Categories: Medicine

Paracetamol: Dosage Information for Adults and Pediatrics

Paracetamol

Paracetamol is a medicine that relieves pain reduces fever. The exact mechanism of action is not well-known.

Paracetamol is used to treat many situations like headaches, arthritis, backache, toothaches, muscle aches, colds, and fevers.

Some guidelines

If you are allergic to acetaminophen or paracetamol, do not use paracetamol.

It is not known whether paracetamol will harm an unborn baby.  If you are a pregnant or breast-feeding baby, tell your doctor before using paracetamol.

Paracetamol usage

Use paracetamol exactly as directed on the label, or as prescribed by your doctor.

An extra dose of paracetamol can cause severe damage. The maximum dose of paracetamol for adults is 1 gram (1000 mg) per dose and 4 grams (4000 mg) per day. Taking more doses of paracetamol could cause damage to your liver.

If you take more than three alcoholic beverages per day, never use paracetamol more than 2 grams (2000 mg) per day

Before taking it, convey your doctor if you have liver disease or a past history of alcoholism.

If you are handling with child, use a pediatric form of paracetamol. Do not give the medicine to a child younger than 2 years old without the guidance of the doctor.

Stop using paracetamol and call your doctor if:

  • Fever after 3 days of use
  • Pain after 7 days of use (or 5 days if handling with child);
  • You have a skin rash, headache, or any redness or swelling; or
  • If your signs and symptoms get worse.

Urine glucose tests produce incorrect results during taking paracetamol. Inform your doctor if you are diabetic.

Signs and symptoms of taking an overdose of medicine

Call your doctor if you think you have used an overdose of this medicine.

The signs of a paracetamol overdose include:

nausea

vomiting

loss of appetite

stomach pain

confusion

sweating

weakness

Further symptoms may contain pain in your upper stomach, dark urine, and yellowing of your skin or the whites of your eyes.

Side effects

Get emergency medical help if you have any of these signs of an allergic reaction to paracetamol: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Don’t use this medicine and call your doctor at once if you have a serious side effect such as:

  • low fever with nausea, stomach pain, and loss of appetite;
  • dark urine, clay-colored stools; or
  • jaundice (yellowing of the skin or eyes).

Dosage information

Usual Adult Dose for Fever:

General Dosing Guidelines: 325 to 650 mg every 4 to 6 hours or 1000 mg every 6 to 8 hours orally or rectally.

Paracetamol 500mg tablets: Two 500 mg tablets orally every 4 to 6 hours

Usual Adult Dose for Pain:

General Dosing Guidelines: 325 to 650 mg every 4 to 6 hours or 1000 mg every 6 to 8 hours orally or rectally.

Paracetamol 500mg tablets: Two 500 mg tablets orally every 4 to 6 hours

Usual Pediatric Dose for Fever:

Oral or Rectal:

<=1 month: 10 to 15 mg/kg/dose every 6 to 8 hours as needed.

>1 month to 12 years: 10 to 15 mg/kg/dose every 4 to 6 hours as needed (Maximum: 5 doses in 24 hours)

Fever: 4 months to 9 years: Initial Dose: 30 mg/kg (Reported by one study (n=121) to be more effective in reducing fever than a 15 mg/kg maintenance dose with no difference regarding clinical tolerance.)

>=12 years: 325 to 650 mg every 4 to 6 hours or 1000 mg every 6 to 8 hours.

Usual Pediatric Dose for Pain:

Oral or Rectal:

<=1 month: 10 to 15 mg/kg/dose every 6 to 8 hours as needed.

>1 month to 12 years: 10 to 15 mg/kg/dose every 4 to 6 hours as needed (Maximum: 5 doses in 24 hours)

Fever: 4 months to 9 years: Initial Dose: 30 mg/kg (Reported by one study (n=121) to be more effective in reducing fever than a 15 mg/kg maintenance dose with no difference regarding clinical tolerance.)

=12 years: 325 to 650 mg every 4 to 6 hours or 1000 mg every 6 to 8 hours.

Some information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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