If Calpol doesn’t control your child’s temperature, consult a healthcare professional for further evaluation and alternative treatment options.
When your child’s fever persists despite giving Calpol (paracetamol), it can be worrying. This guide explains when to seek medical help, alternative fever management techniques, and warning signs every parent should know.
Understanding Fever in Children
A normal body temperature for children ranges between 36-36.8°C. A fever is considered 38°C or higher. Most childhood fevers are caused by viral infections and resolve within 3-4 days. However, persistent high temperatures require careful monitoring.
How to Accurately Measure Temperature
Use a digital thermometer for reliable readings:
- Wait 30 minutes after eating/drinking
- Don’t measure right after bathing
- Check forehead, armpit or rectum (for infants)
When Calpol Isn’t Working
If your child’s temperature remains high 45-60 minutes after giving Calpol:
Step 1: Try Alternating Medications
Alternate between paracetamol (Calpol) and ibuprofen every 2-3 hours as directed by your pharmacist. Proper dosage is crucial based on your child’s weight.
Step 2: Comfort Measures
- Dress in light clothing (single layer)
- Offer cool fluids frequently
- Keep room temperature comfortable (18-20°C)
Avoid cold baths or sponging – this can cause shivering which raises temperature.
Warning Signs Requiring Immediate Attention
Seek urgent medical help if your child:
| Symptom | Action Required |
|---|---|
| Temperature over 39°C in infants 3-6 months | Call doctor immediately |
| Non-blanching rash | Emergency care needed |
| Difficulty breathing | Call 999 |
| Unresponsive or floppy | Emergency care needed |
When to Call a Doctor
Contact your GP or NHS 111 if:
- Fever lasts more than 3 days
- Your child refuses fluids
- They show signs of dehydration (dry mouth, no tears)
- You’re concerned about their condition
According to HSE guidelines, parents should trust their instincts when assessing a sick child.
Special Considerations
Children with Medical History
If your child has previous serious infections like sepsis, seek medical advice sooner rather than later. Document their temperature pattern and symptoms.
PFAPA Syndrome
Some children experience recurrent fevers (PFAPA) that don’t respond to medication. These typically follow a pattern and require specialist diagnosis.
Common Mistakes to Avoid
- Overdressing or underdressing your child
- Using aspirin (can cause Reye’s syndrome)
- Giving adult medications
- Delaying medical attention for high-risk children
The Netmums community emphasizes that eating and drinking are positive signs, but persistent high temperatures warrant medical review.
Monitoring Your Child
Keep a symptom diary tracking:
- Temperature readings and times
- Medication given and dosage
- Fluid intake
- Behavior changes
This information helps healthcare professionals assess your child’s condition more accurately.
