Fever Management

Tylenol and Ibuprofen Dosing

There are many misconceptions about fever. Fevers are a normal protective response that the body uses to fight infections. Parents should focus on the general well-being of the child, his/her activity, observing the child for signs of serious illness and maintaining appropriate fluid intake. Antipyretics (medications to reduce a fever) such as acetaminophen or ibuprofen can be used to help a child feel more comfortable as well. It is important to realize that the purpose of antipyretics is to decrease discomfort rather than try to maintain a normal temperature.

Infants less than 2 months old are at increased risk for more serious infections. If your newborn has a fever (rectal temperature of 100.4F or greater), they need to be promptly evaluated by a medical provider.

When giving a child a fever-reducing medication, it is important that they receive the correct dosage. Parents should be aware that the correct dosage of acetaminophen and ibuprofen is based on the child’s weight, and that an accurate measuring device should always be used. While there is some evidence that combination therapy (alternating doses of ibuprofen and acetaminophen) may be more effective at lowering body temperature, questions remain about whether it is safe and whether it helps children feel more comfortable. Combination therapy also increases the risk of inaccurate dosing.

As with all medications, it is very important to ensure that these medications are stored safety in order to prevent accidental ingestions.

** Acetaminophen can be given every 4-6 hours as needed. Do not give more than 5 times daily.

Ibuprofen (Motrin) Dosing Chart

**Ibuprofen can be given every 6-8 hours as needed for children over 6 months old.