Fever juice for children: This is why paracetamol juice is so rare

Paracetamol liquid for children and for swallowing disorders

If children have a fever or have mild pain such as a headache, parents can give them paracetamol juice. A liquid sedative is also an option for patients with swallowing disorders. However, in recent weeks, pharmacists have often had to pass on liquid paracetamol: it is currently only available to a limited extent or not at all.

Fewer suppliers, higher demand

There are two reasons for supply throttling. According to the specialized magazine arznei-telegramm, today only two of the eleven providers that have been around for twelve years remain: Ratiopharm and Bene-Arzneimittel.

In addition, demand has increased in the short term: Ratofarm told test.de that due to the cold and flu epidemic at the end of 2021 and the beginning of 2022, the need for paracetamol juice increased: “We were not prepared for such a significant rise. Demand was Our production is able to respond because of the corresponding lead times, we cannot respond in a short time.”

Paracetamol suppositories for children over 3 kg

As long as parents do not get paracetamol juice, paracetamol suppositories can be an alternative, especially for young children. Dosage depends on the weight of the child: the lowest dose of 75 milligrams is suitable for short-term use against fever and mild pain in infants weighing 3 to 6 kilograms.

However, suppositories have one drawback: the effect can be uncertain because the drug does not completely enter the blood and its introduction can lead to bowel movements.

Importance: Babies under the age of three months should be given medication for pain and fever relief as directed by the doctor. Do not give paracetamol tablets to children who weigh less than 33 kg: they usually contain a lot of paracetamol. An overdose can lead to paracetamol poisoning.

Ibuprofen juice from the fourth month of life

In children from four months of age, fever and pain can be treated with ibuprofen instead of paracetamol. According to studies, ibuprofen works better and faster than paracetamol in children under the age of two. In terms of tolerability, there were no differences in the short-term use of the two components. Ibuprofen is available in liquid form as juice or syrup from different suppliers and in different doses.

advice: Check the leaflet which shows the dose in relation to your child’s weight. For a safe treatment, measure this accurately – using the measuring spoon or applicator syringe from the package. Exact dosing is not possible with large spoons or small spoons.

The sick child: finding appropriate means and arranging channels

  • Whether it’s a cold, cystitis or ADHD – in our book Medicines for Children you will find reviews from our experts on 1,000 preparations.
  • In our Drugs in Test database, you can read Stiftung Warentest’s ratings for more than 9,000 drugs – both young and old.
  • If you want to order medicines online, you will find ratings for eleven pharmacies that place an order by mail in our test of online pharmacies. Only one works fine.

Paracetamol juice should be available again soon

Ratiopharm plans to start shipping paracetamol solution again in the week of May 23, 2022. More merchandise will follow from the beginning of July and August. Smaller supplier Bene-Arzneimittel also wants to continue offering juice in the future and says it’s working well on it.

advice: If you give your child paracetamol, the fever-reducing effect will not start until a good hour later. Do not give another dose for at least six hours.

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