OHSU

Acetaminophen Dosage Table

Indications: Treatment of fever and pain.

Child's weight (pounds) 6-11 12-17 18-23 24-35 36-55 56-83 84-111 112+
lbs
Infant Drops 80 mg/0.8 ml 0.4 0.8 1.2 1.6 2.4 - - -
ml
Syrup: 160 mg/5 ml 1.25 2.5 3.75 5 7.5 10 15 20
ml
Syrup: 160 mg/1 teaspoon - ½ ¾ 1 2 4
tsp
Chewable 80 mg. tablets - - 2 3 4 5-6 8
tabs
Chewable 160 mg. tablets - - - 1 2 3 4
tabs
Adult 325 mg. tablets - - - - - 1 2
tabs
Adult 500 mg. tablets - - - - - - 1 1
tab


Table Notes
:

  • CAUTION: In May 2011, a move to one standard concentration of liquid acetaminophen medicine for infants and children was announced. Up until this point, there have been mainly 2 concentrations: 80mg/0.8ml (Infant Concentrated Drops) and 160mg/5ml (Children's Liquid Suspension or Syrup). During this transition period, both old and new concentrations of infant acetaminophen may be available on store shelves and in your home. Before selecting a dose, please check your infant package carefully to find the concentration. Then select the dosage according to the correct concentration and child's weight.
  • AGE LIMIT: Don't use under 12 weeks of age unless directed by child's doctor. (Reason: Fever during the first 12 weeks of life needs to be documented in a medical setting and if present, your infant needs a complete evaluation). EXCEPTION: Fever starting within 24 hours of immunization if child is 8 weeks of age or older. Avoid multi-ingredient products in children under 6 years of age (Reason: FDA recommendations 1/2008).
  • DOSAGE: Determine by finding child's weight in the top row of the dosage table
  • BRAND NAMES: Tylenol, Feverall (suppositories), generic acetaminophen
  • FREQUENCY: Repeat every 4-6 hours as needed. Don't give more than 5 times a day.
  • ADULT DOSAGE: 650 mg
  • MELTAWAYS: Dissolvable tabs that come in 80 mg and 160 mg (jr. strength)
  • SUPPOSITORIES: Acetaminophen also comes in 80, 120, 325 and 650 mg suppositories (the rectal dose is the same as the dosage given by mouth).
  • EXTENDED-RELEASE: Avoid 650 mg oral products in children (Reason: they are every 8-hour extended-release)

Author and Senior Reviewer: Barton D. Schmitt, M.D.

Content Set: Pediatric HouseCalls Symptom Checker

Pediatric HouseCalls Symptom Checker