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FDA Approves Children's Advil (ibuprofen) for Fever and Minor Aches in Children

FDA Approves Children's Advil (ibuprofen) for Fever and Minor Aches in Children
Photo by YY TEOH / Unsplash
Key Takeaway
Consider weight-based dosing for Children's Advil and be aware of NSAID risks including stomach bleeding and cardiovascular events.

The FDA has approved Children's Advil (ibuprofen) oral suspension for over-the-counter use in children to temporarily reduce fever and relieve minor aches and pains associated with the common cold, flu, sore throat, headaches, and toothaches. The approval, based on a decades-old application, provides a standardized dosing chart based on weight or age. Clinicians should note that the product is not intended for adult use and carries warnings about allergic reactions, stomach bleeding, and cardiovascular risks. The dosing cup provided must be used exclusively with this suspension to ensure accurate dosing.

Clinical Details (Mechanism · Dosing · Trial Data · Warnings)
Mechanism of Action

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting prostaglandin synthesis, reducing fever and pain.

Indication & Patient Population

Children's Advil is indicated for temporary reduction of fever and relief of minor aches and pains due to the common cold, flu, sore throat, headaches, and toothaches in children. It is not for adult use.

Dosing & Administration

Shake well before use. Use weight to dose if possible; otherwise use age. Repeat dose every 6-8 hours as needed, not more than 4 times a day. Measure only with the provided dosing cup. Dosing chart: under 24 lb (under 2 yr): ask a doctor; 24-35 lb (2-3 yr): 5 mL; 36-47 lb (4-5 yr): 7.5 mL; 48-59 lb (6-8 yr): 10 mL; 60-71 lb (9-10 yr): 12.5 mL; 72-95 lb (11 yr): 15 mL.

Key Clinical Trial Data

Trial data not available in label.

Warnings & Contraindications

Allergy alert: may cause severe allergic reaction (hives, facial swelling, asthma, shock, skin reddening, rash, blisters). Stomach bleeding warning: risk higher with history of ulcers, bleeding problems, anticoagulant/steroid use, other NSAIDs, or exceeding dose/duration. Heart attack and stroke warning: NSAIDs increase risk of heart attack, heart failure, stroke; can be fatal. Do not use if allergic to other pain relievers/fever reducers or before/after heart surgery. Ask a doctor before use if stomach bleeding warning applies, history of stomach problems, high blood pressure, heart disease, liver cirrhosis, kidney disease, asthma, stroke, dehydration, vomiting/diarrhea, or taking diuretic. Stop use and ask a doctor if signs of stomach bleeding (faint, vomit blood, bloody/black stools, stomach pain not improving), heart problems/stroke symptoms (chest pain, trouble breathing, weakness, slurred speech, leg swelling), no relief within 24 hours, fever/pain worsens or lasts >3 days, redness/swelling in painful area, or new symptoms appear.

Place in Therapy

Children's Advil is an over-the-counter option for fever and mild pain in children, with weight-based dosing. It should be used cautiously due to risks of stomach bleeding and cardiovascular events, especially with prolonged use or in children with certain medical conditions.

Study Details

Study typeFda approval
PublishedJun 1996
View Original Abstract ↓
USES temporarily: • reduces fever • relieves minor aches and pains due to the common cold, flu, sore throat, headaches and toothaches
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