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Ivf: Therapeutics: Anti-Pyretics: Penicillins

1. This document provides dosing guidelines for various medications including IV fluids, antipyretics, antibiotics, and sodium correction. 2. Specific medications listed include paracetamol, ibuprofen, penicillin V, cloxacillin, amoxicillin, cefalexin, cefaclor, and cefoxitin along with their available formulations, standard dosages, and maximum daily doses. 3. Dosing recommendations are provided for both pediatric patients based on age and weight as well as adult patients. Intravenous and oral routes are covered along with frequency of administration.

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Jenny Ci
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0% found this document useful (0 votes)
232 views6 pages

Ivf: Therapeutics: Anti-Pyretics: Penicillins

1. This document provides dosing guidelines for various medications including IV fluids, antipyretics, antibiotics, and sodium correction. 2. Specific medications listed include paracetamol, ibuprofen, penicillin V, cloxacillin, amoxicillin, cefalexin, cefaclor, and cefoxitin along with their available formulations, standard dosages, and maximum daily doses. 3. Dosing recommendations are provided for both pediatric patients based on age and weight as well as adult patients. Intravenous and oral routes are covered along with frequency of administration.

Uploaded by

Jenny Ci
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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♥ IVF : ♥ THERAPEUTICS : ♥ ANTI-PYRETICS


IVF to use (varies per * mL per dose = Paracetamol
institution): Ibuprofen
0 – 7 y/o I = D5 0. 3 NaCl ml of prepn Biogesic (15 mL; 60 mL)
M = D5 IMB __________ Calpol (10 mL; 60 mL) Dolan FP, Dolan FP Forte (15
mg of prepn Naprex (15 mL; 60 mL) mL; 60 mL)
8 – 10 y/o I = D5NR Tempra (15-30 mL; 30-60 mL)  100 mg/2.5 mL Oral drops,
M = D5NM = wt x mg/kg/dose x (mL/mg) 100 mg/5 mL, 200 mg/5 mL
100 mg/mL oral drops, 120 oral susp
1st 10 kg 100 cc/kg mg/5 mL oral susp (Tempra -
2nd 10 kg 50 cc/kg TO CHECK : syrup), 250 mg/5 mL oral susp Advil, Medicol
Above 20 kg 20 cc/kg (Tempra Forte syrup) 200 mg/soft gel cap
mg/mL of prepn x ml use/day
* cc/day / 24 = ugtts/min _______________________ Kiddilets Sig. ≥6 mo; 5–10 mg/kg/dose
wt (kg ) 80mg/chewable tab Q6–8 hr PO; max. dose: 40
* ckd x wt mg/kg/24 hr.
_________ = ugtts/min = mg/kg/dose Tempra, Tempra Forte
24 hours 325mg/tab, 500mg/tab Adult & childn >12 yr 1 cap
(x freq to get mg/kg/day) Q4-6 should be taken with food
* cc/hr = ugtts/min Opigesic Max 1200 mg/24 hr
♥ SODIUM CORRECTION 125 mg, 250 mg sup
* ugtts/min x 24 H
________________ = ckd Na deficit = (normal – actual) x Aeknil
wt ( kg ) wt x 0. 6 300 mg/2mL amp
Maintenance = wt x 2
Sig. 10–15 mg/kg/dose PO/PR
Tot. Def = Def + Maintenance Q4–6 hr; max. dose: 90
½ correction = 1st 8 hrs mg/kg/24 hr.
½ correction = next 16 hrs
total of 24 hrs correction 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 / 100 mg/mL oral drops, 125 Sig. Child ≥3 mo:
phenoxymethylpenicillin mg/5 mL, 250 mg/5 mL powd TID dosing: 20–40 mg/kg/24 hr
for oral susp ÷ Q8 hr PO
♥ PENICILLINS Sumapen (60 mL) Sig. Standard dose: 25–50 BID dosing: 25–45 mg/kg/24
125 mg/5 mL, 250 mg/5 mL mg/kg/24 hr ÷ Q8–12 hr PO hr ÷ Q12 hr PO
penicillin G benzathine / Powd for susp High dose (resistant S.
benzathine benzylpenicillin pneumoniae): 80–90 mg/kg/24 ampicillin-sulbactam
Sig. 25–50 mg/kg/24 hr ÷ Q6–8 hr ÷ BID PO
Benzapen, Phil hr PO. Max. dose: 3 g/24 hr Silgram
Pharmawealth/Karnataka Take 1 hr before or 2 hr after ampicillin 375 (250 + 125) mg, 750 mg
Benzathine Benzylpenicillin meals. (500), 1.5 (1g) g/vial
1200000 u powd for inj/vial Ampicin, Vatacil Sig. Mild-moderate infections:
cloxacillin Na 250 mg/vial, 500 mg/vial IM/IV: 100–200 mg/kg/24 hr ÷
Sig. IM; Sig. Mild-moderate infections: Q6 hr
Group A streptococci: Pannox (60 mL) IM/IV: 100–200 mg/kg/24 hr ÷ Severe infections: 200–400
Infant and child: 25,000– 250 mg/5 mL powd for oral Q6 hr mg/kg/24 hr ÷ Q4–6 hr IM/IV
50,000 U/kg/dose IM × 1. Max. soln Severe infections: 200–400
dose: 1.2 million U/dose OR >1 mg/kg/24 hr ÷ Q4–6 hr IM/IV Adult Total daily dose: 1.5-12
mo and <27 kg: 600,000 Caxin, Pannox g/day in divided doses for 6-8
U/dose IM × 1 500 mg/cap Adults IM/IV: 500–3000 mg hr. 
≥27 kg and adult: 1.2 million Sig. 50-100 mkd Q6 Q4–6 hr Max. dose: 12 g/24 hr
U/dose IM × 1 Adult 250-500 mg Q6.  sultamicillin tosylate
Take 1 hr before or 2 hr after *For immediate use once
Rheumatic fever prophylaxis meals. diluted * Unasyn Oral (60 mL)
-Q3 week 250 mg/5 mL oral susp
oxacillin co-amox
benzylpenicillin sodium Sig. <30 kg 25-50 mg/kg/day
250 mg = 400,000 U Wydox Augmentin in 2 divided doses ≥30 kg Adult
Harbipen, YSS 500 mg powd for inj / vial 156. 25 mg/5 ml = 125 mg q 8 dose, 
Benzylpenicillin sodium Sig.IM/IV: 100–200 mg/kg/24 312.5 mg/5 ml = 250 mg q 8 Harriet PO: 50–100 mg/kg/24
1M (625 mg), 5M (3g) units hr ÷ Q4–6 hr 228.5 mg/5 ml = 200 mg q 12 hr ÷ Q6 hr; max. PO dose: 2–3
powd for inj/Vial Max. dose: 12 g/24 hr 457 mg/ 5 ml = 400 mg q 12 g/24 hr
642.9 mg/5mL = 600 mg Q12
Sig. IV or IM amoxicillin 375 mg tab = 250 mg Silgram 750 mg/FCT
100,000–400,000 U/kg/24 hr ÷ 625 mg tab = 500 mg Unasyn Oral
Q4–6 hr; max. dose: 24 million Amoxil Ped/Amoxil / Amoxil 300 mg vial = 250 mg 375 mg, 750 mg / tab
U/24 hr Forte (20 mL: 60 mL) 600 mg vial = 500 mg Sig. Adult & childn weighing
1.2 gm vial = 1 gm ≥30 kg 750 mg bid

9 10 11 12

♥ CEPHALOSPORINS 2nd GEN Zinnat 250, 500 mg/FCT Sig. Infant (>6 mo) and child: 8
mg/kg/24 hr ÷ Q12–24 hr PO;
cefaclor Sig. 250-500 mg 12 hrly max. dose: 400 mg/24 hr
1st GEN
should be taken with food.
Ceclor, Ceclor DS (20 mL; 60 Elixime, Eroxmit, Profurex,
cefalexin
mL) Zocef Child (>12 yr or ≥50 kg) and
50 mg/mL oral drops, 125 mg/5 750 mg powd for inj / vial adult: 1–2 g/dose Q6–8 hr
Cefalin (10 mL; 60 mL)
mL, 250 mg/5mL oral susp IV/IM
Ceporex (10 mL; 70 mL)
Sig. Infant (>3 mo)/child: 75– Severe infection: 2 g/dose Q4–
100 mg/mL oral drops, 125
Sig. Child >1 mo old (use 150 mg/kg/24 hr ÷ Q8 hr 6 hr IV/IM
mg/5 mL, 250 mg/5 mL
regular-release dosage forms): Max. dose: 12 g/24 hr
granules for oral susp
20–40 mg/kg/24 hr PO ÷ Q8 Adults 750–1500 mg/dose Q8
Ceporex 250mg, 500mg/cap
hr; max. dose: 2 g/24 hr (Q12 Adolescent and adult: 400
hr dosage interval optional in cefoxitin mg/24 hr ÷ Q12–24 hr
Sig. Infant and child: 25–100
otitis media or pharyngitis)
mg/kg/24 hr PO ÷ Q6 hr. Less
Foxitin, Monowel cefotaxime Na
frequent dosing (Q8–12 hr) can
Pharex cefaclor 1g/vial
be used for uncomplicated
250mg, 500mg/cap Claforan 500mg/vial
infections. Total daily dose
Sig. Neonates: 70–100 Cladex 1 g/vial
may be divided Q12 hr for
Sig. 250-500 mg Q8. Max 4 g mg/kg/24 hr divided q 8–12 hr
streptococcal pharyngitis (>1
daily.  IV or IM. Sig. Infant and child (1 mo–12
yr) and skin/skin structure
Children: 80–160 mg/kg/24 hr yr and <50 kg): 100–200
infections.
cefuroxime axetil divided q 6–8 hr IV or IM. mg/kg/24 hr ÷ Q6–8 hr IV/IM.
Adults 1–2 g q 6–8 hr IV or IM Higher doses of 150–225
250-500 mg 6 hrly; Severe
Cimex (50 mL, 60 mL, 70 mL) (max dose: 12 g/24 hr) mg/kg/24 hr ÷ Q6–8 hr have
infections: Up to 4 g/day
Zinnat ( 50 mL 70 mL; 50 mL) been recommended for
125 mg/5 mL,  250 mg/5 mL 3rd GEN infections outside the CSF due
cefazolin
granules for oral susp to penicillin-resistant
cefixime pneumococci.
Stancef 500 mg, 1g/vial
Sig. Child (3 mo–12 yr): Child (>12 yr or ≥50 kg) and
Pharyngitis and tonsillitis: Triocef, Tergecef, Ultraxime adult: 1–2 g/dose Q6–8 hr
Sig. Infant >1 mo/child: 50–
20 mg/kg/24 hr ÷ Q12 hr; max. (10 mL; 30, 60 mL) IV/IM
100 mg/kg/24 hr ÷ Q6–8 hr
dose: 500 mg/24 hr 20 mg/mL, 100mg/5mL Severe infection: 2 g/dose Q4–
IV/IM; max. dose: 6 g/24 hr
Otitis media, impetigo, and suspension 6 hr IV/IM
maxillary sinusitis: 30 Max. dose: 12 g/24 hr
mg/kg/24 hr ÷ Q12 hr; max. Taxim-O
dose: 1 g/24 hr 200 mg/FCT

13 14 15 16
ceftriaxone ceftazidime Klaz (35 mL, 70 mL; 35 mL,
Meningitis, fever, and 70 mL)
Eluxone, Keptrix Cestazid-1000 neutropenia, or serious 125 mg/5 mL , 250 mg/5 mL
Pneumosolv 1 g powd for inj / vial + 10 mL infections: 150 mg/kg/24 hr ÷ granules for oral susp
1 g powder for injection/vial diluent Q8 hr IV/IM; max.
Rocephin250 mg/vial + 5mL Fortum dose: 6 g/24 hr Clarithrocid
diluent, 500 mg/vial + 5 mL 250 mg, 500 mg, 1g, 2g/vial 250 mg, 500 mg/FCT
didluent, 1 g /vial + 10 mL ♥ MACROLIDES Klaricid, Klaricid OD,
diluent Sig. Infant (>1 mo) and child: Klaz, Klaz OD
90–150 mg/kg/24 hr ÷ Q8 hr 250 mg, 500 mg/tab, 500
erythromycin estolate
Sig. Infant (>1 mo) and child: IV/IM; max. dose: 6 g/24 hr mg/XR tab
50–75 mg/kg/24 hr ÷ Q12–24 Cystic Fibrosis and meningitis:
Ilosone / Ilosone DS (10 mL; 60
hr IM/IV; max. dose: 2 g/24 hr. 150 mg/kg/24 hr ÷ Q8 hr Sig. 7.5 mg/kg bid. Max: 500
mL)
Higher doses of 80–100 IV/IM; max. dose: 6 g/24 hr mg bid
100 mg/mL oral drops, 125
mg/kg/24 hr ÷ Q12–24 hr
mg/5 mL oral susp, 250 mg/5
(max. dose: 2 g/dose and 4 g/24 Adults 2–6 g/24 hr ÷ Q8–12 hr Immediate release: 250–500
mL oral susp
hr) has been IV/IM; max. dose: 6 g/24 hr mg/dose Q12 hr PO
recommended for infections Extended release (Biaxin XL):
Sig. 30–50 mg/kg/24 hr ÷ Q6–8
outside the CSF due to 1000 mg Q24 hr PO
th hr; max. dose: 2 g/24 hr
penicillin-resistant 4 GEN
pneumococci. azithromycin
RiteMED 250 mg, 500 mg/cap
cefepime
IV doses over 60 min Azemax (30 mL)
Sig. 250-500 mg Q6; This may
Cepiram Zenith Suspension (20 mL)
be increased up to ≥4 g daily
Adult: 1–2 g/dose Q12–24 hr 500mg, 1g, 2g/vial 200 mg/5 mL powd for susp
IV/IM; max. dose: 2 g/dose and Megapime, Supime Should be taken on an empty
4 g/24 hr 1g/vial stomach Sig.. 10 mg/kg OD x 3 days or
10 mg/kg as single dose on the
Sig. Child ≥2 mo: 100 clarithromycin 1st day, followed by 5 mg/kg
mg/kg/24 hr ÷ Q12 hr IV/IM; on days 2-5
max. dose: 4 g/24 hr Clarithrocid (25 mL, 50 mL; 50
mL, 70 mL)

17 18 19 20
♥ AMINOGLYCOSIDES Sig. IV bolus inj over 5 min or chloramphenicol Adult 150–450 mg/dose Q6–8
IV infusion over 15-30 min hr; max. dose: 1.8 g/24 hr
Chloromycetin (30 mL)
gentamicin sulfate
Infant >3 mo and child: Pediachlor (60 mL) Should be taken with food.
Skin and subcutaneous tissue 125 mg/5 mL oral susp Swallow whole w/ a full glass
Servigenta, Topigen
infections: 30 mg/kg/24 IV ÷ of water & in an upright
80 mg/2 mL amp
Q8 hr; max. dose: 1.5 g/24 hr Sig. 50 – 100 mkd q6 position.
Intra-abdominal and Take 1 hr before or 2 hr after
Sig. Harriet 7.5 mg/kg/24 hr ÷
mild/moderate infections: 60 meals. Co- trimoxazole
Q8 hr
mg/kg/24 hr IV ÷ Q8 hr; max. [Sulfamethoxazole (SMZ) &
Nelson 2.5 mg/kg/24 hr divided
dose: 3 g/24 hr Chloromycetin trimethoprim (TM ) ]
q 8–12 hr IV or IM.
Meningitis, Cystic Fibrosis, and 250, 500 mg/cap
Alternatively may administer
severe infections: 120 Sig. Adult 250-500 mg 6 hrly. Bactrim (50 mL)
5–7.5 mg/kg/24 hr IV once
mg/kg/24 hr IV ÷ Q8 hr; max. Take 1 hr before or 2 hr after Globaxol (60 mL)
daily
dose: 6 g/24 hr meals. Septrin ( 30 mL, 70 mL)
SMZ 200 mg & TM 40 mg / 5
amikacin
vancomycin fusidic acid mL syrup
Amikacide (2 mL)
Mersa Fucidin Suspension (90 mL) Globaxol Forte (60 mL)
50 mg/mL, 125 mg/mL, 250
500 mg powd for inj/vial  50 mg/mL Trizole (30 mL, 60 mL)
mg/mL amp
400 mg + 80 mg / 5 mL oral
Sig. Reconstituted solutions Sig. 50 mg/kg/day TID suspension
Sig. 15–22.5 mg/kg/24 hr ÷ Q8
containing 500 mg of Should be taken with food.
hr IV/IM
vancomycin must be diluted Sig. Minor/moderate
with at least 100 mL of diluent clindamycin infections: Child: 8–12
♥ OTHER ANTIBIOTICS (Metro 20 cc D5W). The mg/kg/24 hr ÷ BID
desired dose, diluted in this Dalacin C (60 mL) Severe infections: Child and
meropenem manner, should be administered 75 mg/5 mL granules for oral adult: 20 mg/kg/24 hr ÷ Q6–8
by intermittent intravenous soln Best taken after meals w/ an
Meromax, Merop infusion over a period of at Sig. Child 10–30 mg/kg/24 hr ÷ adequate amount of fluid.
500mg, 1000 mg powd for least 60 minutes. Q6–8 hr; max. dose: 1.8 g/24
inj /vial hr.
See Harriet for dose
21 22 23 24
Bactrim adult and forte tab Sig. H 10-15 mkday OD (max ♥ ANTI – VIRAL >7 years, >21 kg: 1 tsp, 6
Globaxol, Globaxol Forte 300 mg) or 20-30 mkday 3x a times daily; 
aciclovir
400 mg + 80 mg /tab, 800 mg + week (max 900 mg).  Adult: 2 tsp, 6-8 times daily.
60 mg/tab Best taken 1 hr before (pre-
Hapivir (60 mL, 120 mL)
breakfast) or 2 hr after meals. Tablet: Adult: 6-8 tablets daily
400 mg/5mL oral suspension
Sig. Adult (>40 kg): 160 May be taken w/ meals to in divided doses.
Herpex (50 mL)
mg/dose BID reduce GI discomfort. 200 mg/5mL oral suspension
Should be taken with food.
metronidazole R 10-20 mg/kg body wt (max: Sig. varicella (≥2 yr): 80
Dazomet, Flagyl
600 mg/day) OD or 10-20 mg/kg/24 hr ÷ QID × 5 days ♥ AMOEBICIDES
mkday (max 600) 3x a week (begin treatment at earliest
500 mg/100 mL infusion Take 1 hr before meals. (pre- signs/symptoms); metronidazole
breakfast). max. dose: 3200 mg/24 hr
Sig. 30 mg/kg/24 hr ÷ Q6 hr
Flagyl (60 mL)
Max. dose: 4 g/24 hr Z 20-40 mkday (max 2g) or 50 mucocutaneous HSV Rodazid (60 mL)
mkday (max 2g) 3x a week 40–80 mg/kg/24 hr ÷ Q6–8 hr × 125 mg/5 mL oral susp
♥ ANTI-TB MEDS 5–10 days (max. pediatric dose:
Fixcom 4 (Natrapharm- 1000 mg/24 hr) Sig. 35–50 mkd TID × 7-10
HRZ Pedia Kit (econo 60 mL Natrapharm; P9.16), Fixcom 3 days. Take at least 1 hr before
regular 120 mL) (P8.66) Use ideal body weight for obese meals.
Myrin-P-Forte (Pfizer-Pfizer), patients.
HR Pedia Kit Myrin diloxanide furoate
Quadmax (Multicare-Zuellig; inosine pranobex /
H 200 mg + 12 mg/5mL syrup; P9.25), Duomax (P8.25) FCT methisoprinol Dilfur (60 mL)
R 200 mg/5 mL oral susp;   125 mg/5mL susp
Z 500 mg/5 mL oral susp H 75 mg, R 150 mg, Z 400 mg, Isoprinosine (60mL)
E 275 mg/tab 250 mg/5 mL syr, 500 mg/tab Sig. >25 kg 20mg/kg/day
Kidz Kit 3 (120 mL) H 75 mg, R 150 mg, E 275 divided into Q8 x 10 days
Kidz Kit 2 (120 mL) mg/tab Sig. Syrup:  Children 0-7 years, Adults 15 mL Q6 x 10 days
<1 year, <9 kg: ¼ tsp 6 times
H 200 mg + 10 mg / 5 mL Sig. <55 kg 3 tab/day. 55-70 daily.
syrup; kg 4 tab/day, >70 kg 5 tab/day 1-3 years, 9-14 kg: ½ tsp, 6
R 200 mg/5 mL oral susp; times daily; 
Z 250 mg/5mL oral susp Take 1 hr before or 2 hr after 14-21 kg: ¾ tsp, 6 times daily; 
meals.

25 26 27 28
♥ ANTHELMINTHICS 11 mg/kg/dose PO once daily × phenylpropanolamine HCl + ♥ ANTI-HISTAMINES
3 days brompheniramine maleate
Max. dose (all indications): 1
diphenhydramine HCl
albendazole g/dose Nasatapp (15 mL; 60 mL) Benadryl AH (60 mL, 120 mL)
6.25mg+2mg/mL oral drops, 12.5 mg/5 mL syrup
Benzol oxantel + pyrantel embonate 12.5 mg+4 mg/5mL syrup
400 mg / chewable tab
Hyphen
Sig. >2 yr. 400 mg once; Quantrel (10 mL) Sig. Drops up to 6 mth 0.5 mL. Soniphen Injection
Should be taken with food. 20 mg + 20 mg / mL oral 7 mth-2 yr 1 mL.  50 mg/mL soln for inj
suspension Syr 1-6 mth1.25 mL. 7 mth-2
Sig. Adult & childn 10-20 mg yr 2.5 mL.
mebendazole Sig. (PO/IM/IV):
for each drug/kg body wt as 3-4 yr 3.75 mL. 5-12 yr 5 mL.  Child: 1–2 mg/kg/dose Q6 hr;
single dose. Adult 5-10 mL.   
Antiox (30 mL; 10 mL) usual dose: 5 mg/kg/24 hr ÷ Q6
20 mg/mL oral susp, 50 mg/mL hr. Maximum dose: 50 mg/dose
oral susp, 500 mg/tab ♥ COUGH AND COLDS To be taken 6-8 hrly. May be and 300 mg/24 hr
PREPARATIONS taken w/ food or milk to reduce
Sig. >1 yr. 100 mg BID x 3 GI discomfort. hydroxyzine
days or 500 mg once ambroxol
Should be taken with food. phenylephrine HCl +
chlorphenamine maleate Iterax (100 mL)
Expel (15mL; 60 mL) 2 mg/mL syrup
pyrantel pamoate Mucosolvan (15mL; 60 mL) 10 mg tab, 25 mg tab
6 mg/mL infant oral drops, 15 Disudrin (10 mL; 60, 120 mL)
Combantrin (10 mL) mg/5 mL ped oral liqd 2.5 mg+0.5 mg/mL drops,
5 mg+1mg/5mL syrup Sig. 2 mg/kg/24 hr ÷ Q6–8 hr
125 mg/5 mL oral susp, 125 PRN, OR alternative dosing by
mg/tab Sig. Infant drops Childn <6 age:
mth 0.5 mL bid or 6 mg/day. 7- Sig. Drops 1-3 mth 0.25 mL, 4-
6 mth 0.5 mL, 7-12 mth 0.75 <6 yr: 50 mg/24 hr ÷ Q6–8 hr
Sig. Ascaris (roundworm) and 12 mth 1 mL bid or 12 PRN
Trichostrongylus: 11 mg/day, 13-24 mth 1.25 mL bid mL, 1-2 yr 1 mL.
≥6 yr: 50–100 mg/24 hr ÷ Q6–
mg/kg/dose PO × 1 or 15 mg/day,  8 hr PRN
Enterobius (pinworm): 11 Syr Adult & childn ≥12 yr 10
mg/kg/dose PO × 1. Repeat Ped liqd Childn <2 yr 2.5 mL mL. Childn 7-12 yr 5 mL, 2-6
same dose 2 wk later. bid 2-5 yr 2.5 mL tid, 5-10 yr 1 yr 2.5 mL. 
tsp bid-tid Adult 10 mL tid. 
Hookworm or eosinophilic All doses to be taken 6 hrly.
enterocolitis:

29 30 31 32
Cetirizine 500 mcg (0.02%) + 2.5 mg / Sig. Load (optional): 4–8 Sig. < 6 mth 50 000 IU/day PO
2.5 mL inhalation soln mg/kg/dose IV; max. dose: 250 6-12 mth 100 000
Allerkid (10 mL; 30 mL, 60 mg >1 yr. 200 000
mL) Sig. <12 yr: 250 mcg/dose Q20
Alnix (10 mL; 30 mL 60 mL) min × 3, then Q2–4 hr PRN Maintenance: 8 mg/kg/24 hr ÷ Zn sulfate monohydrate
2.5 mg/mL oral drops, ≥12 yr: 500 mcg/dose Q30 min Q6 hr IV
5 mg/5mL syrup × 3, then Q2–4 hr PRN E-Zinc (15 mL; 60 mL)
Adult: 100–500 mg/dose Q6 hr 27.5 mg/mL oral drops, 55
Sig. 0.5–2 yr: 2.5 mg OD budesonide IV mg/5 mL syrup
2–5 yr: 2.5–5 mg OD
>6 yr: 5–10 mg OD Asmavent, Budecort ♥ ANTI – DIARRHEAL Sig. drops Childn ≥6 mth 2
500 mcg/2mL respule mL, <6 mth 1 mL. 
Syrup <6 mth 2.5 mL. ≥6 mth 5
♥ ANTIASTHMATICS Sig. 1–8 yr:
hidrasec
mL
No prior steroid use: 0.5 mg/24
salbutamol Racecadotril
hr ÷ once daily–BID; max. Once a day until one week after
10 mg, 30 mg/sachet
dose: 0.5 mg/24 hr formed BM or for 10-14 days
Asmalin Pulmoneb
Ventolin Sig. 1.5 mg/kg per dose
Prior inhaled steroid use: 0.5
2.5mg/2.5mL inhalation mg/24 hr ÷ once daily–BID;
1 month to 9 months (<9
♥ ANTIULCERANTS
solution max. dose: 1 mg/24 hr
kg): 10 mg TID
Prior oral steroid use: 1 mg/24 Al(OH)3, Mg(OH)2
Sig. 0.15 mg/kg (minimum: 2.5 9 months to 30 months (approx.
hr ÷ once daily–BID; max.
mg) as often as every 20 min 9 to 13 kg): 20 mg TID
dose: 1 mg/24 hr Maalox (60, 180, 355 mL)
for 3 doses as needed, then 30 months to 9 years (approx..
225 mg + 200 mg /5 mL susp
0.15–0.3 mg/kg up to 10 mg 13 to 27 kg): 30 mg TID
hydrocortisone
every 1–4 hr as needed >9 years (approx. >27 kg): 60
Maalox No. 1 
mg TID
200mg + 200 mg/chewtab
ipratropium Br, salbutamol Solu-Cortef
100 mg, 250 mg. 500 mg Act- retinol palmitate
Sig. 2-4 tsp or 2-4 tab.
Combivent UDV O-Vial inj Afaxin
All doses to be taken qid. Take
Duavent Pulmoneb 25000 IU, 50 000 IU/soft gel
20-60 min after meals.
capsule

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

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

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