Paracetamol Pediatric Dose Calculator
Calculate exact paracetamol syrup or tablet dose for children. Pre-loaded with Indian brands: Crocin, Calpol, Dolo, P-125, P-650.
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Also Known As
Paracetamol Dosing in Children — Indian Guidelines
Paracetamol (acetaminophen) is the first-line antipyretic and analgesic for children in India, recommended by the Indian Academy of Pediatrics (IAP). The standard dose is 10-15 mg/kg every 4-6 hours, with a maximum of 75 mg/kg/day or 60 mg/kg/day in neonates — never exceed 4 g/day in older children or adults.
Common Indian paracetamol brands available as syrup or tablet include Crocin (GSK), Calpol (GSK), Dolo (Micro Labs), P-125, P-250, P-650, T-98, Pyrigesic, Metacin, and Pacimol. Available syrup strengths in India: 100mg/1mL drops, 120mg/5mL, 125mg/5mL, 150mg/5mL, 240mg/5mL, and 250mg/5mL (DS = double strength).
Common Brand Names and Strengths in India
- Crocin Drops: 100 mg/mL — for infants < 1 year
- Crocin Syrup: 120 mg/5mL — children 1-6 years
- Crocin DS Syrup: 250 mg/5mL — older children > 6 years
- Calpol 120/250/Plus: Same strengths as Crocin
- P-125 Syrup: 125 mg/5mL — middle strength
- Dolo 650 Tablet: 650 mg — adults & older children > 12 years
- Crocin Advance 500 Tablet: 500 mg — children > 25 kg
When to Avoid or Reduce Paracetamol Dose
Reduce dose or avoid in: severe hepatic impairment, chronic alcohol use, severe malnutrition, chronic dehydration, G6PD deficiency (paracetamol is generally safe in G6PD but monitor for hemolysis at high doses). For neonates <3 months, consult pediatrician before giving any paracetamol.
This paracetamol pediatric dose calculator is used daily by general practitioners, pediatricians, family physicians, ENT specialists, and emergency physicians in clinics and hospitals across India — Mumbai, Delhi, Bangalore, Chennai, Hyderabad, Kolkata, Pune, Ahmedabad, Surat, Jaipur, Lucknow, and beyond.
Frequently Asked Questions
▸How much paracetamol can I give my child?
Standard dose is 10-15 mg/kg every 4-6 hours. For example, a 10 kg child can receive 100-150 mg per dose. Maximum 4 doses in 24 hours. Never exceed 75 mg/kg/day.
▸How many mL of Crocin syrup for a 1 year old?
For a 10 kg one-year-old: Crocin 120mg/5mL syrup → ~5 mL per dose (giving 120 mg = 12 mg/kg). For Crocin DS 250mg/5mL → ~2.5 mL per dose. Use this calculator for exact mL based on actual weight.
▸What is the difference between Crocin and Crocin DS?
Crocin Syrup = 120mg/5mL (120 mg paracetamol per teaspoon). Crocin DS = 250mg/5mL (double strength, for older children >6 years to reduce volume swallowed).
▸Can I give paracetamol to a newborn?
Paracetamol is generally not given to babies under 2-3 months without pediatrician consultation. Dosing is more conservative (10 mg/kg every 6-8 hours) due to immature liver function.
▸What is the maximum daily dose of paracetamol?
75 mg/kg/day in children (60 mg/kg/day in neonates). Maximum 4 g/day in adults. Reduced to 3 g/day in elderly, malnourished, or those with chronic liver disease.
▸Is it safe to alternate paracetamol with ibuprofen?
Yes, alternating Q4H is sometimes used for stubborn fevers (e.g., paracetamol at 8AM, ibuprofen at 12PM, paracetamol at 4PM). However, single-drug therapy is preferred to avoid dosing errors.
References
- Indian Academy of Pediatrics (IAP) Guidelines on Drug Dosing in Children
- BNF for Children — Paracetamol Monograph
- WHO Model Formulary for Children
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