When a child develops a fever, it’s natural for parents to feel anxious or unsure about what to do. Fever-reducing medications are a common go-to for managing symptoms, but using them correctly is key. This guide addresses frequently asked questions and precautions regarding antipyretics for children to help parents better understand how to use them safely and effectively.

1. Can ibuprofen be used to reduce fever in all babies?

Ibuprofen is generally safe for babies over six months old and can effectively reduce fever. For children over three months, acetaminophen (paracetamol) is often the first choice—especially for those without G6PD deficiency (favism). Always follow the correct dosage based on your child’s weight and avoid overdosing.

2. If the fever doesn’t go down, can I give a higher dose?

No. Fever medication dosages should be based on the child’s weight. Giving more than recommended won’t lower the fever faster and could damage the liver or kidneys. On the other hand, underdosing may be ineffective.

3. If ibuprofen doesn’t work, can I give acetaminophen as well?

It’s not recommended to use both ibuprofen and acetaminophen at the same time. Although they work through different mechanisms, combining them increases the risk of side effects. If switching is necessary, alternate them with proper time intervals under medical guidance.

4. If my child has a high fever, do they also need cold medicine?

Fever reducers and cold medications are different. The need for cold medicine should be determined based on the specific symptoms your child is showing. Using too many medications can cause adverse reactions. It’s best to consult a doctor before adding other medications after giving a fever reducer.

5. Can I give fever medicine in advance before a vaccine to prevent fever?

Preemptive use of fever-reducing medication is not recommended, as it may interfere with the vaccine’s immune response. Only administer medication if a fever develops after the shot, and follow medical advice.

6. My child has had a febrile seizure before—can I give fever meds early to prevent it?

Fever medications do not prevent febrile seizures. For children with a history of febrile seizures, parents should closely monitor body temperature and seek medical attention if a fever arises rather than premedicate.

7. Is it okay to give a fever injection when my child has a high fever?

Injectable fever reducers or corticosteroids are not routinely used due to the risk of serious side effects. High fevers should be assessed by a doctor to determine whether more intensive medical intervention is needed.

8. If my child has a 38.5°C fever but is sleeping soundly, should I wake them to give medicine?

Fever-reducing medicine is usually given when the temperature goes above 38.5°C (101.3°F).However, if your child is sleeping comfortably, has warm hands and feet, and the fever is stable, you may allow them to rest and continue monitoring. If the fever rises or other symptoms develop, medication or a doctor’s visit may be needed.

9. What should I do if my child throws up after taking a fever reducer?

If vomiting occurs right after taking oral medication, try using a suppository (rectal form) instead. This ensures the drug can be absorbed and work effectively without being thrown up.

10. How do I choose among the many fever medication brands available?

When selecting a fever reducer, consider the form (suspension, drops, chewables) and flavor for ease of use. Stick with reputable brands to ensure safety and effectiveness.

Storage and Use of Fever Medications：

Some parents keep opened fever medications for convenience, but improper storage can reduce their effectiveness. Follow these storage tips:

Use clean tools: Always use clean utensils—fever-reducing syrups typically include a dropper or measuring cup for accurate dosing. Always use clean instruments to avoid contamination.

Store in a cool, dry place: Avoid the refrigerator, as moisture may degrade the drug. Most liquid fever meds should be discarded within one month of opening.

When to Use Fever-Reducing Medication？

Antipyretics help ease discomfort caused by high temperatures. When a child’s body temperature exceeds 38.2°C (100.8°F), fever medication can be considered. Both ibuprofen and acetaminophen work well to reduce fever and ease associated discomfort.

However, these medications only relieve symptoms temporarily—they do not treat the underlying cause. If a child’s temperature reaches 39°C (102.2°F) or persists, it’s important to consult a doctor for further treatment.

Possible Side Effects of Fever Medications：

Overuse or incorrect dosing of fever medication can lead to serious side effects, including liver or kidney damage. Always adhere to the recommended dose and dosing interval. An overdose can be life-threatening—parents must use caution.

How to Manage a Persistent Low-Grade Fever？

Some children may have a mild fever lasting several days. In such cases, check for signs of infection or other health issues. If the child appears otherwise well, you can support recovery with hydration, proper nutrition, and physical cooling methods such as sponge baths or wiping the body with lukewarm water.

Hydration and Nutrition During Fever：

Make sure your child drinks plenty of fluids, such as diluted juice, sports drinks, or coconut water, to replenish electrolytes. For food, offer light, easy-to-digest options like rice porridge, egg drop soup, or broth—avoid oily or heavy foods.

Final Thoughts

Using fever medications correctly is an essential part of caring for a sick child, but monitoring their overall condition and seeking medical advice when necessary is even more important. If your child’s fever persists or is accompanied by other concerning symptoms, don’t hesitate to consult a healthcare provider.