1 2
♥ IVF :
IVF to use (varies per
institution):
0 – 7 y/o I = D5 0. 3 NaCl
M = D5 IMB
8 – 10 y/o I = D5NR
M = D5NM
st
1 10 kg 100 cc/kg
2nd 10 kg 50 cc/kg
Above 20 kg 20 cc/kg
* cc/day / 24 = ugtts/min
* ckd x wt = ugtts/min
24 hours
* cc/hr = ugtts/min
* ugtts/min x 24 H = ckd
wt ( kg )
5 6
♥ ANTIBIOTICS :
♥ PENICILLINS
Penicillin G Benzathine /
Benzathine Benzylpenicillin
Benzapen, Phil
Pharmawealth/Karnataka
Benzathine Benzylpenicillin
1200000 u powd for inj/vial
Sig. IM;
Group A streptococci:
Infant and child: 25,000–50,000
U/kg/dose IM × 1. Max. dose:
1.2 million U/dose OR >1 mo
and <27 kg: 600,000 U/dose IM
×1
≥27 kg and adult: 1.2 million
U/dose IM × 1
Rheumatic fever prophylaxis -Q3
week
Benzylpenicillin sodium
250 mg = 400,000 U
Harbipen, YSS Benzylpenicillin
sodium
1M (625 mg), 5M (3g) units
powd for inj/Vial
Sig. IV or IM
100,000–400,000 U/kg/24 hr ÷
Q4–6 hr; max. dose: 24 million
U/24 hr
♥ THERAPEUTICS :
* mL per dose = ml of prepn
mg of prepn
= wt x mg/kg/dose x (mL/mg)
TO CHECK :
mg/mL of prepn x ml use/day
wt (kg )
= mg/kg/dose
(x freq to get mg/kg/day)
♥ Sodium Correction
Na deficit = (normal – actual) x
wt x 0. 6
Maintenance = wt x 2
Tot. Def = Def + Maintenance
½ correction = 1st 8 hrs
½ correction = next 16 hrs
total of 24 hrs correction
Penicillin V /
Phenoxymethylpenicillin
Sumapen (60 mL)
125 mg/5 mL, 250 mg/5 mL
Powd for susp
Sig. 25–50 mg/kg/24 hr ÷ Q6–8
hr PO. Max. dose: 3 g/24 hr
Take 1 hr before or 2 hr after
meals.
Cloxacillin Na
Pannox (60 mL)
250 mg/5 mL powd for oral soln
Caxin, Pannox
500 mg/cap
Sig. 50-100 mkd Q6
Adult 250-500 mg Q6.
Take 1 hr before or 2 hr after
meals.
Oxacillin
Wydox
500 mg powd for inj / vial
Sig.IM/IV: 100–200 mg/kg/24 hr
÷ Q4–6 hr
Max. dose: 12 g/24 hr
3 4
♥ ANTI-PYRETICS
Paracetamol
Biogesic (15 mL; 60 mL)
Calpol (10 mL; 60 mL)
Naprex (15 mL; 60 mL)
Tempra (15-30 mL; 30-60 mL)
100 mg/mL oral drops, 120 mg/5
mL oral susp (Tempra - syrup),
250 mg/5 mL oral susp (Tempra
Forte syrup)
Kiddilets
80mg/chewable tab
Tempra, Tempra Forte
325mg/tab, 500mg/tab
Opigesic
125 mg, 250 mg sup
Aeknil
300 mg/2mL amp
Sig. 10–15 mg/kg/dose PO/PR
Q4–6 hr; max. dose: 90
mg/kg/24 hr.
IV 15 mg/kg/dose Q6 hr, OR
12.5 mg/kg/dose Q4 hr IV up to a
maximum of 75 mg/kg/24 hr.
7 8
Amoxicillin
Amoxil Ped/Amoxil / Amoxil
Forte (20 mL: 60 mL)
100 mg/mL oral drops, 125 mg/5
mL, 250 mg/5 mL powd for oral
susp
Sig. Standard dose: 25–50
mg/kg/24 hr ÷ Q8–12 hr PO
High dose (resistant S.
pneumoniae): 80–90 mg/kg/24 hr
÷ BID PO
Ampicillin
Ampicin, Vatacil
250 mg/vial, 500 mg/vial
Sig. Mild-moderate infections:
IM/IV: 100–200 mg/kg/24 hr ÷ Q6
hr
Severe infections: 200–400
mg/kg/24 hr ÷ Q4–6 hr IM/IV
Adults IM/IV: 500–3000 mg Q4–6
hr Max. dose: 12 g/24 hr
*For immediate use once diluted
* dose,
Co-amox
Augmentin
156. 25 mg/5 ml = 125 mg q 8
312.5 mg/5 ml = 250 mg q 8
228.5 mg/5 ml = 200 mg q 12
457 mg/ 5 ml = 400 mg q 12
642.9 mg/5mL = 600 mg Q12
375 mg tab = 250 mg
625 mg tab = 500 mg
300 mg vial = 250 mg
600 mg vial = 500 mg
1.2 gm vial = 1 gm
Ibuprofen
Dolan FP, Dolan FP Forte (15
mL; 60 mL)
100 mg/2.5 mL Oral drops, 100
mg/5 mL, 200 mg/5 mL oral
susp
Advil, Medicol
200 mg/soft gel cap
Sig. ≥6 mo; 5–10 mg/kg/dose
Q6–8 hr PO; max. dose: 40
mg/kg/24 hr.
Adult & childn >12 yr 1 cap Q4-6
should be taken with food Max
1200 mg/24 hr
Sig. Child ≥3 mo:
TID dosing: 20–40 mg/kg/24 hr ÷
Q8 hr PO
BID dosing: 25–45 mg/kg/24 hr
÷ Q12 hr PO
Ampicillin-Sulbactam
Silgram
375 (250 + 125) mg, 750 mg
(500), 1.5 (1g) g/vial
Sig. Mild-moderate infections:
IM/IV: 100–200 mg/kg/24 hr ÷
Q6 hr
Severe infections: 200–400
mg/kg/24 hr ÷ Q4–6 hr IM/IV
Adult Total daily dose: 1.5-12
g/day in divided doses for 6-8
hr.
Sultamicillin Tosylate
Unasyn Oral (60 mL)
250 mg/5 mL oral susp
Sig. <30 kg 25-50 mg/kg/day in
2 divided doses ≥30 kg Adult
Harriet PO: 50–100 mg/kg/24 hr
÷ Q6 hr; max. PO dose: 2–3
g/24 hr
Silgram 750 mg/FCT
Unasyn Oral
375 mg, 750 mg / tab
Sig. Adult & childn weighing ≥30
kg 750 mg bid
 9 10
♥ CEPHALOSPORINS
st
1 GEN
Cefalexin
Cefalin (10 mL; 60 mL)
Ceporex (10 mL; 70 mL)
100 mg/mL oral drops, 125 mg/5
mL, 250 mg/5 mL granules for
oral susp
Ceporex 250mg, 500mg/cap
Sig. Infant and child: 25–100
mg/kg/24 hr PO ÷ Q6 hr. Less
frequent dosing (Q8–12 hr) can
be used for uncomplicated
infections. Total daily dose may
be divided Q12 hr for
streptococcal pharyngitis (>1 yr)
and skin/skin structure
infections.
250-500 mg 6 hrly; Severe
infections: Up to 4 g/day
Cefazolin
Stancef 500 mg, 1g/vial
Sig. Infant >1 mo/child: 50–100
mg/kg/24 hr ÷ Q6–8 hr IV/IM;
max. dose: 6 g/24 hr
13
Ceftriaxone
Eluxone, Keptrix
Pneumosolv
1 g powder for injection/vial
Rocephin250 mg/vial + 5mL
diluent, 500 mg/vial + 5 mL
didluent, 1 g /vial + 10 mL
diluent
Sig. Infant (>1 mo) and child:
50–75 mg/kg/24 hr ÷ Q12–24 hr
IM/IV; max. dose: 2 g/24 hr.
Higher doses of 80–100
mg/kg/24 hr ÷ Q12–24 hr (max.
dose: 2 g/dose and 4 g/24 hr)
has been
recommended for infections
outside the CSF due to
penicillin-resistant pneumococci.
IV doses over 60 min
Adult: 1–2 g/dose Q12–24 hr
IV/IM; max. dose: 2 g/dose and
4 g/24 hr
nd
2 GEN
Cefaclor
Ceclor, Ceclor DS (20 mL; 60
mL)
50 mg/mL oral drops, 125 mg/5
mL, 250 mg/5mL oral susp
Sig. Child >1 mo old (use
regular-release dosage forms):
20–40 mg/kg/24 hr PO ÷ Q8 hr;
max. dose: 2 g/24 hr (Q12 hr
dosage interval optional in otitis
media or pharyngitis)
Pharex cefaclor
250mg, 500mg/cap
Sig. 250-500 mg Q8. Max 4 g
daily.
Cefuroxime Axetil
Cimex (50 mL, 60 mL, 70 mL)
Zinnat ( 50 mL 70 mL; 50 mL)
125 mg/5 mL, 250 mg/5 mL
granules for oral susp
Sig. Child (3 mo–12 yr):
Pharyngitis and tonsillitis:
20 mg/kg/24 hr ÷ Q12 hr; max.
dose: 500 mg/24 hr
Otitis media, impetigo, and
maxillary sinusitis: 30 mg/kg/24
hr ÷ Q12 hr; max. dose: 1 g/24
hr
14
Ceftazidime
Cestazid-1000
1 g powd for inj / vial + 10 mL
diluent
Fortum
250 mg, 500 mg, 1g, 2g/vial
Sig. Infant (>1 mo) and child:
90–150 mg/kg/24 hr ÷ Q8 hr
IV/IM; max. dose: 6 g/24 hr
Cystic Fibrosis and meningitis:
150 mg/kg/24 hr ÷ Q8 hr IV/IM;
max. dose: 6 g/24 hr
Adults 2–6 g/24 hr ÷ Q8–12 hr
IV/IM; max. dose: 6 g/24 hr
4th GEN
Cefepime
Cepiram
500mg, 1g, 2g/vial
Megapime, Supime
1g/vial
Sig. Child ≥2 mo: 100 mg/kg/24
hr ÷ Q12 hr IV/IM; max. dose: 4
g/24 hr
Meningitis, fever, and
neutropenia, or serious
infections: 150 mg/kg/24 hr ÷ Q8
hr IV/IM; max.
dose: 6 g/24 hr
11
Zinnat 250, 500 mg/FCT
Sig. 250-500 mg 12 hrly
Elixime, Eroxmit, Profurex, Zocef
750 mg powd for inj / vial
Sig. Infant (>3 mo)/child: 75–150
mg/kg/24 hr ÷ Q8 hr
Adults 750–1500 mg/dose Q8
Cefoxitin
Foxitin, Monowel
1g/vial
Sig. Neonates: 70–100 mg/kg/24
hr divided q 8–12 hr IV or IM.
Children: 80–160 mg/kg/24 hr
divided q 6–8 hr IV or IM.
Adults 1–2 g q 6–8 hr IV or IM
(max dose: 12 g/24 hr)
3rd GEN
Cefixime
Triocef, Tergecef, Ultraxime (10
mL; 30, 60 mL)
20 mg/mL, 100mg/5mL
suspension
Taxim-O
200 mg/FCT
15
♥ MACROLIDES
Erythromycin Estolate
Ilosone / Ilosone DS (10 mL; 60
mL)
100 mg/mL oral drops, 125 mg/5
mL oral susp, 250 mg/5 mL oral
susp
Sig. 30–50 mg/kg/24 hr ÷ Q6–8
hr; max. dose: 2 g/24 hr
RiteMED 250 mg, 500 mg/cap
Sig. 250-500 mg Q6; This may
be increased up to ≥4 g daily
Should be taken on an empty
stomach
Clarithromycin
Clarithrocid (25 mL, 50 mL; 50
mL, 70 mL)
Klaz (35 mL, 70 mL; 35 mL, 70
mL)
125 mg/5 mL , 250 mg/5 mL
granules for oral susp
Clarithrocid
250 mg, 500 mg/FCT
Klaricid, Klaricid OD,
Klaz, Klaz OD
250 mg, 500 mg/tab, 500 mg/XR
tab
12
Sig. Infant (>6 mo) and child: 8
mg/kg/24 hr ÷ Q12–24 hr PO;
max. dose: 400 mg/24 hr
should be taken with food.
Child (>12 yr or ≥50 kg) and
adult: 1–2 g/dose Q6–8 hr IV/IM
Severe infection: 2 g/dose Q4–6
hr IV/IM
Max. dose: 12 g/24 hr
Adolescent and adult: 400
mg/24 hr ÷ Q12–24 hr
Cefotaxime Na
Claforan 500mg/vial
Cladex 1 g/vial
Sig. Infant and child (1 mo–12 yr
and <50 kg): 100–200 mg/kg/24
hr ÷ Q6–8 hr IV/IM. Higher
doses of 150–225 mg/kg/24 hr ÷
Q6–8 hr have been
recommended for infections
outside the CSF due to
penicillin-resistant pneumococci.
Child (>12 yr or ≥50 kg) and
adult: 1–2 g/dose Q6–8 hr IV/IM
Severe infection: 2 g/dose Q4–6
hr IV/IM
Max. dose: 12 g/24 hr
16
Sig. 7.5 mg/kg bid. Max: 500 mg
bid
Immediate release: 250–500
mg/dose Q12 hr PO
Extended release (Biaxin XL):
1000 mg Q24 hr PO
Azithromycin
Azemax (30 mL)
Zenith Suspension (20 mL)
200 mg/5 mL powd for susp
Sig.. 10 mg/kg OD x 3 days or
10 mg/kg as single dose on the
1st day, followed by 5 mg/kg on
days 2-5
 17
♥ AMINOGLYCOSIDES
Gentamicin Sulfate
Servigenta, Topigen
80 mg/2 mL amp
Sig. Harriet 7.5 mg/kg/24 hr ÷
Q8 hr
Nelson 2.5 mg/kg/24 hr divided q
8–12 hr IV or IM. Alternatively
may administer 5–7.5 mg/kg/24
hr IV once daily
Amikacin
Amikacide (2 mL)
50 mg/mL, 125 mg/mL, 250
mg/mL amp
Sig. 15–22.5 mg/kg/24 hr ÷ Q8
hr IV/IM
♥ OTHER ANTIBIOTICS
Meropenem
Meromax, Merop
500mg, 1000 mg powd for inj
/vial
21
Metronidazole
Dazomet, Flagyl
500 mg/100 mL infusion
Sig. 30 mg/kg/24 hr ÷ Q6 hr
Max. dose: 4 g/24 hr
♥ ANTI-TB MEDS
HRZ Pedia Kit (econo 60 mL
regular 120 mL)
HR Pedia Kit
H 200 mg + 12 mg/5mL syrup;
R 200 mg/5 mL oral susp;
Z 500 mg/5 mL oral susp
Kidz Kit 3 (120 mL)
Kidz Kit 2 (120 mL)
H 200 mg + 10 mg / 5 mL syrup;
R 200 mg/5 mL oral susp;
Z 250 mg/5mL oral susp
18
Sig. IV bolus inj over 5 min or IV
infusion over 15-30 min
Infant >3 mo and child:
Skin and subcutaneous tissue
infections: 30 mg/kg/24 IV ÷ Q8
hr; max. dose: 1.5 g/24 hr
Intra-abdominal and
mild/moderate infections: 60
mg/kg/24 hr IV ÷ Q8 hr; max.
dose: 3 g/24 hr
Meningitis, Cystic Fibrosis, and
severe infections: 120 mg/kg/24
hr IV ÷ Q8 hr; max. dose: 6 g/24
hr
Vancomycin
Mersa
500 mg powd for inj/vial
Sig. Reconstituted solutions
containing 500 mg of
vancomycin must be diluted with
at least 100 mL of diluent (Metro
20 cc D5W). The desired dose,
diluted in this manner, should be
administered by intermittent
intravenous infusion over a
period of at least 60 minutes.
See Harriet for dose
22
Sig. H 10-15 mkday OD (max
300 mg) or 20-30 mkday 3x a
week (max 900 mg).
Best taken 1 hr before (pre-
breakfast) or 2 hr after meals.
May be taken w/ meals to
reduce GI discomfort.
R 10-20 mg/kg body wt (max:
600 mg/day) OD or 10-20 mkday
(max 600) 3x a week
Take 1 hr before meals. (pre-
breakfast).
Z 20-40 mkday (max 2g) or 50
mkday (max 2g) 3x a week
Fixcom 4 (Natrapharm-
Natrapharm; P9.16), Fixcom 3
(P8.66)
Myrin-P-Forte (Pfizer-Pfizer),
Myrin
Quadmax (Multicare-Zuellig;
P9.25), Duomax (P8.25) FCT
H 75 mg, R 150 mg, Z 400 mg,
E 275 mg/tab
H 75 mg, R 150 mg, E 275
mg/tab
Sig. <55 kg 3 tab/day. 55-70
kg 4 tab/day, >70 kg 5 tab/day
Take 1 hr before or 2 hr after
meals.
19
Chloramphenicol
Chloromycetin (30 mL)
Pediachlor (60 mL)
125 mg/5 mL oral susp
Sig. 50 – 100 mkd q6
Take 1 hr before or 2 hr after
meals.
Chloromycetin
250, 500 mg/cap
Sig. Adult 250-500 mg 6 hrly.
Take 1 hr before or 2 hr after
meals.
Fusidic Acid
Fucidin Suspension (90 mL)
50 mg/mL
Sig. 50 mg/kg/day TID
Should be taken with food.
Clindamycin
Dalacin C (60 mL)
75 mg/5 mL granules for oral
soln
Sig. Child 10–30 mg/kg/24 hr ÷
Q6–8 hr; max. dose: 1.8 g/24 hr.
Adult 150–450 mg/dose Q6–8 hr;
max. dose: 1.8 g/24 hr
Should be taken with food.
Swallow whole w/ a full glass of
water & in an upright position.
23
♥ ANTI – VIRAL
Aciclovir
Hapivir (60 mL, 120 mL)
400 mg/5mL oral suspension
Herpex (50 mL)
200 mg/5mL oral suspension
Sig. varicella (≥2 yr): 80
mg/kg/24 hr ÷ QID × 5 days
(begin treatment at earliest
signs/symptoms);
max. dose: 3200 mg/24 hr
mucocutaneous HSV
40–80 mg/kg/24 hr ÷ Q6–8 hr ×
5–10 days (max. pediatric dose:
1000 mg/24 hr)
Use ideal body weight for obese
patients.
Inosine pranobex /
methisoprinol
Isoprinosine (60mL)
250 mg/5 mL syr, 500 mg/tab
Sig. Syrup: Children 0-7 years,
<1 year, <9 kg: ¼ tsp 6 times
daily.
1-3 years, 9-14 kg: ½ tsp, 6
times daily;
14-21 kg: ¾ tsp, 6 times daily;
20
Co-trimoxazole
[sulfamethoxazole (SMZ) &
trimethoprim (TM)]
Bactrim (50 mL)
Globaxol (60 mL)
Septrin ( 30 mL, 70 mL)
SMZ 200 mg & TM 40 mg / 5 mL
syrup
Globaxol Forte (60 mL)
Trizole (30 mL, 60 mL)
400 mg + 80 mg / 5 mL oral
suspension
Sig. Minor/moderate infections:
Child: 8–12 mg/kg/24 hr ÷ BID
Severe infections: Child and
adult: 20 mg/kg/24 hr ÷ Q6–8
Best taken after meals w/ an
adequate amount of fluid.
Bactrim adult and forte tab
Globaxol, Globaxol Forte
400 mg + 80 mg /tab, 800 mg +
60 mg/tab
Sig. Adult (>40 kg): 160 mg/dose
BID
24
>7 years, >21 kg: 1 tsp, 6 times
daily;
Adult: 2 tsp, 6-8 times daily.
Tablet: Adult: 6-8 tablets daily in
divided doses.
Should be taken with food.
♥ AMOEBICIDES
Metronidazole
Flagyl (60 mL)
Rodazid (60 mL)
125 mg/5 mL oral susp
Sig. 35–50 mkd TID × 7-10
days. Take at least 1 hr before
meals.
Diloxanide furoate
Dilfur (60 mL)
125 mg/5mL susp
Sig. >25 kg 20mg/kg/day divided
into Q8 x 10 days
Adults 15 mL Q6 x 10 days
 25
♥ ANTHELMINTHICS
Albendazole
Benzol
400 mg / chewable tab
Sig. >2 yr. 400 mg once; Should
be taken with food.
Mebendazole
Antiox (30 mL; 10 mL)
20 mg/mL oral susp, 50 mg/mL
oral susp, 500 mg/tab
Sig. >1 yr. 100 mg BID x 3 days
or 500 mg once
Should be taken with food.
Pyrantel Pamoate
Combantrin (10 mL)
125 mg/5 mL oral susp, 125
mg/tab
Sig. Ascaris (roundworm) and
Trichostrongylus: 11 mg/kg/dose
PO × 1
Enterobius (pinworm): 11
mg/kg/dose PO × 1. Repeat
same dose 2 wk later.
Hookworm or eosinophilic
enterocolitis:
11 mg/kg/dose PO once daily ×
3 days
Max. dose (all indications): 1
g/dose
29
Cetirizine
Allerkid (10 mL; 30 mL, 60 mL)
Alnix (10 mL; 30 mL 60 mL)
2.5 mg/mL oral drops,
5 mg/5mL syrup
Sig. 0.5–2 yr: 2.5 mg OD
2–5 yr: 2.5–5 mg OD
>6 yr: 5–10 mg OD
♥ ANTIASTHMATICS
Salbutamol
Asmalin Pulmoneb
Ventolin
2.5mg/2.5mL inhalation solution
Sig. 0.15 mg/kg (minimum: 2.5
mg) as often as every 20 min for
3 doses as needed, then 0.15–
0.3 mg/kg up to 10 mg every 1–4
hr as needed
Ipratropium Br, Salbutamol
Combivent UDV
Duavent Pulmoneb
500 mcg (0.02%) + 2.5 mg / 2.5
mL inhalation soln
Sig. <12 yr: 250 mcg/dose Q20
min × 3, then Q2–4 hr PRN
≥12 yr: 500 mcg/dose Q30 min ×
3, then Q2–4 hr PRN
26
Oxantel + Pyrantel Embonate
Quantrel (10 mL)
20 mg + 20 mg / mL oral
suspension
Sig. Adult & childn 10-20 mg for
each drug/kg body wt as single
dose.
♥ COUGH AND COLDS
PREPARATIONS
Ambroxol
Expel (15mL; 60 mL)
Mucosolvan (15mL; 60 mL)
6 mg/mL infant oral drops, 15
mg/5 mL ped oral liqd
Sig. Infant drops Childn <6
mth 0.5 mL bid or 6 mg/day. 7-
12 mth 1 mL bid or 12
mg/day, 13-24 mth 1.25 mL bid
or 15 mg/day,
Ped liqd Childn <2 yr 2.5 mL bid
2-5 yr 2.5 mL tid, 5-10 yr 1 tsp
bid-tid Adult 10 mL tid.
30
Budesonide
Asmavent, Budecort
500 mcg/2mL respule
Sig. 1–8 yr:
No prior steroid use: 0.5 mg/24
hr ÷ once daily–BID; max. dose:
0.5 mg/24 hr
Prior inhaled steroid use: 0.5
mg/24 hr ÷ once daily–BID; max.
dose: 1 mg/24 hr
Prior oral steroid use: 1 mg/24 hr
÷ once daily–BID; max. dose: 1
mg/24 hr
Hydrocortisone
Solu-Cortef
100 mg, 250 mg. 500 mg Act-O-
Vial inj
Sig. Load (optional): 4–8
mg/kg/dose IV; max. dose: 250
mg
Maintenance: 8 mg/kg/24 hr ÷
Q6 hr IV
Adult: 100–500 mg/dose Q6 hr
IV
27
Phenylpropanolamine HCl +
brompheniramine maleate
Nasatapp (15 mL; 60 mL)
6.25mg+2mg/mL oral drops,
12.5 mg+4 mg/5mL syrup
Sig. Drops up to 6 mth 0.5 mL. 7
mth-2 yr 1 mL.
Syr 1-6 mth1.25 mL. 7 mth-2
yr 2.5 mL.
3-4 yr 3.75 mL. 5-12 yr 5 mL.
Adult 5-10 mL.
To be taken 6-8 hrly. May be
taken w/ food or milk to reduce
GI discomfort.
Phenylephrine HCl +
Chlorphenamine Maleate
Disudrin (10 mL; 60, 120 mL)
2.5 mg+0.5 mg/mL drops,
5 mg+1mg/5mL syrup
Sig. Drops 1-3 mth 0.25 mL, 4-6
mth 0.5 mL, 7-12 mth 0.75 mL,
1-2 yr 1 mL.
Syr Adult & childn ≥12 yr 10
mL. Childn 7-12 yr 5 mL, 2-6
yr 2.5 mL.
All doses to be taken 6 hrly.
31
♥ ANTI – DIARRHEAL
Hidrasec
Racecadotril
10 mg, 30 mg/sachet
Sig. 1.5 mg/kg per dose
1 month to 9 months (<9 kg): 10
mg TID
9 months to 30 months (approx.
9 to 13 kg): 20 mg TID
30 months to 9 years (approx..
13 to 27 kg): 30 mg TID
>9 years (approx. >27 kg): 60 mg
TID
Retinol Palmitate
Afaxin
25000 IU, 50 000 IU/soft gel
capsule
Sig. < 6 mth 50 000 IU/day PO
6-12 mth 100 000
>1 yr. 200 000
28
♥ ANTI-HISTAMINES
Diphenhydramine HCl
Benadryl AH (60 mL, 120 mL)
12.5 mg/5 mL syrup
Hyphen
Soniphen Injection
50 mg/mL soln for inj
Sig. (PO/IM/IV):
Child: 1–2 mg/kg/dose Q6 hr;
usual dose: 5 mg/kg/24 hr ÷ Q6
hr. Maximum dose: 50 mg/dose
and 300 mg/24 hr
Hydroxyzine
Iterax (100 mL)
2 mg/mL syrup
10 mg tab, 25 mg tab
Sig. 2 mg/kg/24 hr ÷ Q6–8 hr
PRN, OR alternative dosing by
age:
<6 yr: 50 mg/24 hr ÷ Q6–8 hr
PRN
≥6 yr: 50–100 mg/24 hr ÷ Q6–8
hr PRN
32
Zn sulfate monohydrate
E-Zinc (15 mL; 60 mL)
27.5 mg/mL oral drops, 55 mg/5
mL syrup
Sig. drops Childn ≥6 mth 2
mL, <6 mth 1 mL.
Syrup <6 mth 2.5 mL. ≥6 mth 5
mL
Once a day until one week after
formed BM or for 10-14 days
♥ ANTIULCERANTS
Al(OH)3, Mg(OH)2
Maalox (60, 180, 355 mL)
225 mg + 200 mg /5 mL susp
Maalox No. 1
200mg + 200 mg/chewtab
Sig. 2-4 tsp or 2-4 tab.
All doses to be taken qid. Take
20-60 min after meals.
33
Ranitidine
Zantac
75, 150, 300 mg/tab
Sig. treatment of
duodenal/gastric ulcer: 4–8
mg/kg/24 hr ÷ Q12 hr; max.
dose: 300 mg/24 hr
maintenance: 2–4 mg/kg/24 hr ÷
Q12 hr; max. dose: 150 mg/24
hr
for erosive esophagitis
5–10 mg/kg/24 hr ÷ Q8–12 hr;
max. dose: 600 mg/24 hr
Ulcin, Zantac
50 mg / 2mL amp
Sig. 2–4 mg/kg/24 hr ÷ Q6–8 hr;
max. dose: 200 mg/24 hr
Omeprazole
Losec
10, 20 mg/cap
Mepraz, Risek
20 mg, 40 mg/cap
Sig. ≥2 yr; Take 30 min - 1 hr
before meals.
5–<10 kg: 5 mg PO once daily
10–<20 kg: 10 mg PO once daily
≥20 kg: 20 mg PO once daily
37
♥ ANTICONVULSANTS
Diazepam
Valium
5mg/mL amp
Sig. >1 mo: 0.2–0.5 mg/kg/dose
IV Q15–30 min; max. total dose:
<5 yr: 5 mg; ≥5 yr: 10 mg.
0.04ml/kg/dose (max 10mg)
Phenobarbital Na
Luminal
130 mg/mL amp
Sig. : Loading dose, IV:
Neonate, infant, and child: 15–
20 mg/kg/dose in a single or
divided dose (In the absence of
mech vent, a dose of 10
mg/kg/doseIV should be
administered initially and
followed by an additional 5
mg/kg IV approximately 30-60
minutes after.)
34
♥ NAUSEA & VOMITING
Domperidone
Motilium (100 mL)
1 mg/mL oral susp
Vometa (10 mL; 60 mL)
5 mg/mL oral drops, 5 mg/5 mL
oral susp
Sig. 0.2-0.4 mkdose
3 times daily15-30 min before
meals and if necessary, once
more in the evening.
♥ ANTI – SPASMODICS
Dicycloverine
Relestal (15 mL; 60 mL)
5 mg/mL oral drops,
10 mg/5mL syrup
Sig. Drops Infant 6 mth-2 yr 0.5-
1 mL. To be taken 4-6 hrly.
Syr Childn 2-5 yr 2.5-5 mL.
6-12 yr 5 mL
♥ ANTIFLATULENT
Simeticone
Restime (10 mL)
40 mg/mL oral drops
38
Maintenance dose, IV: Monitor
levels.
Neonate: 3–5 mg/kg/24 hr ÷
once daily–BID
Infant: 5–6 mg/kg/24 hr ÷ once
daily–BID
Child 1–5 yr: 6–8 mg/kg/24 hr ÷
once daily–BID
Child 6–12 yr: 4–6 mg/kg/24 hr ÷
once daily–BID
>12 yr: 1–3 mg/kg/24 hr ÷ once
daily–BID
♥ DERMA
Permethrin
Kwell (60 mL)
Lindell Lotion (30, 60 mL)
50 mg/mL 5% lotion
Sig. Apply from neck to toe
(head to toe for infants and
toddlers) wash off with water in
8–14 hr. May repeat in 7 days.
Use in infants <1 mo is safe and
effective when applied for a 6-hr
period.
35
<2 years: 20 mg (0.5 mL). 2-12
years: 40 mg (1 mL). Do not
exceed total dose of 240
mg/day;
Doses should be taken 4 times
daily, given after meals and at
bedtime.
Disflatyl, Restime
40 mg/ chewable tab
Sig. >12 yr and adult: 40–250 mg
PO QPC and QHS PRN; max.
dose: 500 mg/24 hr
♥ RENAL
Furosemide
Lasix 40 mg/tab
Sig. PO Start at 2 mg/kg/dose;
may increase by 1–2 mg/kg/dose
no sooner than 6–8 hr following
the previous dose. Max. dose: 6
mg/kg/dose.
20 mg/2mL amp
Sig. 1–2 mg/kg/dose Q6–12 hr.
Adult: 20–40 mg/24 hr ÷ Q6–12
hr; max. dose: 600 mg/24 hr or
80 mg/dose.
39
Kwell (10, 30, 60 mL)
10 mg/mL or 1% shampoo
Sig. Saturate hair and scalp with
1% cream rinse after
shampooing, rinsing, and towel
drying hair. Leave on for 10 min,
then rinse. May repeat in 9–10
days.
Hydrocortisone
Eczacort (10 g)
10 mg/g or 1% cream
Sig. Apply to the affected area
bid-qid.
Desonide
Desowen (15 g; 60 mL)
0.05 % cream, lotion
Sig. Apply to the affected areas
as a thin film bid-tid.
Mometasone furoate
Momate (5 g)
0.1% cream (class 4), ointment
(class 2)
Sig. Apply to skin areas once
daily.
36
Albumin
Human Albumin 20% Behring,
Low Salt (50 mL)
Sig. 0.5–1 g/kg/dose IV over 30–
120 min; repeat Q1–2 days PRN
♥ ANTIANEMICS
Fe sulfate heptahydrate
Anemifer (15-30 mL; 60 mL)
125 mg/mL oral drops (equiv to
25 mg elemental Fe ), 150 mg/5
mL (equiv to elemental 30 mg/5
mL)
Fe sulfate, folic acid, vit B1, vit
B6 , vit B12
Ferlin Drops (15 mL)
74.64 mg (15 mg elemental iron)
+ 10 mcg + 10 mg + 5 mg + 25
mcg / mL
Fe sulfate, vit B1, vit B6, vit
B12
Ferlin Syrup (120 mL)
149.34 mg (30 mg elemental
iron) + 10 mg + 10 mg + 50 mcg
/ 5 mL
Sig. IDA 3–6 mg elemental
Fe/kg/24 hr ÷ once daily–TID
40
Clobetasol propionate
Dermovate (5 g P271.70)
500 mcg/g 0.05% cream and
ointment (class 1)
Sig. Apply thinly & gently rub the
affected area once or bid
♠
Epinephrine HCl
Adrenin (1 mL)
1 mg/mL or 1: 1000
Sig. IV 0.01 mg/kg, equivalent to
0.1 mL/kg of a 1:10,000 solution
( 0.1cc of epi + 0.9cc PNSS); >
10 1 amp