Pediatric and Adolescent Medicine

5072 Reed Road

Columbus, OH 43220

614-326-1600 (phone)         614-326-3600 (fax)

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The tables below provide recommended dosage charts for acetaminophen (Tylenol) and ibuprofen (Motrin/Advil). Here are some important general guidelines for using these products:

  • We recommend acetaminophen/Tylenol as a first line treatment for pain and/or fever. If your child's response does not seem adequate, try ibuprofen as an alternative. 

  • You are treating your child, not a number on the thermometer. Your goal in treating a fever is to make your child comfortable, not to make the number lower.

  • Whenever possible, use your child’s most current weight when choosing an appropriate dose of medication.

  • Do not give both acetaminophen and ibuprofen to a child with fever. It is OK to “tag team” a dose of the second medicine on a one-time basis if you are having trouble making your child comfortable, but this should not be a recurrent procedure. Please discuss this with your physician.

  • Temperature should be measured rectally in children under 6 months; ear (otic) thermometers should be reserved for children over the age of 6 months. An oral thermometer is not appropriate until your child can hold it under his tongue for several minutes without biting (usually around age 5).

  • Never give acetaminophen or ibuprofen to an infant under 2 months of age. In addition, do not give ibuprofen to an infant under the age of 6 months without specific direction from a physician.

  • Acetaminophen rectal suppositories can be purchased at your pharmacy without a prescription. They are helpful to have on hand in case your child has fever or pain and is vomiting and can’t keep down acetaminophen by mouth. Use K-Y Jelly or Vaseline to lubricate the suppository and insert in the child’s rectum every 4 hours as necessary.

  • ***over the course of 2017 Tylenol will be transitioning to a 160 mg CHEWABLE tablet (to be consistent with other formulations), please make sure to check mg dosing on the package.***

Acetaminophen/Tylenol Dosing Chart (dose every 4 hours as needed)

Ibuprofen/Motrin Dosing Chart (dose every 6 hours as needed)