Treatment

No specific treatment for dengue fever exists. Your doctor may recommend that you drink plenty of fluids to avoid dehydration from vomiting and a high fever.

While recovering from dengue fever, watch for signs and symptoms of dehydration. Call your doctor right away if you develop any of the following:

  • Decreased urination
  • Few or no tears
  • Dry mouth or lips
  • Lethargy or confusion
  • Cold or clammy extremities

Acetaminophen (Tylenol, others) can alleviate pain and reduce fever. Avoid pain relievers that can increase bleeding complications — such as aspirin, ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve, others).

If you have severe dengue fever, you may need:

  • Supportive care in a hospital
  • Intravenous (IV) fluid and electrolyte replacement
  • Blood pressure monitoring
  • Transfusion to replace blood loss
Aug. 08, 2017
References
  1. Bennett JE, et al., eds. Flaviviruses (Dengue, Yellow Fever, Japanese Encephalitis, West Nile Encephalitis, St. Louis Encephalitis, Tick-Borne Encephalitis, Kyasanur Forest Disease, Alkhurma Hemorrhagic Fever, Zika). In: Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2015. https://www.clinicalkey.com. Accessed June 10, 2017.
  2. Thomas SJ, et al. Dengue virus infection: Epidemiology. https://www.uptodate.com/home. Accessed June 10, 2017.
  3. Ferri FF. Dengue fever. In: Ferri's Clinical Advisor 2017. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. Accessed June 10, 2017.
  4. Thomas SJ, et al. Dengue virus infection: Clinical manifestations and diagnosis. https://www.uptodate.com/home. Accessed June 10, 2017.
  5. Thomas SJ, et al. Dengue virus infection: Prevention and treatment. https://www.uptodate.com/home. Accessed June 10, 2017.
  6. Dengue and severe dengue. World Health Organization. http://www.who.int/mediacentre/factsheets/fs117/en/. Accessed June 10, 2017.
  7. Symptoms and what to do if you think you have dengue. Centers for Disease Control and Prevention. https://www.cdc.gov/dengue/symptoms/index.html. Accessed June 10, 2017.
  8. Dengue: Prevention. Centers for Disease Control and Prevention. https://www.cdc.gov/dengue/prevention/index.html. Accessed June 10, 2017.
  9. Dengue vaccine: WHO position paper, July 2016 – recommendations. Vaccine. 2017;35:1200. http://www.sciencedirect.com/science/article/pii/S0264410X16310192.
  10. Steckelberg, JM (expert opinion). Mayo Clinic, Rochester, Minn. June 12, 2017.