How much pacimol of 15mg bottle to be given to an infant for fever who is 5 months and weights 7kg
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I now have all the information needed to calculate the dose. Here's the full answer:
Paracetamol (Pacimol) Dosing for a 5-Month-Old, 7 kg Infant
Step 1 — Calculate the Dose
The standard paracetamol dose for fever in infants is 10–15 mg/kg/dose, given every 4–6 hours. Do not exceed 5 doses in 24 hours.
| Calculation | |
|---|---|
| Low end (10 mg/kg) | 10 × 7 = 70 mg/dose |
| High end (15 mg/kg) | 15 × 7 = 105 mg/dose |
The Harriet Lane Handbook dosing table for an infant weighing 5.1–7.7 kg (4–11 months) gives a recommended dose of 80 mg per dose — this falls within the 10–15 mg/kg range and is the standard reference dose for this weight band.
Step 2 — Calculate the Volume from Pacimol 15 mg/5 mL Syrup
Pacimol pediatric syrup is available as 15 mg / 5 mL (3 mg/mL).
| Dose | Volume needed |
|---|---|
| 70 mg | 70 ÷ 3 = ~23.3 mL |
| 80 mg (standard ref dose) | 80 ÷ 3 = ~26.7 mL |
| 105 mg | 105 ÷ 3 = 35 mL |
⚠️ Important note: Pacimol 15 mg/5 mL is a very low-concentration formulation. For a 7 kg infant, even the minimum dose (~70 mg) requires over 23 mL in one sitting, which is a large volume for a 5-month-old. This formulation is more commonly intended for neonates/small infants in specific clinical settings.
Recommended Action
The more practical formulation for home/outpatient use is:
- Pacimol syrup 125 mg/5 mL (25 mg/mL) → dose would be 2.8–4.2 mL (much more practical)
Please verify which Pacimol formulation you actually have:
- Pacimol 15 mg/5 mL → need ~23–27 mL per dose (unusually large volume — double-check the label)
- Pacimol 125 mg/5 mL → need ~2.8–4.2 mL per dose (standard)
If the bottle truly reads 15 mg/5 mL, give approximately 26–27 mL per dose, but this is an atypical formulation and you should confirm with a pharmacist or prescribing physician.
Summary (if bottle is confirmed 15 mg/5 mL):
- Dose: 80 mg (standard for 7 kg infant, 4–11 months)
- Volume: ~26–27 mL per dose
- Frequency: Every 4–6 hours, max 5 doses in 24 hours
- Max daily dose: 75 mg/kg/day = 525 mg/day
— The Harriet Lane Handbook, 23rd Ed., p. 1093 (Acetaminophen section)
Disclaimer: This is for educational reference only. Always confirm dosing with a licensed healthcare provider or pharmacist before administering medication to an infant.
This is the pacimol i have
This is Pacimol Drops — Acetaminophen (Paracetamol) Oral Suspension USP 100 mg/mL. This is the concentrated infant drops formulation, much stronger than regular syrup.
Dose Calculation for Your Infant
| Weight | 7 kg |
| Age | 5 months |
| Formulation | Pacimol Drops 100 mg/mL |
| Standard dose | 10–15 mg/kg/dose |
Dose needed:
- Low end: 10 × 7 = 70 mg
- Standard: 15 × 7 = 105 mg
- Recommended: ~70–105 mg per dose
Volume to give:
Since concentration = 100 mg/mL: Volume = Dose ÷ 100
| Dose | Volume |
|---|---|
| 70 mg | 0.7 mL |
| 80 mg (typical for 7 kg) | 0.8 mL ✅ |
| 105 mg | 1.05 mL |
✅ Give: 0.7 mL to 1.0 mL per dose
- Use the dropper that comes with the bottle
- Give every 4–6 hours as needed for fever
- Do not exceed 5 doses in 24 hours
- Maximum daily dose: 75 mg/kg/day = 525 mg/day for this infant
⚠️ Note: This is a high-concentration drops formulation (100 mg/mL). Be careful not to confuse it with regular syrup (125 mg/5 mL). Always use only the dropper provided — never a household spoon. If fever persists beyond 2–3 days or the infant appears very unwell, consult a doctor promptly.
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