Pediatrics: Lillian Beard, M.D.

Is acetaminophen better than ibuprofen for infants?

By Lillian Beard, M.D.

Both acetaminophen and ibuprofen are non-aspirin containing analgesics and antipyretics. They are used to relieve discomfort and lower elevated fevers. Acetaminophen has been in the infant marketplace for a longer period of time and has gained the comfort and confidence of parents for safety and effectiveness. Ibuprofen, a non-steroidal anti-inflammatory, very familiar to the adult population as a pain reliever, is a newer entrant to the infant children's care market. The infant/children's formulations of ibuprofen have excellent safety records.

In my practice, I use both products. I find that acetaminophen works for the minor discomfort or low-grade temperature elevations associated with teething or immediately following immunization shots. However, the persistent higher fevers, which frighten parents, and are more commonly associated with illness, are more easily controlled and for longer intervals with the pediatric ibuprofen products. With either acetaminophen or ibuprofen, it is important that you give the proper dose based on your child's height and weight. With children under 2, rather than provide a dosage amount, the label will recommend that you check with your pediatrician on dosing instructions. As your child grows, be sure to have your pediatrician adjust the dosage.

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