Paracetamol Dosage by Weight for Children in Singapore: A Comprehensive Guide for Safe Pediatric Use

Paracetamol, commonly known as acetaminophen, is a widely used over-the-counter (OTC) medication for reducing fever and relieving pain in children. Administering the correct dosage is crucial for its safe and effective use. This article provides a comprehensive guide to paracetamol dosage by weight for children in Singapore, as recommended by reputable health organizations.

Understanding Paracetamol for Children

Paracetamol works by blocking pain signals in the brain and reducing body temperature. It is available in various forms, including oral suspension, tablets, and suppositories. However, oral suspension is the preferred form for children due to its easy administration and accurate dosing.

Paracetamol Dosage Table by Weight

The recommended paracetamol dosage for children is based on their weight. The following table provides the appropriate dosage for different weight ranges:

| Weight Range (kg) | Paracetamol Dosage (mg/kg/dose) |
|---|---|---|
| 10-15 | 10-15 |
| 16-25 | 15-25 |
| 26-35 | 25-35 |
| 36-50 | 35-50 |

Frequency of Dosing

Paracetamol should be given every 4-6 hours as needed for fever or pain. However, it should not be given more than 4 times a day.

Maximum Daily Dosage

The maximum daily dosage of paracetamol for children is 60 mg/kg/day. This means that a child weighing 20 kg should not receive more than 1200 mg of paracetamol per day.

Administration Guidelines

• Shake the oral suspension well before each use.
• Use a clean, calibrated dosing device (e.g., syringe or dropper) to measure the correct dosage.
• Administer the medication with food or milk to reduce stomach upset.
• Do not give paracetamol with other medications that contain acetaminophen, as this could lead to overdose.

Safety Precautions

• Do not give paracetamol to children under 6 months of age.
• If your child has liver or kidney disease, consult your doctor before giving paracetamol.
• Seek medical attention immediately if your child experiences any signs of paracetamol overdose, such as:
  • Nausea and vomiting
  • Stomach pain
  • Lethargy
  • Yellowing of the skin or eyes

Common Mistakes to Avoid

• Giving too much paracetamol: Overdosing on paracetamol can be dangerous and can lead to liver damage. Always follow the recommended dosage and consult your doctor if you are unsure.
• Giving paracetamol too frequently: Paracetamol should not be given more than 4 times a day. Giving it more often can increase the risk of side effects.
• Giving paracetamol to children under 6 months of age: Paracetamol should not be given to children under 6 months of age. Their immature liver cannot metabolize paracetamol effectively.

Conclusion

Paracetamol is a safe and effective medication for reducing fever and relieving pain in children when used according to the recommended dosage. By following the guidelines outlined in this article, you can ensure that your child receives the appropriate amount of paracetamol and minimizes the risk of side effects. If you have any concerns or questions, do not hesitate to consult your doctor for personalized advice.