Hesperian Health Guides

Medicines for Pain

In this chapter:

Some children have pain that will go away or lessen only by using pain medicine. For conditions that include swollen joints, like arthritis and rheumatic fever, ibuprofen and aspirin are usually the best medicines because they help control pain and also reduce inflammation (swelling and damage to joints). If there are no swollen joints, use paracetamol (acetaminophen) for pain.

Aspirin

Precautions: Do not give aspirin to people with asthma, children younger than 1 year old, or children with flu signs. If possible, avoid giving to children younger than 12 years old and use ibuprofen instead. Aspirin can cause stomach pain or heartburn. To avoid this, give with food or a large glass of water.

Age Dose How to take
12 years and older 300-600 mg By mouth, every 4 to 6 hours as needed


Ibuprofen

Precautions: Do not give ibuprofen to children younger than 1 year old. Ibuprofen can cause stomach pain or heartburn. To avoid this, give with food or a large glass of water.


Age Dose How to take
1 to 2 years 75 mg By mouth, every 6 to 8 hours as needed
2 to 3 years 100 mg By mouth, every 6 to 8 hours as needed
4 to 5 years 150 mg By mouth, every 6 to 8 hours as needed
6 to 8 years 200 mg By mouth, every 6 to 8 hours as needed
9 to 10 years 200 to 250 mg By mouth, every 6 to 8 hours as needed
11 years 300 mg By mouth, every 6 to 8 hours as needed
12 years and older 200 to 400 mg By mouth, every 6 to 8 hours as needed


Paracetamol (acetaminophen)

Precautions: Do not give more than the recommended amount. Too much is poisonous to the liver.

Age Dose How to take
under 1 year 62 mg (half of ¼ of 500 mg tablet) By mouth, every 4 to 6 hours as needed
1 to 2 years 125 mg (¼ of 500 mg tablet) By mouth, every 4 to 6 as needed
3 to 7 years 250 mg (½ of 500 mg tablet) By mouth, every 4 to 6 hours as needed
8 to 12 years 375 mg (¾ of 500 mg tablet) By mouth, every 4 to 6 hours as needed
over 12 years 500 to 1000 mg By mouth, every 4 to 6 hours as needed


For information about other medicines for pain, see the Green Pages in Where There Is No Doctor.


This page was updated:04 Apr 2024