Pain in children
Paediatric assessment and dosing by weight.
Prescription optionsSevere pain in a young child
For severe acute pain in a young or very young child, the KNMT recommends assessment in person. Deviation requires careful assessment and serious reasons.
Pain relief by age and weight
In mild to moderate acute nociceptive pain paracetamol in children is preferred. Base the dose on age, current weight and route of administration. If an NSAID is indicated, ibuprofen in children is an option within the product limits. Do not give ibuprofen in severe dehydration.
The NHG advises against the combination of paracetamol and ibuprofen in children . Check what has already been given.
Prescription options
Select one dosing aid based on the indication. Treat the calculated drafts as separate options.
ParacetamolDosing aid by age and weight
Use the paediatric dosing advice for paracetamol from the Kinderformularium. Check the indication, age, current weight, route and product strength.
Checks before prescribing
Include paracetamol from all products mee om dubbeldosering te voorkomen. Controleer bij drank de concentratie in mg/ml. Controleer de dosis opnieuw bij een wisseling tussen orale en rectale toediening.
For short-term, mild to moderate pain in children aged 3 months or older. The calculator uses the weight bands for the product shown. Seek individual advice when kidney or liver function, obesity or other patient factors require a different dose.
Draft prescription
- Per dose
- Frequency and interval
- Maximum per 24 hours
- Duration and quantity
IbuprofenDosing aid by age and weight
Use the paediatric dosing advice for ibuprofen from the Kinderformularium. Check the indication, age, current weight, route and product strength.
Checks before prescribing
Ernstige dehydratie is een contra-indicatie. Controleer vóór gebruik de vochtinname, nierfunctie en NSAID-overgevoeligheid.
For short-term, mild to moderate pain in children aged 3 months or older. The calculator uses the weight bands for the product shown. Seek individual advice when kidney or liver function, obesity or other patient factors require a different dose.
Draft prescription
- Per dose
- Frequency and interval
- Maximum per 24 hours
- Duration and quantity
Sources for this topic
Reference for dentists on acute dental pain and pain after treatment.
- KNMT · Opvang tandheelkundige spoedgevallen buiten reguliere openingstijden · Beoordeling van spoed · termijn bij nabloeding, pijn en kinderen
- Farmacotherapeutisch Kompas · Pijn · Advies en stappenplan bij acute nociceptieve pijn
- Kinderformularium · Paracetamol · Doseeradviezen per leeftijd, gewicht, indicatie en toedieningsweg
- Kinderformularium · Ibuprofen bij kinderen · Pijnbestrijding en ontstekingsremming · doseringen en waarschuwingen
- CBG · Nurofen voor Kinderen suikervrije suspensie 100 mg/5 ml · RVG 19838 · SmPC §4.1–4.4, gewichtsgrenzen, interval en gebruiksduur
- CBG · Paracetamol Sanias met aardbeiensmaak 24 mg/ml, drank · RVG 106712 · SmPC §4.1–4.4, gewichtsvoorbeelden en voorzorgen
- CBG · Ibuprofen Strides 200 mg, filmomhulde tabletten · RVG 124768 · SmPC §4.1–4.4, vanaf 12 jaar en 40 kg
- KNMG en betrokken beroepsverenigingen · Elektronisch voorschrijven · Artikelen 2 en 3 · medicatiebewaking
