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7/30/2019 Pediatric Drug Dosage---All in One
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Pediatric drugs info
7/30/2019 Pediatric Drug Dosage---All in One
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Acetaminophen Elixir(oral solution) 120mg=5cc drop:100mg/ml
10-15 mg/kg/dose 10kg=5cc qid
drop;2.5drop/kg
Pain or fever: Oral, rectal Children
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Amoxiciline susp 125 & 250=5cc cap 250 & 500 mg
20-40 mg/kg/24hrs
10 kg =5cc tds
DOSING: PEDIATRIC
Susceptible infections: Oral:
Children 3 months: 20-30 mg/kg/day divided every 12 hours
Children: >3 months and 3 months and 3 months and 3 months and 3 months and
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Ampiciline susp 125 & 250=5cc cap 250 & 500 mg
50-100 mg/kg/24 hrs 10kg=5cc qid
DOSING: PEDIATRIC
Mild-to-moderate infections: Infants and Children:
I.M., I.V.: 100-150 mg/kg/day in divided doses every 6 hours (maximum: 2-4 g/day)
Oral: 50-100 mg/kg/day in doses divided every 6 hours (maximum: 2-4 g/day)
Severe infections/meningitis: Infants and Children: I.M., I.V.: 200-400 mg/kg/day in divided doses every
6 hours (maximum: 6-12 g/day)
Endocarditis prophylaxis: Infants and Children: I.M., I.V.:
Dental, oral, respiratory tract, or esophageal procedures: 50 mg/kg within 30 minutes prior to procedurein patients unable to take oral amoxicillin
Genitourinary and gastrointestinal tract (except esophageal) procedures:
High-risk patients: 50 mg/kg (maximum: 2 g) within 30 minutes prior to procedure, followed by ampicillin 25 mg/kg (or amoxicillin 25 mg/kg orally) 6 hours later; must be used in combination with gentamicin.
Moderate-risk patients: 50 mg/kg within 30 minutes prior to procedure.
AL-MG-S AL(OH)3 225mg/5cc syr 1-2 cc/kg/24hrs
MG(OH)2 200mg/5cc
Simethicone(Gas-X) 25mg/5cc
Atrovent(ipratropium bromide)
DOSING: PEDIATRIC
Bronchospasm:
Nebulization:
Infants and Children 12 years: 125-250 mcg 3 times/day
Children >12 years: Refer to adult dosing.
Metered dose inhaler:
Children 3-12 years: 1-2 inhalations 3 times/day, up to 6 inhalations/24 hours
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Children >12 years: Refer to adult dosing.
Colds (symptomatic relief of rhinorrhea): Intranasal: Safety and efficacy of use beyond 4 days in patientswith the common cold have not been established:
Children 5-11 years: 0.06%: 2 sprays in each nostril 3 times/day
Children 5 years and Adults: 0.06%: 2 sprays in each nostril 3-4 times/day
Allergic/nonallergic rhinitis: Intranasal: Children 6 years: Refer to adult dosing.
USE Anticholinergic bronchodilator used in bronchospasm associated with COPD, bronchitis, and
emphysema; symptomatic relief of rhinorrhea associated with the common cold and allergic and nonallergic rhinitis
Azithromycine (Zithromax) tab 250 mg susp 100,250mg/5cc children 2 y-old 12mg/kg/daily
Bacterial sinusitis: Oral: Children 6 months: 10 mg/kg once daily for 3 days (maximum: 500 mg/day)
Pharyngitis, tonsillitis: Oral: Children 2 years: 12 mg/kg/day once daily for 5 days (maximum: 500 mg/day)
Cardiac glycosides: Macrolides may increase the serum concentrations of cardiac glycosides; monitor.
Warfarin: Azithromycin and other macrolides may decrease metabolism, viaCYP isoenzymes, of warfarin. Monitor for increased effects.
Belladonna Pb Atropine+Hyosine+Hyocyamine+Phenobarbital 0.1 cc/kg
Bisacodyl ped Supp 5mg-----------1 +adult supp 10 mg------------------1-2
DOSING: PEDIATRIC
Relief of constipation:
Oral: Children >6 years: 5-10 mg (0.3 mg/kg) at bedtime or before breakfast
Rectal (suppository): Children:
2 years: 10 mg
Bromhexine hcl elixir Mucolytic Agent syr 5cc=4mg
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Oral:
Children 12 years and Adults: 8 mg(10cc) 3 times /day
Cefixime
tab 200&400 mg susp 100mg/5cc---------------8mg/kg/daily---bd-------------- 0.5cc/kg/daily---bd
USE Treatment of urinary tract infections, otitis media, respiratory infections due to susceptible organisms including S. pneumoniae and S. pyogenes, H. influenzae and many Enterobacteriaceae;uncomplicated cervical/urethral gonorrhea due to N. gonorrhoeae
DOSING: ADULTS
Susceptible infections: Oral: 400 mg/day divided every 12-24 hours
Uncomplicated cervical/urethral gonorrhea due to N. gonorrhoeae: Oral: 400 mg as a single dose
Note: For S. pyogenes infections, treat for 10 days
DOSING: PEDIATRIC
Susceptible infections: Oral:
Children 6 months: 8 mg/kg/day divided every 12-24 hours
Children >50 kg or >12 years: Refer to adult dosing.
Note: For S. pyogenes infections, treat for 10 days
Cotrimoxasole Susp 40 mgTMP=5cc pediatric tab=20 mgTMP/Adult tab=80mgTMP
8-10 mg/kg/24hrs TMP 10 kg= 5cc BD
Shigellosis:
Oral: 8 mg TMP/kg/day in divided doses every 12 hours for 5 days
I.V.: 8-10 mg TMP/kg/day in divided doses every 6, 8, or 12 hours for up to 5 days
Acute otitis media:
Oral: 8 mg TMP/kg/day in divided doses every 12 hours for 10 days
Urinary tract infection:
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Treatment:
Oral: 6-12 mg TMP/kg/day in divided doses every 12 hours
I.V.: 8-10 mg TMP/kg/day in divided doses every 6, 8, or 12 hours for up to 4 days with seriousinfections
Prophylaxis: Oral: 2 mg TMP/kg/dose daily or 5 mg TMP/kg/dose twice weekly
CONTRAINDICATIONS Hypersensitivity to any sulfa drug, trimethoprim, or any component of the formulation; porphyria; megaloblastic anemia due to folate deficiency; infants
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Status epilepticus:
I.V.:
Infants >30 days and Children
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Minor allergic rhinitis or motion sickness: Oral, I.M., I.V.:
2 to
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DOSING: ADULTS Flatulence/bloating: Oral: 40-120 mg after meals and at bedtime as needed, not toexceed 500 mg/day
Domperidone Motilium
PHARMACOLOGIC CATEGORY
Dopamine Antagonist
Gastrointestinal Agent, Prokinetic
DOSING: ADULTS
GI motility disorders: Oral: 10 mg 3-4 times/day, 15-30 minutes before mealsSevere/resistant cases: 20 mg 3-4 times/day, 15-30 minutes before meals
Nausea/vomiting associated with dopamine-agonist anti-Parkinson agents: Oral: 20 mg 3-4 times/day
Erythromycine susp 200 mg=5cc tab 200 & 400 mg 30-50 mg /kg/24 hrs------ qid
DOSING: ADULTS
Usual dosage range:
Oral: (Note: Due to differences in absorption, 400 mg erythromycin ethylsuccinate produces the same serum levels as 250 mg erythromycin base, sterate or estolate)
Base: 30-50 mg/kg/day in 2-4 divided doses; do not exceed 2 g/day
Estolate: 30-50 mg/kg/day in 2-4 divided doses; do not exceed 2 g/day
Ethylsuccinate: 30-50 mg/kg/day in 2-4 divided doses; do not exceed 3.2 g/day
Stearate: 30-50 mg/kg/day in 2-4 divided doses; do not exceed 2 g/day
I.V.: Lactobionate: 15-20 mg/kg/day divided every 6 hours or 500 mg to 1 g every 6 hours, or given as a continuous infusion over 24 hours (maximum: 4 g/24 hours)
Ophthalmic infection: Ophthalmic: Instill 1/2" ( 1.25 cm ) 2-6 times/day depending on the severity of theinfection
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Indication-specific dosing:
Acne vulgaris (unlabeled use): Adolescents: Oral: 250-1500 mg/day in 2 divided doses; therapy may be continued for 4-6 weeks at lowest possible dose
Pharyngitis: Oral: 40 mg/kg/day in 2 doses; maximum: 1600 mg/day; short-course therapy for 5 days may be considered
Pertussis: Oral: 40-50 mg/kg/day in divided doses; standard treatment course is 14 days, but there isevidence to support a shorter (7-day) course
Preop bowel preparation: Oral: 20 mg/kg erythromycin base at 1, 2, and 11 PM on the day before surgery combined with mechanical cleansing of the large intestine and oral neomycin
Ophthalmic infection: Ophthalmic: Refer to adult dosing.
Topical: Refer to adult dosing.
Guaifenesine(Expectorant ) syr 100 mg =5cc
Cough (expectorant): Oral: Children:
6 months to 2 years: 25-50 mg every 4 hours, not to exceed 300 mg/day
2-5 years: 50-100 mg every 4 hours, not to exceed 600 mg/day
6-11 years: 100-200 mg every 4 hours, not to exceed 1.2 g/day
>12 years: Refer to adult dosing.
WARNINGS / PRECAUTIONS Not for persistent cough such as occurs with smoking, asthma, chronic bronchitis, or emphysema or cough accompanied by excessive secretions. When used for self-medication (OTC), contact healthcare provider if needed for >7 days or for a cough with a fever, rash, or persistent headache.
Ferrous sulfate
DOSING: ADULTS Dose expressed in terms of ferrous sulfate:
Treatment of iron deficiency anemia: Oral: 300 mg twice daily up to 300 mg 4 times/day or 250 mg(extended release) 1-2 times/day
Prophylaxis of iron deficiency: Oral: 300 mg/day
DOSING: PEDIATRIC Dosage expressed in terms of elemental iron:
Treatment of severe iron-deficiency anemia: Oral: 4-6 mg Fe/kg/day in 3 divided doses
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Treatment of mild-to-moderate iron-deficiency anemia: Oral: 3 mg Fe/kg/day in 1-2 divided doses
Prophylaxis: Oral: 1-2 mg Fe/kg/day up to a maximum of 15 mg/day
ADMINISTRATION Administer ferrous sulfate 2 hours prior to, or 4 hours after antacids
ADVERSE REACTIONS SIGNIFICANT
>10%: Gastrointestinal: GI irritation, epigastric pain, nausea, dark stools, vomiting, stomach cramping, constipation
1% to 10%:
Gastrointestinal: Heartburn, diarrheaGenitourinary: Discoloration of urine
Miscellaneous: Liquid preparations may temporarily stain the teeth
1 month: 5-8 mg/kg/day in 4 divided doses for 7 days, not to exceed 400 mg/day or 8.8 mg/kg/day
ADVERSE REACTIONS SIGNIFICANT
>10%: Genitourinary: Discoloration of urine (dark yellow to brown)
1% to 10%:
Central nervous system: Headache
Gastrointestinal: Abdominal pain, diarrhea, nausea, vomiting
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1mg/kg/24hrs 10kg=2.5cc
Phenobarbital tab 15,30,60,100 amp 100, 200 mg
Amp 10 mg/kg/IM/stat amp 5mg/kg/24hrs/bd/Im
Phenytoine amp 15/mg/kg/stat slowly IV 4-8 mg/kg24hrs/bd
Pyrantel pamoate tab 125 mg syr 250mg=5cc
11mg/kg/dose single dose 20kg=5cc
Salbutamole (ventoline) syr 2mg=5cc 0.15 mg/kg/dose
0.375cc/kg