# Mumps (Epidemic parotitis) - Category: infectious - Review status: reviewed (every claim checked against a document named on this page) - 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 date: 2026-08 ## Verified against - 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) ## Treatment metadata - Paracetamol — 500 mg — oral.solid - Ibuprofen — 400 mg — oral.solid ## Complete treatment card ```text MUMPS (EPIDEMIC PAROTITIS) 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) Review status: REVIEWED against 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) (2026-08) 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 Source StatPearls "Mumps" - disease-level clinical article Status traced to the source above 1. PARACETAMOL [1st line] Adult 500-1000 mg every 4-6 hours as needed, max 4000 mg daily Peds 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. (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.) 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. Caution 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. Egypt 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 PHARCO 4.00 EGP -> ? strength differs, ? different route - not oral solid THERA-LO 3.2G/100ML ORAL SUSP. 100 ML PHAROPHARMA 5.00 EGP -> ? strength differs, ? different route - not oral solid 2. IBUPROFEN [2nd line] Adult 400 mg 3 times daily after food Peds 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.) 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) 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. Caution 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. Egypt 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 > ABBO... 78.00 EGP (2.60/unit) PROFUSOL 400MG 20 S.G CAPS. EUROPEAN EGYP... 31.00 EGP ANALGIPROF 400 MG 25 SACHETS EVA PHARMA 37.50 EGP NOVA-PROFEN 100MG/5ML ORAL SUSP. 100ML SANOFI 2.25 EGP -> ? strength differs, ? different route - not oral solid BRUFEMOL-N SUSP. 60 ML ARAB DRUG COM... 4.50 EGP -> ? strength differs, ? different route - not oral solid Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy. ``` --- Dawaa Reference is a reference for prescribers, not a medical device, and does not replace clinical judgement. [Privacy policy](/privacy)