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Pediatric Drugs

, Volume 19, Issue 4, pp 277–290 | Cite as

Efficacy and Safety of Ibuprofen in Infants Aged Between 3 and 6 Months

  • Victoria C. ZiesenitzEmail author
  • Andreas Zutter
  • Thomas O. Erb
  • Johannes N. van den Anker
Current Opinion

Abstract

Ibuprofen is a non-steroidal anti-inflammatory drug frequently administered to children of various ages for relief of fever and pain and is approved as an over-the-counter medication in many countries worldwide. Although there are extensive data on its efficacy and safety in children and adults, there are divergent dosing recommendations for analgesia and treatment of fever in infants, especially in the age group between 3 and 6 months of age. In this article, we have assessed the safety and efficacy of ibuprofen use in infants in an attempt to find the optimal method of pain and fever management in this specific age group. Based on the current evidence, short-term use of ibuprofen is considered safe in infants older than 3 months of age having a body weight above 5–6 kg when special attention is given to the hydration of the patient. Ibuprofen should be prescribed based on body weight using a dose of 5–10 mg/kg. This dose can be administered 3–4 times a day resulting in a maximum total daily dose of 30–40 mg/kg. The rectal route has been shown to be less reliable because of erratic absorption, especially in young infants. Since most efficacy and safety data have been derived from trials in infants with fever, future studies should focus on the efficacy of ibuprofen in young infants with pain.

Keywords

Ibuprofen Patent Ductus Arteriosus Young Infant Necrotizing Fasciitis Reporting Odds Ratio 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Compliance with Ethical Standards

Conflict of interest

All authors (VCZ, AZ, TOE, JNvdA) declare that they have no conflict of interest.

Funding

This work was supported by National Institutes of Health grants from the Eunice Shriver National Institute of Child Health and Human Development (5T32HD087969 & 5U54HD090254) to John van den Anker.

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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Division of Paediatric Pharmacology and PharmacometricsUniversity of Basel Children’s HospitalBaselSwitzerland
  2. 2.Department of Paediatric CardiologyUniversity Children’s HospitalHeidelbergGermany
  3. 3.Division of Paediatric AnaesthesiologyUniversity of Basel Children’s HospitalBaselSwitzerland
  4. 4.Division of Clinical PharmacologyChildren’s National Health SystemWashington, DCUSA

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