PEDIATRIC DRUG DOSAGES (neonatal doses are

different)*
 Nebulisations
Salbutamol <18 kg- 0.5 ml >18kg- 1ml
Ipravent <1 yr- 0.5 ml >1 yr- 1 ml
Budecort <6m-0.25 mg >6m-0.5 mg
(croup-2 mg)
Levolin <18kg-0.63 mg >18kg-1.25 mg
Adrenaline(1:1000) neb. - 0.2 ml/kg (max 5 ml) in
bronchiolitis, 0.5 ml/kg (max 5 ml) in croup
(dilute with 2-3 ml NS in all cases, cardiac disease avoid
adrenaline and salbutamol)
 T. Prednisolone 10mg, Syr. Kidpred, omnacortil (5/5)-
1 mg/kg/day 2-3 divided doses or 1 mg/kg stat dose
 T. Montair 6m-4yr -4mg DT >4yr- 5mg
 Syp. Cetrizine(5/5) 1-4yr -2.5ml OD/BD
>4yr- 5ml (5 mg tab)
Syp. Levocet (2.5/5)- same ml as cetrizine
 Syp. Deriphylline(50/5)- 5mg/kg/dose TDS
 Diarrhea

ORS- no dehyd-10ml/kg/motion ORS

Some dehyd-75ml/kg ORS over 4hrs+ ongoing loss

correction

Darolac sachet- 6m-1yr- ½ sachet BD, >1yr -1 sachet BD

Syp. Zinc(20/5) 2-6 m- 2.5ml(10mg/day) OD >6m- 2.5ml

BD(20mg/day)
 Redotil (racecadotril) (10 mg) sachet- 1.5mg/kg/dose BD or
TDS

Cadotril(15 mg) sachet

 Syp. Cefixime(50/5,100/5)- 5mg/kg/dose BD

 Paracetamol- (suppository 80,170,250 mg), Syr.
(125/5,250/5)- 15 mg/kg/dose Q8H or Q6H or SOS( avoid in
liver disease)
 Syp. Atarax(10/5)- 2mg/kg/day 3-4 divided doses (give for 4-
5 days in urticaria)
 Syp. Rantac (75/5),150mg tab- 2-3 mg/kg BD PO
 Cough
syp.salb(2/5) 0.1mg/kg/dose TDS
T.salb 2mg,4 mg
Syp.levolin(1/5) 0.05mg/kg/dose TDS
Syr.Terbutaline (bricanyl)(1.5/5), 2.5,5 mg tab- 0.05
mg/kg/dose TDS
Expectorants(ascoril) ( can be used in >5yrs or
expectorating capacity is expected) – 5yrs- 3 ml, 12yrs-
5ml
Mucolite- (drops,syr) 8 drops TDS for <6 m, 1 ml >6m-
1 yr, 2.5 ml 1-5 yrs, 4-5 ml tds thereafter
 Syp. Amox (125/5, 250/5) 15mg/kg/dose TDS
 Syp. Azithral(100/5,200/5) 10mg/kg/dose OD
 Syp. Cefpodoxime(50/5,100/5) 5mg/kg/dose BD
 Syp. Amoxiclav(228.5/5, 457/5),625mg- 20mg/kg/dose BD
(titrate with amoxicillin)
 Syp. Cefalexin(125/5),250mg- 15-17mg/kg/dose TDS
 Syp. Cefadroxyl(125/5),250mg- 15mg/kg/dose BD
 Syp. Cefuroxime(125/5),250mg- 15mg/kg/dose BD
 Syp. Tonoferon pediatric(25/1, 80/5) 3-6mg/kg OD
 T. Doxophylline 400mg- 6mg/kg/dose BD
 Syp. Sucralfate(500/5)- 20mg/kg/dose TDS
 T. Frisium (5 mg, 10 mg)- 0.75mg/kg 2 divided doses(SFS-
3days)
 Syp. Albendazole(400/10), 400mg
1-3 yr -200mg(5ml HS)
>3 yr -400mg(10 ml HS) rpt after 2wks
 Syp. Avil(15/5), 25 mg- 0.5mg/kg/dose
 Syp. Domstal (1/1),(10/1), 10mg tab- 0.2 mg/kg/dose BD or
TDS
 Syp. Synclar (125/5), 250 mg(for atypical organisms)-
7.5mg/kg/dose BD x 5-7days
 Syp. Septran (40+200)( titrate with trimethoprim),
tab(80+400), (20+100)- 5mg/kg/dose BD
 Oral Diazepam- 0.3mg/kg oral, rectal (2.5 mg suppository)
 Oral Dicyclomine- 10mg,20mg tab, Syr. (10/5)-
0.5mg/kg/dose
 Oral Lasix 10,20,40 mg- 1-2mg/kg/dose
 Syp. Brufen(100/5), 200, 400mg- 10mg/kg/dose BD or TDS
 Syp. Meftal(125/5) 8mg/kg/dose TDS
 Syp. Looz (lactulose) 1-4yr -2.5ml HS
5-10yrs - 5-7.5ml HS
>10yrs – 10-15 ml HS
 Syp. Zincovit/Delices/Becosules- 1yr-1 ml, 4yr -4ml, 5yr -5ml
OD
  T.Pantop 20,40mg- 1mg/kg/dose
 T.Junior lanzoprazole 15 mg- 1mg/kg/dose
 Intasporin(neomycin) powder for L/A –balanitis
 Nifidipine(5,10,20mg tab)- 0.5mg/kg/dose Q6H or sos
 Syp. Pyrantel pamoate(nemocid)(250/5) (used in <1 yr for
deworming if needed)- 11mg/kg/dose HS (single dose/ for
3days)
 Sedation
Syr. Pedichloryl- wt/2 ml stat
Syr. Phenergan(5/5)- 0.3 mg/kg stat

DROPS

 Calpol (100/1)
 Amoxicillin (100/1)
 Amoxiclav (91.4/1)
 Domstal(1/1,10/1)
 Colicaid 1m-4drops
6m-6drops
8m-8drops
1yr-1ml, 2yr- 2 ml

INJECTIONS

Antibiotics( always maintain upper ceiling dose/adult dose, test dose

as required)

Ampicillin-50 mg/kg/dose Q6H

Cefotaxim- 50 mg/kg/dose Q8H (or 150 mg/kg/day 4 divided doses)

Cefuroxime- 50 mg/kg/dose Q8H

Vancomycin- 15 mg/kg/dose Q8H

Azithromycin- 10 mg/kg/ dose OD

Ceftriaxone- 50mg/kg/dose BD

Crystalline penicillin- 50,000 IU/kg/dose Q6H

Cloxacillin- 37.5 mg/kg/dose Q6H (thrombophlebitis is a complication)

Gentamicin- 2.5 mg/kg/dose BD or 5 mg/kg/dose OD

Amikacin- 7.5 mg/kg/dose BD

Clindamycin- 10 mg/kg/dose Q8H

Linezolid- 10 mg/kg/dose BD

Piptaz- 37.5 mg/kg/dose Q6H or 50 mg/kg/dose Q8H

Meropenam- 20 mg/kg/dose Q8H

Metrogyl- 7.5 mg/kg/dose Q8H

Antiviral

Acyclovir-10 mg/kg/dose Q8H

Asthma

Inj. Hydrocortisone- 10mg/kg/dose stat followed by 4 mg/kg/dose

Q6H(if needed)

Inj.Tebutaline-0.01 ml/kg/dose s/c

Inj. Adrenaline- 0.01 ml/kg/dose s/c (1:1000)

Inj. Methyl pred- 2 mg/kg bolus followed by 1 mg/kg/dose Q8H( if
needed)

Inj. Magnesium sulphate- 0.1 ml/kg of 50% solution in 50 ml NS over 30

min

IVF in shock- rapid correction-initial bolus

20 ml/kg NS over 5 min/as fast as possible

Maintenance fluid

Holliday segar formula- 100ml/kg for initial 10 kgs, 50 ml/kg for next 10
kgs, 20 ml/kg therafter. This is for 24 hours, for 6 hours divide it by 4.

Eg. For 25 kg- (1000+500+100) = 1600 ml over 24 hrs or 400ml over 6

hrs

Antiepileptics

Lorazepam- 0.1 mg/kg/dose

Midazolam- 0.15 mg/kg/dose

Diazepam( preferred least)- 0.2 mg/kg/dose

Phenytoin- 20 mg/kg/bolus over 20 min followed by maintenance dose

of 2.5 mg/kg/dose BD

Fosphenytoin- 30 mg/kg/bolus over 20 min followed by maintenance

dose of 7.5 mg/kg/day 2 divided doses

Valproate- 20 mg/kg/bolus over 20 min followed by maintenance dose

of 10 mg/kg/dose BD
Pheno-20 mg/kg/bolus over 20 min followed by maintenance dose of
2.5 mg/kg/dose BD

Levetiracetam- 20 mg/kg/bolus over 20 min followed by maintenance

dose of 10 mg/kg/dose BD

Gastritis(inj)

Pantoprazole- 1 mg/kg/dose OD or BD

Ranitidine- 1-2 mg/kg/dose BD

Anaphylactic shock-

Adrenaline (1:1000)- 0.01 ml/kg/dose i.m

Hypoglycemia-

5 ml/kg D10 or 2 ml/kg D25

Cardiac arrest-

Adrenaline (1:1000)- 0.01 ml/kg/dose i.v

Atropine- 0.02 mg/kg/dose (minimum 0.1mg, maximum 1mg)

Diuretics(inj)

Furosemide- 1 mg/kg/dose

Vomiting

Inj. Emeset- 0.1 mg/kg/dose

Raised ICT

Mannitol 2.5 ml/kg/dose

Blood transfusions

Usually 10 ml/ kg/dose

Skin inf
cefixime, cephalexin, cefadroxyl, moxclav

UTI

Cephalexin, cefixime

GIT

Cefixime, cefotaxim

Sinusitis, pharyngitis, otitis

Amoxicillin, amoxiclav, azithromycin

Resp inf

amox, amoxiclav, cefuroxime, cefpodoxime, cefotaxim, clarithromycin

Meningitis

Ceftriaxone( avoid in < 2mon), cefotaxime(in <2mon), vancomycin

(avoid oral antibiotics except azithromycin if meningitis is suspected.)

Acute Urticaria

Rule out anaphylaxis, shock, wheeze

Atarax(hydroxyzine)/ cetirizine/CPM for 4 days minimum, Rantac,

steroids
*For HS posted in Dept. of Pediatrics.