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Expert Pediatric Advice for Child Fever Treatment | Alternating Tylenol and Motrin

A parent is sitting on a couch, using a thermometer to check their child's temperature while gently placing their hand on the child's forehead. The child is lying down, holding a stuffed animal and looking unwell
Expert Pediatric Advice for Child Fever Treatment | Alternating Tylenol and Motrin
Understanding and Managing Your Child's Fever

Expert Tips for Parents

Learn How to Care for Your Child with Fever

Understanding Fever in Children

If your child has a fever, their body temperature is above normal. Normal body temperature in children ranges from 96.8°F to 100.4°F, depending on the time of day and whether the temperature is taken under the arm, by mouth, rectally, or in the ear. The body’s highest temperature usually occurs in the late afternoon or early evening. Fever is considered a temperature of 100.4°F or more rectally or 99.5°F or more orally.

This increase in body temperature is a normal response by the body to fight off an infection. Fever itself is rarely dangerous or harmful, even at high levels for several days. Because fever helps the body fight infection, you might even say it is healthy!

What Can I Do for a Child with Fever?

Although controlling the fever may make your child more comfortable, no treatment is needed if your child does not appear ill.

  • Give medicine for fever if your child feels uncomfortable. You can use acetaminophen (Tylenol) or ibuprofen (Motrin, Advil). Please see the back of this sheet for the correct dosing. For infants less than 6 months, check with the physician before giving any medication.
  • Because acetaminophen (Tylenol) and ibuprofen (Motrin, Advil) work differently, they can be alternated for more effective fever management. If your child still has a fever 3 hours after giving acetaminophen, you may then use ibuprofen. You can alternate the two medicines every three hours, but only up to 24 hours. This alternating schedule is for short-term use only.
  • Give the child additional fluids to prevent dehydration.
  • Remove extra clothes and blankets to help lower their body temperature.
  • Keep the child’s room at a comfortable temperature to aid in fever management.
  • Use only lukewarm water to sponge the child (if necessary). Never use cold water or alcohol!

How Often to Alternate Tylenol and Motrin for Child Fever

  • When managing your child’s fever, you can alternate Tylenol (acetaminophen) and Motrin (ibuprofen) every 3 hours if needed.
  • This alternating schedule should only be used for up to 24 hours without consulting your pediatrician.
  • Always follow proper dosing guidelines based on your child’s weight and age.

When to Call the Doctor for a Child’s Fever:

  • The infant is under 2 months old and has a rectal temperature of 100.4°F or higher.
  • The child is 2 to 6 months old and has a rectal temperature of 102°F or higher.
  • The child is 7 months to 2 years old and has a temperature of 104°F or higher.
  • The child has severe abdominal pain.
  • The child complains of a severe headache or stiff neck.
  • The child’s fever begins after prolonged sun exposure.
  • The child has a chronic medical problem associated with an increased risk of infection, such as diabetes, cystic fibrosis, sickle cell anemia, or an absent spleen.

Call the Doctor Immediately if:

  • The child is unusually sleepy, difficult to wake, and won’t interact normally.
  • The child has rapid, difficult, or labored breathing.
  • The child has a dark red or purple rash that doesn’t blanch or disappear briefly after you push on it.
  • The child has a convulsion.
  • The child is so irritable that they cannot be consoled or quieted.
  • The child is not drinking and has signs of dehydration, e.g., not urinating, dry mouth, and sunken eyes.

Frequently Asked Questions

Fever and Dehydration

Q: How can I prevent my child from becoming dehydrated when they have a fever?

A: Encourage your child to drink plenty of fluids, such as water, juice, or broth. Avoid sugary drinks, as they can worsen dehydration.

Q: What are the signs of dehydration in a child?

A: Signs of dehydration include decreased urine output, dry mouth, sunken eyes, and irritability. If you notice these symptoms, consult your pediatrician.

Fever and Seizures

Q: Can fever cause seizures in children?

A: In rare cases, high fevers can trigger seizures in children who are susceptible. This is known as febrile seizures.

Q: What should I do if my child has a febrile seizure?

A: If your child has a febrile seizure, stay calm and monitor their breathing. Call your pediatrician or emergency services if the seizure lasts longer than 5 minutes or if your child has multiple seizures.

Fever and Sleep

Q: Should I wake my child up to check their temperature during the night?

A: If your child is sleeping peacefully and doesn’t seem uncomfortable, it’s generally okay to let them sleep. However, if your child is acting unusually or seems very ill, you should wake them up to check their temperature.

Fever and Medications

Q: Can I give my child over-the-counter medications for fever if they have other medical conditions?

A: If your child has underlying medical conditions, it’s important to consult with your pediatrician before giving them any medications, including over-the-counter ones.

Q: How often can I alternate Tylenol and Motrin for my child’s fever?

A: You can alternate Tylenol and Motrin every 3 hours, but only for up to 24 hours without medical advice.

Q: Is it safe to give my child both Tylenol and Motrin?

A: When used correctly, alternating Tylenol and Motrin can be safe and effective for short-term fever management. However, always follow dosing instructions and consult your pediatrician, especially for infants under 6 months.

Fever and Home Remedies

Q: Are there any home remedies that can help lower my child’s fever?

A: While home remedies like cool baths or sponging can provide temporary relief, it’s essential to consult with your pediatrician for proper guidance and to ensure your child is receiving appropriate medical care.

Why Choose Monadnock Community Hospital’s Pediatrics Department?

Your child’s health is our top priority. At Monadnock Community Hospital, we offer expert, compassionate pediatric care from birth to adolescence. Our dedicated team of board-certified pediatricians and nurses provides comprehensive services. We believe in partnering with families to create personalized care plans and foster a healthy start in life. With a rich history of serving our community, we’re committed to providing accessible, high-quality care in a warm and welcoming environment. As a not-for-profit hospital serving families since 1923, you can trust us to deliver the highest standard of care in a safe, nurturing environment. Join us in supporting your child’s health and happiness.

Monadnock Regional Pediatrics