Which medication is preferred for fever management in children to avoid Reye syndrome?

• A. Acetaminophen (paracetamol); avoid aspirin.
• B. Ibuprofen.
• C. Naproxen.
• D. Aspirin.

Answer: (A)

Fever in children should be treated with an option that avoids the risk of Reye syndrome linked to aspirin use during viral illnesses. Acetaminophen (paracetamol) is preferred because it effectively reduces fever and has a safer profile for the liver when dosed correctly. Aspirin is avoided in children with viral illnesses due to the association with Reye syndrome. Ibuprofen and naproxen can also reduce fever, but the question’s emphasis on preventing Reye syndrome points to acetaminophen as the best first-line choice. Remember to use weight-based dosing, monitor for overdose, and avoid giving multiple acetaminophen-containing products at once.