Painkillers specifically formulated for children include flavoured suspensions containing paracetamol or ibuprofen. These can be given using an oral syringe or a medicine spoon. Some may contain sugar and/or colourings.

Paracetamol suspension is indicated for the treatment of mild to moderate pain and to reduce fever (antipyretic). It can be used for children aged over two months for post-immunisation fever. It is available in different strengths: 120mg/5ml or 250mg/5ml (for children over six years of age). For children over six years of age, melt-in-the-mouth tablets are also available (e.g. Calpol SixPlus Fastmelts).

Ibuprofen 100mg/5ml suspension is available for children aged over three months and weighing more than 5kg for fever/pain. It can be used for mild to moderate pain and post-immunisation fever. For children over seven years of age there are also chewable capsules (e.g. Nurofen for Children Chewable Capsules). Ibuprofen may not be suitable for children with asthma, and should not be used by children who have chickenpox. 

For children under 16 years of age, paracetamol and ibuprofen should not be given at the same time. Current advice is that paracetamol or ibuprofen can be used for a child with a fever who is also distressed and unwell. An alternative product can be considered if the distress
is not alleviated before the next dose is due. 

Teething pain may be relieved using oral painkillers and/or teething gels. Teething products containing calming agents such as chamomile (e.g. Nelsons Teething Gel) are also available. Some products for oral pain contain salicylate salts and shouldn't be used by children under the age of 16 years.

Colic may be improved using drops containing simeticone (e.g. Infacol) or lactase (e.g. Colief Infant Drops). These should be tried for a week to see if they are effective. Parents and healthcare professionals can also discuss nutritional solutions such as infant formula milk.