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ACETAMINOPHEN DOSING

The following table gives acetaminophen dosing guidelines by weight. It can be used for the different products available, including Tylenol, Tempra, Panadol, and generics.
 
Acetaminophen is a very effective medicine for fever and for pain. It has no effect on other symptoms related to a cold. Please remember to never use acetaminophen for infants under four months of age without talking to our office first. If your child has a stiff neck, is unusually lethargic or unresponsive, or might be dehydrated please call our office immediately.
 
Note that the infant drops and the children's syrup have very different concentrations. Use only the dropper provided with the infant drops to measure their dosing, and use a teaspoon to measure the dose of the children's syrup.
 
Be aware that many over-the-counter cold and cough preparations also contain acetaminophen. Use of these products along with an acetaminophen preparation may result in a dangerous overdose. In general, we recommend single-ingredient medications whenever possible.

Acetaminophen is also available as a rectal suppository for use in children who refuse to take medicine by mouth or who are vomiting. The brand name is Feverall, and it is available in most pharmacies. This medication can be very helpful when used appropriately, but dosing guidelines vary. Use rectal acetaminophen only on the recommendation of our office.
 

Weight

Dose   

 

Infant Drops

Children's Syrup

80 mg Chewables

160 mg Chewables

325 mg Tablets

6-12 lbs

40 mg

 

0.4 ml

 

 

 

 

12-17 lbs

80 mg

 

0.8 ml

1/2 tsp

 

 

 

18-23lbs

120 mg

 

1.2 ml

3/4 tsp

 

 

 

24-35 lbs

160 mg

 

1.6 ml

1 tsp

2

1

 

36-47 lbs

240 mg

 

2.4 ml

1.5 tsp

3

1.5

 

48-59 lbs

320 mg

 

 

2 tsp

4

2

1

60-71 lbs

400 mg

 

 

2.5 tsp

5

2.5

 

72-95 lbs

480 mg

 

 

3 tsp

6

3

 

95+ lbs

640 mg

 

 

4 tsp

8

4

2

 

Note: All information at this website is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor.  Please see our disclaimer.

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