Fever and Fever Treatment

Elevated temperature (subfebrilie)

  • Temperature of up to 38°C (or 38.5°C if measured rectally) remains untreated. Let the child to have a rest and serve liquids generously.

Fever (febrilie)

  • Temperature over 38°C (or 38.5°C if measured rectally) is treated using antipyretics in the correct dose (always dose according to the weight, not age!). If fever keeps returning during the day you can try alternating paracetamol-based drugs (Paralen, Panadol) with ibuprofen-based drugs (Nurofen, Ibalgin, Ibuprofen) after 3-4 hours (see further for correct dosage). Never treat temperature preventively (!), but only once above 38°C (or 38.5°C if measured rectally). Use of drugs can be also supplemented with use of “physical cooling“ (see further).
  • Make sure that your child is drinking more often than usual and observe child’s overall condition. If you don’t notice any alarming symptoms and your child remains lively, drinks and urinates regularly, you do have to seek medical assistance. Seek medical assistance if fever persists for further 2-3 days. In case of any concerns about your child’s condition (vomiting, skin rash, refusing to drink, apathy) do not wait and seek medical assistance immediately. Always seek medical assistance for infants with fever who are less than 3 month.

Drug dosage :

Paracetamol (Panadol, Paralen)

  • 15mg/per kg/per dose, every 6 hours, maximum 4x daily (i.e. child weighting 10kgs would be allowed 150mg of paracetamol every 6 hours)

Ibuprofen (Ibalgin, Nurofen)

  • 10mg/per kg/per dose, every 8 hours, maximum 3x daily

Physical cooling

  • Sponging – let your child sit in a bathing tray/bath, fill the tray/bath up with water – not cold (!). The water shall be around 30°C and sponge the child for 10-20 minutes.
  • Wrapping – wrap the child’s chest and tummy with a soft cloth soaked in lukewarm water.
  • Never use physical cooling if the child starts throwing a fit, its arms and legs are cold or has any kind of skin rash.

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