How to give your child liquid medicines

This page from Great Ormond Street Hospital describes how to give your child liquid medicine. 
If you have any questions about your child’s medicine, please ask your family doctor (GP) or local community pharmacist. 

What to do

Using an oral syringe

  1. Wash your hands.
  2. Make sure your child is sitting upright. 
  3. Shake the bottle unless stated otherwise on the label.
  4. Remove the top from the bottle and insert the bottle adapter if necessary. 
  5. Insert the top of the oral syringe into the bottle adapter. 
  6. Turn the bottle upside down and pull the plunger until the medicine reaches the volume required. 
Note: Check the measurements on the syringe before giving a dose – some syringes are marked in millilitres (ml) and some in milligrams (mg). 
  1. Gently remove the oral syringe from the bottle adapter. 
  2. Put the top back on the bottle. 
  3. Put the tip of the oral syringe inside your child’s mouth between the gums and the inside surface of their cheek. 
  4. Gently push the plunger to squirt small amounts of medicine into the side of your child’s mouth. 
  5. Allow your child to swallow before you carry on pushing the plunger. 
Note: Do not squirt the entire dose into your child’s mouth in one go – they may choke. 
  1. Give your child a drink to wash down the medicine. 
  2. When you have given the whole dose, take the syringe apart and wash the sections in warm, soapy water unless directed otherwise on the label. 
Note: Only use warm soap water to wash the syringe – some cleaning fluids remove the dose markings, making the syringe unsafe to use. 
  1. Leave the syringe sections to dry naturally away from heat and sunlight then re-assemble the syringe ready for the next dose. 

Using a medicine cup or spoon

  1. Wash your hands.
  2. Make sure your child is sitting upright.
  3. Shake the bottle unless stated otherwise on the label. 
  4. Carefully pour the medicine into the medicine cup or medicine spoon according to the dose on the label. 
  5. Give the dose to your child. 
  6. Give your child a drink to wash down the medicine. 
  7. When you have given the whole dose, wash the cup or spoon in warm, soapy water unless directed otherwise on the label.
  8. Leave the cup or spoon to dry naturally away from heat and sunlight
Note: Always use the medicine cup or spoon enclosed with the bottle. Do not use a household spoon as this will not give an accurate dose, which could be unsafe. 

Storing the liquid medicine safely

  • Keep all medicines out of the reach and sight of children. 
  • Ask your pharmacist about storing the medicine. Some need to be kept in the fridge but others only need to be kept out of direct sunlight 
  • Read the instructions on the label and only use the liquid medicine as instructed. 
  • Always check the expiry date of the medicine before you give it to your child. 
  • Always check that you are giving the correct dose of medicine as some medicines are available in different strengths. 
  • If the medicine passes its expiry date or your child stops using it, please return it to your pharmacist. Do not flush it down the toilet or throw it away.
Compiled by: 
the Pharmacy department in collaboration with the Child and Family Information Group
Last review date: 
April 2020
Ref: 
2020F0775

Disclaimer

Please read this information sheet from GOSH alongside the patient information leaflet (PIL) provided by the manufacturer. If you do not have a copy of the manufacturer’s patient information leaflet please talk to your pharmacist. A few products do not have a marketing authorisation (licence) as a medicine and therefore there is no PIL.

For children in particular, there may be conflicts of information between the manufacturer’s patient information leaflet (PIL) and guidance provided by GOSH and other healthcare providers. For example, some manufacturers may recommend, in the patient information leaflet, that a medicine is not given to children aged under 12 years. In most cases, this is because the manufacturer will recruit adults to clinical trials in the first instance and therefore the initial marketing authorisation (licence) only covers adults and older children.  

For new medicines, the manufacturer then has to recruit children and newborns into trials (unless the medicine is not going to be used in children and newborns) and subsequently amend the PIL with the approved information. Older medicines may have been used effectively for many years in children without problems but the manufacturer has not been required to collect data and amend the licence. This does not mean that it is unsafe for children and young people to be prescribed such a medicine ‘off-licence/off-label’. However, if you are concerned about any conflicts of information, please discuss with your doctor, nurse or pharmacist.