Families in search of over-the-counter liquid pain relievers and fever reducers for sick kids are stumbling upon empty shelves. With an early spike in several respiratory illnesses this year, such as respiratory syncytial virus (RSV), influenza (flu) and COVID-19, suppliers could not keep up with demand for medicines like children’s Tylenol and ibuprofen (also called Motrin).

“We’re also seeing limitations in some prescription medications, such as amoxicillin and Tamiflu,” said pediatrician Dr. Tiffany Kimbrough, the medical director of the Complex Care Clinic at Children’s Hospital of Richmond at VCU. “It’s not a cause for panic, but we do encourage parents and caregivers to be cautious about how they care for their children’s pain and fevers during this time.”

Manufacturers and retailers expect supplies to be back to normal within a few weeks. But what should you do – or not do – in the meantime?

What not to do if you’re having trouble finding liquid Tylenol or ibuprofen for your child

• DON’T give adult medications without checking with your child’s doctor.
• DON’T give aspirin unless instructed by your child’s doctor. Aspirin has been linked with a rare but serious condition called Reye’s syndrome that causes swelling in the liver and brain. It most commonly affects kids recovering from viral infections.
• Avoid using expired medications.
• Avoid the urge to stock up on medicine. We need to work together to ensure supplies are available when they’re urgently needed.

How to help your child while these medicines are in short supply

• If your child is older than 3 months and has a mild fever – but otherwise feels okay and can stay hydrated – they don’t necessarily need medicine.
• Kids over 2 years old may be able to switch to children’s chewable versions, while many older children (around middle school ages) are able to swallow pills. They still need the children’s versions of the medicines, or guidance from their pediatrician to make sure the type and dosage is safe.
• Consider non-medication options for helping your child feel better. This may include a cool washcloth on the forehead or behind the neck, cool baths, and plenty of fluids. If they’re not interested in drinking water or other liquids, an oral rehydration solution such as Pedialyte or popsicles can help them to cool down and stay hydrated.