I notice the query mentions 160mg/5ml - this is the standard acetaminophen (Tylenol) concentration, NOT the standard ibuprofen concentration (which is 100mg/5ml in the US, or 200mg/5ml in some countries). Let me clarify this and provide the full calculation for both scenarios.
Important Clarification
160 mg/5 mL is the standard concentration for acetaminophen (Tylenol/paracetamol), NOT ibuprofen.
Standard ibuprofen oral suspension concentrations are:
- 100 mg/5 mL (most common in the US - Children's Motrin/Advil)
- 200 mg/5 mL (common in the UK/Europe)
If your bottle says 160 mg/5 mL and is labeled as ibuprofen, double-check the label carefully - you may have acetaminophen, not ibuprofen.
Ibuprofen Dose for a 10 kg Child
Standard ibuprofen dose: 10 mg/kg per dose (range: 5-10 mg/kg/dose)
| Calculation |
|---|
| Weight | 10 kg |
| Dose | 10 mg/kg x 10 kg = 100 mg per dose |
| Frequency | Every 6-8 hours as needed |
| Max daily dose | 40 mg/kg/day = 400 mg/day |
Volume to give based on concentration:
| Concentration | Volume for 100 mg dose |
|---|
| 100 mg/5 mL (US standard) | 5 mL |
| 200 mg/5 mL (UK/EU) | 2.5 mL |
| 50 mg/1.25 mL (infant drops) | 2.5 mL |
Acetaminophen Dose for a 10 kg Child (if 160 mg/5 mL)
If the bottle is acetaminophen 160 mg/5 mL:
| Calculation |
|---|
| Dose | 10-15 mg/kg x 10 kg = 100-150 mg per dose |
| Frequency | Every 4-6 hours as needed |
| Max daily dose | 75 mg/kg/day, not to exceed 3 g |
| Target dose | Volume |
|---|
| 100 mg | 3.1 mL |
| 120 mg (mid-range) | 3.75 mL |
| 150 mg | 4.7 mL (~5 mL) |
Key Safety Points
- Ibuprofen: do NOT use in children under 6 months (ongoing renal development)
- Always use the measuring syringe that comes with the medication - household teaspoons are inaccurate
- Do NOT alternate ibuprofen and acetaminophen routinely - it increases risk of dosing errors
- Give ibuprofen with food or milk to reduce stomach upset
- Always confirm the concentration on the label before calculating the dose
(Sources: Rosen's Emergency Medicine, Table 171.2; Medscape Pediatric Ibuprofen Oral Dosing)