Further advice for parents
Remember that even though childhood illnesses are common, they can be worrying, and you have an important role to play in reassuring parents and carers when talking to them in the pharmacy.
Parents/carers may want advice on how to give the medicine. It is important to make sure they know what the correct dose is for the child's age and weight and how they can give the medicine appropriately.
Advice
They should make notes of the times and amount of medicine given and take care not to give medicines containing the same active ingredients
Advise them to shake the bottle of paracetamol suspension for at least 10 seconds, and measure the dose using a medicine spoon or syringe1
Ibuprofen is best given with or just after a meal/milk to prevent any stomach upset2
If a child is given 2 extra doses of paracetamol/ibuprofen or more, the parent should contact 111 as the child may need treatment1,2
The child can be given a drink of milk or juice afterwards to take away any taste if they don't like the flavour1,2
If using an oral syringe to give the medicine, advise them to aim the syringe at the area between the gums and the inside of the cheek and release the medicine (don't squirt it down the back of the throat)11
Questions to consider
As well as checking the medicine is appropriate for the child and that there are no symptoms that should be referred, there are other considerations that can help you to recommend the right product:
Parents who are concerned about the impact of sugar on their child’s teeth may want a sugar-free variant.
Colours in medicines may cause staining on clothes. Colour-free options are available.
There are different pack sizes of medicines. If someone has purchased a GSL pack previously, they may not realise that there are larger P medicine pack sizes available.
References
1. NHS UK Paracetamol for children https://www.nhs.uk/medicines/paracetamol-for-children
2. NHS UK Ibuprofen for children https://www.nhs.uk/medicines/ibuprofen-for-children
3. NHS UK Earache https://www.nhs.uk/conditions/earache
4. NHS UK Ear infections https://www.nhs.uk/conditions/ear-infections
5. NHS UK Baby teething symptoms https://www.nhs.uk/conditions/baby/babys-development/teething/baby-teething-symptoms
6. NHS UK Colds, coughs and ear infections in children https://www.nhs.uk/conditions/baby/health/colds-coughs-and-ear-infections-in-children
7. NHS UK Whooping cough https://www.nhs.uk/conditions/whooping-cough/
8. NHS High temperature (fever) in children https://www.nhs.uk/conditions/fever-in-children
9. NICE Clinical Knowledge Summary Feverish children – management last revised Aug 2022 https://cks.nice.org.uk/topics/feverish-children-management
10. GOSH How to give your child liquid medicine using an oral syringe https://www.gosh.nhs.uk/conditions-and-treatments/medicines-information/how-give-your-child-liquid-medicines-using-oral-syringe-video-podcast
11. GOSH How to give your child liquid medicine using an oral syringe https://www.gosh.nhs.uk/conditions-and-treatments/medicines-information/how-give-your-child-liquid-medicines/
Online references last accessed August 2024
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