combine them with paracetamol or acetaminophen.
- If the fever or pain persists for more than three days, or if your child’s condition worsens, consult a doctor immediately.
When to Avoid Paracetamol
There are certain situations where paracetamol should either be avoided or used with medical supervision:
- If your child has a history of kidney or liver disease.
- If your child is severely dehydrated, as paracetamol can increase the strain on their kidneys.
- If the pain or fever persists long-term.
Paracetamol is generally safe when given at the right dose and as per the guidelines. If you are unsure about the appropriate dosage for your child’s fever or pain, don’t hesitate to consult a doctor. You can also use the health consultation feature on the Ai Care app, available for download on the App Store or Play Store.
Interested in learning more about other health concerns? Click here!
- dr Nadia Opmalina
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NHS UK (2022). About paracetamol for children. Available from: https://www.nhs.uk/medicines/paracetamol-for-children/about-paracetamol-for-children/
NIDDK (2022). Kidney Disease in Children. Available from: https://www.niddk.nih.gov/health-information/kidney-disease/children
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