What is the recommended dose of ibuprofen (nonsteroidal anti-inflammatory drug (NSAID)) for a 9-year-old child?

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Ibuprofen Dosing for a 9-Year-Old Child

For a 9-year-old child, the recommended dose of ibuprofen is 10 mg/kg every 8 hours, with a maximum of three doses in 24 hours. 1

Weight-Based Dosing Calculation

  • The appropriate dose should be calculated based on the child's weight
  • Formula: 10 mg/kg × weight in kg = dose per administration
  • For example:
    • A 9-year-old weighing 30 kg would receive 300 mg per dose
    • A 9-year-old weighing 35 kg would receive 350 mg per dose

Administration Guidelines

  • Give ibuprofen with food to minimize gastrointestinal side effects
  • Available forms include tablets, capsules, or liquid formulation
  • Regular dosing provides better symptom control than as-needed dosing for acute pain or fever 1
  • The analgesic and antipyretic effect typically lasts 6-8 hours 1

Maximum Daily Dose

  • The maximum daily dose should not exceed 1200-1500 mg per day 1
  • No more than 3 doses should be given in a 24-hour period
  • Carefully record all dose times to avoid accidentally exceeding the maximum recommended dose

Safety Considerations

  • Ibuprofen is generally well-tolerated in children with a safety profile comparable to acetaminophen at recommended doses 1
  • Ensure adequate hydration while taking ibuprofen
  • Avoid ibuprofen in children with:
    • Known hypersensitivity to NSAIDs
    • Active gastrointestinal bleeding
    • Severe renal impairment
    • Dehydration from diarrhea and vomiting 2
    • Wheezing or persistent asthma 2
    • During varicella (chickenpox) infection 2

Common Pitfalls to Avoid

  • Underdosing (which may result in inadequate symptom relief)
  • Exceeding the maximum daily dose
  • Failing to adjust the dose according to the child's weight
  • Administering on an empty stomach (increases risk of GI side effects)
  • Using multiple NSAID products simultaneously

Ibuprofen has been shown to be as effective or more effective than acetaminophen for both pain relief and fever reduction in children 1, 3. Clinical studies have demonstrated that the effective dose range is 7.5-10 mg/kg, with maximum temperature reduction occurring 3-4 hours after administration 3.

References

Guideline

Pediatric Pain and Fever Management

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

A general overview of the use of ibuprofen in paediatrics.

International journal of clinical practice. Supplement, 2003

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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