The correct Paracetamol (Dolo) dose in children is 10–15 mg/kg/dose every 6–8 hours (maximum 60 mg/kg/day).
👉 At 13 years, average weight is ~40–45 kg → dose ~500–650 mg per dose.
Giving 2500 mg at once is 4–5 times the safe dose, which can be toxic to the
liver.
Action:
No more paracetamol should be given until reviewed by a doctor.
Monitor for nausea, vomiting, abdominal pain, yellow eyes (signs of liver injury).
If overdose suspected, go to nearest emergency / pediatrician immediately for evaluation.
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💊 For Vomiting
Safest commonly used medicine:
Ondansetron (Emset / Ondem) 4 mg orally disintegrating tablet — to be kept under the tongue, once if vomiting continues. Can be repeated after 8–12 hours if required.
Syrup form also available: Ondansetron syrup 2 mg/5 ml, dose = 0.15 mg/kg/dose. For a 40 kg child → ~6 mg → ~15 ml syrup.
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🩺 Supportive Care
Encourage small sips of ORS / clear fluids to prevent dehydration.
Light diet only (khichdi, curd rice, soup) — avoid chips, fried, spicy food.
Tepid sponging for fever if high.
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🚨 When to See a Doctor Urgently
Persistent vomiting, not able to keep fluids down.
Drowsiness, confusion, yellow eyes, abdominal pain (possible paracetamol toxicity).
Fever not controlled, seizure, or breathing difficulty.
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✅ Summary for parent:
The Dolo dose given was much higher than safe for a 13-year-old. Do not give more paracetamol now and get your child checked by a pediatrician urgently to rule out overdose. For vomiting, Ondansetron 4 mg (ODT or syrup) can be given once, along with plenty of fluids and light food.
Next Steps
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