Knowing what to recommend, and when ͏͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ |
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This email is sent on behalf of Kenvue |
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 | Knowing what to recommend, and when |
NICE's Clinical Knowledge Summaries (CKS)1 and NHS2 offer recommendations for mild-to-moderate pain management in children. It is important to consider this guidance to help ensure that children receive the best care possible. - Paracetamol or ibuprofen alone is the first line recommendation
- If the child does not respond to the first-line treatment, check their adherence and that the appropriate dose is being taken. If appropriate, and if pain is still not being managed, switch to the other medicine.
- If the child has not responded sufficiently to the appropriate dose of either drug alone, alternating paracetamol and ibuprofen should be considered. However, they should not be taken at the same time. A dose of the second drug can be added 1-3 hours after the first drug, provided the parents/carers are confident to do this.
- If the child is still in pain or more than short courses of the medicines are required, the child should be referred.
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NOTE: It is important to remind parents that paracetamol is usually given every 4-6 hours and ibuprofen every 6-8 hours. Care must be taken not to exceed the maximum dose of each drug in a 24-hour period, which will depend on the child's age. A treatment diary may be useful if the parents/ carers find it difficult to remember which drug was last given and at what time. This can help reduce the risk of medication errors. |
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UK-CAL-2025-220423 | Date of preparation: September 2025 |
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