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Formulary

This document summarizes guidelines for intravenous fluids, antipyretics, antibiotics, and other medications commonly used in pediatrics. It provides dosing recommendations for medications like paracetamol, ibuprofen, amoxicillin, penicillin, and cephalosporins. Specific details are given on recommended milligrams per kilogram of body weight per day divided into doses at recommended intervals. Maximum daily doses are also noted for many of the medications.

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Michelle Wong
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0% found this document useful (0 votes)
130 views5 pages

Formulary

This document summarizes guidelines for intravenous fluids, antipyretics, antibiotics, and other medications commonly used in pediatrics. It provides dosing recommendations for medications like paracetamol, ibuprofen, amoxicillin, penicillin, and cephalosporins. Specific details are given on recommended milligrams per kilogram of body weight per day divided into doses at recommended intervals. Maximum daily doses are also noted for many of the medications.

Uploaded by

Michelle Wong
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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1 2 3 4

♥ IVF : ♥ THERAPEUTICS : ♥ ANTI-PYRETICS Ibuprofen


Dolan FP, Dolan FP Forte (15
IVF to use (varies per * mL per dose = ml of prepn Paracetamol mL; 60 mL)
institution): mg of prepn Biogesic (15 mL; 60 mL) 100 mg/2.5 mL Oral drops, 100
0 – 7 y/o I = D5 0. 3 NaCl Calpol (10 mL; 60 mL) mg/5 mL, 200 mg/5 mL oral
M = D5 IMB = wt x mg/kg/dose x (mL/mg) Naprex (15 mL; 60 mL) susp
Tempra (15-30 mL; 30-60 mL)
8 – 10 y/o I = D5NR Advil, Medicol
M = D5NM TO CHECK : 100 mg/mL oral drops, 120 mg/5 200 mg/soft gel cap
mL oral susp (Tempra - syrup),
st
1 10 kg 100 cc/kg mg/mL of prepn x ml use/day 250 mg/5 mL oral susp (Tempra Sig. ≥6 mo; 5–10 mg/kg/dose
2nd 10 kg 50 cc/kg wt (kg ) Forte syrup) Q6–8 hr PO; max. dose: 40
Above 20 kg 20 cc/kg mg/kg/24 hr.
= mg/kg/dose Kiddilets
* cc/day / 24 = ugtts/min 80mg/chewable tab Adult & childn >12 yr 1 cap Q4-6
(x freq to get mg/kg/day) should be taken with food Max
* ckd x wt = ugtts/min Tempra, Tempra Forte 1200 mg/24 hr
24 hours 325mg/tab, 500mg/tab
♥ Sodium Correction
* cc/hr = ugtts/min Opigesic
Na deficit = (normal – actual) x 125 mg, 250 mg sup
* ugtts/min x 24 H = ckd wt x 0. 6
wt ( kg ) Maintenance = wt x 2 Aeknil
300 mg/2mL amp
Tot. Def = Def + Maintenance
½ correction = 1st 8 hrs Sig. 10–15 mg/kg/dose PO/PR
½ correction = next 16 hrs Q4–6 hr; max. dose: 90
total of 24 hrs correction 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.

5 6 7 8
♥ ANTIBIOTICS : Penicillin V / Amoxicillin Sig. Child ≥3 mo:
Phenoxymethylpenicillin Amoxil Ped/Amoxil / Amoxil TID dosing: 20–40 mg/kg/24 hr ÷
♥ PENICILLINS Sumapen (60 mL) Forte (20 mL: 60 mL) Q8 hr PO
125 mg/5 mL, 250 mg/5 mL BID dosing: 25–45 mg/kg/24 hr
Penicillin G Benzathine / Powd for susp 100 mg/mL oral drops, 125 mg/5 ÷ Q12 hr PO
Benzathine Benzylpenicillin mL, 250 mg/5 mL powd for oral
Sig. 25–50 mg/kg/24 hr ÷ Q6–8 susp Ampicillin-Sulbactam
Benzapen, Phil hr PO. Max. dose: 3 g/24 hr Sig. Standard dose: 25–50 Silgram
Pharmawealth/Karnataka Take 1 hr before or 2 hr after mg/kg/24 hr ÷ Q8–12 hr PO 375 (250 + 125) mg, 750 mg
Benzathine Benzylpenicillin meals. High dose (resistant S. (500), 1.5 (1g) g/vial
1200000 u powd for inj/vial pneumoniae): 80–90 mg/kg/24 hr Sig. Mild-moderate infections:
Cloxacillin Na ÷ BID PO IM/IV: 100–200 mg/kg/24 hr ÷
Sig. IM; Pannox (60 mL) Q6 hr
Group A streptococci: 250 mg/5 mL powd for oral soln Ampicillin Severe infections: 200–400
Infant and child: 25,000–50,000 Ampicin, Vatacil mg/kg/24 hr ÷ Q4–6 hr IM/IV
U/kg/dose IM × 1. Max. dose: Caxin, Pannox 250 mg/vial, 500 mg/vial
1.2 million U/dose OR >1 mo 500 mg/cap Sig. Mild-moderate infections: Adult Total daily dose: 1.5-12
and <27 kg: 600,000 U/dose IM Sig. 50-100 mkd Q6 IM/IV: 100–200 mg/kg/24 hr ÷ Q6 g/day in divided doses for 6-8
×1 Adult 250-500 mg Q6. hr hr.
≥27 kg and adult: 1.2 million Take 1 hr before or 2 hr after Severe infections: 200–400
U/dose IM × 1 meals. mg/kg/24 hr ÷ Q4–6 hr IM/IV Sultamicillin Tosylate
Unasyn Oral (60 mL)
Rheumatic fever prophylaxis -Q3 Oxacillin Adults IM/IV: 500–3000 mg Q4–6 250 mg/5 mL oral susp
week Wydox hr Max. dose: 12 g/24 hr
500 mg powd for inj / vial Sig. <30 kg 25-50 mg/kg/day in
Benzylpenicillin sodium Sig.IM/IV: 100–200 mg/kg/24 hr *For immediate use once diluted 2 divided doses ≥30 kg Adult
250 mg = 400,000 U ÷ Q4–6 hr * dose,
Harbipen, YSS Benzylpenicillin Max. dose: 12 g/24 hr Harriet PO: 50–100 mg/kg/24 hr
sodium Co-amox ÷ Q6 hr; max. PO dose: 2–3
1M (625 mg), 5M (3g) units Augmentin g/24 hr
powd for inj/Vial 156. 25 mg/5 ml = 125 mg q 8
312.5 mg/5 ml = 250 mg q 8 Silgram 750 mg/FCT
Sig. IV or IM 228.5 mg/5 ml = 200 mg q 12 Unasyn Oral
100,000–400,000 U/kg/24 hr ÷ 457 mg/ 5 ml = 400 mg q 12 375 mg, 750 mg / tab
Q4–6 hr; max. dose: 24 million 642.9 mg/5mL = 600 mg Q12 Sig. Adult & childn weighing ≥30
U/24 hr 375 mg tab = 250 mg kg 750 mg bid
625 mg tab = 500 mg
300 mg vial = 250 mg
600 mg vial = 500 mg
1.2 gm vial = 1 gm
9 10 11 12
nd
♥ CEPHALOSPORINS 2 GEN Zinnat 250, 500 mg/FCT Sig. Infant (>6 mo) and child: 8
mg/kg/24 hr ÷ Q12–24 hr PO;
st
1 GEN Cefaclor Sig. 250-500 mg 12 hrly max. dose: 400 mg/24 hr
Ceclor, Ceclor DS (20 mL; 60 should be taken with food.
Cefalexin mL) Elixime, Eroxmit, Profurex, Zocef
Cefalin (10 mL; 60 mL) 50 mg/mL oral drops, 125 mg/5 750 mg powd for inj / vial Child (>12 yr or ≥50 kg) and
Ceporex (10 mL; 70 mL) mL, 250 mg/5mL oral susp adult: 1–2 g/dose Q6–8 hr IV/IM
100 mg/mL oral drops, 125 mg/5 Sig. Infant (>3 mo)/child: 75–150 Severe infection: 2 g/dose Q4–6
mL, 250 mg/5 mL granules for Sig. Child >1 mo old (use mg/kg/24 hr ÷ Q8 hr hr IV/IM
oral susp regular-release dosage forms): Max. dose: 12 g/24 hr
Ceporex 250mg, 500mg/cap 20–40 mg/kg/24 hr PO ÷ Q8 hr; Adults 750–1500 mg/dose Q8
max. dose: 2 g/24 hr (Q12 hr Adolescent and adult: 400
Sig. Infant and child: 25–100 dosage interval optional in otitis Cefoxitin mg/24 hr ÷ Q12–24 hr
mg/kg/24 hr PO ÷ Q6 hr. Less media or pharyngitis) Foxitin, Monowel
frequent dosing (Q8–12 hr) can 1g/vial Cefotaxime Na
be used for uncomplicated Pharex cefaclor Claforan 500mg/vial
infections. Total daily dose may 250mg, 500mg/cap Sig. Neonates: 70–100 mg/kg/24 Cladex 1 g/vial
be divided Q12 hr for hr divided q 8–12 hr IV or IM.
streptococcal pharyngitis (>1 yr) Sig. 250-500 mg Q8. Max 4 g Children: 80–160 mg/kg/24 hr Sig. Infant and child (1 mo–12 yr
and skin/skin structure daily. divided q 6–8 hr IV or IM. and <50 kg): 100–200 mg/kg/24
infections. Adults 1–2 g q 6–8 hr IV or IM hr ÷ Q6–8 hr IV/IM. Higher
Cefuroxime Axetil (max dose: 12 g/24 hr) doses of 150–225 mg/kg/24 hr ÷
250-500 mg 6 hrly; Severe Cimex (50 mL, 60 mL, 70 mL) Q6–8 hr have been
infections: Up to 4 g/day Zinnat ( 50 mL 70 mL; 50 mL) 3rd GEN recommended for infections
125 mg/5 mL, 250 mg/5 mL outside the CSF due to
Cefazolin granules for oral susp Cefixime penicillin-resistant pneumococci.
Stancef 500 mg, 1g/vial Triocef, Tergecef, Ultraxime (10 Child (>12 yr or ≥50 kg) and
Sig. Child (3 mo–12 yr): mL; 30, 60 mL) adult: 1–2 g/dose Q6–8 hr IV/IM
Sig. Infant >1 mo/child: 50–100 Pharyngitis and tonsillitis: 20 mg/mL, 100mg/5mL Severe infection: 2 g/dose Q4–6
mg/kg/24 hr ÷ Q6–8 hr IV/IM; 20 mg/kg/24 hr ÷ Q12 hr; max. suspension hr IV/IM
max. dose: 6 g/24 hr dose: 500 mg/24 hr Max. dose: 12 g/24 hr
Otitis media, impetigo, and Taxim-O
maxillary sinusitis: 30 mg/kg/24 200 mg/FCT
hr ÷ Q12 hr; max. dose: 1 g/24
hr

13 14 15 16
Ceftriaxone Ceftazidime
Eluxone, Keptrix Cestazid-1000 ♥ MACROLIDES Sig. 7.5 mg/kg bid. Max: 500 mg
Pneumosolv 1 g powd for inj / vial + 10 mL bid
1 g powder for injection/vial diluent Erythromycin Estolate
Rocephin250 mg/vial + 5mL Fortum Ilosone / Ilosone DS (10 mL; 60 Immediate release: 250–500
diluent, 500 mg/vial + 5 mL 250 mg, 500 mg, 1g, 2g/vial mL) mg/dose Q12 hr PO
didluent, 1 g /vial + 10 mL 100 mg/mL oral drops, 125 mg/5 Extended release (Biaxin XL):
diluent Sig. Infant (>1 mo) and child: mL oral susp, 250 mg/5 mL oral 1000 mg Q24 hr PO
90–150 mg/kg/24 hr ÷ Q8 hr susp
Sig. Infant (>1 mo) and child: IV/IM; max. dose: 6 g/24 hr
50–75 mg/kg/24 hr ÷ Q12–24 hr Cystic Fibrosis and meningitis: Sig. 30–50 mg/kg/24 hr ÷ Q6–8 Azithromycin
IM/IV; max. dose: 2 g/24 hr. 150 mg/kg/24 hr ÷ Q8 hr IV/IM; hr; max. dose: 2 g/24 hr Azemax (30 mL)
Higher doses of 80–100 max. dose: 6 g/24 hr Zenith Suspension (20 mL)
mg/kg/24 hr ÷ Q12–24 hr (max. RiteMED 250 mg, 500 mg/cap 200 mg/5 mL powd for susp
dose: 2 g/dose and 4 g/24 hr) Adults 2–6 g/24 hr ÷ Q8–12 hr
has been IV/IM; max. dose: 6 g/24 hr Sig. 250-500 mg Q6; This may Sig.. 10 mg/kg OD x 3 days or
recommended for infections be increased up to ≥4 g daily 10 mg/kg as single dose on the
outside the CSF due to Should be taken on an empty 1st day, followed by 5 mg/kg on
penicillin-resistant pneumococci. 4th GEN stomach days 2-5

IV doses over 60 min Cefepime Clarithromycin


Cepiram Clarithrocid (25 mL, 50 mL; 50
Adult: 1–2 g/dose Q12–24 hr 500mg, 1g, 2g/vial mL, 70 mL)
IV/IM; max. dose: 2 g/dose and Megapime, Supime
4 g/24 hr 1g/vial Klaz (35 mL, 70 mL; 35 mL, 70
mL)
Sig. Child ≥2 mo: 100 mg/kg/24 125 mg/5 mL , 250 mg/5 mL
hr ÷ Q12 hr IV/IM; max. dose: 4 granules for oral susp
g/24 hr
Clarithrocid
Meningitis, fever, and 250 mg, 500 mg/FCT
neutropenia, or serious Klaricid, Klaricid OD,
infections: 150 mg/kg/24 hr ÷ Q8 Klaz, Klaz OD
hr IV/IM; max. 250 mg, 500 mg/tab, 500 mg/XR
dose: 6 g/24 hr tab
17 18 19 20
♥ AMINOGLYCOSIDES Sig. IV bolus inj over 5 min or IV Chloramphenicol Co-trimoxazole
infusion over 15-30 min Chloromycetin (30 mL) [sulfamethoxazole (SMZ) &
Gentamicin Sulfate Pediachlor (60 mL) trimethoprim (TM)]
Servigenta, Topigen Infant >3 mo and child: 125 mg/5 mL oral susp Bactrim (50 mL)
80 mg/2 mL amp Skin and subcutaneous tissue Globaxol (60 mL)
infections: 30 mg/kg/24 IV ÷ Q8 Sig. 50 – 100 mkd q6 Septrin ( 30 mL, 70 mL)
Sig. Harriet 7.5 mg/kg/24 hr ÷ hr; max. dose: 1.5 g/24 hr Take 1 hr before or 2 hr after SMZ 200 mg & TM 40 mg / 5 mL
Q8 hr Intra-abdominal and meals. syrup
Nelson 2.5 mg/kg/24 hr divided q mild/moderate infections: 60
8–12 hr IV or IM. Alternatively mg/kg/24 hr IV ÷ Q8 hr; max. Chloromycetin Globaxol Forte (60 mL)
may administer 5–7.5 mg/kg/24 dose: 3 g/24 hr 250, 500 mg/cap Trizole (30 mL, 60 mL)
hr IV once daily Meningitis, Cystic Fibrosis, and Sig. Adult 250-500 mg 6 hrly. 400 mg + 80 mg / 5 mL oral
severe infections: 120 mg/kg/24 Take 1 hr before or 2 hr after suspension
Amikacin hr IV ÷ Q8 hr; max. dose: 6 g/24 meals.
Amikacide (2 mL) hr Sig. Minor/moderate infections:
50 mg/mL, 125 mg/mL, 250 Fusidic Acid Child: 8–12 mg/kg/24 hr ÷ BID
mg/mL amp Vancomycin Fucidin Suspension (90 mL) Severe infections: Child and
Mersa 50 mg/mL adult: 20 mg/kg/24 hr ÷ Q6–8
Sig. 15–22.5 mg/kg/24 hr ÷ Q8 500 mg powd for inj/vial Best taken after meals w/ an
hr IV/IM Sig. 50 mg/kg/day TID adequate amount of fluid.
Sig. Reconstituted solutions Should be taken with food.
containing 500 mg of Bactrim adult and forte tab
♥ OTHER ANTIBIOTICS vancomycin must be diluted with Clindamycin Globaxol, Globaxol Forte
at least 100 mL of diluent (Metro Dalacin C (60 mL) 400 mg + 80 mg /tab, 800 mg +
Meropenem 20 cc D5W). The desired dose, 75 mg/5 mL granules for oral 60 mg/tab
Meromax, Merop diluted in this manner, should be soln
500mg, 1000 mg powd for inj administered by intermittent Sig. Child 10–30 mg/kg/24 hr ÷ Sig. Adult (>40 kg): 160 mg/dose
/vial intravenous infusion over a Q6–8 hr; max. dose: 1.8 g/24 hr. BID
period of at least 60 minutes.
Adult 150–450 mg/dose Q6–8 hr;
See Harriet for dose max. dose: 1.8 g/24 hr

Should be taken with food.


Swallow whole w/ a full glass of
water & in an upright position.

21 22 23 24
Metronidazole Sig. H 10-15 mkday OD (max ♥ ANTI – VIRAL >7 years, >21 kg: 1 tsp, 6 times
300 mg) or 20-30 mkday 3x a daily;
Dazomet, Flagyl week (max 900 mg). Aciclovir Adult: 2 tsp, 6-8 times daily.
500 mg/100 mL infusion Best taken 1 hr before (pre- Hapivir (60 mL, 120 mL)
breakfast) or 2 hr after meals. 400 mg/5mL oral suspension Tablet: Adult: 6-8 tablets daily in
Sig. 30 mg/kg/24 hr ÷ Q6 hr May be taken w/ meals to Herpex (50 mL) divided doses.
Max. dose: 4 g/24 hr reduce GI discomfort. 200 mg/5mL oral suspension
Should be taken with food.
R 10-20 mg/kg body wt (max: Sig. varicella (≥2 yr): 80
♥ ANTI-TB MEDS 600 mg/day) OD or 10-20 mkday mg/kg/24 hr ÷ QID × 5 days ♥ AMOEBICIDES
(max 600) 3x a week (begin treatment at earliest
HRZ Pedia Kit (econo 60 mL Take 1 hr before meals. (pre- signs/symptoms); Metronidazole
regular 120 mL) breakfast). max. dose: 3200 mg/24 hr Flagyl (60 mL)
Rodazid (60 mL)
HR Pedia Kit Z 20-40 mkday (max 2g) or 50 mucocutaneous HSV 125 mg/5 mL oral susp
mkday (max 2g) 3x a week 40–80 mg/kg/24 hr ÷ Q6–8 hr ×
H 200 mg + 12 mg/5mL syrup; 5–10 days (max. pediatric dose: Sig. 35–50 mkd TID × 7-10
R 200 mg/5 mL oral susp; Fixcom 4 (Natrapharm- 1000 mg/24 hr) days. Take at least 1 hr before
Z 500 mg/5 mL oral susp Natrapharm; P9.16), Fixcom 3 meals.
(P8.66) Use ideal body weight for obese
Kidz Kit 3 (120 mL) Myrin-P-Forte (Pfizer-Pfizer), patients. Diloxanide furoate
Kidz Kit 2 (120 mL) Myrin Dilfur (60 mL)
Quadmax (Multicare-Zuellig; Inosine pranobex / 125 mg/5mL susp
H 200 mg + 10 mg / 5 mL syrup; P9.25), Duomax (P8.25) FCT methisoprinol
R 200 mg/5 mL oral susp; Isoprinosine (60mL) Sig. >25 kg 20mg/kg/day divided
Z 250 mg/5mL oral susp H 75 mg, R 150 mg, Z 400 mg, 250 mg/5 mL syr, 500 mg/tab into Q8 x 10 days
E 275 mg/tab Adults 15 mL Q6 x 10 days
H 75 mg, R 150 mg, E 275 Sig. Syrup: Children 0-7 years,
mg/tab <1 year, <9 kg: ¼ tsp 6 times
daily.
Sig. <55 kg 3 tab/day. 55-70 1-3 years, 9-14 kg: ½ tsp, 6
kg 4 tab/day, >70 kg 5 tab/day times daily;
14-21 kg: ¾ tsp, 6 times daily;
Take 1 hr before or 2 hr after
meals.
25 26 27 28
♥ ANTHELMINTHICS Phenylpropanolamine HCl + ♥ ANTI-HISTAMINES
Oxantel + Pyrantel Embonate brompheniramine maleate
Albendazole Quantrel (10 mL) Nasatapp (15 mL; 60 mL) Diphenhydramine HCl
Benzol 20 mg + 20 mg / mL oral 6.25mg+2mg/mL oral drops, Benadryl AH (60 mL, 120 mL)
400 mg / chewable tab suspension 12.5 mg+4 mg/5mL syrup 12.5 mg/5 mL syrup
Sig. >2 yr. 400 mg once; Should Sig. Adult & childn 10-20 mg for
be taken with food. each drug/kg body wt as single Sig. Drops up to 6 mth 0.5 mL. 7 Hyphen
dose. mth-2 yr 1 mL. Soniphen Injection
Mebendazole Syr 1-6 mth1.25 mL. 7 mth-2 50 mg/mL soln for inj
Antiox (30 mL; 10 mL) ♥ COUGH AND COLDS yr 2.5 mL.
20 mg/mL oral susp, 50 mg/mL PREPARATIONS 3-4 yr 3.75 mL. 5-12 yr 5 mL. Sig. (PO/IM/IV):
oral susp, 500 mg/tab Adult 5-10 mL. Child: 1–2 mg/kg/dose Q6 hr;
Ambroxol usual dose: 5 mg/kg/24 hr ÷ Q6
Sig. >1 yr. 100 mg BID x 3 days Expel (15mL; 60 mL) To be taken 6-8 hrly. May be hr. Maximum dose: 50 mg/dose
or 500 mg once Mucosolvan (15mL; 60 mL) taken w/ food or milk to reduce and 300 mg/24 hr
Should be taken with food. 6 mg/mL infant oral drops, 15 GI discomfort.
mg/5 mL ped oral liqd Hydroxyzine
Pyrantel Pamoate Phenylephrine HCl + Iterax (100 mL)
Combantrin (10 mL) Sig. Infant drops Childn <6 Chlorphenamine Maleate 2 mg/mL syrup
125 mg/5 mL oral susp, 125 mth 0.5 mL bid or 6 mg/day. 7- Disudrin (10 mL; 60, 120 mL) 10 mg tab, 25 mg tab
mg/tab 12 mth 1 mL bid or 12 2.5 mg+0.5 mg/mL drops,
mg/day, 13-24 mth 1.25 mL bid 5 mg+1mg/5mL syrup Sig. 2 mg/kg/24 hr ÷ Q6–8 hr
Sig. Ascaris (roundworm) and or 15 mg/day, PRN, OR alternative dosing by
Trichostrongylus: 11 mg/kg/dose Sig. Drops 1-3 mth 0.25 mL, 4-6 age:
PO × 1 Ped liqd Childn <2 yr 2.5 mL bid mth 0.5 mL, 7-12 mth 0.75 mL, <6 yr: 50 mg/24 hr ÷ Q6–8 hr
Enterobius (pinworm): 11 2-5 yr 2.5 mL tid, 5-10 yr 1 tsp 1-2 yr 1 mL. PRN
mg/kg/dose PO × 1. Repeat bid-tid Adult 10 mL tid. ≥6 yr: 50–100 mg/24 hr ÷ Q6–8
same dose 2 wk later. Syr Adult & childn ≥12 yr 10 hr PRN
mL. Childn 7-12 yr 5 mL, 2-6
Hookworm or eosinophilic yr 2.5 mL.
enterocolitis:
11 mg/kg/dose PO once daily × All doses to be taken 6 hrly.
3 days
Max. dose (all indications): 1
g/dose

29 30 31 32
Cetirizine Budesonide
Allerkid (10 mL; 30 mL, 60 mL) Asmavent, Budecort ♥ ANTI – DIARRHEAL Zn sulfate monohydrate
Alnix (10 mL; 30 mL 60 mL) 500 mcg/2mL respule E-Zinc (15 mL; 60 mL)
2.5 mg/mL oral drops, Hidrasec 27.5 mg/mL oral drops, 55 mg/5
5 mg/5mL syrup Sig. 1–8 yr: Racecadotril mL syrup
No prior steroid use: 0.5 mg/24 10 mg, 30 mg/sachet
Sig. 0.5–2 yr: 2.5 mg OD hr ÷ once daily–BID; max. dose: Sig. drops Childn ≥6 mth 2
2–5 yr: 2.5–5 mg OD 0.5 mg/24 hr Sig. 1.5 mg/kg per dose mL, <6 mth 1 mL.
>6 yr: 5–10 mg OD Syrup <6 mth 2.5 mL. ≥6 mth 5
Prior inhaled steroid use: 0.5 1 month to 9 months (<9 kg): 10 mL
mg/24 hr ÷ once daily–BID; max. mg TID
♥ ANTIASTHMATICS dose: 1 mg/24 hr 9 months to 30 months (approx. Once a day until one week after
Prior oral steroid use: 1 mg/24 hr 9 to 13 kg): 20 mg TID formed BM or for 10-14 days
Salbutamol ÷ once daily–BID; max. dose: 1 30 months to 9 years (approx..
Asmalin Pulmoneb mg/24 hr 13 to 27 kg): 30 mg TID
Ventolin >9 years (approx. >27 kg): 60 mg ♥ ANTIULCERANTS
2.5mg/2.5mL inhalation solution Hydrocortisone TID
Solu-Cortef Al(OH)3, Mg(OH)2
Sig. 0.15 mg/kg (minimum: 2.5 100 mg, 250 mg. 500 mg Act-O- Retinol Palmitate Maalox (60, 180, 355 mL)
mg) as often as every 20 min for Vial inj Afaxin 225 mg + 200 mg /5 mL susp
3 doses as needed, then 0.15– 25000 IU, 50 000 IU/soft gel
0.3 mg/kg up to 10 mg every 1–4 Sig. Load (optional): 4–8 capsule Maalox No. 1
hr as needed mg/kg/dose IV; max. dose: 250 200mg + 200 mg/chewtab
mg Sig. < 6 mth 50 000 IU/day PO
Ipratropium Br, Salbutamol 6-12 mth 100 000 Sig. 2-4 tsp or 2-4 tab.
Combivent UDV Maintenance: 8 mg/kg/24 hr ÷ >1 yr. 200 000 All doses to be taken qid. Take
Duavent Pulmoneb Q6 hr IV 20-60 min after meals.

500 mcg (0.02%) + 2.5 mg / 2.5 Adult: 100–500 mg/dose Q6 hr


mL inhalation soln IV

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
33 34 35 36
Ranitidine ♥ NAUSEA & VOMITING <2 years: 20 mg (0.5 mL). 2-12 Albumin
Zantac years: 40 mg (1 mL). Do not Human Albumin 20% Behring,
75, 150, 300 mg/tab Domperidone exceed total dose of 240 Low Salt (50 mL)
Motilium (100 mL) mg/day;
Sig. treatment of 1 mg/mL oral susp Doses should be taken 4 times Sig. 0.5–1 g/kg/dose IV over 30–
duodenal/gastric ulcer: 4–8 Vometa (10 mL; 60 mL) daily, given after meals and at 120 min; repeat Q1–2 days PRN
mg/kg/24 hr ÷ Q12 hr; max. 5 mg/mL oral drops, 5 mg/5 mL bedtime.
dose: 300 mg/24 hr oral susp
maintenance: 2–4 mg/kg/24 hr ÷ Disflatyl, Restime ♥ ANTIANEMICS
Q12 hr; max. dose: 150 mg/24 Sig. 0.2-0.4 mkdose 40 mg/ chewable tab
hr Fe sulfate heptahydrate
3 times daily15-30 min before Sig. >12 yr and adult: 40–250 mg Anemifer (15-30 mL; 60 mL)
for erosive esophagitis meals and if necessary, once PO QPC and QHS PRN; max. 125 mg/mL oral drops (equiv to
5–10 mg/kg/24 hr ÷ Q8–12 hr; more in the evening. dose: 500 mg/24 hr 25 mg elemental Fe ), 150 mg/5
max. dose: 600 mg/24 hr mL (equiv to elemental 30 mg/5
♥ ANTI – SPASMODICS mL)
Ulcin, Zantac Dicycloverine ♥ RENAL
50 mg / 2mL amp Relestal (15 mL; 60 mL) Fe sulfate, folic acid, vit B1, vit
5 mg/mL oral drops, Furosemide B6 , vit B12
Sig. 2–4 mg/kg/24 hr ÷ Q6–8 hr; 10 mg/5mL syrup Lasix 40 mg/tab Ferlin Drops (15 mL)
max. dose: 200 mg/24 hr 74.64 mg (15 mg elemental iron)
Sig. Drops Infant 6 mth-2 yr 0.5- Sig. PO Start at 2 mg/kg/dose; + 10 mcg + 10 mg + 5 mg + 25
Omeprazole 1 mL. To be taken 4-6 hrly. may increase by 1–2 mg/kg/dose mcg / mL
Losec Syr Childn 2-5 yr 2.5-5 mL. no sooner than 6–8 hr following
10, 20 mg/cap 6-12 yr 5 mL the previous dose. Max. dose: 6 Fe sulfate, vit B1, vit B6, vit
Mepraz, Risek mg/kg/dose. B12
20 mg, 40 mg/cap Ferlin Syrup (120 mL)
♥ ANTIFLATULENT 20 mg/2mL amp 149.34 mg (30 mg elemental
Sig. ≥2 yr; Take 30 min - 1 hr iron) + 10 mg + 10 mg + 50 mcg
before meals. Simeticone Sig. 1–2 mg/kg/dose Q6–12 hr. / 5 mL
Restime (10 mL)
5–<10 kg: 5 mg PO once daily 40 mg/mL oral drops Adult: 20–40 mg/24 hr ÷ Q6–12 Sig. IDA 3–6 mg elemental
10–<20 kg: 10 mg PO once daily hr; max. dose: 600 mg/24 hr or Fe/kg/24 hr ÷ once daily–TID
≥20 kg: 20 mg PO once daily 80 mg/dose.

37 38 39 40
♥ ANTICONVULSANTS Maintenance dose, IV: Monitor Kwell (10, 30, 60 mL)
levels. 10 mg/mL or 1% shampoo Clobetasol propionate
Diazepam Neonate: 3–5 mg/kg/24 hr ÷ Dermovate (5 g P271.70)
Valium once daily–BID Sig. Saturate hair and scalp with 500 mcg/g 0.05% cream and
5mg/mL amp Infant: 5–6 mg/kg/24 hr ÷ once 1% cream rinse after ointment (class 1)
daily–BID shampooing, rinsing, and towel
Sig. >1 mo: 0.2–0.5 mg/kg/dose Child 1–5 yr: 6–8 mg/kg/24 hr ÷ drying hair. Leave on for 10 min, Sig. Apply thinly & gently rub the
IV Q15–30 min; max. total dose: once daily–BID then rinse. May repeat in 9–10 affected area once or bid
<5 yr: 5 mg; ≥5 yr: 10 mg. Child 6–12 yr: 4–6 mg/kg/24 hr ÷ days.
once daily–BID ♠
0.04ml/kg/dose (max 10mg) >12 yr: 1–3 mg/kg/24 hr ÷ once Hydrocortisone
daily–BID Eczacort (10 g) Epinephrine HCl
Phenobarbital Na 10 mg/g or 1% cream Adrenin (1 mL)
Luminal Sig. Apply to the affected area 1 mg/mL or 1: 1000
130 mg/mL amp ♥ DERMA bid-qid.
Sig. IV 0.01 mg/kg, equivalent to
Sig. : Loading dose, IV: Permethrin Desonide 0.1 mL/kg of a 1:10,000 solution
Neonate, infant, and child: 15– Kwell (60 mL) Desowen (15 g; 60 mL) ( 0.1cc of epi + 0.9cc PNSS); >
20 mg/kg/dose in a single or Lindell Lotion (30, 60 mL) 0.05 % cream, lotion 10 1 amp
divided dose (In the absence of 50 mg/mL 5% lotion Sig. Apply to the affected areas
mech vent, a dose of 10 as a thin film bid-tid.
mg/kg/doseIV should be Sig. Apply from neck to toe
administered initially and (head to toe for infants and Mometasone furoate
followed by an additional 5 toddlers) wash off with water in Momate (5 g)
mg/kg IV approximately 30-60 8–14 hr. May repeat in 7 days. 0.1% cream (class 4), ointment
minutes after.) Use in infants <1 mo is safe and (class 2)
effective when applied for a 6-hr
period. Sig. Apply to skin areas once
daily.

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