PAEDIATRICS

PAEDIATRIC DOSE:::

Weight calculation
◀1 yr x+9/2
1-6 yr 2x+8
▶7 yrs 7x-5/2 or 3x

Blood transfusion - 10-15ml/kg

Feed-150ml/kg Q2H after PND7

Fluid replacement per day
0-10kg = 100ml/kg
10-20kg = 1000ml for the first 10kg + 50ml/kg for
                     each kg beyond 10
▶20kg = 1500ml+20ml/kg for each kg beyond 20


1. T. Paracetamol -  10-15mg/kg/dose x TID/QID
         Syp. P'mol 125mg/5ml
                              250mg/5ml
         Suspension - 100mg/ml
      💊 - 125mg, 300mg, 500mg, 650mg
                        (Pain, fever)
         Suppository 1-2yrs 80mg
                                2-4yrs 170mg
                                4-6 yrs 250mg
     For 0-2 yrs paracetamol drops (calpol 100ml/ml)
              3-5kg    0.5ml(8 drops )
              5-8kg    0.8ml
              8-11kg    1.2ml
              11-13kg   1.7ml
              13-15kg      2ml

2. C. AMOXICILLIN - 10/kg/dose  x TID
         Syp. Amoxicillin  125mg/5ml, 250mg/5ml
         💊 - 125mg, 250mg
           (ENT &  URTI infection)
                                       

3. T. Salbutamol - 0.1mg/kg/dose x BD/TID
         Syp. Salbutamol 2mg/5ml
         Nebulisation 0.5mg in NS
  💊 -  2mg, 4mg

4. T. Azithromycin - 10mg/kg/dose x OD
         Syp. Azithromycin 100mg/5ml, 200mg/5ml
          💊 - 250mg, 500mg
          DT- 100mg
          Inj. 500mg
             (pneumonia, pertussis)
                                         

5. T. Diazepam - 0.1-0.3mg/kg/dose x TID
     💊 - 2mg, 5mg, 10mg
    💉 - 5mg/ml
     Syp. - 2mg/5ml
(anxiety, panic disorder, convulsions, muscle relaxation, extrapyramidal symptoms)


6. T. Albendazole(zental) 2 doses 2 weeks apart
                   ◀2 years 200mg stat(Rx whole family)
                   ▶ 2 years 400mg stat
                 (don't give if below 1 year)
                   Syp. 200mg/5ml
     T.  Banocide(Diethyl carbamazine)
              (for filariasis,Topical eosinophilia)
             💊 50mg, 100mg
               Syp. 50mg/5ml
         
 
7. T. Cyclopam - 0.5mg/kg/dose x TID
             Syp. Cyclopam 10mg/5ml
              💉 - 10-20mg im
               💊 10mg, 20mg
       (don't give below 6 months)

8. Metochlopromide(perinorm)
         0.1mg/kg/dose xTID
         Syp - 5mg/5ml; 💊 - 10mg ;💉 5mg/ml

9. Odansetron(emeset) - 0.1mg/kg/dose x TID
        Syp - 2mg/5ml ; 💊 - 4mg, 8mg
       💉 ◀5 yrs 2mg IV stat
             ▶5 yrs 2-4mg IV stat

10. Domperidone(domstal)-0.2 - 0.5mg/dose TID
            💊 5mg,10mg
             Susp.  1mg/ml
           (hav extra pyramidal side effects)

11. Anal excoriation - Siladerm gel for LA BD x 1
       week

12. Ranitidine (Rantac)
       2mg/kg/dose BD
      IV  1-2mg/kg/dose
        💊 150mg, 300mg
         Syp 75mg/5ml
         💉 2ml amp(25mg/ml)

13. Mefenanic acid - 8mg/kg/dose x TID

14. Paraffin (laxative)
      1ml/kg OD  upto 5 years r
       Above 5 yr, 5-10ml/dose

15. Pantoprazole 0.5-1mg/kg/dose OD
        💊 - 20mg, 40m
       ( duodenal/gastric ulcer, reflux esophagitis)


16. Acyclovir
   💊 - 200mg, 400mg & 800mg
   💉 - 250mg
    Suspension - 200mg/5ml, 400mg/5ml
    Ointments
      Chicken pox- 16mg/kg/dose x 5 times x 7 days
            Adults - 800mg 5 times x 7 days
    Herpes simplex- 10mg/kg/dose x TID/QID x7days


17.T. Ambroxal 30mg
         Syp 15mg/5ml
       (for cough with expectorantion)

18. Amikacin 7.5mg/kg/dose BD/TID  IV/IM
(for septicaemia)
 

19. Co-Amoxyclav(Rx pneumonia)
       15-30mg/kg/dose x BD
     💊 375mg,625mg
     Syp. 228.5mg, 457mg


20. C. Ampicillin (for  both gram +ve&-ve inf)
         12.5-25mg/kg/dose QID IM/IV ATD
           💊 - 250mg, 500mg
          DT-125,250mg
         Syp. 125mg or 250mg/5ml

Ampiclox 15mg/kg/dose x TID
Syr. 125+125/5ml

Syrup Pedicloryl(triclofos sodium) 500mg/5ml
       (for sleeping)
0.5mg/kg/dose
       1/2 of body wt in ml

Syrup Colfin 2mg/5ml
(for URTI)
0.1mg/kg

Syr. Atarax(hydroxine) 2mg/kg/dose x BD
    (10mg/5ml)
Antihistamine, (for Allergy, sedation, anxiety)

Syr. Colicaid ◀6 mon age 5-10 (4)drops QID
                        ▶6-12month 10-12(8) drops TID/QID
Colicaid =simethicone+dill oil +fennel oil
     (for abdominal pain)

10.% dextrose 2ml/kg

T. Iron 3-6mg/kg/day x 3 months

T. Clobazam(frisium) 0.5mg/kg (benzodiazipine)
(for seizures)

Syr. Smuth (magnesium hydroxide)
For ulcers, heartburn, indigestion

Syr. Sodium va

Syr. Taxim (50mg/5ml)

ANTACID( Gelusil)
Infants =1-2ml/kg/dose QID
Children =5-15ml/kg/dose QID

ASPIRIN (for rheumatic fever)
         75-100mg/kg/day in 4 divided dose
        Analgesia- 10mg/kg/dose QID
        Antiplate-5mg/kg/day OD

ACYCLOVIR
(for Herpes simplex encephalitis, cutaneous and genital HSV, Varicella, chickenpox)
10mg/kg/dose  TID/QID x 1 week
💊 200mg, 400mg, 800mg
Susp. 400mg/5ml, 200mg/5ml
Inj. Vial 250mg
Topical ointments

ADRENALINE
1ml amp of 1:1000 solution (1mg/1ml)
(for bronchospasam, anaphylaxis, restoration of cardiac rhythm in cardiac arrest (C/I ventricular fibrillation), nebulisation in croup and bronchiolitis)
0.01ml/kg/dose slow s/c(not ▶0.5ml/dose) may repeat after 5 min
1-5ml for nebulisation

AMBROXOL
💊 30mg
Syp. 15mg/5ml

AMIKACIN
(for neonatal sepsis)
7.5mg/kg/dose BD/TID IM /IV
◀7 days neonates BD
▶7 days neonates TID

AMPICILLIN
💊 250mg, 500mg
Syp 125mg/5ml, 250mg/5ml
50-100mg/kg/day ➗into 4 doses
◀7 days age 50mg/kg/dose BD/TID
▶7 days age 50mg/kg/dose TID/QID

ANTIHAEMOPHILIC FACTOR
25U/kg/dose every 12-24hrs


BETAMETHASONE
0.2mg/kg/day in 2-3 ➗ dose
(for anaphylactic reactions, asthma, Allergic dermatitis, Allergic conjunctivitis, uveitis)
💊 0.5 mg
💉 4mg/ml
  0.1% ear/eye drops,
skin cream 0.025% x OD - TID

BISACODYL(DULCOLAX)
◀2yrs 5mg suppository
▶2yrs 10mg suppository
▶6 yrs  5mg HS
💊 5mg
Suppository 5mg, 10mg

BROMHEXINE
(mucolytic)
4mg/dose x TID/QID

CARBAMAZEPINE
5-10mg/kg BD
Anti-epileptic(for seizures, neuropathic pain, trigeminal neuralgia)
Syr. Tegritol 100mg/5ml


CEPHALEXIN
50-100mg/kg/day in 3-4 ➗ dose
Cap 250mg
DT 125mg, 250mg
Syp 125or250mg/5ml
(for UTI, skin and soft tissue infect, pharyngitis, bone & joint infection, tonsillitis)

CETIRIZINE
◀1yr 2.5mg OD HS
1-6yrs 2.5mg OD/BD HS
💊 10mg (0.2mg/kg/day)
Syp 5mg/5ml(0.1mg/kg/day)


CHLORAMPHENICOL
50-100mg/kg/day in 4 ➗ dose
(for meningitis, typhoid, pneumonia)

CPM
0.1mg/kg/dose x TID
Upto 6 yrs 1mg QID
▶6 yrs 2mg QID
💊 2mg, 4mg
     
CIMETIDINE
10-20mg/kg/day in 4 ➗ dose
💊 200mg, 400mg
(gastric and duodenal ulcer)

CINNARAZINE
0.3-0.5mg/kg/dose x TID
💊 25mg
(for vertigo)

CIPRIFLOXACIN
10-15mg/kg/dose x BD
10mg/kg/dose x BD IV
💊 250mg, 500mg, 750mg

CISAPRIDE
(for non ulcer dyspepsia, reflux esophagitis)
0.15-0.3mg/kg/dose x TID/QID
Syp 1mg/ml
💊 10mg


CLOXACILLIN
100-200mg/kg/day PO, IM, IV
💊 250mg, 500mg
Syp 125mg/5ml
💉 250mg, 500mg

CO-TRIMOXAZOLE(trimethoprim[TPM] +sulfamethoxazole)
(for UTI, pneumonia, bacterial diarrhea)
6-10mg/kg/day(tpm) in 2 ➗ dose
💊 (80mg tpm+400mg sulpha)
💊 Pediatric T(20+100)
Syp (40+200)


DERIPYLLINE
(for asthma)
5mg/kg/dose x TID
C/I in seizures
💊 100mg
Syp 50mg/5ml
💉 110mg/ml


DEXCHLORPHENIRAMINE MALEATE
0.1mg/kg/day
💊 2mg
Syp 2mg/5ml


DEXTROMETHORPHAN
Antitussive(for cough) use carefully in asthma and productive cough, because it suppress the elimination of sputum
1mg/kg/day in 3-4 ➗ dose
Adult = 10-30mg x TID/QID


DIAZEPAM
0.1-0.3mg/kg/day 3 ➗ dose
In status epilepticus 0.3mg/kg/dose slow IV, repeat if needed
Has respiratory depressant effect, give sternal pressure or ambu bag support
Rectal dose 0.5 mg/kg then 0.25mg/kg after 10 min if needed (rectal acts fastly than IM)

(for anxiety, Epilepsy)
Adult,  anxiety - 2-10mg  BD/TID/QID


DICLOFENAC (ATD- 0.1ml test dose, watch for 15min before giving IM)
1mg/kg/dose x BD/TID
💊 50mg
SR 💊 75mg, 100mg
Ophthalmic drops
💉 3ml vials with 25mg/ml

DICYCLOMINE(cyclopam)
(for abdominal pain, renal colic, spasmodic dysmenorrhoea)
C/I ◀6mon, urinary retention
0.5mg/kg/dose x 3 (don't give below 6 mon of age)
Child 10mg/dose x BD /TID
Adult 20-40mg/dose

DIMENHYDRINATE(dramamine)
(for vertigo, motion sickness)
5mg/kg/day in 3-4 ➗ dose
2-5yrs = 12.5mg/dose
▶5yrs = 25mg/dose
Adult 50mg/dose

DIPHENHYDRAMINE(benadryl)
(for allergies, extra pyramidal symptoms)
5mg/kg/day in 3-4 ➗ dose
💉 1mg/kg/dose
Adult 25-50mg QID

DOXYCYCLINE (don't giv below 8yrs)
(for cholera, mycoplasma, chlamydia)
5mg/kg/day OD
Adult 100-200mg/day in1-2 ➗ dose

ERGOTAMINE
(for migrane headache)
     💊 1mg

ERYTHROMYCIN
(for atypical pneumonia, pertussis, pharyngitis)
💊 250mg, 500mg
Susp 125mg/5ml
10mg/kg/dose
Infants 10mg/kg/dose BD
▶7days age 10mg/kg/dose TID

ETHAMSYLATE
(for epistaxis, haematemesis, haemoptisis)
10mg/kg
Adult 250-500mg QID

FLUCONAZOLE (C/I in liver disease)
(for systemic candidiasis)
6-12mg/kg/day in 1-2 ➗ dose 1-4 weeks
💊 50mg, 150mg, 200mg
Adult :Oropharyngeal candidiasis = 200mg on day1
            then 100mg for 14 days
             Vaginal candidiasis 150mg single dose

FRUSEMIDE
1-2mg/kg/dose x TID/QID
0.5-1mg/kg/dose IM TID/QID
💊 40mg
💉 20mg/2ml
(for pulmonary edema, cardiac edema, hepatic edema)
Adult 20-80mg/dose x TID/QID

FURAZOLIDONE
(for enteritis, protozoal diarrhoea)
💊 100mg
Susp 25mg/5ml
6mg/kg/day in 3 ➗ dose orally
C/I ◀1 month of age

FUSIDIC ACID
Antibiotic for LA

GAMMA BENZENE HEXACHLORIDE(scaboma)
(for pediculosis capitis, P. Pubis, scabies)
1% lotion, 1% cream once in a week

GENTAMYCIN
(for infection in new born, septicaemia, UTI)
5-7.5mg/kg/day in 2-3 ➗ dose IM/IV
C/I un renal failure

GRISEOFULVIN
(for Tinea of skin, hair, nail and scalp)
5mg/kg/dose x BD
💊 125mg, 250mg, 500mg
C/I in liver disease

HYDROCHLOROTHIAZIDE
(for edema, hypertension )
Edema: ◀6 mon age= 1-1.5mg/kg/dose x BD
               ▶6 mon age= 1mg/kg/dose x BD
                Adult = 25-100mg/kg/day in 1-2 ➗ dose
HTN: 1mg/kg/day OD (children)
          Adult 12.5-50mg OD
         
HYDROCORTISONE(as succinate)
(for anaphylaxis,,status asthmaticus, shock, addison's disease)
5mg/kg/dose
💊 20mg
💉 100mg IV
HYDROCORTISONE(as acetate)
Inj. 25mg (for osteoarthritis, keloid give only intralesionally)  don't give IM/IV


IBUPROFEN
(for dental pain, aphthous ulcer)
💊 200mg, 400mg
Susp 100mg/5ml
8-10mg/kg/dose x TID/QID
Adult 400-800mg/dose x TID/QID
Syp. Ibugesic