Thank you for your query at DoctorSpring.com
I can understand your concerns. Ear infections can be really painful. It may not even let the child sleep peacefully.
However, there are limitations to the pain relief that we can provide. You could use it four times a day. But, remember not to exceed the maximum daily dose which is around 30 mg per kilogrammes body weight. So take care that the total daily dose does not exceed this upper limit. Moreover, ibuprofen can worsen gastritis. So ensure that it is taken an hour after feed with plenty of water.
The pain is likely to improve as the ear infection responds to antibiotic therapy. So usually, by two-three days there is a symptomatic improvement.
Dr. Saptharishi L G