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    Handy chart suggests OTC cough/cold dosages for kids

     

    SELF-CARE

    Handy chart suggests OTC cough/cold dosages for kids

    With cough and cold season upon us, here's a resource to help you answer the many questions parents will bombard you with about what OTC dosages they should give their tiny tots. It was prepared by pediatric specialists at the University of Oklahoma College of Pharmacy. They developed this dosing chart in response to the many requests for help from area pediatricians and pharmacists. For added safety, the pediatric population should use OTC cough and cold products that contain single ingredients. Thus the chart is organized by single ingredients. The dosages listed are evidence-based and cover patients down to one month of age.

     

    Pediatric doses: OTC cough and cold

    Brompheniramine

    (should not be used in children under 1 month of age)

    1-24 months: 0.125 mg/kg/dose Q 6-8 hours  
      2-6 years: 1 mg Q 4-6 hours MAX 6-8 mg /day
      6-12 years: 2 mg Q 4-6 hours MAX 12-16 mg/day
      12+ years: 4 mg Q 4-6 hours  

    Chlorpheniramine

    (young children may be more susceptible to side effects and CNS stimulation)

    1-24 months: 0.35 mg/kg/day in divided doses Q 4-6 hours  
      2-5 years: 1 mg Q 4-6 hours  
      6-11 years: 2 mg Q 4-6 hours MAX 12 mg/day
      12+ years: 4 mg Q 4-6 hours MAX 24 mg/day
     
    Dextromethorphan 1-3 months: 0.5-1 mg Q 6-8 hours  
    3-6 months: 1-2 mg Q 6-8 hours  
    7 months-1 year: 2-4 mg Q 6-8 hours  
    >2-6 years: 2.5-7.5 mg Q 4-8 hours MAX 30 mg/day
    7-12 years: 5-10 mg Q 4 hours MAX 60 mg/day
    or 15 mg Q 6-8 hours MAX 60 mg/day
    12+ years: 10-30 mg Q 4-8 hours MAX 120 mg/day

    Diphenhydramine

    (for treatment of minor allergic reactions)

    1-24 months: 1-1.5 mg/kg/dose Q 6-8 hours  
      2-< 6 years: 6.25 mg Q 4-6 hours MAX 37.5 mg/day
      6-12 years: 12.5-25 mg Q 4-6 hours MAX 150 mg/day
      12+ years: 25-50 mg Q 4-6 hours MAX 300 mg/day
    Guaifenesin < 2 years: 2 mg/kg/dose Q 4 hours MAX 300 mg/day
    2-5 years: 50-100 mg Q 4 hours MAX 600 mg/day
    6-11 years: 100-200 mg Q 4 hours MAX 1200 mg/day
    12+ years: 200-400 mg Q 4 hours MAX 2400 mg/day

    Phenylephrine

    (do not use for more than
    3 – 5 days)

    *do not use in infants less than 6 months of age

    6 months-1 year: 1-2 drops of 0.16% Q 3 hours  
      1-6 years: 2-3 drops of 0.125% Q 4 hours p.r.n.  
      6-12 years: 2-3 drops of 0.25% Q 4 hours p.r.n.  
      12+ years: 2-3 drops or    
    1-2 sprays of 0.25-0.5% Q 4 hours p.r.n.  
    Pseudoephedrine < 2 years: 1 mg/kg/dose Q 6 hours MAX 4 doses/day
    2-5 years: 15 mg Q 6 hours MAX 60 mg/day
    6-12 years: 30 mg Q 6 hours MAX 120 mg/day
    12+ years: 60 mg Q 6 hours MAX 240 mg/day

     

    Authors: Tracy M. Hagemann, Pharm.D.; Kendra McConnell, Pharm.D. candidate; Kelly Hill, Pharm.D. candidate; University of Oklahoma College of Pharmacy

    Source: CRL Online: Clinical Reference Library Online. Lexi-Comp Inc. Hudson, Ohio: 1978-2003. Micromedex Thomson Healthcare. Micromedex Healthcare Series Vol. 118; expires 12/2003

    Disclaimer: The authors have made all reasonable efforts to ensure that the information contained above is accurate in accordance with the latest available scientific knowledge at the time of publication. No liability will be assumed for the use of this educational reference. Users are strongly encouraged to consult the primary literature for complete information.

    Tracy Hagemann. Handy chart suggests OTC cough/cold dosages for kids. Drug Topics Dec. 8, 2003;147:57.

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