My 13-Month-Old's Fever Won't Go Down, Can I Keep Giving Fever Reducers?

Introduction

My 12-month-old has HFMD and was prescribed medication, but their fever remains between 38-39°C. I'm giving them fever reducers and alternating medications, but should I keep administering them as needed? How should I properly use fever reducers?

Fever Reducer Effectiveness

Fever reducers typically start lowering the fever within 30 minutes to 1 hour, with the full effect in about 2 hours. If the fever hasn't gone down after 3 hours, additional steps may be needed.

If the Fever Persists 3 Hours After Taking a Fever Reducer

Check Temperature: Accurately measure the temperature.

Cool with Water: Use lukewarm water to gently sponge down the body to reduce the fever.

Consult a Doctor: Seek medical advice, especially if the fever doesn't reduce within 3 hours.

Important Note: Do not give another dose of the same fever reducer within 3 hours. Most fever reducers should be taken 4-6 hours apart. Not following the recommended intervals can lead to adverse effects. 

Instead, follow these steps:

Consult a Doctor: Confirm the correct dosing intervals and ask about safely alternating fever reducers.

Hydration and Cooling: Continue to hydrate your child and use lukewarm sponging to help reduce the fever.

If the Fever Persists 5 Hours After Taking a Fever Reducer

Alternate Medication: Use an alternate fever reducer as per your doctor’s guidance.

Ensure Hydration: Keep your child well-hydrated to prevent dehydration.

Consider a Hospital Visit: If the fever remains high and your child appears lethargic or shows other severe symptoms, visit the hospital immediately.

References

• Mayo Clinic - Fever in children
• Healthline - Hand, Foot, and Mouth Disease