Ambroxol Paracetamol Ibuprofen Amoxicillin Cefuroxime Cefixime Ceftriaxon Pip-tazo Cefutexime Cefoxitine Azithromycin Clarithromycim Cefaclor Zinc Ascorbic acid Ferrous Coamoxiclav 40-50 mkd Cotrimoxazole Mefenamic acid Salbutamol Can you share the pediatrics medication doses for all these medication
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pediatric doses ambroxol paracetamol ibuprofen mefenamic acid salbutamol zinc ascorbic acid ferrous sulfate
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pediatric antibiotic doses amoxicillin cefuroxime cefixime ceftriaxone piperacillin tazobactam cefotaxime cefoxitin azithromycin clarithromycin cefaclor co-amoxiclav cotrimoxazole
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The search results were limited. I'll compile a comprehensive pediatric dosing reference from established clinical knowledge (BNF for Children, Nelson's Pediatrics, WHO guidelines) covering all 20 medications.
Pediatric Medication Dosing Reference
Disclaimer: These are general reference doses. Always verify against current local formulary (BNF for Children / Nelson's), adjust for renal/hepatic function, and confirm with a prescribing physician. Doses below are for children >1 month unless stated.
Analgesics / Antipyretics
| Drug | Route | Dose | Frequency | Max Dose | Notes |
|---|---|---|---|---|---|
| Paracetamol | PO/PR | 15 mg/kg/dose | Every 4–6 hrs | 60 mg/kg/day; 1 g/dose (child >33 kg) | Not licensed <2 months orally; IV: 7.5–15 mg/kg/dose |
| Ibuprofen | PO | 5–10 mg/kg/dose | Every 6–8 hrs | 40 mg/kg/day; 400 mg/dose | ≥3 months; avoid if dehydrated, renal impairment, or GI issues; not for <5 kg |
| Mefenamic acid | PO | 6.5 mg/kg/dose | Every 8 hrs (TID) | 500 mg/dose | ≥6 months; short-term use only (≤7 days); avoid in renal impairment |
Mucolytic / Expectorant
| Drug | Route | Dose | Frequency | Notes |
|---|---|---|---|---|
| Ambroxol | PO | <2 yrs: 1.2 mg/kg/day in 2 divided doses | BID | Syrup: 15 mg/5 mL |
| 2–5 yrs: 7.5 mg/dose | BID–TID | |||
| 5–12 yrs: 15 mg/dose | BID–TID | |||
| >12 yrs: 30 mg/dose | TID (first 3 days), then BID |
Bronchodilator
| Drug | Route | Dose | Frequency | Notes |
|---|---|---|---|---|
| Salbutamol (Albuterol) | Inhaled (MDI + spacer) | 2–4 puffs (100 mcg/puff) | Every 4–6 hrs (maintenance); Every 20 min × 3 (acute) | Preferred route |
| Nebulized | <5 yrs: 2.5 mg; ≥5 yrs: 2.5–5 mg | Every 4–6 hrs; Q20 min in acute asthma | Dilute to 2.5–3 mL with NS | |
| PO (syrup) | 0.1–0.15 mg/kg/dose | Every 6–8 hrs | Max 2–4 mg/dose; oral route less preferred |
Penicillins
| Drug | Route | Dose | Frequency | Notes |
|---|---|---|---|---|
| Amoxicillin | PO | Standard: 25–50 mg/kg/day | TID (÷3) | Max 500 mg/dose standard; |
| High-dose (AOM, pneumonia): 80–90 mg/kg/day | BID or TID | Max 3 g/day | ||
| Co-amoxiclav (Amoxicillin-clavulanate) | PO | 40–50 mg/kg/day (amoxicillin component) | TID (÷3) every 8 hrs | As per user request (40–50 mkd); Max 500/125 mg TID; use 7:1 or 4:1 formulation |
Cephalosporins
| Drug | Generation | Route | Dose | Frequency | Notes |
|---|---|---|---|---|---|
| Cefaclor | 2nd gen | PO | 20–40 mg/kg/day | TID (÷3) | Max 500 mg/dose; 1 g/day |
| Cefuroxime (oral = cefuroxime axetil) | 2nd gen | PO | 20–30 mg/kg/day | BID (÷2) | Max 250–500 mg BID; take with food |
| IV/IM | 50–100 mg/kg/day | TID–QID (÷3–4) | Max 6 g/day (severe infections) | ||
| Cefoxitin | 2nd gen (cephamycin) | IV/IM | 80–160 mg/kg/day | QID (÷4) every 6 hrs | Max 12 g/day; used for anaerobic/mixed infections |
| Cefixime | 3rd gen | PO | 8 mg/kg/day | OD or BID (÷1–2) | Max 400 mg/day; good for UTI, typhoid, AOM |
| Cefotaxime (Cefutexime) | 3rd gen | IV/IM | 100–150 mg/kg/day (moderate); 150–200 mg/kg/day (severe/meningitis) | TID–QID (÷3–4) | Max 12 g/day; neonates: 50 mg/kg/dose Q12 hrs |
| Ceftriaxone | 3rd gen | IV/IM | 50–75 mg/kg/day (general); 80–100 mg/kg/day (meningitis) | OD (÷1) | Max 4 g/day; do NOT mix with Ca-containing IV solutions in neonates |
Pip-Tazo (Piperacillin-Tazobactam)
| Route | Dose | Frequency | Notes |
|---|---|---|---|
| IV | 200–300 mg/kg/day (piperacillin component) | TID–QID (÷3–4) every 6–8 hrs | Max 16 g piperacillin/day; used for severe/hospital-acquired infections; ≥2 months |
Macrolides
| Drug | Route | Dose | Frequency | Duration | Notes |
|---|---|---|---|---|---|
| Azithromycin | PO | 10 mg/kg on Day 1, then 5 mg/kg/day on Days 2–5 | OD | 5 days | Max 500 mg/day; for CAP, atypicals, pertussis: 10 mg/kg/day × 5 days |
| Single-dose regimen: 30 mg/kg | OD × 1 dose | — | For trachoma / some STI indications | ||
| Clarithromycin | PO | 15 mg/kg/day | BID (÷2) every 12 hrs | 7–14 days | Max 500 mg BID; not recommended <6 months; used for atypicals, H. pylori, MAC |
Cotrimoxazole (Trimethoprim-Sulfamethoxazole)
| Indication | Route | Dose (TMP component) | Frequency | Notes |
|---|---|---|---|---|
| UTI / general infection | PO | 6–12 mg/kg/day TMP (= 30–60 mg/kg/day SMX) | BID (÷2) | Max 320 mg TMP/day; ≥6 weeks of age |
| PCP prophylaxis | PO | 5 mg/kg/day TMP | OD or BID 3×/week | Immunocompromised patients |
| PCP treatment | PO/IV | 15–20 mg/kg/day TMP | QID (÷4) | 21 days |
Supplements & Micronutrients
| Drug | Route | Age Group | Dose | Frequency | Notes |
|---|---|---|---|---|---|
| Zinc | PO | <6 months: 10 mg/day | OD | WHO diarrhea protocol | |
| ≥6 months–5 yrs: 20 mg/day | OD | 10–14 days for acute diarrhea | |||
| Supplementation/deficiency: 0.5–1 mg/kg/day | OD | Max 40 mg/day (UL) | |||
| Ascorbic acid (Vitamin C) | PO | Supplementation: 15–45 mg/day | OD | RDA by age | |
| Therapeutic/Scurvy: 100–300 mg/day | BID–TID | Divide doses | |||
| Immune support (off-label): up to 500 mg/day | OD | Short-term use | |||
| Ferrous sulfate (Iron) | PO | Iron deficiency anemia: 3–6 mg/kg/day elemental iron | BID–TID | Give on empty stomach or with Vitamin C; ferrous sulfate 200 mg = 65 mg elemental iron | |
| Prophylaxis (preterm/low-birth-weight): 2–4 mg/kg/day elemental iron | OD | Starting 2–4 weeks of age |
Quick-Reference Summary Card
| # | Drug | Standard Pediatric Dose |
|---|---|---|
| 1 | Ambroxol | 1.2 mg/kg/day (<2 yr); 7.5 mg BID-TID (2–5 yr); 15 mg BID-TID (5–12 yr) |
| 2 | Paracetamol | 15 mg/kg/dose Q4–6h (max 60 mg/kg/day) |
| 3 | Ibuprofen | 5–10 mg/kg/dose Q6–8h (max 40 mg/kg/day) |
| 4 | Amoxicillin | 25–50 mg/kg/day ÷ TID; high-dose 80–90 mg/kg/day |
| 5 | Cefuroxime | PO 20–30 mg/kg/day ÷ BID; IV 50–100 mg/kg/day ÷ TID-QID |
| 6 | Cefixime | 8 mg/kg/day OD or BID (max 400 mg/day) |
| 7 | Ceftriaxone | 50–100 mg/kg/day OD IV/IM (max 4 g/day) |
| 8 | Pip-Tazo | 200–300 mg/kg/day (pip component) ÷ TID-QID IV |
| 9 | Cefotaxime | 100–200 mg/kg/day ÷ TID-QID IV/IM |
| 10 | Cefoxitin | 80–160 mg/kg/day ÷ QID IV/IM |
| 11 | Azithromycin | 10 mg/kg Day 1, then 5 mg/kg/day Days 2–5 PO |
| 12 | Clarithromycin | 15 mg/kg/day ÷ BID PO (max 500 mg BID) |
| 13 | Cefaclor | 20–40 mg/kg/day ÷ TID PO (max 1 g/day) |
| 14 | Zinc | 10 mg/day (<6 mo); 20 mg/day (≥6 mo) for diarrhea |
| 15 | Ascorbic acid | 100–300 mg/day therapeutic; 15–45 mg/day supplementation |
| 16 | Ferrous sulfate | 3–6 mg/kg/day elemental iron ÷ BID-TID |
| 17 | Co-amoxiclav | 40–50 mg/kg/day (amox component) ÷ TID |
| 18 | Cotrimoxazole | 6–12 mg/kg/day TMP ÷ BID |
| 19 | Mefenamic acid | 6.5 mg/kg/dose TID (max 500 mg/dose) |
| 20 | Salbutamol | Nebulized: 2.5–5 mg Q4–6h; MDI: 2–4 puffs Q4–6h |
Key abbreviations: OD = once daily, BID = twice daily, TID = three times daily, QID = four times daily, mkd = mg/kg/day, TMP = trimethoprim, SMX = sulfamethoxazole, AOM = acute otitis media, PCP = Pneumocystis pneumonia.
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