When you see a young child with a fever, what do you recommend that parents do? Give paracetamol alone, paracetamol and ibuprofen, or ibuprofen alone? This report of a high quality study of 156 children concludes that we should recommend ibuprofen alone.
- Dual therapy (ibuprofen plus paracetamol) reduced fever better than paracetamol alone in the first 24 hours
- But dual therapy was no better than ibuprofen alone in the first 24 hours
- Ibuprofen alone was best at making the child feel better in the first 48 hours
Source: Evidence-Bases Medicine 2009;14:174