When kids are sick, acetaminophen (Tylenol) and ibuprofen (Motrin or Advil) are two of the most common medications used to manage pain and fever. They’re usually effective, and many parents keep them on hand.
Sometimes, though, one dose isn’t enough, and that’s where the idea of alternating comes in. By alternating Tylenol and Motrin, you may be able to provide continuous relief.
This article provides a comprehensive guide to alternating Tylenol and Motrin dosages safely and effectively, including an alternate Tylenol and Motrin dosage chart.
Understanding Acetaminophen (Tylenol) and Ibuprofen (Motrin/Advil)
Both acetaminophen and ibuprofen can help reduce fever and relieve pain, but they work in slightly different ways.
Acetaminophen (Tylenol)
Scientists aren’t completely sure how acetaminophen works, but they believe it blocks the production of prostaglandins in the brain. Prostaglandins are compounds that cause fever and inflammation.
Acetaminophen is considered safe for children of all ages. The recommended dosage is 10 to 15 milligrams per kilogram of body weight, every 4 to 6 hours, with a maximum of 3000 mg in a 24-hour period.
Ibuprofen (Motrin/Advil)
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID). It reduces fever, pain, and inflammation by blocking the body’s production of prostaglandins.
Ibuprofen is considered safe for children 6 months and older. The recommended dosage is 5 to 10 mg per kg of body weight, every 6 to 8 hours, with a maximum of 2400 mg in a 24-hour period.
When and why to alternate Tylenol and Motrin
You might consider alternating Tylenol and Motrin if:
- You or your child has a high fever that won’t break
- You or your child feels significant pain that one medicine doesn’t relieve
The benefit of alternating is that you may be able to keep pain and fever under better control. It might also mean you don’t need as much medicine overall. Before you start alternating, though, it’s a good idea to talk to a doctor or other healthcare provider.
Creating an alternating dosage schedule
If your child’s doctor recommends alternating acetaminophen and ibuprofen to control fever or pain, it’s important to create a schedule and stick to it.
Establishing a schedule
One way to do this is to give acetaminophen, then three hours later give ibuprofen, then three hours after that give acetaminophen again, and so on.
The main thing is to wait at least three hours between doses of the two different medications.
It’s also a good idea to write down the dosages you give and the times you give them. This can help prevent accidental overdoses.
Important considerations
Remember, never give more than the maximum daily dose of either medication. For acetaminophen, that’s 3000 mg in 24 hours. For ibuprofen, it’s 2400 mg in 24 hours.
You may need to adjust the schedule based on your child’s symptoms and how they’re responding to the medication.
And, as always, it’s wise to consult with your doctor or pharmacist for specific guidance about your child’s dosages and schedule.
Safety Precautions
Here are some things to keep in mind when giving your child Tylenol, Motrin, or both:
- Use the right measuring tool. Always use the syringe or cup that came with the medication. Kitchen spoons and syringes aren’t accurate enough.
- Don’t give a double dose. Make sure you know when you last gave your child medicine.
- Watch for allergic reactions or overdose. If you see any signs of a problem, call your doctor.
- Keep medicine out of reach of children.
Of course, it’s always best to talk to your pediatrician or family doctor about medication questions.
In Closing
Alternating Tylenol and Motrin can be a useful strategy for managing pain and fever in children and adults. However, it’s essential to pay close attention to the dosage and timing of each medication.
Before you start alternating Tylenol and Motrin, be sure to talk with your doctor, pediatrician, or another qualified healthcare professional to get personalized advice.
Finally, remember that medication safety is paramount. Always store medications out of reach of children, and carefully read and follow all instructions.