Should children take medication when they have a fever?

Sep 04, 2025 Source: Cainiu Health

Dr. Zhou Xiaofeng

Introduction

In general, whether a child with fever needs medication should be determined based on body temperature and mental status. If the body temperature is below 38.5°C and the child's mental state is good, medication is usually not necessary. However, if the temperature exceeds 38.5°C, or if the temperature hasn't reached this level but the child appears lethargic or irritable, children's specific fever-reducing medication should be administered.

Generally, whether a child needs medication when having a fever should be determined based on body temperature and mental status. If the body temperature is below 38.5°C and the child is in good spirits, medication is usually unnecessary. However, if the temperature exceeds 38.5°C, or if the temperature hasn't reached this level but the child appears listless or irritable, it is necessary to administer fever-reducing medicine specifically formulated for children. Detailed explanation is as follows:

When a child's fever is below 38.5°C and the child can still play, eat, and sleep normally, this indicates the general condition is acceptable and there is no urgent need for medication. At this time, physical cooling methods can be used to relieve the fever, such as wiping the forehead, neck, and armpits with warm water to help dissipate heat.

If a child's fever exceeds 38.5°C, or even if the temperature is slightly lower but symptoms such as poor spirits, persistent crying, or refusal to eat occur, to avoid the negative effects of prolonged fever on the body, it is necessary to promptly administer fever-reducing medicine designed for children. When administering medication, the dosage must strictly follow the child's age and weight, adhering to the instructions provided with the medicine to avoid overdose.

During a child's fever, daily care should focus on maintaining indoor ventilation and an appropriate temperature and humidity level. Avoid overdressing the child, which can hinder heat dissipation. For diet, choose bland and easily digestible foods, such as porridge or soft noodles, to ensure adequate nutrition intake.

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