My baby has a fever. Which antipyretic medicine should I choose?

Commonly used antipyretic drugs

1. Acetaminophen

It can be used for children over 3 months old, 10-15 mg/kg at a time (maximum single dose is 800-1000 mg), orally, once every 4-6 hours (no more than 4 times in 24 hours). The use of acetaminophen can reduce the body temperature of about 80% of children with fever by 1-2°C, and it will take effect in about 30-60 minutes, reach the maximum effect within 3-4 hours, and last for 4-6 hours. This type of drug is highly safe, and side effects are rarely seen when administered at appropriate doses.
2. Ibuprofen

It can be used for children over 6 months old, 10 mg/kg at a time (maximum single dose 600 mg), orally, once every 6 hours, the maximum daily dose is 40 mg/kg, and no more than 2.4 g a day. Ibuprofen takes effect within 60 minutes, reaches peak effect in 3-4 hours, that is, the temperature decreases by 1-2°C, and the duration of action is 6-8 hours. Ibuprofen is generally safe. It should be noted that ibuprofen is generally not recommended for infants under 6 months old. Compared with older children, infants under 6 months old have relatively limited renal function and may have an increased risk of renal toxicity. ‍

Pharmacist friendly reminder

It is not recommended to use other drugs such as phenacetin, acetylsalicylic acid, phenylbutazone, hydroxyphenylbutazone, indomethacin, aspirin, lysine, nimesulide, aminopyrine, etc. as antipyretics for children. The use of glucocorticoids as antipyretics for children is opposed. Parents should not rush to reduce fever and use such drugs without authorization.

Introduction to the Department of Pharmacy of Hebei Children's Hospital

The Pharmacy Department of Hebei Children's Hospital is a comprehensive business department integrating drug procurement and supply, pharmaceutical management, clinical pharmaceutical services, teaching and scientific research. It consists of offices, clinical pharmacy rooms, children's pharmacology laboratories, outpatient Western pharmacies, ward pharmacies, Chinese medicine pharmacies, drug warehouses, preparation rooms, quality control centers and other departments. There are 59 pharmaceutical technicians, including 3 doctoral students, 21 master's students, 22 undergraduates, 15 senior titles and 25 intermediate titles. The Pharmacy Department has always adhered to the concept of "taking children as the center and serving children wholeheartedly", actively carrying out clinical pharmaceutical services, participating in ward rounds, consultations, case discussions, participating in the formulation of individualized drug treatment plans, and providing reasonable drug use consultation for doctors, nurses and parents.