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Pediatrician - New York
1125 Park Avenue (at E. 90th Street) 
New York, NY 10128
(212) 289-1400

Info@Carnegiehillpediatrics.com

Below are dosing recommendations for several common over-the-counter products. All doses are determined by weight not age. Remember to check the label for the type of medicine you are giving as well as to check the dosage. If you have any questions as to the correct dosage, please call us during office hours. Make sure you do not mix medicines containing the same components (Tylenol & Feverall for example). Also, do not give medicines to infants less than 2 months without speaking to a doctor.

Acetaminophen

Acetaminophen is available without a prescription. Children older than 2 months of age can be given any of the acetaminophen products (such as Tylenol or Feverall). They all have the same dosage. Give the correct dosage for your child's weight every 4 to 6 hours.

Note: Dppr = Dropper

Ibuprofen

Ibuprofen (Advil, Motrin) is available without a prescription. Give the correct dosage for your child's weight every 6-8 hours.

Note: Dppr = Dropper

Alternating or Combining Acetaminophen and Ibuprofen

Combining acetaminophen and ibuprofen is generally not recommended. Combining can cause confusion, dosage errors, and poisoning. Also, it is usually not important to control a fever that closely.

If instructed by your doctor to alternate acetaminophen and ibuprofen, do it as follows:

  • Alternate doses of acetaminophen and ibuprofen every 4 hours
  • Alternate medicines for only 24 hours or less, then return to a single product

Diphenhydramine (Benadryl)

Diphenhydramine is available in liquid form without a prescription to use for hives and for itching with certain rashes. It can be given every 6 to 8 hours as needed. If your child is experiencing difficulty breathing, wheezing, tongue swelling, lip tingling, vomiting, or other signs of a serious allergic reaction, you should call us immediately. Do not administer diphenhydramine to an infant without speaking to your doctor first.

Avoid Aspirin

Children (through age 21 years) should not take aspirin if they have chickenpox or influenza (any cold, cough, or sore throat symptoms). This recommendation is based on several studies that have linked aspirin to Reye's syndrome, a severe encephalitis-like illness. We have stopped using aspirin for fevers associated with any illness.

Cough and Cold Medicines

We do not recommend the use of decongestants or cough suppressants in children under two years. It is unclear whether these products have any benefit and recent studies show that there may be significant risks associated with these products. If you chose to use these products in older children, please visit the manufacture's websites for dosing information and for more information on their products. Some common brands include: Pediacare, Triaminic, Dimetapp, Robitussin, and Sudafed.

Conversion Chart

You can give liquid medicines to children by using either a teaspoon or a syringe (usually measured in cc or mL). Conversions are as follows:

View the KidsDoc Symptom Checker from HealthyChildren.org

APRIL Weekend On-Call  Schedule 

 4/1-4/2     Barry Stein, MD

4/7-4/9      Melissa Goldstein, MD  

4/14-4/16  Neal Kotin, MD

4/21-4/23  Jennifer Trachtenberg,  MD

4/28-4/30   Melissa Goldstein, MD