Calculate the correct dose of paracetamol or ibuprofen for your child based on their weight.
Yes, you can alternate between paracetamol and ibuprofen if one alone is not controlling your child's pain or fever. However, do not give both at the same time unless directed by a doctor.
How to alternate: Give one medication, then if the fever or pain returns before the next dose is due, give the other medication. Keep track of what you gave and when. For example: paracetamol at 8am, ibuprofen at 11am, paracetamol at 2pm.
Aim to stop alternating as soon as possible and use a single medication. If you need to alternate for more than 24 hours, contact your GP.
See a doctor if your child:
β’ Is under 3 months old with any fever (β₯38Β°C)
β’ Has a fever lasting more than 48 hours
β’ Is unusually drowsy or difficult to wake
β’ Has a rash that doesn't blanch (go white) when pressed
β’ Is not drinking or has fewer wet nappies than usual
β’ Has severe pain or is inconsolable
β’ Has had a febrile convulsion (seizure with fever)
Call 000 if your child is having difficulty breathing, is unresponsive, or has a seizure lasting more than 5 minutes.
Paracetamol: 15 mg/kg per dose, every 4β6 hours, maximum 4 doses in 24 hours (max 60 mg/kg/day or 1000mg per dose, whichever is less).
Ibuprofen: 5β10 mg/kg per dose (we use 10 mg/kg), every 6β8 hours, maximum 3 doses in 24 hours (max 400mg per dose).
Doses are based on the Australian Medicines Handbook Children's Dosing Companion and product information for Australian formulations. Always check the concentration on your specific product, as it may differ from what is shown here.