Knowing the right Tylenol dosing for infants is important to avoid over dosage or other side effects. Tylenol is an over-the-counter (OTC) medicine prescribed to babies either as an analgesic (pain-relieving medicine) or an antipyretic (medicines used to treat fever). Infants’ Tylenol should be preferred over Tylenol tablets for babies and young children as the tablets might cause a choking hazard. Therefore, it is advisable to give Tylenol to your baby only under the instruction of your healthcare professional. Read on to know about the Tylenol dosage instructions for infants, its potential risks, and safe administration techniques

When To Give Tylenol To A Baby?

The medicine should only be administered when the baby has a fever. According to the American Academy of Pediatrics, fever is considered in babies when their body temperature is more than 100.4°F (38°C) (1). According to the manufacturer, Infants’ Tylenol oral liquid suspension may also be given to the baby withsore throat, flu, cold, ear pain, and toothache since the active ingredient acetaminophen also works as a pain reliever (2).

What Is The Infant Dosage Chart For Tylenol?

Experts and the manufacturer of Tylenol recommend that you consult a pediatrician before administering Tylenol to babies or toddlers (3) (4). The dosage could vary depending on your child’s weight. The concentration of acetaminophen in Infants’ Tylenol liquid suspension is at single strength or concentration of 160mg per 5ml. Below is a table containing the dosage of liquid or syrup form of Tylenol in babies and toddlers as per their weight (5). Source: American Academy of Pediatrics You may repeat the administration every four to six hours or as directed by the doctor. You must not administer more than five doses of Tylenol in a day. Do note that your baby’s doctor may prescribe a dosage different than the one mentioned in the table, and you must stick to the doctor’s advice.

How To Safely Administer Tylenol To A Baby?

Below are the steps to administer Infants’ Tylenol liquid to a baby or toddler (2).

Push the plunger and release the air. Insert the syringe’s tip into the bottle opening.

Turn the bottle and pull the plunger to the required dosage mark to draw the medicine.

Gently insert the syringe’s tip into the baby’s mouth, directing the tip towards the baby’s inner cheek.

Press the plunger gently to release the medicine.

You may use the help of your partner or family member to keep the baby’s head still in case they resist it. It is essential to keep certain points in mind to ensure the safe administration of Tylenol in babies (4).

It is vital to use the marked syringe, which ships with a bottle of Infants’ Tylenol, to prevent overdose or other errors related to dosage.

Keep track of the dosage of the medicine and the time it was administered.

Always pour out the medicine in a well-lit room to avoid discrepancies in the dosing quantity.

Follow the instructions provided in the label of the medicine regarding the storage of the medicine.

If your baby is already on any medication, intimate the doctor about it. A combination of acetaminophen and other drugs may cause severe side effects.  

Keep the bottle away from the reach of the baby to avoid accidental ingestion.

What Are The Risks Of Administering Tylenol?

Tylenol, in correct doses, is safe for most babies and seldom causes any side effects when administered as per prescription. In rare cases, a baby could be allergic to acetaminophen, causing skin rashes and blisters. Overdose of Tylenol leads to overdose of acetaminophen, leading to serious side effects. It usually happens if you do not follow the doctor’s prescription or you are not careful while measuring the quantity of the medicine in the syringe. Minor overdose may most likely not cause any problems or symptoms. The maximum safe dosage for acetaminophen among children is 90mg per kg of the child’s weight per day (6). A dosage beyond this limit may cause the following signs and symptoms (7).

Nausea

Pain in the abdomen

Jaundice

Reduction in the frequency and amount of urine

Respiratory problems such as troubled breathing

Vomiting

Loss of appetite

Drowsiness

Fatigue

Severe overdosing could cause hepatotoxicity and liver damage. The tolerance to overdosing could vary from one baby to another. Therefore, if you realize you accidentally overdosed the baby with Tylenol, visit the hospital as soon as possible.

When To See A Doctor?

You must see a doctor in the following scenarios (8).

You overdosed the baby.

There has been no improvement in the baby’s symptoms within three days since the administration of Tylenol.

The symptoms worsen after the administration of Tylenol.

The baby develops skin rashes or blisters after the administration of Tylenol.

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