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The following table gives acetaminophen dosing guidelines by weight. It can be used for the different products available, including Tylenol and generics. Acetaminophen can be administered every four hours.

Acetaminophen is a very effective medicine for fever and for pain. It has no effect on other symptoms related to a cold. Please remember to never use acetaminophen for INFANTS UNDER FOUR MONTHS OF AGE without talking to our office first. If your child has a stiff neck, is unusually lethargic or unresponsive, or might be dehydrated please call our office immediately.

Note that the infant drops and the children's syrup have very different concentrations. Use only the dropper provided with the infant drops to measure their dosing, and use a teaspoon to measure the dose of the children's syrup.

Be aware that many over-the-counter cold and cough preparations also contain acetaminophen. Use of these products along with an acetaminophen preparation may result in a dangerous overdose. We recommend single-ingredient medications whenever possible.

Acetaminophen is also available as a rectal suppository for use in children who refuse to take medicine by mouth or who are vomiting. The brand name is Feverall, and it is available in most pharmacies. This medication can be very helpful when used appropriately, but dosing guidelines vary. Use rectal acetaminophen only on the recommendation of our office.

Weight Dose Infant Oral Suspension**
Children's Syrup
80mg Chewables 160mg Chewables
6-12 lbs 40 mg 1.25 ml      
12-17 lbs 80 mg  2.5 ml 2.5 ml    
18-23 lbs 120 mg 3.75 ml 3.75 ml    
24-35 lbs 160 mg 5 ml 5 ml  2 1
36-47 lbs 240 mg   7.5 ml 3 1 ½
48-59 lbs 320 mg   10 ml 4 2
60-71 lbs 400 mg   12.5 ml 5 2 ½
72-95 lbs 480 mg   15 ml 6 3
95+ lbs 640 mg   20 ml 8 4