Paracetamol
Side effects: Side effects are rare but serious effects: include rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
Overdose symptoms: Nausea, vomiting, loss of appetite, sweating, stomach/abdominal pain, extreme tiredness, yellowing eyes/skin, dark urine.
Interactions: Azoles
Pregnancy and breastfeeding: Safe to use
PARACETAMOL DOSING- Note dosing every 4-6 hours; maximum 4 doses per day
3-5 months – 60mg every
6-23 months- 120mg
2-3 years- 180mg
4-5 years- 240mg
6-7 years- 240-250mg
8-9 years 360-375mg
10-11 years 480-750mg
12-15 year-480-500mg
16-17 years 500mg-1g
Dosing based on weight (varies from different guidelines)
Weight less than 40kg: 500mg 4 times daily (max dose 2g daily)
Weight 41-49kg: 500-1000mg 3 times daily (max 3g daily)
Weight over 50kg: 500-1000mg 4 times daily (max 4g daily)
Licensing: 120mg/5ml (2 months and over), 250mg/5ml (6 years and older), 500mg tablets (10 years and above)
Ibuprofen
Side effects: Headaches, feeling dizzy, sick (nausea), being sick (vomiting), indigestion
Interactions: Ibuprofen may slow the elimination of lithium or methotrexate. Aspirin due to the increased risk of bleeding
Pregnancy and breastfeeding: Avoid in the last three months of pregnancy. Safe in breastfeeding
Ibuprofen dosing
3-5 months- 50mg TDS
6-11 months- 50mg TDS-QDS
1-3 years- 100mg TDS
4-6 years- 150mg TDS
7-9 years- 200mg TDS
10-11 years 300mg TDS
12-17 years 300-400mg TDS-QDS
Aspirin
Dose: 1-2 tablets (300-600mg) every 3-4 hours as required, to a maximum of 12 tablets (3.6g) daily in divided doses.
Side effects: Gastrointestinal bleeding, abdominal pain, nausea or vomiting, black tarry stools
Interactions: NSAIDS, warfarin
Pregnancy and breastfeeding: Avoid taking Aspirin tablets during pregnancy, especially in the last 3 months of pregnancy or whilst breast-feeding.
Licensing: To be used in over 16s due to risk of Reyes Syndrome