Paracetamol six plus suspension (250mg/5mL) : Child’s Age Condition(s) for Treatment How much How often (in 24 hours) ? 6-8 years 5mL 4 times 8-10 years Pain and/or fever 7.5mL 4 times 10-12 years 10mL 4 times Do not give more than 4 doses in any 24-hour period Leave at least 4 hours between doses Do not give this medicine to your child for more than 3 days without speaking to your doctor or pharmacist Do not give to children under 6 years of age WHEN YOUR CHILD IS POORLY Paracetamol six plus suspension dose for children age 12 -16 years : 10-15mL up to 4 times a day Liquid Paracetamol dose for adults and children aged over 16 years : 10-20mL up to 4 times a day Always follow the dosing instructions provided on the product packaging and in the leaflet in the box. A special spoon or syringe will be supplied with the liquid paracetamol product to ensure it is measured accurately. Do not use any other spoon or device to measure the product. If you have any questions regarding dosing please ask a pharmacist or healthcare professional. Policy for Seeing Children We understand children can become poorly quite quickly and want to provide the best service we can for you and your child(ren). We have an open surgery each morning and children can be seen by a GP at any of these. This means your child can be seen on the day they become poorly. If your child becomes ill after open surgery call us and we will make an appointment for them to be seen by a doctor or for a doctor to telephone you. This is a booklet containing useful information on childhood illnesses, what to do at home and how to see a doctor at South Reddish Medical Centre Revision December 2013 Paracetamol & Ibuprofen; Both are useful if you child has a high temperature or fever for example if they have a viral infection, earache, sore throat or are teething. Both are safe and suitable for children and can be used together. Do not use ibuprofen if your child is asthmatic and they have not had it before or your child has kidney problems. Doses can be found at the end of this leaflet. Viral infections such as cough and cold, diarrhoea, sore throats: It is important to give your child lots to drink to prevent dehydration. Give regular paracetamol and ibuprofen. Keep your child cool and remove some clothes, strip to pants and vest if possible. Remember coughs can take a few weeks to settle. Antibiotics are not advised if your child is usually in good health; they do not work with viruses and in fact can cause side effects such as diarrhoea, sickness or rashes If your child becomes drowsy confused or is struggling to breathe. If nappies are drier than usual or your child is not eating or drinking. If you have any concerns or worries about your child's illness please come and see a doctor For more information: http://www.whenshouldiworry.com/booklet-final.pdf Infant Paracetamol suspension (120mg/5mL): Child’s Age 2-3 months Gastroenteritis: Gastroenteritis is an infection of the gut and can cause diarrhoea and vomiting. It is usually caused by a virus and no treatment is needed. It is very important to give your child plenty of fluids to prevent dehydration. At times diarrhoea can last up to 2 weeks. Good hygiene is very important to stop the infection spreading. It is advisable along with careful hand washing to clean and wipe the toilet seat and handle with a disinfectant. Rehydration salts are useful and important; ask a pharmacist or a doctor for advice Let your child eat whatever they want and do not starve them. If your child is breastfed continue to do this and if your baby is bottle fed do not dilute the formula further. It is very important to not give children anti- diarrhoea drugs as they can be harmful. When to worry and seek medical advice: If your child has diarrhoea for more than five days. If they have a raised temperature which is persistent and difficult to control Condition(s) for How How often (in 24 hours) ? Treatment much 1. Post vaccination fever 2. Other causes of Usually once. pain and fever if However, if necessary, 2.5 mL your baby weighs after 4-6 hours a second over 4Kg and was 2.5mL dose may be given born after 37weeks Do not give to babies less than 2 months of age Do not give more than two doses Leave at least 4 hours between doses If further doses are needed talk to your doctor or pharmacist Child’s Age Condition(s) for Treatment How much 2.5mL How often (in 24 hours)? 4 times 3-6 months 6-24 5mL 4 times Pain and/or fever months 2-4 years 7.5mL 4 times 4-6years 10mL 4 times Do not give more than 4 doses in any 24-hour period Leave at least 4 hours between doses Do not give this medicine to your child for more than 3 days without speaking to your doctor or pharmacist