Acetaminophen & Ibuprofen Dosages

Use this information as a guideline for caring for your child. We may decide to adjust the dosage as appropriate for your child. Please remember to keep all medications out of your child’s reach at all times. Do not use longer than 48 hours without contacting the office. This is a guide and not a substitute for medical advice.

Acetaminophen (Tylenol)

Acetaminophen (Tylenol) reduces fever and relieves pain. Typical uses include fevers, immunizations, teething, earaches, bruises, headaches, etc. Do not use Tylenol for babies under 2 months of age.

Note: As of July 2011, infant concentrated drops are being phased out in the United States and replaced with a less-concentrated form. The concentrated drops are still safe to use as long as the dose is correct. The old form is three times as concentrated as the new infant medicine, so use caution: know your child’s weight and follow the dosage chart.

Available Forms
  • Old infant drops: 80 mg / 0.8 ml per dropper
  • New infant liquid: 160 mg / 5 ml (included syringe)
  • Children’s chews or meltaways: 80 mg each
  • Junior‑strength chews or meltaways: 160 mg each
  • Adult regular‑strength tablets: 325 mg each
  • Rectal suppository: 120 mg

Acetaminophen Dosing Chart

Dosing: May give acetaminophen dose every 4–6 hours.

Weight Milligram Dose Old Infant Drops
80 mg/0.8 ml
Infant/Children’s Liquid
160 mg/5 ml
Chewables
80 mg
Junior 160 mg
6–8 lbs40 mg½ dropper (0.4 ml)¼ tsp (1.25 ml)
9–11 lbs60 mg¾ dropper (0.6 ml)⅜ tsp (1.875 ml)
12–17 lbs80 mg1 dropper (0.8 ml)½ tsp (2.5 ml)
18–23 lbs120 mg1½ droppers (1.2 ml)¾ tsp (3.75 ml)
24–35 lbs160 mg2 droppers (1.6 ml)1 tsp (5 ml)2 tablets1 tablet
36–47 lbs240 mg3 droppers (2.4 ml)1½ tsp (7.5 ml)3 tablets1½ tablets
48–59 lbs320 mg2 tsp (10 ml)4 tablets2 tablets
60–71 lbs400 mg2½ tsp (12.5 ml)5 tablets2½ tablets
72–95 lbs500 mg3 tsp (15 ml)6 tablets3 tablets

Six Safety Tips for Acetaminophen

  1. Don’t give to a baby under 3 months without a doctor’s approval.
  2. Don’t confuse infant drops with the new infant liquid (drops are three times more concentrated).
  3. Always use the measuring device that comes with the medicine.
  4. The proper dosage is based on weight, not age.
  5. Never give acetaminophen with other medicines unless directed by a doctor (many products also contain acetaminophen).
  6. Keep all medications out of your child’s reach at all times.

Ibuprofen (Motrin, Advil)

Ibuprofen (Motrin, Advil) reduces fever, relieves pain, and fights inflammation. Typical uses include fevers, immunizations, teething, earaches, bruises, headaches, sunburns, and sore muscles. Do not use in babies under 6 months of age.

Available Forms
  • Infant drops: 50 mg / 1.25 ml (1 dropper = 1.25 ml)
  • Children’s liquid: 100 mg / 5 ml (1 tsp = 5 ml)
  • Chewable tablets: 50 mg
  • Junior strength tablets: 100 mg

Ibuprofen Dosing Chart

Dosing: May give ibuprofen dose every 6–8 hours.

Weight Milligram Dose Infant Drops
50 mg/1.25 ml
Children’s Liquid
100 mg/5 ml
Chewables
50 mg
Junior Strength
100 mg
12–17 lbs50 mg1 dropper (1.25 ml)½ tsp (2.5 ml)
18–23 lbs75 mg1½ droppers (1.875 ml)¾ tsp (3.75 ml)
24–35 lbs100 mg2 droppers (2.5 ml)1 tsp (5 ml)2 tablets1 tablet
36–47 lbs150 mg3 droppers (3.75 ml)1½ tsp (7.5 ml)3 tablets1½ tablets
48–59 lbs200 mg2 tsp (10 ml)4 tablets2 tablets
60–71 lbs250 mg2½ tsp (12.5 ml)5 tablets2½ tablets
72–95 lbs300 mg3 tsp (15 ml)6 tablets3 tablets
Reminder: Doses are based on weight. If your child has a chronic condition, is taking other medicines, or if you have any doubts, please call us before dosing.

Questions about dosing?

Please call our office for personalized guidance.