Acetaminophen (Tylenol, Tempra, Feverall)

Do not give Tylenol to an infant that is less than two months old without first speaking to a physician. If your infant is less than two months old and has a fever >100.4 degrees rectally, call our office immediately.
 
If your child is over two months of age, you can safely give him or her acetaminophen for fever or discomfort. Do not give Tylenol for more than 72 hours without discussing your child's condition with our office.
 
Formerly, concentrated infant drops with a concentration of 80mg/0.8ml were available for use in babies. Due to concerns about accidental overdose, these preparations have been replaced with infant acetaminophen that is the same concentration as children's liquid, the only difference being the dispensing method included in the box (syringe vs. cup). However, some stores may still be selling the older version. We ask that you avoid purchasing the concentrated infant drops. PLEASE DOUBLE CHECK THE CONCENTRATION ON YOUR BOTTLE TO KNOW WHICH STRENGTH YOU ARE USING PRIOR TO GIVING IT TO YOUR CHILD.

Acetaminophen Dosing Chart

Acetaminophen can be given safely every 4-6 hours as needed. Do not give more than 5 doses in a 24 hour period.
1 teaspoon = 5 mL

Weight Milligram Dosage Children's Liquid 160mg/5mL or Infant Acetominophen 160mg/5mL Children's soft chews 80mg each Junior strength caps or chews 160 mg each
5-8 lbs 40mg 1.25mL (1/4 tsp) N/A N/A
9-10 lbs 60mg 1.8mL (1/3 tsp) N/A N/A
11-16 lbs 80mg 2.5mL (1/2 tsp) N/A N/A
17-21 lbs 120mg 3.75mL (3/4 tsp) N/A N/A
22-26 lbs 160mg 5mL (1 tsp) 2 tablets 1 tablet
27-32 lbs 200mg 6.25mL (1 1/4 tsp) 2 1/2 tablets  
33-37 lbs 240mg 7.5mL (1 1/2 tsp) 3 tablets 1 1/2 tablets
38-42 lbs 280mg 8.75mL (1 3/4 tsp) 3 1/2 tablets  
43-53 lbs 320mg 10mL (2 tsp) 4 tablets 2 tablets
54-64 lbs 400mg 12.5mL (2 1/2 tsp) 5 tablets 2 1/2 tablets
65-75 lbs 480mg 15mL (3 tsp) 6 tablets 3 tablets
76-86 lbs 560mg 17.5mL (3 1/2 tsp) 7 tablets 3 1/2 tablets
87-95 lbs 640mg 20mL (4 tsp) 8 tablets 4 tablets
>95 lbs Give Adult Dosage  

 

Dosing chart for Acetaminophen suppositories

You will notice these doses tend to be a little higher than if given orally. This is safe for two reasons:

  1. Suppositories are absorbed less consistently than an oral dose.
  2. Suppositories are meant for short-term use (just while your child can't tolerate oral intake) and giving a little higher dose for one day will not be harmful. 

Doses are every 4-6 hours
 

Weight Suppository 120mg each Suppository 325mg each
12-17 lbs 1 suppository  
18-23 lbs 1 1/2 suppositories  
24-37 lbs 2 suppositories  
38-60 lbs   1 suppository
61-90 lbs   1 1/2 suppositories
>90 lbs   2 suppositories

 
Do not give Tylenol to an infant that is less than two months old without first speaking to a physician. If your infant is less than two months old and has a fever >100.4 degrees rectally, call our office immediately.
 
If your child is over two months of age, you can safely give him or her acetaminophen for fever or discomfort. Do not give Tylenol for more than 72 hours without discussing your child's condition with our office.
 
Formerly, concentrated infant drops with a concentration of 80mg/0.8ml were available for use in babies. Due to concerns about accidental overdose, these preparations have been replaced with infant acetaminophen that is the same concentration as children's liquid, the only difference being the dispensing method included in the box (syringe vs. cup). However, some stores may still be selling the older version. We ask that you avoid purchasing the concentrated infant drops. PLEASE DOUBLE CHECK THE CONCENTRATION ON YOUR BOTTLE TO KNOW WHICH STRENGTH YOU ARE USING PRIOR TO GIVING IT TO YOUR CHILD.

Acetaminophen Dosing Chart

Acetaminophen can be given safely every 4-6 hours as needed. Do not give more than 5 doses in a 24 hour period.
1 teaspoon = 5 mL

Children's Liquid 160mg/5mL or 

Infant Acetominophen 160mg/5mL

  • 5-8 lbs, 40mg, 1.25mL (1/4 tsp)
  • 9-10 lbs, 60mg, 1.8mL (1/3 tsp)
  • 11-16 lbs, 80mg, 2.5 mL (1/2 tsp)
  • 17-21 lbs, 120mg, 3.75 mL (3/4 tsp)
  • 22-26 lbs, 160mg, 5 mL (1 tsp)
  • 27-32 lbs, 200mg, 6.25mL (1 1/4 tsp) 
  • 33-37 lbs, 240mg, 7.5mL (1 1/2 tsp)
  • 38-42 lbs, 280mg, 8.75mL (1 3/4 tsp)
  • 43-53 lbs, 320mg, 10mL (2 tsp)
  • 54-64 lbs, 400mg, 12.5mL (2 1/2 tsp)
  • 65-75 lbs, 480mg, 15mL (3 tsp)
  • 76-86 lbs, 560mg, 17.5mL (3 1/2 tsp)
  • 87-95 lbs, 640mg, 20mL (4 tsp)
  • >95 lbs, Give Adult Dosage

Junior strength caps or chews
160mg each

May Give Every 4 - 6 hours
  • 22-26 lbs, 1 tablet
  • 33-37 lbs, 1 1/2 tablets
  • 43-53 lbs, 2 tablets
  • 54-64 lbs, 2 1/2 tablets
  • 65-75 lbs, 3 tablets
  • 76-86 lbs, 3 1/2 tablets

Children's soft chews
80mg each

May Give Every 4 - 6 hours
  • 22-26 lbs, 2 tablets
  • 27-32 lbs, 2 1/2 tablets
  • 33-37 lbs, 3 tablets
  • 38-42 lbs, 3 1/2 tablets
  • 43-53 lbs, 4 tablets
  • 54-64 lbs, 5 tablets
  • 65-75 lbs, 6 tablets
  • 76-86 lbs, 7 tablets
  • 87-95 lbs, 8 tablets
  • >95 lbs, Give Adult Dosage

Suppository 120 mg each

May Give Every 4 - 6 hours
  • 12-17 lbs, 1 suppository
  • 18-23 lbs, 1 1/2 suppositories
  • 24-37 lbs, 2 suppositories 

Suppository 325 mg each

May Give Every 4 - 6 hours
  • 38-60 lbs, 1 suppository
  • 61-90 lbs,  1 1/2 suppositories
  • >90 lbs, 2 suppositories

 

Location

2007 95th Street
Lower Level, Suite A
Naperville, IL 60564
Phone: 630-848-1700
Fax: 630-848-1718

 
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