Drugs & Dosages

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Meds Dosages

Acetaminophen Neo: 10-15mkdo q6-8 Max: 4g/d


Inf/ch:10-15mkdo q4-6 Administer w/ food
>12 y/o: 325-650mg q4-6
Acetazolamide Hydrocephalus: 5mkdo q6 by Max:100mkd
25mkd Administer w/ food; Prep:
Edema: 5mkdo OD 250mg/tab
Acetylcisteine Ch: 100mg BID-QID Dissolve in a glass of water
Ad: 600mg OD/200mg BID/TID (75ml)
Neb: ½ amp 1-2x daily Prep: 600mg/tab;
100,200mg/sachet;
syrup100mg/5ml;
inhalation 100mg/ml
Albendazole 2y/o: 400mg single dose Repeat after 2 weeks if
<2y/o: 200mg single dose needed
Prep: 200/5, 400mg/tab
Allopurinol <10y/o: 10mkd q8-12 Max: 800mg
>10y/o: 600-800mg/day Prep: 100,300mg/tab
Meds Dosages
AlMg 5-15ml 1 hr after meals and at bedtime Chewtab ;suspension
Amikacin 15-22.5 mkd OD-Q8 Max: 1.5g/day
50, 125,250mg/amp;
100,250,500mg/vial
Ampi- Inf: 100-150mkd q6 Max: 8g/d
Sulbactam Meningitis: 2000-300mkd q6 Prep: 500/250mg/vial
Ch: 100-200mkd q6
Meningitis: 200-400mkd q6
Aspirin Antiinflammatory: Prep: 80,100mg/tab
Initial 60-90mkd
Maintenance: 80-100mkd q6-8
Antiplatelet: 3-5mkd OD
Atropine Brady: IV/ET Max total dose: 1mg in ch;
0.02mg/kg 2mg in adolescent
Dilute w/NSS to a total vol
of 3-5ml (ET); undiluted
rapid injection (IV)
Prep: 1mg/ml/amp
Meds Dosages
Azithromycin Max: 500mg/day
6 mos: 10mg/kg on D1 Max: 250mg/day
5mkd OD on D2-5 Max: 500mg/day
2y/o: 12mkd OD x 5days Prep: 250,500mg/tab;
Endocarditis prophylaxis: 15mkdo 1 hr 250/5ml susp;
before 500mg/vial
Bisacodyl procedure
Oral: 3-12yo: 0.3mkd OD Prep: 5,10mg/supp;
>12y/o: 5-15mkd OD 5mg/tab
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Supp: <2 yo: 5mg/day OD
2-11yo: 5-10mg/d OD
>12yo: 10mg/day

Captopril Neo: 0.05-0.1mkdo OD Pep: 25,50mg/tab


Inf: 0.15-0.3mkdo
Ch: 0.3-o.5mkdo

Carbamazepin 10-20mkdo Prep:100/5 susp;


e 200mg/tab
Meds Dosages
Cefazolin 50mkd q8 Max:6g/d
Prep: 1g/vial

Cefepime 2mos-16yo: 50 mkdo q12 Max: 2g/do


Adult:1-2 g/d q12 Prep: 500,1,2g/vial

Cefixime Inf/ch: 8mkd q12-24 Max: 400mg/d


UTI: 16mkd q12 on D1 then 8mkd OD x 13 Prep:100, 200mg/cap;
days 100/5 susp;
Ado: 400mg/d q12-24 20mg/ml drops

Cefotaxime 1mo-12yo: <50 100-200mkd q6-8 Max: 12g/d


>50kg 1-2g q6-8 Prep: 1g/vial

Cefoxitin 3mos: 80-160 mkd q6-8 Max: 12g/d


Prophy: 30-40mg/kg 30-60mins prior to sx Prep:1g/vial
followed by 30-40mkdo q6 for no more than
24 hrs after sx
Ado: 1-2g q6-8
Meds Dosages
Ceftazidime Inf /ch: 1mo-12yo 100-150mkd q8 Max: 6g/d
Ado: 1-2g q8-12 Prep: 250,500,1g/vial
Ceftriaxone Gono prophy: 25-50mg/kg as single Max: 125mg

dose IM/IV Max: 4g/d


Gono inf: same dose OD x 7 days up to Prep: 1g/vial
10-14 days if w/ meningitis
Meningitis: 100mkd q12
Cefuroxime IV: Neo 20-100mkd Q12 Max:6g/d

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Ch: 75-150mkd Q8
Oral: 20-30mkd q12
Prep:250/5 ,
125/5susp;750mg/vial;
125,250,500mg/tab
Cefalexin 25-100mkd q6-8 Max: 4g/d
Prep: 250,500mg/cap;
100mg/ml,125/5,250/5
Chloramphenic Meningitis: 75-100mkd q6 Max: 4g/d
ol Others: 50-75 mkd q6 Prep: 1g/vial, 125/5 susp;
Adults: 50mkd Q6 500mg/cap
Empty stomach or 1hr
before or 2hrs after
Meds Dosages
Ciprofloxacin Neo: 7-40mkd q12 Max: 1.5g/d
Ch: oral 20-30mkd q12 Max: 800mg/d
IV: 20-30mkd Prep: 250,500mg/tab; IV:
100mg/50ml, 200/100ml,

400/200ml
Clarithromyci 15 mkd q12 x 7-14 days 125/5,250/5 susp, 500mg/tab
n
Clindamycin Inf/ch: oral 10-30mkd q6-8 Max: 1.8 g/d
IV/IM: 25-40mkd q6-8 Max: 4.8g/d
Ado: 150-450mg/do q6-8 Prep:150mg/ml amp;
150,300mg/cap; 75/5ml susp
Cloxacillin >1mo: 50-100mkd q6 Max: 4g/d Prep:
250,500mg/cap ; 125/5, 250/5
susp
Administer 1 hr or 2 hrs after
Cotrimoxazol 5-8mkd q12 meals
Prep:200/40/5, 400/80/5,
e 400/80/cap, 800/160/cap
Dapsone Leprosy: 1-2mkd OD Max: 100mg/d
Meds Dosages
Dexamethason Neonates: Max: 1mkd
e Airway edema or extubation: Max: 16mg/d
0.25mkdo 4hrs prior to extubation Administer w/ food
Prep: 4mg/ml amp
& then Q8 x 3doses

Children:
Airway extubation: 0.5-2mkd q6 begin
24 hrs prior then 4-6 doses after
extubation
Anti inflam: oral;IM;IV : 0.08-0.3mkd
q6-12
Bac Men: >2mos: 0.6mkd q6 x 4days
of antibiotic treatment
Cerebral edema: oral;IM;IV
LD: 1-2mkdo
MD: 1-1.5mkd q4-6
Meds Dosages

Diazepam Febrile Seizure prophylaxis:


Oral: 1mkd q8 x 24hrs Max 0.6mg/kg w/in an 8hr
Sedation: IM;IV 0.04-0.3 mkdo q2-4 Max: 2g
Status Epilepticus: Max: 10mg
Noenates: 0.1-0.3mkdo given over 3-5 Prep:5mg/tab; 5mg/ml amp
mins every 15-30 min
>30days <5yo: 0.05-0.3mkdo over 3-
5mins to a max total dose of
5mg q15-30min
>5yo: 0.05-0.3 mkdo
Tetanus: >30days: 1-2mg/do q3-4
Ch: 5-10mg/do q3-4
Meds Dosages
Dibencozide Adult: 3 caps Prep:1mg/cap
Ch/Ado: 2-3 caps x 2-3 wks
PT/Inf: 1 cap
Digoxin 0.04-0.08 mkdo q12 Administer 1 hr before
0.04 x wt /10 = pptab meal or 2 hrs after meal
0.04 x wt/10 x20 = ml Prep:0.25mg/tab;
50mcg/ml pedia elixir;
250mcg/ml amp
Diphenhydrami 2-5mkd q8 Max: 50mg
ne Anaphylaxis: 1-2mkdo IM/IV Prep: 12.5/5 syr;
25,50mg/cap
Doxycycline >8y/o: oral;IV Max: 200mg/day
2-4mkd q12-24 Administer w/ food
Chlamydial: 100mg/dose q12 7-10days Avoid iron/acids/dairy
Ado/adu: oral;IV: 100-200mg/d q12 products
PID: 100mg q12 x 14days w/ Cefoxitin Prep: 100mg/cap
or Cefotetan IV
OPD: 100mg q12 plus single dose
Meds Dosages
Epinephrin Neo: IV;ET 0.01-0.03mk/kg (0.1-0.3ml/kg May repeat q3-5mins
e of 1:10,000) q3-5mins) q3-5mins
Inf/Ch: IM <30kg: 0.15mg Prep:1mg/ml amp
>30kg:0.3mg
0.01mg/kg
SC:0.01mg/kg (0.01ml/kg/do of
1:1000) not to exceed 0.5mg
Brady: IV: 0.01mg/kg (0.1ml/kg) of
1:10,000
Brady: ET : 0.01mg/kg (0.1ml/kg) of
1:1000
0.2mg/kg may be effective
Continous IV: 0.1-1mcg/kg/min
Nebulization: 0.25-0.5ml of 2.25%
epinephrine diluted in 3ml NSS
Meds Dosages

Epoietin Neo: 25-100 u/kg/do 3x/wk or


Alfa 100u/kg/do 5x/wk or 200u/kg/do Max:1200 u/kg/wk
every other day x 10doses
Ch/ad: Prep: 2000,
Anemia in cancer: 150 u/kg/do 3x/wk 4000,6000,10000 iu/ml
Anemia in CRF: 50-150 u/kg/do pre-filled syringe
3x/wk
SC: preferred route w/ 1:1 PNSS
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IV: 1:1 NSS over 1-3 mins at the end
of dialysis

Erythromyci 30-50mkd q6-8 Max: 2g/day


n Chlamydia: 30-50 mkd q6 x 10-14 days Prep: 250,500mg/tab;
Pertussis: 40-50 mkd q6 x 14 days 200/5, 400/5, 100/2.5

Ethambutol 15-25mkd OD Max: 2.5 g/dose


Prep: 400mg/tab; 125/5
Meds Dosages

Famotidine Inf/Ch: oral/IV Max: 40mg/d


Peptic Ulcer: 0.5mkd OD q12 Max: 80mg/day
GERD: 1mkd Q12 Prep:
Fluconazole Inf/Ch: OD 20,40mg/tab;20mg/2ml
IV: 12mg/ml
Oropharyngeal: D1 6mg/kg Suspension: 10mg/ml;
D2-14 3mg/kg 40mg/ml
Esophageal: D1 6mg/kg Tab: 50;100;150;200
D2-21 days 3mg/kg or
12mkd
Systemic: 6-12mkd x 28 days
Crypto: D1 12mg/kg
D2 6mg/kg – 12mkd up to 10-12
wks after culture negative
Furosemide Neo: oral: 1-4mkdo 1-2x/day Prep: 40mg/tab;
IM/IV 1-2mkdo q12 to OD 20mg/2ml amp
Inf/Ch: oral 1-6mkd q6-12
IM IV: 1-2 mkdo q6-12
Continous: 0.05mg/kg/hr
Meds Dosages

Gentamycin <5 y/o 2.5mkdo q8 Max: 120mg


>5 y/o 2-2.5mkdo q8 Prep: 10mg/ml, 40mg/ml,
80mg/2ml amp

Hydrocortison Status asthmaticus Dilute to 50mg/ml &


e LD: 4-8mg/kg administer 3-5min
MD: 2mkdo q6 Prep: 100, 250,500mg/vial
AD: 100-500mg q6

Hydroxyzine 2mkd q6-8 Prep:2mg/ml syr; 10,

25mg/tab
Ibuprofen Analgesics: 4-10mkdo q6-8 Max daily dose: 40mkd
Antipyretic: 39°C 5mkdo Prep: 100/5, 200/5
>39°C 10mkdo q6-8 200mg/tab
Meds Dosages
Indomethaci PDA: IV 0.2mg/kg followed by 2 doses May use 12hr dosing
n depending on post interval if uo
natal age (PNA) is >1cc/kg/hr
PNA at time of first dose <48hrs 24hr if uo <1cc/kg/hr
0.1mg/kg at 12-24 hr intervals Do not give indomethacin
PNA 2-7 d: 0.2mg/kg if uo <0.6cc/kg/hr
>7 d: 0.25mg/kg Prep: 100mg/cap

Ipratropium Neo: 25mcg/kg/do q8 Prep: 2.5ml/vial


Inf/ch: 125-250mcg q8
>12y/o: 500mcg 3-4x/day
Iron TD: 6mkd x 1mo q8 Max: 15mg
MD: 3mkd x 2 mo q12 Ex: Sangobion 15mg elem

Prophy: 1-2mkd iron/5ml


AD: IDA 2-3mkd or 60-100mg elem iron 15kg x6 x5/15 =10ml q8
BID up to 60mg -------------------
elem iron 4x/day 3
Prophy: 60-100mg elem iron
Meds Dosages

Isoniazid Ch: 10-15mkd Max: 300


Prophy: 10mkd Prep: 450mg/cap,
Adu: 5mkd 200/5

Lactulose Ch: 7.5ml/d (5g/d) after breakfast Prep: 3.3g/5ml


Ad: 15-30ml/day (10-20g/d)

Lansoprazole 3mos-14yo 0.5-1.6mg/kg Prep: 30mg/cap


<10kg: 7.5mg
10-20kg: 15mg
20kg: 30mg
Ch: 12yo and adult
Duo Ulcer: 15mg OD x 4wks
Gastric: 30mg OD x 8wks

Esophagitis: 30mg OD x 8wks


GERD: 15mg OD x 8 wks
Meds Dosages
Loratadine 1-2yo: 2.5ml Prep: 10mg/tab ; 5mg/5ml
2-5yo: 5mg OD
6yo-ad: 10mg OD
<30kg: 5ml OD
>30kg: 10ml OD

Mebendazole Pinworm: 100mg single dose May need to repeat after 2


Others: 10mg BID x 3 days wks
May repeat after 3-4
weeks
Prep: 100mg/tab;
20mg/ml; 50mg/ml
Meropenem 3mo: 60mkd q8 Max: 6g/d
Meningitis: 120mkd Prep: 500mg, 1g/vial

Metronidazole Ameb: 35-50mkd q8 Max: 4g/d


Anaerobic: 30mkd q6 Prep: 500mg/tab; 125/5,
500mg/100ml vial
Meds Dosages
Midazolam >2mos and ch:
Status epilepticus Max: 20mg
LD: 0.15mg/kg followed by continous Prep: 15mg/tab; 5mg/ml,
infusion 1mcg/kg/min 5mg/5ml, 15mg/3ml amp
6mos and ch:
Sedation: 0.2-0.5mg/kg
6mos - <6yrs and less cooperative up to
1mg/kg
>6: 0.25mg/kg
Conscious sedation during mech vent
LD: 0.05-0.2mg/kg given over 2-3min
then follow w/ infusion 0.06-0.12mg/kg/hr

Myrin-P >71kg 5 tab/d 55-70kg: 4 tab/d Et 275mg, rif 150mg inh


40-54kg 3tab/d 75mg pza 400mg

Myrin 50kg 4tab/d 40-49kg 3tab/d Et 300mg INH 75mg rif


150mg
Meds Dosages

Montelukas 2-5yo: 4mg/d Prep: 4,5,10mg/tab


t 6-14: 5mg/d OD in the evening
Ado: 10mg/d

Nalbuphine 1-4: premed 0.2mg/kg Max: 20mg/do


Ch: analgesia 0.1-0.15mg/kg q3-6hrs as Max: 160mg/day
needed Prep: 10mg/ml amp
Ad: 10mg/70kg

Nifedipine 0.25-0.5mkdo q4-6 Max: 10mg/do


Prep: 5,10mg/cap

Nystatin Neo: 100,000 u 4x/day Swish and retained in the


Inf: 200,000 u 4x/day mouth for several mins
Ch/ad: 400,000-600,000 u 4x/d before swallowing
Prep:Susp: 100,000 u/ml
Meds Dosages
Omeprazol Ch: 0.6-0.7mkd in the morning as LD Prep: 20mg/cap; 40mg/vial
e then
0.7-3.5mkd
Ad: Duo ulcer: 20mg/d x 4-8 wks
GERD: 20mg/day
Oseltamivir 1-12yo: 15kg: 2mkdo Prep: 75mg/cap; 12mg/ml
>15-23kg: 45mg/do
>23-40kg: 60mg/do
>40mkg: 75mg/do
BID X 5days

Oxacillin Inc& Ch: IM;IV 100-200mkd q4-6 Max: 12g/day


Oral: 50-100mkd q6 Administer on an empty
Adult: IM; IV 250mg yo 2g/do q4-6 stomack w/water 1 hr
Oral 500-10000mg q4-6 before or 2 hrs after meds
Prep: 250,500mg/vial

Pen G 50,000-100,000 u/kg/d q6 Max: 1.2 M u/do


Benzathine High dose: 200,000-400,000 u/kg/d q6 Prep: 5, 1, 1.2Mu/vial
Meds Dosages
Pen V 50,000-100,000 u/kg/d q6 125/5= 200,000/5ml
Phenoxy- High dose: 150,000-200,000 u/kg/d q6 250/5 = 400,000/5ml
methylpeni
cillin

Permethrin Scabies: Apply cream from head to toe. Head lice: after hai has
Leave on for 8-14hrs;for infants also been washed and towel
apply on the hairline, neck, scalp, temple, dried, apply a sufficiernt
and forehead; may reapply in 1 wk if live volume of cream. Rinse to
mites appear saturate the hair and
scalp; also behind the ears
and the base of the neck;
leave on hair for 10 mins
before rinsing off w/ water.
May repeat after 1 wk if
lice or nits still present
Meds Dosages

Phenobarbital LD: 15-20mkdo Max:300mg


MD: 5-8mkd q12 Max LD: up to 40 mg/kg
Prep: 130mg/amp, grain 1:
60
Phenytoin LD: 5-20mkd Max: 1000mg
MD:5mkd q12 maxLD: up to 25 mg/kg
Prep: 30, 100mg/cap;
30mg/5, 125/5 susp;
100mg/2ml amp

Phytonadione HDN Prep:10mg/ml amp


Prophy:0.5-1mg
Treatment: 1mg/do
Inf/ch: 0.5-5mg/do
INR >8 no bleeding 0.5-2.5mg
Major bleeding: 5mg
Ad: 2.5-10mg/do
Meds Dosages
Piperacillin <6mos: 150-300mkd q6-8 Prep: 2g/250mg, 4g/500mg

Tazobacta >6mos: 240mkd q8 vial


m Pseudo: 300-400mkd q6
Adult: 3.3g q6
Potassium Normal daily req: Prep: k citrate (acalca)
Neo and inf: 2-6meq/kg/d 10meq/tab
Ch: 2-3meq/kg/d kcl (durule)
Ad: 40-80meq/d 9.8meq/tab
Prevention of hypokalemia during
diuretic therapy:
Oral: 1-2meq/k/d OD or q12
Adult: 40-80 meq/d
Hypokalemia:
oral
2-5meq/kg/d
Adult: 40-100 meq/day
Meds Dosages

Prednisone/ 1-2mkd q12 x 3-10days Prep: prednisone:


prednisolone 10mg/5ml, 5,10,20mg/tab

prednisolone:
15mg/5ml

PTU Neo: 5-10mkd q8 Prep: 50mg/tab


Ch: 5-7 mkd q8
6-10 yr: 50-100 mg/day
10yr: 150-300mg/dq8
Maintence: 1/3- 2/3 of the initial dose in
divided doses q8 to 12: this begins
usually after 2 months on an effective
initial dosage
Adult: 300-450 mg/d divided to q8
Maintenance: 100-150mg/day in
divided doses q8-12
Meds Dosages

Pyrantel Roundworm/pinworm: 11mg/kg as single Max: 1g


dose Prep: pamoate: 125/5
Hookworm: 11mkd OD x 3 days embonate: 125/5

PZA Ch: 20-40mkd q12-24 Max: 2g


Adult: 15-30mkd 1-4 doses Max: 3g
Prep: 250/5, 500mg/tab

Ranitidine ULCER:
ORAL: 2-4mkd q12 Max: 300mg/d
IV: 2-4mkd q6-8 Max:150mg/d
GERD:
ORAL: 4-10mkd q12 Max: 600mg/d
EROSIVE ESOPHAGITIS: 4-10mkd Prep: 150,300mg/tab;
q12 25mg/ml amp
ADULT:
Meds Dosages

Rifampicin 10-20mkd Max: 600mg/d


Prep:300mg/cap;
10mg/ml; 200/5

Salbutamol 0.2-0.3mkd Prep: 2mg/5ml; 2mg/tab;


1mg/ml neb
Sodium Urine alkalinisation: Dose should be titrated to
Bicarbonate 1-10meq/kg/d desired urine pH
CRF: HCO3 <15meq/L Prep: 325, 650mg/tab
Ch: 1-3meq/k/d
Ad: 20-36 meq/d

Spirinolacton Neo: 1-3mkd q12-24 Prep: 25,50,100mg/tab


e Ch: 1.5-3.3mkd
Ad: 25-200mg/d
Meds Dosages

Streptomycin NB: 10-20mkd OD MAX: 1g/day


Inf: 20-30MKD Q12 Prep: 1g/vial
Ch: 20-40MKD
Ad: 15MKD

Tranexamic Hemophilia: 10mg/kg IV before surgery Prep:


Acid then 25mkdo orally 3-4x/d x 2-8days (dental 250,500mg/cap:
extraction) 250mg/2.5ml 500/5
inj
Ursofalk 10-15mkdo q12 Prep: 250mg/cap
Valproic Oral: 10-15mkd q8 increase by 5-10mkd at Max: 60mkd
Acid weekly intervals until therapeutic levels are Prep:250/5
achieved
Maintenance: 30-60mkd q12-8

Vancomycin >1mo and ch: 40mkd q6-8 Max: 1g/do


CNS: 60mkd q6 Prep: 500mg/vial
Adu: 0.5g q6
Meds Dosages

Vitamin A 6mos-3yo: 1500-2000 u 6-12 mos: ½ cap


4-6: 2500 u 1-5 yo: 1 cap
7-10: 3300-3500 u Prep: jagaplex: mv +
>10: 4000-5000 u vitA10,000iu/tab
leginsol vita: per 5ml
syr: 4000iu
drops: 3000iu
multigrow: per 5ml:
1000iu
perml: 1000iu
Vitamin C Drops: Syrup:
<3mos: 0.3ml 2-6: 5ml
3-12mos: 0.6ml 7-12 10ml
1-2yo: 1.2ml
Zinc <5yo: 10-20mg/day x 10-14 days Prozinc drops: 10mg elem
ml
syrup: 20mg
ele/5ml
Others

Xylogel natural teething Relief of teething pain and Apply liberally on affected
oral gel (xylitol) discomfort. Heals inflamed area as needed
gums, mouth and lip sores,
gingivitis and canker sores

Rowagel >3yo apply qid


( Carbenoxolone Na)

Calmoseptine/ 2-4x daily


Desitin (zinc oxide)

Drapolene cream Apply after every diaper change


(benzalkonium)

Neo-synalar cream Apply Bid-Tid

Chloramphenicol otic 2drops qid


drops
PEDIATRIC DRUGS AND
DOSAGES
Sharon Loading…
Delfin-Dela Cruz, M.D.

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