Syp Ibugesic Plus - Composition

• Ibuprofen 100 mg
• Paracetamol 162.5 mg

Dose Calculation for 19.4 kg, 5-year-old

Ibuprofen component (100 mg / 5 mL)

• Standard dose: 5-10 mg/kg/dose
• For 19.4 kg: 97 mg - 194 mg per dose
• Practical dose: 150 mg (7.5 mL) - this gives ~7.7 mg/kg, well within range

Paracetamol component (162.5 mg / 5 mL)

• Standard dose: 10-15 mg/kg/dose
• For 19.4 kg: 194 mg - 291 mg per dose
• At 7.5 mL: 243.75 mg (~12.6 mg/kg) - within safe range

Recommended Dose

Key Safety Points

• Give with or after food to reduce GI upset
• Do not exceed 40 mg/kg/day of ibuprofen (maximum ~776 mg/day for this child)
• Do not exceed 60 mg/kg/day of paracetamol
• Avoid if the child has renal impairment, active GI issues, or dehydration (ibuprofen risk)
• If fever persists >3 days or pain >7 days, reassess
• Do not combine with other paracetamol-containing products (risk of paracetamol toxicity)

Summary: Give 7.5 mL of Syp Ibugesic Plus every 6-8 hours (max 4 times/day) for this 19.4 kg, 5-year-old. This provides ~7.7 mg/kg ibuprofen and ~12.5 mg/kg paracetamol per dose - both within standard therapeutic ranges. (Medscape Pediatric Ibuprofen Dosing)