Register / Log In

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.

Two physicians discuss how to deal with the growth of antibiotic resistance in the pediatric population

Highlights of the American Heart Association meeting

Latelines for Dec. 8, 2003

If therapeutic substitutions are based on cost, rather than efficacy, what's the liability to the pharmacist?

This case involves patient with diabetes, cardiovascular problems, and other conditions


120x160px_drtp0414_Cover.jpg
 
Stay Connected