How soon can I give paracetamol?

[TheBabyAteMyBrain]

2 year old has a nasty cold, has a fondness for extreme temperatures and ambulance rides.

He's had a coughing fit at 8.10 and vomited, most likely disposing of the ibuprofen given at 8pm. Temperature isn't coming down, how soon can I give paracetamol? We need to avoid a spike if at all possible.

Help!

Thanks @HeinzBlondeHate, our usual rides are for convulsions, chest infections and bloody tonsillitis. Poor thing had it so bad last year he couldn't even swallow his own saliva. He's absolutely terrified of hospitals now, our last place was so good with him. They would do what they called 'ninja obs' as he wouldn't let them near him. He's autistic with severe delays and being ill is exceptionally hard on him. Much like Joey doesn't share food, ds doesn't do change.

We moved to a new area back spring and although we use the hospital a lot for his appointments he hasn't been there in a high stress situation and I fear as he gets older he will cope with it less than he has in the past. And when I say cope in the past the knock on effect from admissions take weeks or months to overcome again.

@PurpleDaisies

I genuinely had no idea - thank you for highlighting this. It's really important.