KK Women's and Children's Hospital discusses some common fever medications and when to consult a doctor if your child has fever.
Fever in children: Medical help
Fever Medications
Paracetamol
- First line of medication to be used, can be given every 4-6 hours
- Every 4 hours if temperature above 39 °C
- Every 6 hours if temperature less 39 °C
- Do not use in infants less than 3 months old
Ibuprofen
- Use only when fever is persistently above 39 °C, 1 - 2 hours after paracetamol
- Given every 6 hours
- Do not use in infants less than 1 year old, unless advised by your doctor
Diclofenac Na (Voltaren suppositories)
- Use only when fever is persistently above 39 °C, 1 - 2 hours after paracetamol
- Given every 12 hours
- Do not use in infants less than 1 year old, unless advised by your doctor
Do not give your child:
- Both ibuprofen and diclofenac at the same time as they belong to the same class of medications.
- Either ibuprofen or diclofenac if there is any severe vomiting or bleeding disorders, in view of possible bleeding from the stomach and intestines.
- An anti-pyretic usually brings down the temperature by 1 - 2 °C. Do not be alarmed if your child is still having a fever after the medication. Antibiotics are of no use in viral fevers.
- Do not use Aspirin in children.
Consult your doctor when your child:
- Is feeding poorly, vomiting or lethargic
- Is very young, especially less than 3 months old
- Has difficulty breathing
- Is drowsy
- Looks sicker than previously
- Has abdominal pain and discomfort
- Has rash
- Has decreased urine output
Useful telephone numbers
- Central Appointment - 6294 4050
Click on page 1 to read about some fever facts and what you can do at home to bring down fever in children.
Ref: V10