Dawaa Reference

chronic

Growing Pains (Benign Nocturnal Limb Pain of Childhood)

Treatment options, dosing, cautions and Egyptian brands from the shipped Dawaa Reference card.

Evidence status

Checked against the sources named below

Sources3 sources

NICE Clinical Knowledge Summaries: Growing pains in children 2022 · MSF Essential Drugs 2024 - paracetamol (oral) · No labelled dose - a procedure, not a medicine

Verified against2 documents
  • No labelled dose - a procedure, not a medicine
  • MSF Essential Drugs 2024 - paracetamol (oral)

Verified date2026-08

1

REASSURANCE, LEG MASSAGE, AND LOCAL HEAT

1st line
Adult dose and duration

Not applicable (childhood condition) - Not applicable

Paediatric dose

Provide reassurance to parents; massage legs gently, apply local warm compress or bath, and perform hamstring/quadriceps stretches before bedtime

Dose source

No labelled dose - a procedure, not a medicine

Why

Growing pains are benign and self-limiting; reassurance, gentle calf/thigh massage, stretching exercises, and warm baths provide effective relief without regular medication

Cautions
  • MUST rule out red flags: unilateral pain, daytime pain, limping, joint swelling/erythema, localized bone tenderness, fever, or weight loss.
  • Physical exam must be completely normal; symptoms should resolve by morning leaving child fully active during the day.
2

PARACETAMOL

add-on - not a substitute

Strength120 mg

Formoral.liquid

Adult dose and duration

Not applicable (childhood condition) - Not applicable

Paediatric dose

10-15 mg/kg/dose [child max 500 mg]

(Child 1 month and over: 15 mg/kg per dose, 3 or 4 times daily (max 60 mg/kg daily).)

Dose by weight
3kg30-45 mg/dose
4kg40-60 mg/dose
5kg50-75 mg/dose
6kg60-90 mg/dose
7kg70-105 mg/dose
8kg80-120 mg/dose
9kg90-135 mg/dose
10kg100-150 mg/dose
11kg110-165 mg/dose
12kg120-180 mg/dose
13kg130-195 mg/dose
14kg140-210 mg/dose
15kg150-225 mg/dose
16kg160-240 mg/dose
17kg170-255 mg/dose
18kg180-270 mg/dose
19kg190-285 mg/dose
20kg200-300 mg/dose
21kg210-315 mg/dose
22kg220-330 mg/dose
23kg230-345 mg/dose
24kg240-360 mg/dose
25kg250-375 mg/dose
26kg260-390 mg/dose
27kg270-405 mg/dose
28kg280-420 mg/dose
29kg290-435 mg/dose
30kg300-450 mg/dose
31kg310-465 mg/dose
32kg320-480 mg/dose
33kg330-495 mg/dose
34kg340-500 mg/dose (upper capped)
35kg350-500 mg/dose (upper capped)
36kg360-500 mg/dose (upper capped)
37kg370-500 mg/dose (upper capped)
38kg380-500 mg/dose (upper capped)
39kg390-500 mg/dose (upper capped)
40kg400-500 mg/dose (upper capped)
41kg410-500 mg/dose (upper capped)
42kg420-500 mg/dose (upper capped)
43kg430-500 mg/dose (upper capped)
44kg440-500 mg/dose (upper capped)
45kg450-500 mg/dose (upper capped)
46kg460-500 mg/dose (upper capped)
47kg470-500 mg/dose (upper capped)
48kg480-500 mg/dose (upper capped)
49kg490-500 mg/dose (upper capped)
50kg500 mg/dose (capped)
Dose source

MSF Essential Drugs 2024 - paracetamol (oral)

Why

Simple analgesic added to reassurance and non-drug comfort measures for nights when limb pain is significant; it does not alter the benign, self-limiting course of growing pains and is not meant for nightly use.

Cautions
  • Do not administer continuously every night; use only on nights with significant pain.
  • Ensure correct pediatric liquid strength (120 mg/5 mL or 250 mg/5 mL) to prevent dosing errors.
  • Re-evaluate child if pain frequency increases or changes character.
  • 500 mg is the per-dose ceiling used here for a child. 1000 mg is the adult dose and does not belong in a weight calculation - the daily 60 mg/kg limit is the one that binds first in any case.
Egyptian brands
Egyptian brandManufacturerIndicative price
CETAMOL 120MG/5ML PEDIATRIC SYRUP 120 MLMEMPHIS8.50 EGP
PARAGESIC BABY 120MG/5ML 120ML SUSP.AMRIYA36.00 EGP
PARAMOL 120MG/5ML SYRUP 125MLMISR36.00 EGP
FEBRIMOL ORAL DROPS 20 ML? strength differs? different route - not oral liquidPHARCO4.00 EGP
THERA-LO 3.2G/100ML ORAL SUSP. 100 ML? strength differs? different route - not oral liquidPHAROPHARMA5.00 EGP

Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy.