How to reduce fever in children

Initial treatment with ibuprofen followed by a combination of ibuprofen and paracetamol is the most effective way to reduce fever in children, a UK study shows.

NICE recommends either paracetamol or ibuprofen should be used to reduce fever in children, but not both.

But a study of 156 children found that those treated with paracetamol and ibuprofen had 4.4 fewer hours with fever over a 24-hour period than those given paracetamol alone, and 2.5 fewer hours than with ibuprofen alone.

It also showed that those ini-tially treated with ibuprofen alone had 55 fewer minutes with fever over the first four hours than with paracetamol alone.

  • BMJ 2008; 337: a1302

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