dr Sumidha Mittal
Pediatric Rheumatologist
Centre for Child Health, BLK Super Speciality Hospital
About Author

NSAIDs are generally good analgesic and antipyretic agents and have anti-inflammatory action as well. These include Aspirin, Ibuprofen, Naproxen, Mephenamic acid and Indomethacin. They should be used judicially after a conclusive diagnosis has been made, as they may mask the signs of inflammatory disorders. In situations where the diagnosis is in doubt, paracetamol may be preferred. Combination of paracetamol with NSAIDs should be avoided.


Naproxen is used in doses of 10-20 mg/kg/day in two divided doses. Naproxen is easily available as 250mg and 500mg tablets but syrup(125mg/5ml) is hard to get. Ibuprofen can be used in doses of 30-40mg/kg/day in 3-4 divided doses. Tablets are 200,400 and 600mg. Syrup is 100mg/5ml. In USA, Mefenamic acid is not approved for children below 14 years of age

Posted On: 29/12/2018

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