Paracetamol
• By mouth: 15mg/kg four to six hourly to a maximum of four doses in 24 hours
• By rectum: 20mg/kg six hourly to a maximum of four doses in 24 hours.
Ibuprofen
• By mouth in > one month: 7.5mg/kg eight hourly
• By rectum in one month to two years: 60mg (one suppository)
eight hourly
• By rectum in > two years: 60mg (one suppository) six hourly.
Other considerations
What other advice should be given to parents for further management of a febrile child? The parents need to consider:
• Hydration
• Feeding
• When to attend nursery or school
• How long will the fever last
• Appearance of non-blanching rash.