Paracetamol Pediatric Dose Calculator

Weight-based paracetamol dosing for children, with maximum doses, age limits and sources. Enter age and weight for the dose in mg and syrup mL, tablets or injection volume.

Category: AntipyreticAges: Birth – adultUpdated: 2026-09-27For: cliniciansHospital use

Pediatric dosing

Fever or pain (oral)

<1 month: 10–15 mg/kg/dose · every 6–8 hours if needed (max 4 doses in 24 h)
Duration: As needed · Term neonates (≥32 weeks corrected gestational age). Preterm <32 weeks: every 8–12 hours, max 30 mg/kg/day — specialist advice. A febrile neonate needs urgent assessment.
≥1 month: 10–15 mg/kg/dose · every 4–6 hours if needed (max 4 doses in 24 h) · max 1 g/dose, 4 g/day
Duration: As needed · Maximum 60 mg/kg/day. Dose on actual body weight (ideal body weight in obesity). Lower the daily maximum in malnutrition, dehydration or liver disease.

IV infusion (hospital) Hospital

≤10 kg: 7.5 mg/kg/dose · every 6 hours
Term newborns, infants and children up to 10 kg: max 30 mg/kg/day. Preterm neonates: specialist dosing.
>10 to 33 kg: 15 mg/kg/dose · every 6 hours · max 2 g/day
Max 60 mg/kg/day, not exceeding 2 g/day.
>33 to 50 kg: 15 mg/kg/dose · every 6 hours · max 3 g/day
Max 60 mg/kg/day, not exceeding 3 g/day.
>50 kg: 1 g per dose · every 6 hours · max 4 g/day
Max 3 g/day if hepatic risk factors, malnutrition or dehydration.
Infuse over 15 minutes, at least 4 hours apart. Prescribe and draw up in mL with a syringe: 10-fold mg/mL errors with IV paracetamol are a recognised hazard.

Paracetamol dose chart by age and weight

Fever or pain (oral). Weights are WHO/IAP reference medians for age — always dose on the measured weight.

AgeWeightDose (mg)Oral drops 100 mg/mLSuspension 120 mg/5 mLFrequency
15 days3.8 kg38 mg0.38 mL1.6 mLEvery 6–8 hours if needed (max 4 doses in 24 h)
1 month4.3 kg64.5 mg0.65 mL2.7 mLEvery 4–6 hours if needed (max 4 doses in 24 h)
3 months6.1 kg91.5 mg0.92 mL3.8 mLEvery 4–6 hours if needed (max 4 doses in 24 h)
6 months7.6 kg114 mg1.1 mL4.8 mLEvery 4–6 hours if needed (max 4 doses in 24 h)
9 months8.6 kg129 mg1.3 mL5.4 mLEvery 4–6 hours if needed (max 4 doses in 24 h)
1 year9.3 kg139.5 mg1.4 mL5.8 mLEvery 4–6 hours if needed (max 4 doses in 24 h)
18 months10.6 kg159 mg1.6 mL6.6 mLEvery 4–6 hours if needed (max 4 doses in 24 h)
2 years11.8 kg177 mg1.8 mL7.4 mLEvery 4–6 hours if needed (max 4 doses in 24 h)
3 years14.1 kg211.5 mg2.1 mL8.8 mLEvery 4–6 hours if needed (max 4 doses in 24 h)
4 years16.2 kg243 mg2.4 mL10 mLEvery 4–6 hours if needed (max 4 doses in 24 h)
5 years17.5 kg262.5 mg2.6 mL11 mLEvery 4–6 hours if needed (max 4 doses in 24 h)
6 years19 kg285 mg2.9 mL12 mLEvery 4–6 hours if needed (max 4 doses in 24 h)
8 years24.4 kg366 mg3.7 mL15.5 mLEvery 4–6 hours if needed (max 4 doses in 24 h)
10 years31.1 kg466.5 mg4.7 mL19.5 mLEvery 4–6 hours if needed (max 4 doses in 24 h)
12 years39.4 kg591 mg5.9 mL24.5 mLEvery 4–6 hours if needed (max 4 doses in 24 h)
Computed with the PediaRx dose engine from the regimen above; caps and age limits applied.

Strengths in the calculator

  • Oral drops 100 mg/mL (Oral)
  • Suspension 120 mg/5 mL (Oral)
  • Syrup 125 mg/5 mL (Oral)
  • Suspension 160 mg/5 mL (Oral) — Standard children's strength in the US and Canada.
  • Suspension 250 mg/5 mL (forte) (Oral)
  • Tablet 325 mg (Oral)
  • Tablet 500 mg (Oral)
  • Tablet 650 mg (Oral)
  • IV infusion 10 mg/mL (1 g/100 mL) (Intravenous)

Different strength on your bottle? Use “Different strength on the bottle?” under the result.

Safety

Contraindications and cautions

  • Severe hepatic impairment or active liver disease — avoid or reduce the dose.

Pregnancy and breastfeeding

Legacy FDA category B. Preferred analgesic and antipyretic in pregnancy at recommended doses. Use the lowest effective dose for the shortest time.

Compatible with breastfeeding.

Clinical notes

First-line antipyretic and analgesic. Treat discomfort rather than the number on the thermometer. Always ask about other paracetamol-containing products (cold and cough combinations) to avoid accidental overdose.

Adult and adolescent (≥40 kg) dose

500 mg–1 g — Every 4–6 hours if needed (max 4 g/day) (max 1 g per dose, 4 g per day).

Max 3 g/day if <50 kg, hepatic impairment, chronic alcohol use or malnutrition.

Other names and brands

Also known as Acetaminophen, PCM, APAP.

  • India: Calpol, Crocin, Dolo, Metacin
  • UK: Calpol
  • USA: Tylenol

Brand examples only — products and strengths vary by country. Always check the label.

Frequently asked questions

What is the paracetamol dose for children?

Fever or pain (oral): <1 month: 10–15 mg/kg/dose · every 6–8 hours if needed (max 4 doses in 24 h); ≥1 month: 10–15 mg/kg/dose · every 4–6 hours if needed (max 4 doses in 24 h) · max 1 g/dose, 4 g/day. Usual duration: As needed. Always use the child's measured weight and check the strength on the bottle.

How many mL of suspension 120 mg/5 mL for an 11.8 kg child?

For fever or pain (oral), an 11.8 kg child (about 2 years) needs 177 mg per dose — 7.4 mL of Suspension 120 mg/5 mL, every 4–6 hours if needed (max 4 doses in 24 h). Recalculate with the child's actual weight.

From what age can paracetamol be given?

Age range in PediaRx: Birth – adult. Each indication can have its own age and weight limits, shown with its regimen.

Is paracetamol safe in pregnancy?

Legacy FDA category B. Preferred analgesic and antipyretic in pregnancy at recommended doses. Use the lowest effective dose for the shortest time.

Sources and editorial process

  1. BNF for Children — Paracetamol — NICE / BMJ Group / Royal Pharmaceutical Society
  2. Pocket Book of Hospital Care for Children, 2nd edition (2013) — World Health Organization
  3. Paracetamol 10 mg/mL solution for infusion — Summary of Product Characteristics — electronic Medicines Compendium (UK)

Dosing data last updated 2026-09-27. PediaRx is built and maintained by (Medical Officer, Government of West Bengal, India — founder and developer of PediaRx). Every regimen is encoded with explicit units, maximum doses and age/weight limits and is checked by automated tests before publication. Report an error: hello@pediarx.com.

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Clinical disclaimer: reference tool for qualified health professionals. Verify every dose against current guidance and the product label before prescribing.

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