infectious

Mumps (Epidemic parotitis)

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

Evidence status

Checked against the sources named below

Sources3 sources

Ibuprofen 100 mg/5 ml SmPC section 4.2 (eMC product 4560) · StatPearls: Ibuprofen (NCBI Bookshelf NBK542299) · Paracetamol 500 mg Tablets SmPC section 4.2 (eMC product 12154, PL 28278/0015)

Verified against3 documents

Ibuprofen 100 mg/5 ml SmPC section 4.2 (eMC product 4560)
Paracetamol 500 mg Tablets SmPC section 4.2 (eMC product 12154, PL 28278/0015)
MSF Essential Drugs 2024 (ibuprofen oral monograph)

Verified date2026-08

Presentation reference

Is it this?

Reference only, to read alongside your own examination.

Symptoms — what the patient reports (5)

A nonspecific prodrome of fever, malaise, headache, and myalgia precedes parotid swelling [fever · headache · malaise · muscle pain · parotid swelling]
Painful swelling between the earlobe and jaw angle is the hallmark of parotitis
Parotid swelling is usually two-sided but can affect only one side [parotid swelling]
Testicular pain and swelling from orchitis is the next most common feature [testicular pain]
Neurological complications include meningitis, encephalitis, and transverse myelitis

Signs — what you find (2)

Testicular atrophy develops in about half of orchitis cases [atrophy]
The Stensen duct opening looks red and swollen on exam

Tests (4)

A buccal swab for RT-PCR should be taken within 3 days of parotid swelling onset
Serum IgM can remain undetectable for up to 5 days after symptoms start
Repeat serology 7 to 10 days after onset if the first sample is negative
During a known outbreak, parotid swelling with an exposure history is diagnosed clinically

If not this — what else fits (6)

Epstein-Barr virus, influenza A, parainfluenza, or enteroviruses can cause similar parotitis
Suppurative parotitis from staph or strep is a bacterial mimic
Sialolithiasis, a drug reaction, or malignancy can cause noninfectious parotid swelling
Lymphoma, mastoiditis, or dental abscess can mimic parotid facial swelling
Enteroviruses, herpes simplex, or lymphocytic choriomeningitis virus cause similar meningitis
Isolated orchitis may mimic testicular torsion or coexist with epididymitis

SourceStatPearls "Mumps" - disease-level clinical article

Presentation findings are traced to the source above.

PARACETAMOL

1st line

Strength500 mg

Formoral.solid

Adult dose and duration

500-1000 mg every 4-6 hours as needed, max 4000 mg daily

Paediatric dose

(Do not give children under 10 years of age. Children 10 to 15 years: One tablet (500 mg) every 4-6 hours as needed (max 4 tablets in 24 hours). Do not take for more than 3 days without consulting a doctor.)

Dose by age
10 to 15 years:	One 500 mg tablet every 4 to 6 hours as needed, maximum 4 tablets in 24 hours. Do not give this product under 10 years.

Dose source

Paracetamol 500 mg Tablets SmPC section 4.2 (eMC product 12154, PL 28278/0015)

Why

Antipyretic and analgesic for symptomatic relief of parotid pain and fever in mumps; supportive care only, with no antiviral action.

Cautions

Watch for orchitis in post-pubertal males, pancreatitis, or meningitis.
Paracetamol is symptomatic and supportive treatment for parotid pain and fever.
Maintain adequate oral hydration and warm or cold compresses.

Egyptian brands

Egyptian brand	Manufacturer	Indicative price
FEBRIMOL 500 MG 20 TAB.	PHARCO	3.50 EGP (0.17/unit)
CETAMOL 500 MG 20 TABS.	MEMPHIS	8.00 EGP (0.40/unit)
PARACETAMOL-MUP 500MG B.P. 20 TABS.	MUP	13.00 EGP (0.65/unit)
CETAL 500 MG 20 TABS.	EIPICO	24.00 EGP (1.20/unit)
ARKADOLOW 500 MG 30 F.C. TABS.	UTOPIA	42.00 EGP (1.40/unit)
PARAMOL 500MG 20 TAB.	MISR	38.00 EGP (1.90/unit)
ADOL 500MG 24 CAPLETS	JULPHAR	32.00 EGP
AUGICETAMIDE 500 MG 20 SACHETS	AUG PHARMA	50.00 EGP
FEBRIMOL ORAL DROPS 20 ML? strength differs? different route - not oral solid	PHARCO	4.00 EGP
THERA-LO 3.2G/100ML ORAL SUSP. 100 ML? strength differs? different route - not oral solid	PHAROPHARMA	5.00 EGP

IBUPROFEN

2nd line

Strength400 mg

Formoral.solid

Adult dose and duration

400 mg 3 times daily after food

Paediatric dose

5-10 mg/kg/dose [child max 400 mg]

(Do not give to children under 3 months of age. Child over 3 months: 5 to 10 mg/kg 3 to 4 times daily, maximum 30 mg/kg daily; the suspension's own label caps pain-and-fever use lower still, at 20 mg/kg/day in divided doses. Consult a doctor if required for more than 3 days in children from 6 months.)

Dose by weight
3kg	15-30 mg/dose
4kg	20-40 mg/dose
5kg	25-50 mg/dose
6kg	30-60 mg/dose
7kg	35-70 mg/dose
8kg	40-80 mg/dose
9kg	45-90 mg/dose
10kg	50-100 mg/dose
11kg	55-110 mg/dose
12kg	60-120 mg/dose
13kg	65-130 mg/dose
14kg	70-140 mg/dose
15kg	75-150 mg/dose
16kg	80-160 mg/dose
17kg	85-170 mg/dose
18kg	90-180 mg/dose
19kg	95-190 mg/dose
20kg	100-200 mg/dose
21kg	105-210 mg/dose
22kg	110-220 mg/dose
23kg	115-230 mg/dose
24kg	120-240 mg/dose
25kg	125-250 mg/dose
26kg	130-260 mg/dose
27kg	135-270 mg/dose
28kg	140-280 mg/dose
29kg	145-290 mg/dose
30kg	150-300 mg/dose
31kg	155-310 mg/dose
32kg	160-320 mg/dose
33kg	165-330 mg/dose
34kg	170-340 mg/dose
35kg	175-350 mg/dose
36kg	180-360 mg/dose
37kg	185-370 mg/dose
38kg	190-380 mg/dose
39kg	195-390 mg/dose
40kg	200-400 mg/dose
41kg	205-400 mg/dose (upper capped)
42kg	210-400 mg/dose (upper capped)
43kg	215-400 mg/dose (upper capped)
44kg	220-400 mg/dose (upper capped)
45kg	225-400 mg/dose (upper capped)
46kg	230-400 mg/dose (upper capped)
47kg	235-400 mg/dose (upper capped)
48kg	240-400 mg/dose (upper capped)
49kg	245-400 mg/dose (upper capped)
50kg	250-400 mg/dose (upper capped)

Dose source

Ibuprofen 100 mg/5 ml SmPC section 4.2 (eMC product 4560) for the adult dose: "The recommended dose is 200 mg-400 mg (10-20 ml), up to three times a day as required... do not take more than 1200 mg (60 ml) in any 24 hour period". That label's paediatric section gives weight bands and a 20 mg/kg/day pain-and-fever ceiling but states no mg/kg per dose, so the paediatric 5 to 10 mg/kg per dose is from MSF Essential Drugs 2024 (ibuprofen oral monograph): "Child over 3 months: 5 to 10 mg/kg 3 to 4 times daily (max. 30 mg/kg daily)".

Why

NSAID alternative for parotid pain and fever in mumps not adequately controlled by paracetamol.

Cautions

Isolate patient until 5 days after onset of parotitis.
Avoid if patient is dehydrated or has renal impairment.
Take with or after food to reduce gastric discomfort.
The 400 mg per-dose ceiling comes from the reference literature, not from the suspension label - that label's largest paediatric single dose is 200 mg. Below about 40 kg the weight calculation binds first and the ceiling never comes into it.

Egyptian brands

Egyptian brand	Manufacturer	Indicative price
DAJUANOFEN 400 MG 20 F.C. TABS.	COPAD PHARMA	5.00 EGP (0.25/unit)
FLABU 400MG 10 F.C.TAB.	DELTA PHARMA	3.75 EGP (0.38/unit)
NOVA-PROFEN 400MG 30 F.C. TABLETS	SANOFI	12.75 EGP (0.42/unit)
IBUPROFEN 400 MG 10 TAB.	SEDICO	6.00 EGP (0.60/unit)
MAFO 400 MG 30 F.C.TABS	EIPICO	42.00 EGP (1.40/unit)
BRUFEN 400 MG 30 TABS.	KAHIRA > ABBOTT LABORATORIES	78.00 EGP (2.60/unit)
PROFUSOL 400MG 20 S.G CAPS.	EUROPEAN EGYPTIAN PHARM. IND.	31.00 EGP
ANALGIPROF 400 MG 25 SACHETS	EVA PHARMA	37.50 EGP
NOVA-PROFEN 100MG/5ML ORAL SUSP. 100ML? strength differs? different route - not oral solid	SANOFI	2.25 EGP
BRUFEMOL-N SUSP. 60 ML? strength differs? different route - not oral solid	ARAB DRUG COMPANY (ADCO)	4.50 EGP

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