Over the counter pain relief factsheet
Introduction
Pain can be a common symptom of childhood illness and injuries. Pain relief medication helps reduce or control pain and sometimes lower fever.
Over the counter pain relief are medicines that can be bought from a pharmacy without seeing your doctor for a prescription first. Two common over the counter pain relief medicines for children are:
- Ibuprofen- reduces pain, swelling and fever by blocking chemicals in the body that causing inflammation
- Paracetamol- helps relieve pain and fever by affecting the brain鈥檚 pain signals.
Ibuprofen and paracetamol come in different forms, including:
- tablets
- capsules
- syrups
- soluble- dissolved in water
- chewable tablets
- suppository- inserted into the bottom.
The form you use will depend on your child, their age and how well they can take medication.
Over the counter pain relief help reduce discomfort in your child but do not treat the cause of their pain.
聽Preparing for treatment
Over the counter pain relief may help your child manage mild to moderate pain when they are injured or unwell.
Signs children may benefit from over the counter pain relief include:
- crying or screaming
- difficulty eating or sleeping
- making painful faces
- becoming withdrawn
Symptoms in children that may benefit from over the counter pain-relief include:
- headaches
- earaches
- sore muscles
- sore gums or teething pain
- mild fever
- discomfort from minor injuries, like bumps or bruises.
Older children can usually tell you when they are in pain, where the pain is and how severe it is.
If your child has a fever and is feeling upset or uncomfortable, you can give pain relief to help them feel better. If your child has a fever but is otherwise feeling happy and well, you don鈥檛 need to treat the fever. A fever is a normal immune response to help overcome infection.
See your local doctor as soon as possible if you are concerned, or your child has:
- moderate to severe pain
- pain lasting more than a few hours.
If your child is uncomfortable before a doctor鈥檚 visit, you can give your child pain relief. Pain relief will not mask any signs of serious illness.
During treatment
Always follow the instructions on the medication packaging. Read the instructions on the package closely for information about:
- how much to give, based on your child鈥檚 weight
- how often to give the medication
- the maximum amount you can give in 24 hours.
If you don鈥檛 know your child鈥檚 weight, follow the age recommendations on the package. If your child is a lot smaller than most children their age, give the dose recommended for the age bracket below.
Speak to your local doctor or pharmacist if you have any questions about specific medications for your child.
Giving paracetamol
Paracetamol:
- can be used for children over one month old
- can be given every four to six hours where required, but no more than four times in a 24 hour period
Giving Ibuprofen
Ibuprofen:
- can be used for children over three months old
- can be given every six to eight hours where required, but no more than three times in a 24 hour period
- can be taken with water and without food, but if it causes an upset stomach, offer some food with the medication.
Giving paracetamol and ibuprofen
To help manage your child鈥檚 pain, you can alternate between paracetamol and ibuprofen or give both at the same time. However, this increases the risk of accidentally giving too much medication.
To keep track, write down each dose of pain relief you give your child. This will help to avoid giving too much of either.
After the treatment
Over the counter pain medication helps with symptoms but does not treat the cause of pain. Do not give over the counter pain relief medication for more than 48 hours. See a doctor if:
- your child鈥檚 pain lasts longer than 48 hours
- they seem very unwell
- their level of pain is moderate to severe and does not improve with pain medication.
Call Triple Zero (000) or go to the nearest hospital if your child has:
- trouble breathing
- loss of consciousness
- chest pain
听惭补苍补驳别尘别苍迟
Paracetamol is one of the most common medicines children accidentally overdose on. This can happen if the wrong dose is given, such as measuring errors or frequent dosing, or if young children find and swallow the medication because it wasn鈥檛 stored safely.
To prevent overdose of pain relief
- always follow the instructions on the packaging
- use the correct dose for your child鈥檚 weight and age and
- never give more than the recommended amount
- store medication safely by keeping medication out of sight and reach of children in a locked cupboard or container.
Taking too much pain relief medication can cause more serious health problems in children.
Too much paracetamol
Too much paracetamol can cause:
- nausea
- vomiting
- liver and kidney problems.
Too much ibuprofen
Too much ibuprofen can cause:
- stomach pain
- stomach ulcers- open sore in the stomach
- headaches
- dizziness
- jaundice- yellowing of the skin or eyes
- fast or irregular heartbeat
- kidney damage.
When to seek help
If you suspect your child has taken an incorrect dose of over the counter pain relief, call the NSW Poisons Information Centre on 13 11 26.
Call Triple Zero (000) for an ambulance if your child has severe symptoms like:
- difficulty breathing
- loss of consciousness
- chest pain.