Paracetamol Pediatric Dosage

Weight-based acetaminophen dosing for children and adolescents. Convert to suspension volumes or tablet counts while respecting maximum daily limits.

Usual: 15 mg/kg every 4–6 hours (range 10–15 mg/kg).

Guideline: 75 mg/kg/day (max 4 g/day).

Do not exceed 5 doses in 24 hours.

Children's formulation is typically 160 mg/5 mL.

Common tablets: 160 mg (chewable), 325 mg, 500 mg (adult).

Dosage Results

Per dose

420 mg

13.1 mL (32.0 mg/mL) • ≈ 1.3 tablets (325 mg)

Daily total

1680 mg/day

Planned 4 doses/day. Maximum allowed 2100 mg/day.

Recalculate if using other acetaminophen-containing products. Contact a clinician immediately for suspected overdose or persistent symptoms.

How to Use This Calculator

1

Enter weight and desired dose

Most clinicians use 15 mg/kg. Reduce to 10 mg/kg for milder symptoms or hepatic impairment.

2

Check daily limit

Ensure total planned doses do not exceed 75 mg/kg/day or 4 g/day, whichever is lower.

3

Convert to mL or tablets

Input suspension strength and tablet size to view equivalent volumes or counts.

Formula

Per dose (mg) = weight (kg) × mg/kg.

Based on WHO, AAP, and NICE guidelines for pediatric paracetamol/acetaminophen dosing.

Frequently Asked Questions

Is paracetamol the same as acetaminophen?

Yes—different names in different countries for the same medication.

How long between doses?

At least 4 hours; 6 hours preferred unless symptoms recur sooner.

What if the child is vomiting?

Consider rectal suppositories or consult the clinician. Oral absorption may be unreliable.

Can I combine with ibuprofen?

Yes for children ≥6 months, but track each medication separately to avoid dosing errors.

When should I avoid paracetamol?

Avoid or use cautiously in significant liver disease, chronic alcohol use, or known allergy.