Quantcast

Pediatric ibuprofen

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

pedidoc

Junior Member
10+ Year Member
5+ Year Member
Joined
Dec 9, 2005
Messages
30
Reaction score
0
In pediatrics, we don't use it in kids that age. Something to do with the relative immaturity of the kidney (they don't work so well in infants). Big taboo in our residency.
 

roja

Full Member
7+ Year Member
15+ Year Member
Joined
Oct 20, 2003
Messages
6,040
Reaction score
21
Nope. Tylenol until 6months, then ibuprofen
 

waterski232002

Senior Member
10+ Year Member
5+ Year Member
Joined
Sep 5, 2004
Messages
847
Reaction score
1
I was always taught the same thing... no ibuprofen < 6 months. Assumed it was b/c of renal toxicity, but have never seen any literature to support it. Then again, I never really looked.

On a different note... Do you guys tell parents it's okay to give tylenol to children under 3 months old? I don't because I want the family to vigilant about checking for temps > 100.4 so that they return to the ER for a septic workup if the infant spikes a temp.
 

Seaglass

Quantum Member
15+ Year Member
Joined
Jul 25, 2003
Messages
1,614
Reaction score
6
I generally don't but there's no good literature to support it. In one of the peds fever papers they looked at all infants who got ibuprofen - there was a not-statistically significant trend towards hospital admission, very few cases of renal failure.
 

NateintheED

Full Member
10+ Year Member
5+ Year Member
Joined
Jul 25, 2006
Messages
91
Reaction score
1
Good timing. I was talking with one of our peds EM guys about this today. He was under the impression that there is actually a black box warning about ibuprofen in kids < 6mo. A thorough search of the FDA website, though, came up empty. All the other studies I looked at on a lit search today either mentioned a non-statistically significant number of complications or only included kids > 6 mo. Definitely still safer not to use it in those little ones, from what I've read.
 

waterski232002

Senior Member
10+ Year Member
5+ Year Member
Joined
Sep 5, 2004
Messages
847
Reaction score
1
I also did a search for peds ibuprofen < 6mo and I couldn't find anything strong to support it's exclusion.... hmmmm
 
Top