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Westwood-Mansfield Pediatric Associates

Children's Dosage Guide

Always ask your healthcare professional which product is right for your child.

Acetaminophen/TYLENOL®

Please read this important note about a change made to Infants Tylenol® (Acetaminophen) Products.

Acetaminophen Dosage

Infant Drops Liquid Suspension/ Elixir
Chewable Tablets
Junior Strength Caps/Tabs
Weight Age 80mg/0.8cc
(dropperful)
160mg/5cc
(teaspoon)
80mg/tab 160mg/tab
(or capsule)
6-8 lbs* 0-2 mos* 1/2 dropperful* X X X
9-10 lbs* 0-2 mos* 3/4 dropperful* X X X
11-12 lbs* 2-3 mos* 1 dropperful* 1/2 teaspoon X X
13-15 lbs 4-5 mos 1 1/4 dropperfuls 1/2 teaspoon X X
16-18 lbs 6-8 mos 1 1/2 dropperfuls 3/4 teaspoon X X
19-20 lbs 9-10 mos 1 3/4 dropperfuls 3/4 teaspoon X X
21-25 lbs 11-20 mos 2 dropperfuls 1 teaspoon 2 tabs 1 tab/cap
26-30 lbs 21-30 mos X 1 1/4 teaspoons 2 1/2 tabs 1 tab/cap
31-35 lbs 3 yrs X 1 1/2 teaspoons 3 tabs 1 1/2 tabs/caps
36-41 lbs 4-5 yrs X 1 3/4 teaspoons 3 1/2 tabs 1 1/2 tabs/caps
42-47 lbs 6 yrs X 2 teaspoons 4 tabs 2 tabs/caps
48-53 lbs 7 yrs X X 4 1/2 tabs 2 tabs/caps
54-59 lbs 8 yrs X X 5 tabs 2 1/2 tabs/caps
60-65 lbs 9 yrs X X 5 1/2 tabs 2 1/2 tabs/caps
*Remember: Do not give TYLENOL to an infant between the ages of 0 and 3 months without consulting your physician!
Doses of Acetaminophen maybe given at intervals of every 4 hours, as needed.

Ibuprofen/MOTRIN®/Advil®


Ibuprofen Dosage Oral Drops
***Motrin Only
New Oral Drops
***Motrin Only
Liquid Suspension Chewable Tabs** Chewable Tabs**/Caps
Weight Age 50mg/1.25cc
(dropperful)
75mg/1.875cc
(dropperful)
100mg/5cc
(teaspoon)
50mg/tab 100mg/tab
(or caplet)
6-8 lbs*
0-2 mos* X X X X X
9-10 lbs* 0-2 mos*

X

X X X X
11-12 lbs* 2-3 mos* X X X X X
13-15 lbs 4-5 mos X X X X X
16-18 lbs 6-8 mos 1 1/2 dropperfuls 1 dropperful 3/4 teaspoon X X
19-20 lbs 9-10 mos 1 3/4 dropperfuls 1 1/4 dropperfuls 3/4 teaspoon X X
21-25 lbs 11-20 mos 2 dropperfuls 1 1/2 dropperfuls 1 teaspoon 2 tabs 1 tab/cap
26-30 lbs 21-30 mos X X 1 1/4 teaspoons 2 1/2 tabs 1 tab/cap
31-35 lbs 3 yrs X X 1 1/2 teaspoons 3 tabs 1 1/2 tabs/caps
36-41 lbs 4-5 yrs X X 1 3/4 teaspoons 3 1/2 tabs 1 1/2 tabs/caps
42-47 lbs 6 yrs X X 2 teaspoons 4 tabs 2 tabs/caps
48-53 lbs 7 yrs X X X 4 1/2 tabs 2 tabs/caps
54-59 lbs 8 yrs X X X 5 tabs 2 1/2 tabs/caps
60-65 lbs 9 yrs X X X 5 1/2 tabs 2 1/2 tabs/caps

**Remember: MOTRIN or Advil Chewable Tabs come in two different strengths (50mg and 100 mg).
Doses of Ibuprofen may be given at intervals of every 6-8 hours, as needed.

***Advil Oral Drops are NOT the same as MOTRIN. Please consult your physician regarding the use of Advil Oral Drops.
****We DO NOT recommend combination cold products containing Motrin, Advil, Tylenol, Ibuprofen, or Acetaminophen.

When to Call Your Doctor if Your Child Has a Fever

Note: The following are guidelines only. Your child's general appearance and the way he/she is acting are more important indicators of illness than the height of the fever. You should always call if your child looks or acts significantly ill for any period of time.

Call Immediately if:

  • Your child looks or acts very sick for any period of time
  • Your child is less than 3 months old with a temperature greater than 100.5° (rectal)
  • Your child is 3 - 6 months old and the fever is 102° or greater
  • Your child is less than 3 years old and the fever is over 105°
  • Your child is older than 3 years and the fever is over l05° and the temperature has not dropped within 45 minutes after administration of acetaminophen or ibuprofen or after sponging
  • Your child is crying inconsolably
  • Your child is difficult to awaken
  • Your child complains of a stiff neck, and cannot put his/her chin to his/her chest without pain.
  • Purple spots are present on the skin and these do not blanch (whiten when touched)
  • Breathing is difficult, and no better after the nose is cleared
  • Your child is unable to swallow anything and drooling saliva
  • Your baby's soft spot is bulging when he/she is sitting up quietly
  • Your child complains of back pain with fever
  • There is redness or swelling of the eye, or pain with movement of the eye
  • There is tenderness, swelling or redness over an arm or leg
  • Your child walks with a limp or refuses to move a joint
  • Your child's immune system is compromised (i.e. their spleen has been removed, they are undergoing chemotherapy or are HIV positive)
  • You have any other concerns which make you feel an immediate call is necessary

Call the Next Morning if:

  • Your child is older than 3 years with a fever over l05° which responds to acetaminophen or ibuprofen (i.e., the temperature drops after administration but otherwise persists)
  • Your child suffers from burning or pain during urination
  • Your child complains of ear pain (note: if the ear appears swollen you should call the office immediately)
  • Your child complains of sore throat and any of the following: fever, swollen glands, headache, abdominal pain, rash or joint pain
  • Dark urine occurring up to 3 or 4 weeks after a sore throat
  • Your child's fever lasts more than 48 hours without any obvious cause or infection

Call During Regular Hours if:

  • Your child's fever is over l0l° for more than 72 hours
  • The fever abated for 24 hours, then turned
  • Your child has a history of febrile seizures, and you wish to review the management of fevers
  • You have other concerns or questions