Ibuprofen Dosing for Dental Pain in a 7-Year-Old Child
For a 7-year-old child weighing 27.9 kg with dental pain, administer ibuprofen at a dose of 5-10 mg/kg every 6-8 hours as needed, which equals approximately 140-280 mg per dose (practically 200 mg per dose), not exceeding 4 doses in 24 hours.
Dosage Calculation
The appropriate dosing for ibuprofen in children is weight-based:
- For children weighing 27.9 kg, the recommended dose is 5-10 mg/kg per dose
- Calculation: 27.9 kg × 5-10 mg/kg = 139.5-279 mg per dose
- Practical dosing: 200 mg per dose (standard children's ibuprofen tablet/liquid strength)
Administration Schedule
- Frequency: Every 6-8 hours as needed for pain
- Maximum: No more than 4 doses in 24 hours
- Duration: For dental pain, limit to 3-5 days unless otherwise directed by a healthcare provider
Formulation Options
- Children's ibuprofen liquid (100 mg/5 mL): 10 mL per dose
- Children's chewable tablets (100 mg): 2 tablets per dose
- Junior strength tablets (100 mg): 2 tablets per dose
Safety Considerations
- Administer with food or milk to minimize potential gastrointestinal irritation
- Avoid giving on an empty stomach
- Do not exceed the recommended dose or frequency
- Monitor for any adverse effects such as stomach upset, nausea, or allergic reactions
- Do not use for more than 3-5 days without consulting a healthcare provider
Important Precautions
- Ensure the child is not allergic to ibuprofen or other NSAIDs
- Avoid if the child has a history of gastrointestinal bleeding or ulcers
- Do not use if the child has severe kidney disease
- Avoid concurrent use with other NSAIDs (including aspirin)
- If the child is taking any other medications, check for potential interactions
When to Seek Medical Attention
- If pain persists or worsens despite medication
- If fever develops or persists
- If signs of allergic reaction occur (rash, swelling, difficulty breathing)
- If gastrointestinal symptoms develop (severe stomach pain, vomiting blood, black stools)
Remember that dental pain often indicates an underlying condition that may require professional dental treatment. While ibuprofen can help manage the pain temporarily, it's important to address the underlying cause with appropriate dental care.