Paracetamol is the most commonly prescribed medicine for young children to reduce a high temperature or for pain relief e.g. earache, toothache, muscle pain. Brand names include: Pamol, Panadol, and Paracare.

For young children, paracetamol comes in nice flavours as a liquid, but even slightly too much of it may be dangerous causing liver damage and cardiac abnormalities.

Ibuprofen can be used to relieve pain and inflammation. It can also be used to relieve cold and 'flu-like' symptoms however it can cause drowsiness and dizziness and may also be harmful in children who are dehydrated or have asthma. Brand names include: Fenpaed and Nurofen.

Should your child be attending childcare or any early childhood service here are the 4 things parents/guardians must know and do.


1. Hiding symptoms to ‘sneak’ your child into the ECE service is not a good idea

Don’t expect that your child can attend or remain at the early childhood service if sick.  

Early childhood services are duty bound to remind parents not to give their child painkiller medicine to hide an illness from the teachers or carers at the service. It is not safe or fair on the sick child if the child’s illness is hidden from the ECE service. It also places the health of other children and adults at the service at risk.

If the ECE service calls to ask you to pick up your unwell child do not suggest that they just give your child some Pamol or other painkiller because the service will say no without written authorisation (see point 4 below).


2. Consider the limitations of childcare when organising your work or other activities

Should your child become sick or be in pain during the day, you or someone authorised must be available immediately and with no notice to pick your child up.

A sick child cannot attend or remain at an early childhood service, and a sick child cannot return until well and/or is no longer contagious (sometimes weeks).

Check with your child’s early childhood service on its sick policy and how long children are required to stay away from the service for different illnesses and diseases.


3. Use painkiller medicine sparingly, with care, and consider alternatives

Painkiller medicine for children should be used sparingly.

It’s best not to give painkiller medicine unless it is prescribed by a doctor or medical professional and especially if your child is under 6 months of age – this is to ensure it is safe, appropriate for your child’s condition and that the dosage for your child’s age/weight is correct.

While you can combine both Bonjella and Pamol consult your pharmacist to ensure safe dosage levels of each for your child. Consider other forms of pain relief for teething e.g. cold teething rings and crushed apple in a muslin cloth can help.

Only give your baby paracetamol if three months or older and ibuprofen if six months or older. Don't give both together at the same time (unless this has been prescribed). Some medical practitioners advise saving ibuprofen until one hour after giving paracetamol and then only administer ibuprofen if paracetamol has not helped. Again, check the dosage information.

Ensure your child gets lots of rest, is able to rest (e.g. not disturbed by other children or noise), and has yourself or someone for company to cuddle and chat with.

If in doubt, for support, or for a second opinion talk with:

  • your child’s early childhood service,
  • your GP or local nurse
  • Healthline phone 0800 611 116.


4. Know the legal requirements early childhood services must follow when administering painkiller medicine

Medicine must not be given without the parent or guardian:

  • providing written authorisation on the use of the painkiller at the start of each day.
  • specifying what the symptom is that the child needs pain relief for, and
  • supplying the painkiller (e.g. Pamol).

Without this daily paperwork the ECE service cannot give the child painkiller medicine. Verbal authorisation can’t be accepted. An authorised adult needs to go to the ECE service to complete the paperwork. A service may be willing to accept authorisation via an email or txt message in exceptional circumstances (which then must be printed off and kept on file at the service).  You will need to sign and date this. 

However, early childhood services must obtain medical attention for a child who is sick or in pain when there is a delay in the child being picked up by his her parent/guardian. GO TO THE LEGAL REQUIREMENTS BY CLICKING HERE

Note that the authorisation requirements outlined above relate to medicine for pain and fever relief.  Parents can give authorisation at the start of enrolment for the administration of prescription medicines used for the on-going treatment of a pre-diagnosed condition e.g. asthma, epilepsy, allergic reaction, diabetes, eczema. READ THE LEGAL REQUIREMENTS HERE


Other relevant articles

Coughs, colds, and flu symptoms

First aid requirements in ECE services and reporting accidents and injuries to parents

An ECE service's responsibilities for caring for children who are sick, hurt, or soiled