Paracetamol Dosage Calculator
Calculate safe paracetamol (acetaminophen) single and daily doses by weight and age across syrups, drops, and tablets with safety limits.
Weight-Based Paracetamol (Acetaminophen) Dosing
Paracetamol (also internationally known as acetaminophen) is one of the most widely used antipyretic and analgesic medications for relieving fever, pain, and inflammatory discomfort. In pediatric medicine, precise weight-based calculation is critical because pediatric dosing by age alone can lead to underdosing or potentially life-threatening hepatotoxicity (liver toxicity).
Standard Clinical Dosing Guidelines
According to international guidelines from the World Health Organization (WHO), British National Formulary (BNF), and American Academy of Pediatrics (AAP):
- Pediatric Single Dose: 10 to 15 mg per kg of body weight (typically 15 mg/kg for optimal antipyresis).
- Dosing Frequency: Every 4 to 6 hours as needed (maximum 4 to 5 doses in 24 hours).
- Maximum Single Dose: 1,000 mg (1 gram), even if weight-based calculation suggests higher.
- Maximum Pediatric 24-Hour Dose: 60 mg/kg per 24 hours, up to an absolute ceiling of 4,000 mg/day (or 3,000 mg/day in conservative over-the-counter guidelines).
- Minimum Dosing Interval: At least 4 hours between consecutive doses.
Dosing Formula
The required active substance quantity is determined by:
$$\text{Single Dose (mg)} = \text{Weight (kg)} \times \text{Dose Rate (10 to 15 mg/kg)}$$
For liquid suspensions and syrups, the administration volume in milliliters ($\text{mL}$) is calculated from product concentration:
$$\text{Volume (mL)} = \frac{\text{Single Dose (mg)}}{\text{Concentration (mg/mL)}}$$
Common Global Formulations and Strengths
| Product / Formulation | Concentration | Typical Target Population |
|---|---|---|
| Infant Syrup (e.g., Calpol Infant) | 120 mg / 5 mL (24 mg/mL) | Infants and children 2 months to 6 years. |
| Children's Suspension (US Standard) | 160 mg / 5 mL (32 mg/mL) | Universal US pediatric formulation across all liquid products. |
| Six Plus / Forte Syrup | 250 mg / 5 mL (50 mg/mL) | Children aged 6 years and older. |
| Concentrated Infant Drops | 100 mg / 1 mL | Young infants requiring small volume oral administration. |
| Standard Adult Tablets | 500 mg per tablet | Adolescents (> 50 kg) and adults (1 to 2 tablets every 4 to 6 hours). |
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Frequently Asked Questions
Is paracetamol the same medication as acetaminophen and Tylenol?
Yes. Paracetamol (INN) and acetaminophen (USAN) are different generic names for the exact same chemical molecule (N-acetyl-para-aminophenol). Tylenol, Panadol, and Calpol are popular commercial brand names.
Why should pediatric doses be calculated by weight rather than age?
Children of the same age can vary significantly in body weight. Weight-based dosing (10 to 15 mg/kg) ensures the patient receives an effective therapeutic dose while avoiding toxic overdosing.
What is the maximum amount of paracetamol a child can receive in one day?
The maximum daily limit for children is 60 mg per kg of body weight within 24 hours, divided across 4 doses, not to exceed the absolute adult maximum of 4,000 mg.
What should I do if a dose was administered less than 4 hours ago?
Do not administer another dose. The minimum safe interval between paracetamol doses is 4 hours. If fever or pain persists, consult a healthcare provider or consider non-pharmacological comfort measures.