From the FDA Drug Label
DOSAGE AND ADMINISTRATION Carefully consider the potential benefits and risks of ibuprofen tablets and other treatment options before deciding to use ibuprofen tablets. Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals [see WARNINGS] Mild to moderate pain: 400 mg every 4 to 6 hours as necessary for relief of pain.
The recommended dose of ibuprofen for a 90-year-old patient with hyperthermia (fever) is 400 mg every 4 to 6 hours as necessary.
- The dose should not exceed 3200 mg total daily dose.
- It is essential to use the lowest effective dose for the shortest duration consistent with individual patient treatment goals. 1
From the Research
For a 90-year-old patient with hyperthermia, the recommended dose of ibuprofen is 200mg every 6-8 hours as needed, not exceeding 1200mg in 24 hours, based on the most recent and highest quality study available 2. When considering the treatment of fever in elderly patients, it is crucial to prioritize their safety and minimize potential side effects. Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), is effective in reducing fever but can pose risks such as kidney problems, stomach bleeding, and cardiovascular issues, especially in older adults 3. Key considerations for the use of ibuprofen in this context include:
- Starting with a low dose to minimize side effects
- Using the medication for the shortest duration necessary, ideally 1-3 days
- Administering the medication with food to reduce stomach irritation
- Monitoring for signs of worsening symptoms or potential side effects
- Considering alternative treatments, such as acetaminophen (Tylenol), which may be safer for some patients 4 Given the potential risks associated with ibuprofen, especially in elderly patients, it is essential to consult a healthcare provider before initiating treatment, particularly if the patient has chronic conditions or is taking other medications 5. The patient's overall health status and the underlying cause of the fever should also be evaluated to ensure appropriate management and to prevent potential complications 6.