From the Research
The maximum recommended dose of ibuprofen for a 2-year-old child is 10 milligrams per kilogram (mg/kg) per dose, with a maximum of 4 doses in 24 hours, as supported by the most recent and highest quality study available 1. For most 2-year-olds weighing between 10-12 kg, this translates to approximately 100-120 mg per dose, not exceeding 400-480 mg total daily.
Key Considerations
- Ibuprofen for children typically comes as a liquid suspension (often 100 mg/5 mL), and dosing should be measured with the provided dosing device, not household spoons.
- The medication should be given every 6-8 hours as needed, always with food to minimize stomach upset.
- It's essential to calculate the dose based on the child's actual weight rather than age alone for accuracy.
- Parents should not exceed the recommended dose or frequency as ibuprofen can cause stomach irritation, kidney problems, or bleeding issues when used improperly.
- If fever persists beyond 3 days or pain beyond 5 days, medical attention should be sought.
- Always check the concentration of the specific ibuprofen product being used, as children's formulations can vary.
Safety and Efficacy
The study 1 compared acetaminophen with ibuprofen for the short-term treatment of fever or pain in children younger than 2 years and found that ibuprofen resulted in reduced temperature and less pain within the first 24 hours of treatment, with equivalent safety.
Dosage Measurement
To ensure accurate dosing, it is crucial to use the provided dosing device and not household spoons, as the concentration of ibuprofen in children's formulations can vary.
Monitoring and Follow-Up
Regular monitoring of the child's condition and follow-up with a healthcare provider are necessary to adjust the treatment plan as needed and to address any potential side effects or concerns.