Acetaminophen Dosage Table

Acetaminophen (Tylenol, etc. ) Dosage Table

Child's weight (pounds) 6-11 12-17 18-23 24-35 36-47 48-59 60-71 72-95 96+ lbs
Infant Drops 80 mg/0.8 ml 0.4 0.8 1.2 1.6 2.4 -- -- -- -- ml
Syrup: 160 mg/5 ml (1 tsp) 1.25 2.5 3.75 5 7.5 10 12.5 15 20 ml
Syrup: 160 mg/5 ml (1 tsp) -- ½ ¾ 1 2 3 4 tsp
Chewable 80 mg. tablets -- -- 2 3 4 5 6 8 tabs
Chewable 160 mg. tablets -- -- -- 1 2 3 4 tabs
Adult 325 mg. tablets -- -- -- -- -- 1 1 2 tabs
Adult 500 mg. tablets -- -- -- -- -- -- -- 1 1 tab

Indications: Treatment of fever and pain.

Table Notes:

  • CAUTION: In May, 2011, a move to one standard concentration (160 mg/5 ml) of liquid acetaminophen medicine for infants and children was announced. Up until this point, there have been mainly 2 concentrations: 80 mg/0.8 ml (Infant Concentrated Drops) and 160 mg/5 ml (Children's Liquid Suspension or Syrup). During this transition period, both old and new concentrations of infant acetaminophen may be available on store shelves and in your home. Before selecting a dose, please check your infant package carefully to find the concentration. Then select the dosage according to the correct concentration and child's weight.
  • AGE LIMIT: Don't use under 12 weeks of age unless directed by child's doctor. (Reason: Fever during the first 12 weeks of life needs to be documented in a medical setting and if present, your infant needs a complete evaluation).
  • EXCEPTION: Fever starting within 24 hours of immunization if child is 8 weeks of age or older. Avoid multi-ingredient products in children under 6 years of age (Reason: FDA recommendations 1/2008).
  • DOSAGE: Determine by finding child's weight in the top row of the dosage table.
  • MEASURING the DOSAGE: Syringes and droppers are more accurate than teaspoons. If possible, use the syringe or dropper that comes with the medicine. If not, medicine syringes are available at pharmacies. If you use a teaspoon, it should be a measuring spoon. Regular spoons are not reliable. Also, remember that 1 level teaspoon equals 5 ml and that ½ teaspoon equals 2.5 ml.
  • FREQUENCY: Repeat every 4-6 hours as needed. Don't give more than 5 times a day.
  • ADULT DOSAGE:  650 mg
  • BRAND NAMES: Tylenol, Feverall (suppositories), generic acetaminophen
  • MELTAWAYS:  Dissolvable tabs that come in 80 mg and 160 mg (jr. strength)
  • SUPPOSITORIES: Acetaminophen also comes in 80, 120, 325 and 650 mg suppositories (the rectal dose is the same as the dosage given by mouth).
  • EXTENDED-RELEASE: Avoid 650 mg oral products in children (Reason: they are every 8-hour extended-release)

Author and Senior Reviewer: Barton D. Schmitt, M.D.

Content Set: Pediatric HouseCalls Symptom Checker

Pediatric HouseCalls Symptom Checker

Is Your Child Sick?

Pediatric HouseCalls Symptom Checker is a parent guide for treating your child at home, calling your child's doctor or seeking immediate medical attention. Developed by Dr. Barton Schmitt, MD, FAAP, a board-certified pediatrician on staff at Children's Hospital Colorado. Dr. Schmitt has developed other health tools for parents, including the 3rd edition of Your Child’s Health (available in bookstores) and KidsDoc, a new iPhone and Android app for parents (available online).

Are You Sick?

David A Thompson, MD is the author of Adult HouseCalls Symptom Checker. He is a board-certified emergency medicine physician at Northwestern Memorial Hospital in Chicago. He has a national reputation in telephone triage, decision support tools, medical information technology and quality improvement. Adult HouseCalls Symptom Checker is a decision support tool for adults that has been reviewed and approved by adult physicians.

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