Teething, vaccinations, an ear infection: there are many reasons your baby may be in pain, and seeing them uncomfortable is hard. Medicine can help, but babies need the right medicine at the right dose. Here is a clear guide to pain relief for babies: what is safe at each age, how to dose it and when comfort alone may be enough.
Quick answer: pain relief for babies
- Paracetamol (acetaminophen): from 2 months in many countries, or earlier only on medical advice.
- Ibuprofen: from 6 months (or above a minimum weight); give with milk or food.
- Dose by weight using the syringe provided, and keep a written record.
- Never give aspirin, or numbing gels with benzocaine, to babies.
When pain relief can help
- teething discomfort. See teething symptoms
- after vaccinations, if advised
- ear infections and sore throats
- fever that makes your baby miserable
- minor injuries
Dosing safely
- Weigh your baby or use their most recent weight.
- Check the strength of the medicine on the label.
- Follow the leaflet or your pharmacist’s advice for the dose and interval.
- Paracetamol: usually every 4 to 6 hours, maximum 4 doses in 24 hours.
- Ibuprofen: usually every 6 to 8 hours, maximum 3 doses in 24 hours.
- Do not combine products containing the same medicine.
See how to give baby medicine and acetaminophen vs ibuprofen.
Comfort without medicine
- cuddles, skin-to-skin and feeding
- a chilled teething ring for sore gums
- gentle rocking, white noise or a warm bath
- distraction with songs and play for older babies
Mistakes to avoid
- using a kitchen spoon instead of a syringe
- giving doses too close together
- using adult or child-strength medicine without checking the dose
- giving medicine to a baby under 3 months with a fever before speaking to a doctor
- using teething necklaces or homeopathic teething products
When to talk to your doctor
- pain that is severe, getting worse or not helped by medicine
- a baby under 3 months who seems unwell or has a fever
- you think too much medicine was given: get advice immediately
- rash, swelling or breathing difficulty after medicine: seek urgent help
- pain that lasts more than a few days
Frequently asked questions
Can I give pain relief before vaccinations?
Usually not needed beforehand. Follow your nurse’s advice for after the appointment.
How do I know my baby is in pain?
Look for a change in cry, pulling at a body part, poor feeding, poor sleep or being unusually still or irritable.
Are suppositories an option?
Paracetamol suppositories exist in some countries and can help if your baby is vomiting. Ask your pharmacist.
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Sources
- NHS: Paracetamol for children; Ibuprofen for children
- American Academy of Pediatrics, HealthyChildren.org: Pain Relief for Children
- U.S. FDA: Safely soothing teething pain
This guide is general information, not medical advice. Always check doses with your doctor or pharmacist.