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1 May 2026Oral drugsSource update: October 2024

Paracetamol Oral: Dosing and Precautions

Paracetamol guidance for mild pain and fever with age-based dosing and overdose precautions.

Also searched as

Paracetamol oralAcetaminophen oralParacetamol

Source reviewed

October 2024

Guide category

Oral drugs

Safety boundary

Educational medicine information, not personal medical advice.

Kenza Health Hub presents this medicine page as structured health education. Check dose, route, interactions, pregnancy or breast-feeding considerations, and local protocol with a qualified clinician or pharmacist. Read our medical editorial policy.

This guide page is for structured reference only and does not replace a clinician, pharmacist, or emergency review. Dose choice, route choice, interactions, and safety decisions still need professional judgment.

Therapeutic action

  • Analgesic, antipyretic.

Indications

  • Mild pain.
  • Fever.

Forms and strengths

  • 100 mg and 500 mg tablets.
  • 100 mg dispersible tablet.
  • 120 mg/5 ml oral suspension.

Dose

  • Child under 1 month: 10 mg/kg 3 or 4 times daily, maximum 40 mg/kg daily.
  • Child 1 month and over: 15 mg/kg 3 or 4 times daily, maximum 60 mg/kg daily.
  • Adult: 1 g 3 or 4 times daily, maximum 4 g daily.

Duration

According to clinical response.

Contra-indications, adverse effects, precautions

Do not exceed indicated doses, especially in children and older patients. Paracetamol intoxications are severe and may cause hepatic cytolysis.

  • Administer with caution to patients with hepatic impairment.
  • Reduce the dose in children with severe acute malnutrition to 10 mg/kg up to 3 times maximum per 24 hours.
  • Reduce the dose in patients with dengue with warning signs: child 10 mg/kg 3 to 4 times daily; adult 500 mg 3 to 4 times daily.
  • Pregnancy: no contra-indication.
  • Breast-feeding: no contra-indication.

Source

MSF Essential drugs practical guidelines (January 2026)

This page combines source-derived medicine reference sections with Kenza editorial context, while leaving out the Storage and Remarks sections from the source batch.

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