Tennis Elbow (Lateral Epicondylitis)

200 mg-400 mg (10-20 ml), up to three times a day as required.

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

(Every 6-8 hours PRN after food Tennis elbow is rare in children; evaluate for osteochondritis dissecans or epicondylar avulsion. 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. Never exceed 400 mg in a single dose.)

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)".

NSAID used for temporary symptomatic pain relief in lateral epicondylitis via COX inhibition, alongside first-line conservative measures such as activity modification and eccentric exercise; it controls pain but does not treat the underlying tendon pathology.

Lateral Epicondylitis (Tennis Elbow) - disease-level clinical article (tennis-elbow-clinical.txt)

Carries the referral criteria and warning signs for this condition, which apply whichever treatment is chosen.

4-30 mg methylprednisolone acetate (with 1% lidocaine) injected periarticularly at the point of maximal tenderness over the lateral epicondyle - Single local injection

For infants and children, the recommended dosage should be reduced, but dosage should be governed by the severity of the condition rather than by strict adherence to the ratio indicated by age or body weight.

Depo-Medrone with Lidocaine SmPC section 4.2 (eMC product 1081)

Provides rapid short-term pain relief (2-6 weeks) for severe refractory cases, but routine repeated injections are not recommended due to risk of long-term tendon degeneration.

1 g 3 or 4 times daily (max. 4 g daily)

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

(Child 1 month and over: 15 mg/kg 3 or 4 times daily (max. 60 mg/kg daily). Child under 1 month: 10 mg/kg 3 or 4 times daily (max. 40 mg/kg daily). Below about 33 kg use a paediatric paracetamol suspension - the 500 mg tablet is not for that weight. Tennis elbow is rare in children; evaluate for osteochondritis dissecans or epicondylar avulsion.)

MSF Essential Drugs 2024 - paracetamol (oral)

Adjunct simple analgesic added to conservative measures and NSAID therapy for additional pain control in tennis elbow; it has no anti-inflammatory action and does not replace activity modification or eccentric exercises.