Home care for rubella includes:

• Drink plenty of fluids.
• Acetaminophen for pain and fever
• Nonsteroidal anti-inflammatory medications for pain:
• Ibuprofen (Motrin, Advil, Nuprin, NeoProfen)
• Ketoprofen (Actron, Orudis, Oruvail)
• Naproxen (Anaprox, Naprosyn, Aleve)

Medications commonly used to control pain and fever in adults with rubella include:

• Acetaminophen
• Nonsteroidal anti-inflammatory drugs:
• Aspirin
• Ibuprofen
• Naproxen
• Ketoprofen

• Acetaminophen decreases fever and pain, but does not help inflammation.
• Adult dosing is 2 regular strength (325 mg) every 4 hours or 2 extra-strength (500 mg) every 6 hours.
• Maximum dose is 4,000 mg per day.
• Avoid this drug if you have alcoholism, liver disease or an allergy to the drug. See the package instructions.
• Common brand names include Tylenol, Panadol, and many others.

• Aspirin decreases pain, fever and inflammation.
• It is a nonsteroidal anti-inflammatory medication (NSAID).
• Adult dosing is two regular strength (325 mg) every 4 hours with food.
• There are numerous products that contain aspirin.
• Follow the package instructions and NSAID precautions (below).

• Ibuprofen decreases pain, fever and inflammation.
• It is a nonsteroidal anti-inflammatory medication (NSAID).
• Adult dosing is 200-400 mg every 4-6 hours.
• Do not exceed 1,200 mg per day without a doctor's recommendation.
• Brand names include Advil, Motrin and Nuprin.
• Follow the package instructions and NSAID precautions (below).

• Naproxen decreases pain, fever and inflammation.
• It is a nonsteroidal anti-inflammatory medication (NSAID).
• Adult dosing is 200 or 220 mg twice a day with food.
• Do not exceed 500 mg per day.
• Its brand name is Aleve.
• Follow the package instructions and NSAID precautions (below).

• Ketoprofen decreases pain, fever and inflammation.
• It is a nonsteroidal anti-inflammatory medication (NSAID).
• Adult dosing is 12.5 mg every 4-6 hours with food.
• Do not exceed 75 mg per day.
• Its brand name is Orudis KT.
• Follow the package instructions and NSAID precautions (below).

• Avoid using alcohol when taking any of these medications.
• Do not mix prescription and non-prescription NSAIDS unless directed to do so by your doctor.
• NSAIDS can interact with other blood thinners, such as Coumadin, and cause bleeding complications.
• Ask your doctor before using an NSAID if you are pregnant or breastfeeding.
• Ask your doctor before using an NSAID if you have a history of:
• Allergy to aspirin
• Asthma
• Peptic ulcer disease
• Stomach ulcers
• Esophageal ulcers
• Bleeding problems
• Liver disease
• Kidney disease

Common medications used at home for pain and fever in children with rubella include:

• Acetaminophen
• Ibuprofen
• Naproxen (must be 13 or older)

• Acetaminophen decreases fever and pain, but does not help inflammation.
• Dosing is 10-15 mg per kilogram (5-7 mg per pound) of body weight every 4-6 hours, up to the adult dose.
• Do not exceed the maximum daily dose.
• Acetaminophen products come in various strengths. Always follow the package instructions.
• Avoid this drug in children with liver disease or an allergy to acetaminophen.
• Common acetaminophen products include Tylenol, Panadol and many others.

• Ibuprofen decreases pain, fever and inflammation.
• It is a nonsteroidal anti-inflammatory medication (NSAID).
• Dosing for children over 6 months of age is 7-10 mg per kilogram (4-5 mg per pound) of body weight every 6 hours, up to the adult dose.
• Do not exceed the maximum daily dose.
• Always follow the package instructions.
• Avoid this drug in children with liver, kidney, stomach or bleeding problems.
• Brand names include Advil, Motrin and Nuprin.

• Naproxen decreases pain, fever and inflammation.
• It is a nonsteroidal anti-inflammatory medication (NSAID).
• Dosing for 13 and older is 200 mg twice a day with food.
• Do not exceed 500 mg per day.
• Always follow the package instructions.
• Avoid this drug in children with liver, kidney, stomach or bleeding problems.
• The brand name for naproxen is Aleve.

Home care for a sore throat in an adult with rubella includes:

• Avoid alcohol.
• Avoid citrus juice.
• Avoid hot and spicy foods.
• Do not smoke and avoid exposure to secondary smoke.
• Drink plenty of fluids.
• Get plenty of rest.
• Numb the throat pain with throat spray or lozenges.
• Perform warm salt water gargles several times a day. Mix 1/2 teaspoon (92.5 ml) salt per cup (240 cc) of water.
• Place a vaporizer or nebulizer in the bedroom at night.
• Take acetaminophen or ibuprofen for pain.

Home care for a sore throat in a child with rubella includes:

• Avoid citrus juice.
• Avoid hot and spicy foods.
• Avoid exposure to secondary smoke.
• Drink plenty of fluids.
• Get plenty of rest.
• Numb the throat pain with throat spray or lozenges.
• Perform warm salt water gargles several times a day. Mix 1/2 teaspoon (92.5 ml) salt per cup (240 cc) of water.
• Place a vaporizer or nebulizer in the bedroom at night.
• Take acetaminophen or ibuprofen for pain.

Notify your doctor if you have rubella and any of the following:

• Fever over 104 degrees F (40 C)
• Neck pain
• Neck stiffness
• Worsening headache
• Worsening rash
• Repeated vomiting
• Difficulty breathing
• Excessive sleepiness
• Confusion

Last Updated: Jan 4, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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