Which option represents the correct maximum daily dose of paracetamol for a child, expressed as mg/kg per day?

Which option represents the correct maximum daily dose of paracetamol for a child, expressed as mg/kg per day?

• A. 30 mg/kg/day
• B. 60 mg/kg/day
• C. 90 mg/kg/day
• D. 120 mg/kg/day

Answer: (B)

Weight-based dosing is used for paracetamol in children to tailor the amount to their size and minimize the risk of liver injury. The maximum daily dose is 60 mg per kilogram of body weight per day. In practice this is given as 10-15 mg/kg per dose every 4-6 hours, with no more than four doses in 24 hours, which adds up to 60 mg/kg/day. For example, a child weighing 20 kg can safely receive up to 1,200 mg in a 24-hour period (60 mg/kg × 20 kg), divided as four doses of 300 mg each. Always check the product concentration, avoid exceeding the per-dose limit, and don’t use multiple acetaminophen-containing products at the same time. If symptoms persist beyond 48 hours or you’re unsure about dosing, seek medical advice.

Weight-based dosing is used for paracetamol in children to tailor the amount to their size and minimize the risk of liver injury. The maximum daily dose is 60 mg per kilogram of body weight per day. In practice this is given as 10-15 mg/kg per dose every 4-6 hours, with no more than four doses in 24 hours, which adds up to 60 mg/kg/day. For example, a child weighing 20 kg can safely receive up to 1,200 mg in a 24-hour period (60 mg/kg × 20 kg), divided as four doses of 300 mg each. Always check the product concentration, avoid exceeding the per-dose limit, and don’t use multiple acetaminophen-containing products at the same time. If symptoms persist beyond 48 hours or you’re unsure about dosing, seek medical advice.