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

Paracetamol, also known as acetaminophen, is a widely used over-the-counter medication for pain and fever in children. Determining the correct dosage is crucial for its safe and effective use. This article provides a detailed guide to paracetamol dosage for children in Singapore, based on their weight and age.

Dosages by Weight and Age

• 0-3 months: Not recommended
• 3-6 months: Up to 60 mg every 4-6 hours, as needed
• 6-12 months: Up to 120 mg every 4-6 hours, as needed
• 1-2 years: Up to 150 mg every 4-6 hours, as needed
• 2-4 years: Up to 200 mg every 4-6 hours, as needed
• 4-6 years: Up to 250 mg every 4-6 hours, as needed
• 6-8 years: Up to 300 mg every 4-6 hours, as needed
• 8-10 years: Up to 350 mg every 4-6 hours, as needed
• 10-12 years: Up to 400 mg every 4-6 hours, as needed

Note: These dosages are based on paracetamol suspension with a concentration of 120 mg/5 ml. Adjust the volume accordingly for other concentrations.

Table 1: Paracetamol Dosage by Weight for Children

Maximum Daily Dose

The maximum daily dose of paracetamol for children is 60 mg/kg/day. This limit should not be exceeded, even if the child has a high fever.

Table 2: Maximum Daily Dose of Paracetamol by Weight

Precautions

• Always follow the instructions on the medication label carefully.
• Do not give paracetamol to children under 3 months of age without consulting a doctor.
• Do not give other medications containing paracetamol simultaneously.
• If the child's symptoms do not improve within 24-48 hours, seek medical attention.
• Avoid exceeding the maximum daily dose. Overdosing on paracetamol can lead to liver damage.
• Store paracetamol in a cool, dry place out of the reach of children.

Tips and Tricks

• Use a syringe or dropper to measure the correct dosage accurately.
• Do not use a teaspoon to measure liquid paracetamol, as it can lead to inaccurate dosing.
• If the child vomits within 30 minutes of taking paracetamol, give them another dose.
• If the child has difficulty swallowing the liquid medication, you can use paracetamol suppositories.
• Consider alternating paracetamol with ibuprofen (Advil or Motrin) every 3-4 hours for better pain relief.

Frequently Asked Questions

1. How long does it take for paracetamol to start working?
* Paracetamol typically starts working within 30-60 minutes.

2. How often can I give paracetamol to my child?
* You can give paracetamol to your child every 4-6 hours, as needed.

3. What are the side effects of paracetamol?
* Common side effects include nausea, vomiting, and diarrhea. Severe side effects, such as liver damage, are rare.

4. What should I do if my child accidentally overdoses on paracetamol?
* Seek medical attention immediately. Paracetamol overdose can lead to liver damage.

5. Can I give paracetamol to my child if they have asthma?
* Yes, paracetamol is safe for children with asthma.

6. Can I give paracetamol to my child if they have a cold or flu?
* Yes, paracetamol can help reduce fever and pain associated with a cold or flu.

7. What are some alternatives to paracetamol for children?
* Ibuprofen and naproxen sodium are other over-the-counter pain relievers that can be used in children.

8. When should I see a doctor for my child's fever or pain?
* Seek medical attention if the child's fever is over 104°F (40°C), if it lasts for more than 24 hours, or if it is accompanied by other symptoms such as vomiting, diarrhea, or a rash.