# Paracetamol in Nigeria

Paracetamol has 172 active NAFDAC registrations in our October 2026 copy of the register, from 94 registration holders; 202 further listings have lapsed.

- Source: https://ogbogwu.com/drugs/paracetamol/
- Drug class: Non-opioid analgesic and antipyretic (Pain & Fever)
- Also known as: Acetaminophen, Panadol, Boska, Emzor Paracetamol, Dizpharm Paracetamol
- Prescription required: no
- On the WHO Model List of Essential Medicines
- Last updated: October 2026

## Price in Nigeria

As of October 2026, a strip of paracetamol tablets sells for about ₦688 online in Nigeria (₦21–₦142 a tablet, strip or bulk pack; Emcap) at three online pharmacies; syrup ₦750–₦3,550, drops ₦900–₦2,200; packs of 96–100 ₦2,000–₦2,730. The online price is roughly unchanged since July 2026. Open-market prices (e.g. Idumota, Ogbogwu) are often lower.

## What is Paracetamol?

Paracetamol (also known as acetaminophen) is the most widely used medication in Nigeria and arguably the most recognised drug name in the country. From the roadside chemist in Oshodi to the pharmacy in Wuse, you will find paracetamol on every shelf. It is a non-opioid analgesic and antipyretic, meaning it relieves pain and reduces fever without the risks associated with stronger painkillers. Almost every Nigerian household keeps paracetamol at home as the go-to remedy for headaches, body pain, and fever, especially during malaria episodes.

Paracetamol works by blocking the production of certain chemicals in the brain called prostaglandins, which are responsible for sending pain signals and raising body temperature. Unlike NSAIDs such as ibuprofen and diclofenac, paracetamol does not have significant anti-inflammatory properties, which is why it is often combined with other medications when inflammation is present. It is available in Nigeria under popular brand names including Emzor Paracetamol, Panadol Extra, M&B Paracetamol, Calpol, and Dizpharm Paracetamol — always check the NAFDAC number on the pack before buying.

One of the key advantages of paracetamol is its excellent safety profile when taken at recommended doses. It is considered safe during pregnancy and breastfeeding, making it the preferred painkiller and fever reducer for expectant and nursing mothers across Nigeria. It is also widely used for children in suspension form, with brands like Calpol being a staple in Nigerian homes with young children. However, it is critically important to note that exceeding the recommended dose can cause severe, potentially fatal liver damage.

## What is Paracetamol used for?

- Relief of mild to moderate pain including headaches, toothache, and body aches
- Reduction of fever (antipyretic), especially malaria-associated fever which is extremely common in Nigeria
- Pain management after minor surgical procedures
- Menstrual pain relief
- Muscle and joint pain from everyday activities
- As a first-line treatment for pain and fever in children and pregnant women due to its safety profile

## Dosage

Always follow a doctor's or pharmacist's instructions; this is general reference information.

- Adults: 500mg to 1000mg (1-2 tablets of 500mg) every 4 to 6 hours as needed. Maximum daily dose is 4000mg (8 tablets of 500mg) in 24 hours. Do not exceed this limit to avoid liver damage.
- Children: Dose depends on the child's weight and age. For children aged 6-12 years: 250mg to 500mg every 4-6 hours. For children aged 1-5 years: 120mg to 250mg every 4-6 hours. Paediatric suspension (120mg/5ml or 250mg/5ml) is recommended for accurate dosing. Always use the measuring spoon provided.
- Elderly: Standard adult doses apply, but elderly patients with liver or kidney problems should use lower doses. Consult a pharmacist or doctor for guidance.

Always allow at least 4 hours between doses. Do not take paracetamol with other medications that contain paracetamol (such as cold and flu combinations) to avoid accidental overdose. If you are taking paracetamol for more than 3 days for fever or 7 days for pain without improvement, please see a doctor.

## Side effects

Common: Paracetamol has very few side effects when taken at recommended doses; Rare skin rashes or allergic reactions; Nausea in some individuals, especially on an empty stomach.

Serious (seek medical help immediately): Severe liver damage from overdose (taking more than 4000mg in 24 hours); Severe allergic reaction (anaphylaxis) — very rare but seek emergency help if you develop swelling of the face, tongue, or throat; Skin reactions such as Stevens-Johnson syndrome — extremely rare; Blood disorders with long-term excessive use.

When to see a doctor: Seek immediate medical attention if you suspect you have taken more than the recommended dose, even if you feel fine, as liver damage may not show symptoms for several days. Also see a doctor if you develop yellowing of the skin or eyes (jaundice), dark urine, persistent nausea or vomiting, or any allergic reaction such as rash, swelling, or difficulty breathing.

## Warnings

Do not take if: Do not take if you have severe liver disease or liver failure; Do not take if you have a known allergy to paracetamol or any of the tablet ingredients; Avoid if you have acute hepatitis or are a chronic heavy alcohol drinker (3 or more drinks daily) without consulting a doctor.

Interactions: Warfarin (blood thinner) — regular paracetamol use can increase the anticoagulant effect; inform your doctor if you are on warfarin; Alcohol — drinking alcohol while taking paracetamol increases the risk of liver damage; Other medications containing paracetamol — many cold and flu remedies, cough syrups, and combination painkillers contain paracetamol; check labels to avoid double dosing; Carbamazepine, phenytoin, and rifampicin may increase the risk of liver damage when taken with paracetamol; Metoclopramide and domperidone may increase the absorption rate of paracetamol.

Pregnancy & breastfeeding: Paracetamol is considered the safest painkiller and fever reducer during pregnancy and breastfeeding. It has been used by millions of pregnant women worldwide without evidence of harm to the baby. It is the first-choice medication for pain and fever in all trimesters of pregnancy. Only small amounts pass into breast milk and it is safe to use while breastfeeding. Always use the lowest effective dose for the shortest time necessary.

## Brands in Nigeria

Well-known NAFDAC-registered brands: Emzor Paracetamol (Emzor, made in Nigeria); Panadol Extra (Haleon (formerly GSK Consumer), made in Nigeria); M&B Paracetamol (May & Baker, made in Nigeria); Calpol (Haleon (formerly GSK Consumer), made in UK); Dizpharm Paracetamol (Dizpharm Nigeria Limited, made in Nigeria); Tuxil Day & Night (Fidson Healthcare PLC, made in Nigeria); Panda (Afrab-Chem Limited, made in Nigeria); Acepol (SKG - Pharma Ltd, made in Nigeria); Emcap (Emzor Pharmaceutical Industries Limited, made in Nigeria); Moxie (Pharmalliance Consulting Limited, made in Nigeria).
Full searchable brand list: https://ogbogwu.com/drugs/paracetamol/brands/

## How to verify it is genuine

1. Check the NAFDAC registration number on the pack — all genuine paracetamol brands sold in Nigeria must have a NAFDAC number starting with a registration code (e.g., A4-XXXX or similar format)
2. Verify the NAFDAC number using the NAFDAC Green Book or the NAFDAC mobile verification app available on Android and iOS
3. Buy only from licensed pharmacies and registered patent medicine stores — avoid buying loose tablets from bus stops or street vendors
4. Check the expiry date on the packaging and ensure the pack is properly sealed without signs of tampering
5. Genuine tablets should have consistent size, shape, and colour — if tablets look irregular, crumbly, or discoloured, do not take them
6. For Emzor, Panadol, and other major brands, look for security features such as holographic stickers or batch numbers on the outer packaging

Verify any NAFDAC number free (no login): https://ogbogwu.com/nafdac-checker/

## Compared with

### Paracetamol vs Ibuprofen: which painkiller should you reach for?

For everyday headache or fever, start with paracetamol — it is gentler on the stomach and safe in pregnancy. Reach for ibuprofen when there is swelling or inflammation behind the pain, like a sprain, toothache, or period pain, and take it with food.

When Paracetamol fits:

- It's a fever or a simple headache
- You're pregnant or breastfeeding
- You have an ulcer, heartburn history, or kidney problems
- You're also taking a cold remedy (check it doesn't already contain paracetamol before adding more)

When Ibuprofen fits:

- The pain comes with swelling — sprain, toothache, injury
- It's period pain (ibuprofen consistently beats paracetamol here)
- Arthritis or joint flare-ups
- You can take it with food and your stomach and kidneys are healthy

Ibuprofen guide: https://ogbogwu.com/drugs/ibuprofen/

## FAQs

### What is the maximum daily dose of paracetamol I can take?

The maximum daily dose for adults is 4000mg, which is 8 tablets of 500mg in 24 hours. However, most healthcare professionals in Nigeria recommend not exceeding 3000mg (6 tablets) per day to give your liver a safety margin. Always wait at least 4 hours between doses. Taking more than the recommended dose can cause severe liver damage that may be fatal. If you have liver problems or drink alcohol regularly, your safe limit is even lower — consult your pharmacist.

### Can children take paracetamol? What form is best?

Yes, paracetamol is safe for children and is the recommended first-line medication for childhood fever and pain in Nigeria. For children, liquid suspensions such as Calpol (120mg/5ml or 250mg/5ml) are preferred because they allow accurate dosing based on the child's weight. Always use the measuring spoon or syringe provided with the suspension — do not use a kitchen spoon. For children over 6 years who can swallow tablets, half a 500mg tablet (250mg) may be given. Always follow the dosage instructions on the pack or consult your pharmacist.

### Is it safe to take paracetamol during pregnancy?

Yes, paracetamol is considered the safest painkiller during pregnancy and is recommended by doctors and pharmacists across Nigeria as the first-choice treatment for pain and fever in pregnant women. Unlike NSAIDs such as ibuprofen and diclofenac, paracetamol has no known harmful effects on the developing baby when used at recommended doses. It can be used in all three trimesters. However, always use the lowest effective dose for the shortest time needed, and consult your healthcare provider if you need pain relief frequently.

### What types of paracetamol are sold in Nigeria?

Four presentations cover almost everything on a Nigerian shelf: 500 mg tablets and caplets for adults (the pack most people mean by "paracetamol"), a 120 mg/5 ml syrup or suspension for children, suppositories for infants and for anyone who cannot keep tablets down, and a 1 g/100 ml infusion used in hospitals. Combination packs — paracetamol with caffeine, with codeine, or with an antihistamine in cold remedies — are sold under separate brand names and count as paracetamol for the daily limit, so read the label before adding a second product. Every strength above is registered under many brand names; the brands page lists them with their NAFDAC numbers.

### Can I take paracetamol and ibuprofen together?

Yes — they work differently and can be combined or alternated for short periods when one alone isn't enough. Keep each within its own daily limit and don't run the combination for more than a few days without seeing a doctor or pharmacist.

### Which is better for malaria fever?

Paracetamol is the usual choice for the fever and body aches that come with malaria — it's gentler when you may also be dehydrated. It treats the symptoms only; you still need a proper ACT like artemether-lumefantrine to treat the malaria itself.

## Sources

- NAFDAC Greenbook (official register of approved products in Nigeria)
- WHO Model List of Essential Medicines
- British National Formulary (BNF)
- Nigerian Standard Treatment Guidelines (Federal Ministry of Health)