Drug dosage in

children

Presented by :-
Saurabh prasad
(Final year)
INTRODUCTION

The most common clinical situations in dentistry amenable to drug

therapy in children are pain and infection.

The drug control is vital to all phases of dentistry and a thorough

knowledge of the art and science of analgesic therapy is essential for
proper patient care.
Analgesic
The management of dental pain in pediatric patient has lagged markedly behind than that
in the adult patient resulting from misconceptions regarding the existence of pain
sensation and its tolerance in children.

Concepts About Pain In Children

Children have higher tolerance to pain
Pain perception is low because of biologic
immaturity
Little or no memory of a painful experience
More sensitive to side-effects of analgesics
Special risk for addition to narcotics
 Side Effects of analgesic

• Constipation
• Drowsines
• Dizziness
• Upset stomach
• Ringing in your ears
• Skin itching or rash
• Dry mouth
 Antibiotics

No aspect of pharmacology is more widely misun.

derstood or improperly applied than the antibiotic
therapy for children, The following review should
Improve the art and science of drug therapy in
situations of infections in children

The rationale for choice and use of antibiotics be-

gins with the review of likely microorganisms re-
sponsible for common orofacial infcctions
 Principle of Antibiotic Therapy
The principles of antibiotic therapy' ensure that these
agents die employed when indicated (presence
infection confirmed by clinical signs and symptoms
and/or laboratory tests, and antibiotic prophylaxis
in a well defined situation), and at optional usage
proper choice, dose and duration with minimum
attendant harm to the patient.
Dose calculation by weight

Clark’s Rule Young’s rule

88%
Child's weight in Ibs
Age of child
—————— x adult dose
————— x adult dose
150 Age + 12
 Side Effects of Antibiotics

COMMON SIDE EFFECTS SEVERE SIDE EFFECTS

• Anaphylaxis
 Diarrhea • Steven johson syndrome
 Allergic reaction • Toxic epidermal necrolysis
 Rash • muscle pain
 Yeast infection • Red man syndrome
 Stained teeth • Ototoxicity
• Pill esophagitis
• Photosensitivity
• Drug induced lupus
THANK YOU