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Paracetamol 250mg/5ml Oral Suspension Sugar Free - 200ml

Paracetamol 250mg/5ml Oral Suspension Sugar Free - 200ml

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  • ✔️ Relieves fever and mild to moderate pain in children
  • ✔️ Sugar-free formula suitable for children with diabetes
  • ✔️ 250mg per 5ml for accurate, age-appropriate dosing
  • ✔️ Begins working within 30 to 60 minutes of administration
  • ✔️ Gentle on the stomach — no significant gastrointestinal irritation

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What Is Paracetamol Suspension for Children?

 

When your child has a fever or is in pain, you want something that works — and works safely. Paracetamol suspension for children is one of the most widely used and well-established medicines for managing mild to moderate pain and high temperature in children aged 6 years and over. This 200ml sugar-free oral suspension contains 250mg of paracetamol per 5ml, making it straightforward to measure an accurate dose every time. It's free from sugar, which matters if your child has diabetes or you simply want to protect their teeth.

Paracetamol has been used safely in children for decades and is recommended by the NHS as a first-line option for childhood fever and pain relief. Whether it's a post-vaccination temperature, a sore throat, earache, or a headache, this suspension offers a gentle yet effective option. You can also browse our Baby and Toddler collection for other products suited to younger children's health needs.

 

How Does Paracetamol Oral Suspension Work?

 

Paracetamol's mechanism of action is well understood. It works centrally in the brain and spinal cord to reduce the perception of pain and lower an elevated body temperature. Here's a simplified breakdown of how it works:

  • Inhibits the enzyme cyclooxygenase (COX) in the central nervous system, reducing prostaglandin synthesis
  • Prostaglandins are chemicals that sensitise nerve endings to pain and signal the hypothalamus to raise body temperature
  • By reducing prostaglandin levels, paracetamol lowers fever (antipyretic effect) and reduces pain signals (analgesic effect)
  • Unlike ibuprofen, it does not significantly inhibit peripheral COX enzymes, so it causes minimal stomach irritation

The liquid formulation means it's absorbed quickly through the gastrointestinal tract, typically beginning to work within 30 to 60 minutes of administration.

 

Who Should Use This Paracetamol Suspension?

 

This suspension is specifically formulated for children aged 6 years and over. It's particularly useful for children who struggle to swallow tablets or capsules. It's also a practical choice for parents who need a reliable, easy-to-dose liquid medicine at home.

  • Children aged 6 to 12 years with mild to moderate pain or fever
  • Children with diabetes or those who need a sugar-free formulation
  • Children recovering from vaccinations who develop a post-immunisation fever
  • Children with sore throats, earache, headaches, or teething discomfort (in appropriate age groups)

It is not suitable for children under 6 years at this concentration — a lower-strength formulation (120mg/5ml) is available for younger children. Always check the age and weight guidance before administering.

 

How Does This Suspension Compare to Other Children's Pain Relievers?

 

Feature Paracetamol 250mg/5ml Suspension Ibuprofen 100mg/5ml Suspension
Active ingredient Paracetamol Ibuprofen
Suitable for asthma Generally yes (check with pharmacist) Caution — may worsen asthma
Stomach irritation risk Low Moderate — take with food
Sugar-free option Yes (this product) Available in some brands
Age suitability (this strength) 6 years and over 3 months and over (lower dose)

 

How Should You Store This Suspension and Is It Clinically Suitable?

 

This paracetamol suspension for children should be stored below 25°C, away from direct sunlight and heat. Do not refrigerate it — cold temperatures can affect the consistency of the suspension. Once opened, use within the period stated on the label (typically 28 days). Always keep it out of the reach and sight of children, even though it is a children's medicine. If you're managing other aspects of your child's health, our Cold and Flu collection includes additional products that may help during illness.

Clinically, this suspension is appropriate for children who have no known hypersensitivity to paracetamol and no severe hepatic impairment. Children with liver or kidney conditions should only use this medicine under medical supervision. Always read the label and patient information leaflet before use.

This product is a medicine. Speak to your doctor or pharmacist before using if you have an underlying medical condition or are taking other medicines.

Paracetamol 250mg/5ml Oral Suspension Sugar Free 200ml specifications
Treatment category Fever and mild to moderate pain relief
Mechanism of action Central COX inhibition reducing prostaglandin synthesis
Effective for Fever, headache, sore throat, earache, post-vaccination temperature
Suitable for Children aged 6 years and over
Active ingredient Paracetamol 250mg per 5ml
Pack size 200ml
Strength 250mg/5ml
UK classification General Sale List (GSL)
Drug class Analgesic / Antipyretic
Preparation Oral suspension (sugar-free)
Route of administration Oral

Specifications of Paracetamol 250mg/5ml Oral Suspension Sugar Free 200ml

 

What Is Paracetamol 250mg/5ml Suspension and What Is It Used For?

 

Paracetamol 250mg/5ml Oral Suspension Sugar Free is a liquid medicine used to relieve mild to moderate pain and reduce fever in children aged 6 years and over. Each 5ml dose contains 250mg of paracetamol as the active ingredient. The suspension is sugar-free, making it suitable for children with diabetes or those following a low-sugar diet. It is classified as a General Sale List (GSL) medicine in the UK, meaning it can be purchased without a prescription.

Common uses include relief of fever associated with colds, flu, and post-vaccination reactions, as well as pain from headaches, sore throats, toothache, and earache. The NHS recommends paracetamol as a first-line treatment for childhood fever and pain when used at the correct dose for the child's age and weight.

 

What Do You Need to Know Before Using This Suspension?

 

Before giving this medicine to your child, read the following carefully. There are situations where this suspension should not be used, or where extra caution is needed.

Do not use this suspension if your child:

  • Is allergic to paracetamol or any other ingredient in the suspension
  • Is under 6 years of age (a lower-strength formulation is required)
  • Has severe liver disease or severe kidney impairment
  • Is already taking another medicine containing paracetamol

Use with caution and speak to a pharmacist or doctor if your child:

  • Has liver or kidney problems
  • Is malnourished or has a low body weight
  • Is taking other prescribed medicines regularly

Known drug interactions to be aware of:

  • Warfarin — regular use of paracetamol may enhance the anticoagulant effect
  • Other paracetamol-containing products — concurrent use increases overdose risk
  • Metoclopramide and domperidone — may increase the rate of paracetamol absorption
  • Cholestyramine — may reduce paracetamol absorption if taken within one hour

 

How Should You Give This Suspension to Your Child?

 

Always follow the dosage instructions on the label or in the patient information leaflet. Use the oral syringe or measuring device provided — never use a household teaspoon, as this can lead to inaccurate dosing.

  1. Shake the bottle well before each use
  2. Check your child's age and weight against the dosage table below
  3. Measure the correct dose using the oral syringe or measuring spoon provided
  4. Give the suspension by mouth — it can be swallowed directly or mixed with a small amount of water
  5. Record the time of each dose to avoid accidental double-dosing
  6. Wait at least 4 hours before giving the next dose
  7. Do not give more than 4 doses in any 24-hour period
Age Group Dose (ml) Dose (mg) Frequency
6–8 years 5ml 250mg Every 4–6 hours (max 4 doses/24 hrs)
8–10 years 7.5ml 375mg Every 4–6 hours (max 4 doses/24 hrs)
10–12 years 10ml 500mg Every 4–6 hours (max 4 doses/24 hrs)

If your child's symptoms persist for more than 3 days, or if their fever is very high or worsening, seek medical advice. You may also find our Pain Relief collection helpful for other age-appropriate options.

 

What Are the Possible Side Effects of This Suspension?

 

Paracetamol is generally very well tolerated when used at the correct dose. Side effects are uncommon, but it's important to know what to look out for.

Common side effects (may affect up to 1 in 10 children):

  • Nausea (feeling sick)
  • Stomach discomfort

Less common or rare side effects:

  • Skin rash or itching — stop use and seek medical advice
  • Allergic reactions including swelling of the face, lips, or throat — seek emergency help immediately
  • Blood disorders (very rare — such as thrombocytopenia or agranulocytosis)
  • Liver damage — only if the recommended dose is exceeded

If you notice any side effect not listed here, or if you are concerned about your child's reaction to this medicine, contact your pharmacist or GP promptly.

 

How Should You Store This Suspension?

 

Correct storage helps maintain the medicine's effectiveness and safety throughout its shelf life.

  • Store below 25°C in a cool, dry place
  • Do not refrigerate or freeze
  • Keep away from direct sunlight and heat sources
  • Once opened, use within 28 days and discard any remaining suspension after this period
  • Keep the bottle tightly closed when not in use
  • Store out of the reach and sight of children
  • Do not use after the expiry date printed on the label
  • Do not dispose of medicines via wastewater or household waste — return unused medicine to your pharmacist

If you're looking for other health essentials to keep at home, our First Aid collection has a range of products to help you be prepared for common childhood ailments.

Written and reviewed by our qualified team

Your safety and success are our highest priorities. Our medical team rigorously evaluates every product and piece of advice we provide, ensuring you receive only the most effective, science-backed solutions available.

Frequently Asked Questions

Where can I buy paracetamol suspension for children online in the UK?

You can order Paracetamol 250mg/5ml Oral Suspension Sugar Free 200ml directly from Cured Pharmacy, a GPhC-registered UK online pharmacy. It is available without a prescription as an over-the-counter medicine. Simply add it to your basket and it will be dispatched to your door.

How does paracetamol suspension work in the body?

Paracetamol works by inhibiting the production of prostaglandins in the central nervous system — chemicals responsible for signalling pain and raising body temperature. This dual action makes it both an analgesic (pain reliever) and an antipyretic (fever reducer). It does not significantly irritate the stomach lining, unlike some anti-inflammatory medicines.

How do I give paracetamol oral suspension to my child step by step?

Shake the bottle well before each use, then measure the correct dose using the oral syringe or measuring spoon provided — never a household teaspoon. Give the suspension by mouth and record the time of each dose to avoid accidental repeat dosing. Always wait at least 4 hours between doses and give no more than 4 doses in 24 hours.

What is the correct dose of paracetamol 250mg/5ml for my child?

The dose depends on your child's age: children aged 6–8 years take 5ml (250mg), children aged 8–10 years take 7.5ml (375mg), and children aged 10–12 years take 10ml (500mg). Each dose can be repeated every 4 to 6 hours, up to a maximum of 4 doses in any 24-hour period. Always check the packaging for the most up-to-date dosage guidance.

What are the side effects of children's paracetamol liquid?

Side effects are uncommon when paracetamol is used at the correct dose. Occasionally, children may experience nausea or mild stomach discomfort. Rarely, allergic reactions such as a skin rash or facial swelling can occur — if this happens, stop the medicine and seek medical advice immediately.

How do I manage side effects of paracetamol suspension in children?

Most side effects are mild and resolve on their own once the medicine is stopped or the dose is corrected. If your child develops a rash, swelling, or difficulty breathing, seek emergency medical help straight away. For general concerns about side effects, speak to your pharmacist or GP before continuing use.

Who is eligible to use paracetamol 250mg/5ml oral suspension?

This suspension is suitable for children aged 6 years and over who need relief from mild to moderate pain or fever. It is particularly well suited to children with diabetes, as it is sugar-free. Children under 6 years require a lower-strength formulation (120mg/5ml), and this product should not be used in that age group.

What happens if my child accidentally takes too much paracetamol suspension?

A paracetamol overdose is a medical emergency, even if your child appears well initially, because liver damage may not become apparent for several days. Go to your nearest A&E department immediately or call 999. Do not wait for symptoms to develop before seeking help.

Is sugar-free paracetamol suspension suitable for children with diabetes?

Yes, this formulation is specifically sugar-free, meaning it does not contain sucrose or glucose, making it a suitable choice for children with diabetes or those managing their sugar intake. Always check the full list of excipients on the label if your child has specific dietary requirements or allergies.

Can I give this paracetamol suspension alongside ibuprofen?

Paracetamol and ibuprofen can sometimes be used together or alternated for fever management in children, but this should only be done on the advice of a healthcare professional. Never give both medicines at the same time without guidance. If your child's fever is not responding to one medicine, speak to your GP or pharmacist before switching or combining.

Can I give this suspension with other medicines my child is taking?

Do not give this suspension alongside any other product containing paracetamol, including cold and flu remedies, as this significantly increases the risk of overdose. If your child is taking prescribed medicines such as warfarin or metoclopramide, speak to your pharmacist first. You can browse our Cold and Flu collection for compatible products.

What are the alternatives to paracetamol suspension for children?

The main alternative for children's fever and pain relief is ibuprofen oral suspension (100mg/5ml), which is suitable from 3 months of age and above a minimum weight threshold. Ibuprofen has anti-inflammatory properties that paracetamol lacks, but it is not suitable for all children — particularly those with asthma or stomach problems. Speak to your pharmacist about which option is most appropriate for your child.

How long can my child take paracetamol suspension for?

For fever, the NHS advises seeking medical advice if your child's temperature does not improve after 3 days of treatment. For pain, if symptoms persist beyond 3 days without improvement, consult your GP. Paracetamol suspension is intended for short-term use only and should not be given continuously without medical supervision.

What is the best time to give paracetamol suspension to a child with fever?

There is no single "best" time — doses should be given when your child is clearly uncomfortable or distressed by their fever or pain, rather than on a strict schedule. Space doses at least 4 hours apart and avoid waking a sleeping child solely to give a dose unless advised by a healthcare professional. Keeping a note of each dose time helps prevent accidental double-dosing.

What does the latest research say about paracetamol use in children?

Current clinical guidance from the NHS and NICE continues to support paracetamol as a safe and effective first-line option for mild to moderate pain and fever in children when used at the correct dose. Research consistently shows that paracetamol is well tolerated in children and carries a low risk of side effects at therapeutic doses. Parents are encouraged to use the lowest effective dose for the shortest necessary duration. You can also explore our Vitamins and Supplements collection to support your child's general wellbeing.

How Should You Use Paracetamol 250mg/5ml Oral Suspension?

Always read the patient information leaflet before giving this suspension to your child. Use only the oral syringe or measuring spoon provided with the bottle — household teaspoons vary in size and can lead to inaccurate dosing, which is a common cause of accidental under- or over-dosing in children.

Follow these steps each time you give a dose:

What Is the Correct Dose of Paracetamol 250mg/5ml Suspension?

The correct dose is determined by your child's age. Do not exceed the maximum dose for your child's age group, and always leave at least 4 hours between doses. No more than 4 doses should be given in any 24-hour period.

When Is the Best Time to Use Paracetamol Suspension?

Give this suspension when your child is clearly uncomfortable — for example, when they are distressed by a high temperature, in pain from a sore throat, or unsettled due to earache. There is no fixed time of day that is clinically superior; the priority is spacing doses correctly and not exceeding the daily maximum.

Avoid waking a sleeping child solely to administer a dose unless a healthcare professional has specifically advised you to do so. If your child's fever spikes at night, it is safe to give a dose at that time provided the previous dose was at least 4 hours ago.

How Long Can You Use Paracetamol Suspension For?

This suspension is intended for short-term use only. If your child's fever has not improved after 3 days, or if their pain is not responding after 3 days of treatment, stop using the medicine and consult your GP. Do not give this medicine continuously or for extended periods without medical supervision.

If symptoms worsen at any point — for example, if your child develops a rash, becomes very drowsy, or their temperature rises significantly — seek medical advice promptly rather than continuing to treat at home.

Do not exceed the recommended dose. If in doubt, speak to your pharmacist.

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I was able to buy a larger bottle than I get in the vets, at a better price, soThank you.

What Are the Most Common Side Effects of Paracetamol Suspension?

Paracetamol is one of the most widely used medicines in the UK and is generally very well tolerated in children when given at the correct dose. Common side effects are rare but can include:

  • Nausea (feeling sick)
  • Mild stomach discomfort or abdominal pain

These effects are usually mild and short-lived. If your child feels sick after taking the suspension, try giving it with a small amount of food or water, though this is not always necessary.

What Are the Less Common Side Effects of Paracetamol Suspension?

Less common side effects occur in a small number of children and may require you to stop the medicine and seek advice. These include:

  • Skin rash or itching (urticaria)
  • Redness or flushing of the skin
  • Headache
  • Low blood pressure (hypotension) — very rare at standard doses

If your child develops a skin rash or any unusual reaction after taking this suspension, stop giving it and contact your pharmacist or GP for guidance before resuming.

What Are the Serious Side Effects of Paracetamol Suspension?

Serious side effects from paracetamol are almost exclusively associated with overdose rather than correct therapeutic use. However, it is important to be aware of them. Seek emergency medical help immediately if your child experiences:

  • Swelling of the face, lips, tongue, or throat (angioedema)
  • Difficulty breathing or wheezing
  • Severe skin reactions such as blistering or peeling
  • Signs of liver damage — yellowing of the skin or eyes (jaundice), dark urine, or severe abdominal pain (typically associated with overdose)
  • Blood disorders — unusual bruising or bleeding (very rare)

Liver damage from paracetamol is almost always the result of exceeding the recommended dose. This is why it is critical never to give more than 4 doses in 24 hours and never to combine this suspension with other paracetamol-containing products.

What Should You Do If Your Child Experiences Side Effects?

For mild side effects such as nausea, monitor your child and ensure they are well hydrated. If the side effect is troubling or persistent, stop the medicine and speak to your pharmacist before giving another dose. For any sign of an allergic reaction — rash, swelling, or breathing difficulty — call 999 or go to A&E immediately. If you suspect an overdose, do not wait for symptoms; seek emergency help straight away.

You can report suspected side effects of any medicine in the UK through the MHRA Yellow Card scheme at yellowcard.mhra.gov.uk.

Can Paracetamol Suspension Interact With Other Medicines?

Yes, paracetamol can interact with certain medicines. The most clinically significant interactions include:

  • Warfarin — regular paracetamol use may increase the anticoagulant effect, raising bleeding risk
  • Other paracetamol-containing products — concurrent use significantly increases overdose risk; always check labels of cold and flu remedies
  • Metoclopramide and domperidone — these medicines speed up gastric emptying and may increase the rate of paracetamol absorption
  • Cholestyramine — may reduce paracetamol absorption if taken within one hour of a dose

Always inform your pharmacist of all medicines your child is currently taking before starting this suspension.

If you are concerned about any side effects, contact your pharmacist or GP immediately.

Patient Information Leaflet

Important - Before taking any medication, it is always important to read the Patient Information Leaflet (PIL)

Written and reviewed by our qualified team

GPhC Number: 2233073
Tarun Kumar

Reviewed by:

Tarun Kumar

Superintendent/ Clinical Lead

📖 Find out more about our team of medical content authors and how we ensure the accuracy of our content with our content guidelines.

Content last updated: 31 Mar 2025

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