PAEDIATRIC DRUG DOSES

For Penang state government hospital and clinic's pharmacy internal use only. Please refer *DISCLAIMER before use

DRUG DRUG DOSES

<10kg: 200mg/dose, >10kg: 400mg/dose; or
Albendazole 200mg/dose (12 mo to 2 yr), 400mg/dose (>2 yr)
(Frequency and duration of treatment depend on types of parasite)
Amoxicillin 10-25mg/kg/dose (adult 0.25-1g) 8H; or 12.5-40mg/kg/dose 12H
Amoxicillin/Clavulanic Acid (For preparation containing 200mg/28.5mg)
12.5-22.5mg/kg/dose (amoxicillin component) 12H
Ampicillin 12.5-25mg/kg/dose (adult 0.25-1g) 6H
10-15mg/kg/dose (adult 500mg) on day 1, then 5-
Azithromycin
7.5mg/kg/dose (adult 250mg) 24H on day 2-5; or
10-15mg/kg/dose (adult 500mg) 24H for 3 days
Bromhexine 0.15-0.3mg/kg/dose (adult 8-16mg) 8H
Cefuroxime 10-15mg/kg/dose (adult 250-500mg) 12H
12.5-25mg/kg/dose (adult 0.5-1g) 6-12H;
Cephalexin
Prophylaxis: 12.5mg/kg/dose (max 250mg) at night
Chlorpheniramine 0.1mg/kg/dose (adult 4mg) 6-8H
Clarithromycin 7.5-15mg/kg/dose (adult 250-500mg) 12H
Cloxacillin 15-25mg/kg/dose (adult 500mg) 6H
Co-trimoxazole TMP 4-6mg/kg/dose (adult 80-160mg) 12H;
(Sulfamethoxazole/Trimethoprim) Prophylaxis: (Renal) TMP 2mg/kg/dose (max 80mg) 24H,
(P. Jirovecii) 5mg/kg/dose 24H on 3 days/wk
1-2mg/kg/dose (adult 50-100mg) 6-8H; or
Diphenhydramine 6.25-12.5mg (2 to <6 yr), 12.5-25mg (6 to <12 yr), 25-50mg
(≥12 yr) 6-8H
Domperidone 0.2-0.5mg/kg/dose (adult 10-20mg) 4-8H
Erythromycin Ethylsuccinate <2 months old may cause pyloric stenosis
15-25mg/kg/dose 12H; or 30-50mg/kg/DAY divided every 6-8H
Ferrous salts 1-6mg elemental iron/kg/DAY in 1-3 divided doses
Folic Acid 50mcg (neonate), 0.1-0.25mg (<4 yr), 0.5-1mg (>4yr) 24H
Lactulose 1-3ml/kg/DAY (max 60ml/DAY) in divided doses
Metoclopramide 0.1-0.3mg/kg/dose (adult 10-15mg) 8H
3mg/kg/dose (adult 75mg) 12-24H; or
For infant: 12mg (<3 mo), 20mg (3 to 5 mo), 25mg (6 to 11mo);
Oseltamivir
For children ≥1 yr: 30mg ( ≤15kg), 45mg (≥15 to ≤23kg),
60mg (>23 to ≤40kg), 75mg (>40kg) 12-24H

All recommended dose stated are intended to be used for the purpose of counter-checking prescriptions for COMMON OUTPATIENT PAEDIATRIC ILLNESS only

Medication Safety Committee of Pharmaceutical Services Division, Penang State Health Department, January 2016
 DRUG DRUG DOSES
20mg/kg/dose stat, then 10-15mg/kg/dose (max 4g/DAY or
Paracetamol
60mg/kg/DAY) 4-6H
Phenoxymethylpenicillin 10-15mg/kg/dose (adult 250-500mg) 6-8H;
(Penicillin V) Prophylaxis: 250mg (1 mo-12 yr), 250mg (>12 yr) 12H
Promethazine CONTRAINDICATED in children <2 years of age
0.1-0.5mg/kg/dose (adult 10-25mg) 6-8H
Ranitidine 2-5mg/kg/dose (max 150mg) 12H
Salbutamol 0.1-0.15mg/kg/dose (adult 2-4mg) 6-8H

REFERENCES
1. Frank Shann. Drug Doses, 16 d. Australia, Intensive Care Unit Royal Children's Hospitat: 2014
2. Taketomo CK, Modding JH, Kraus OM Pediatric & Neonatal Dosage Handbook 21" ed United States Lexi-Coma, inc: 2014
3. Micromedex Healthcare Series DRUGDEX System. Truven Health Analytics Inc vol. 167 expires 1/2016
4. Paediatric Formulary Committee British National Formulary for Children 2011-2012 London and Chicago: BMJ Pub Group, RPS
Pub, RCPCH Pub.: 2011
5. Package inserts
*DISCLAIMER
For Penang state government hospital and clinic's pharmacy internal use only. All recommended doses stated are intended to be used
for the purpose of counter-checking prescriptions for COMMON OUTPATIENT PAEDIATRIC ILLNESS only. For details or other
specific conditions, kindly refer relevant reference. The contributors strive to ensure all information is appropriate and relevant, and
shall not hold any responsibility for use of information other than purpose stated.

ACKNOWLEGMENT
Special thanks to Pn Zubaidah Che' Embee (Deputy Director (Pharmacy) Penang State Health Department) and Olyammaal M. Chelliah
(Advisor of Medication Safety Committee of Pharmaceutical Services Division, Penang State Health Department) and the reviewers for
their valuable comments and help to make this compilation possible.

CONTRIBUTORS

Ng Boon Yah Ch’ng Pao Pao

Pharmacist Pharmacist
Hospital Pulau Pinang Hospital Pulau Pinang

REVIEWERS
Dato' Dr. Revathy Nallusamy Dr. Yusmawati Mohd Yusof
Head of Paediatric Department Family Medicine Specialist
Hospital Pulau Pinang Klinik Kesihatan Seberang Jaya,
PKD Seberang Perai Tengah

Noraini Ab. Kadir Tang Kai Lun

Senior Principal Assistant Director Pharmacy Pharmacist
Pharmacy Management Division Hospital Seberang Jaya
(Penang State)

Khoa Chia Chia

Pharmacist
Klinik Kesihatan Sungai Dua,
PKD Seberang Perai Utara

Medication Safety Committee of Pharmaceutical Services Division, Penang State Health Department, January 2016