From the Research
The recommended daily dose of paracetamol (acetaminophen) for a 5-year-old child is 15 mg per kilogram of body weight per dose, given every 4 hours as needed, with a maximum of 4 doses in 24 hours, as stated in the most recent and highest quality study 1. This means the total daily maximum should not exceed 60 mg/kg/day.
Key Points to Consider:
- The dose should be based on the child's weight, rather than age, to ensure accurate and safe dosing 2, 1.
- For example, if a child weighs 20 kg, each dose would be 300 mg, with a maximum daily dose of 1200 mg.
- Paracetamol comes in various formulations, including liquid suspensions and chewable tablets, so choose the appropriate form based on the child's ability to take medication.
- Always use the measuring device provided with liquid medications for accurate dosing.
- Paracetamol works by inhibiting prostaglandin synthesis in the central nervous system and can effectively reduce fever and relieve mild to moderate pain.
- If the child's symptoms persist beyond 3 days or worsen, consult a healthcare provider, as this could indicate a more serious condition requiring different treatment.
Important Considerations:
- The risk of hepatotoxicity with paracetamol overdose is a concern, and doses above 140 mg/kg/day for several days can carry a risk of serious toxicity 3.
- Underweight and overweight children are at risk of inappropriate paracetamol administration based on age-based dosing instructions 2.
- It is essential to follow the recommended dosing guidelines and consult a healthcare provider if there are any concerns or questions about paracetamol use in children.