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Medicine Dosages

Below is a list of over the counter medicine dosages for infants, toddlers and older children.

 

Fever Reducers
For further information about fevers, please see the Fever Protocol

ACETAMINOPHEN [TYLENOL®] Choose between different brands of acetaminophen based on taste and cost. This medicine can be given as often as every 4 hours. The dose for your child should be based on their weight. Note that Tylenol® and other brands of acetaminophen are doing away with the Infant Drops as of early 2012. The Infant's Supension Liquid will need to be used for infants. Carefully pick the right dose for infants and toddlers by the appropriate milliliter dose for their weight.

  Infant's Suspension Chewable Children's Liquid Regular
Age/Weight 160mg/5ml 80mg 160mg/5ml 325mg Tablets
2-3 months/6-11 lbs 1/4 tsp. (1.25ml) -- 1/4 tsp (1.25ml) --
4-11 months/12-17 lbs 1/2 tsp. (2.5ml) -- 1/2 tsp (2.5ml) --
12-23 months/18-23 lbs 3/4 tsp. (3.75ml) -- 3/4 tsp (3.75ml) --
2-3 years/24-35 lbs 1 tsp (5ml) 2 chewables 1 tsp (5ml) --
4-5 years/36-47 lbs   3 chewables 1 1/2 tsp (7.5ml) --
6-8 years/48-59 lbs -- 4 chewables 2 tsp (10 ml) --
9-10 years/60-71 lbs -- 5 chewables 2 1/2 tsp (12.5ml) --
11 years/72-95 lbs -- 6 chewables 3 tsp (15ml) 1 tablet
12 years-adult/96 lbs + -- -- -- 2 tablets

 

IBUPROFEN [MOTRIN®, ADVIL®] Ibuprofen has the same ability to lower fever as acetaminophen, but they work in different ways. Ibuprofen can be given as often as every 6 hours. Do NOT give a child less than 6 months of age or a child with chicken pox, dehydration, or a history of kidney problems any ibuprofen unless instructed by a doctor. The dose for your child should be based on their weight.

  Drops Suspension Chewable Tablets
Age/Weight 50mg/1.25ml 100mg/5ml 100mg 200mg
6-11 months/12-17 lbs 1 dropper/1.25ml 1/2 tsp (2.5ml) -- --
12-23 months/18-23 lbs 1 1/2 droppers/1.875ml 3/4 tsp (3.6ml) 1 chewable --
2-3 years/24-35 lbs 2 droppers/2.5ml 1 tsp (5ml) 1 1/2 chewables --
4-5 years/36-47 lbs -- 1 1/2 tsp (7.5ml) 2 chewables --
6-8 years/48-59 lbs -- 2 tsp (10ml) 2 1/2 chewables 1 tablet
9-10 years/60-71 lbs -- 2 1/2 tsp (12.5ml) 3 chewables 1 tablet
11 years/72-95 lbs -- 3 tsp (15ml) 4 chewables 1 tablet
12 years-adult/96 lbs + -- 4 tsp (20ml) 4 chewables 2 tablets



ACETAMINOPHEN
SUPPOSITORIES For children who are nauseous or vomiting and have a fever. Feverall® rectal suppositories are available over-the-counter to treat a fever. The dosing is every 4 hours.

AGE INFANTS CHILDREN'S JR. STRENGTH
  80mg 120mg 325mg
3-11 months 1 suppository -- --
12-35 months 1 suppository -- --
3-5 years -- 1 suppository --
6-12 years -- -- 1 suppository



COMBINING FEVER REDUCERS
If a fever continues dispite doses of acetaminophen or ibuprofen, the two can be given on the same day. If the fever has persisted, we recommend alternating doses every 3 hours. For instance, if Tylenol was given at noon and a fever is present at 3pm, a dose of Motrin can be given. These alternating Tylenol-Motrin-Tylenol-Motrin doses can be safely continued for as long as the fever persists.

 

Cold, Cough, and Allergy Medications
For more information about colds, coughs, allergies, and sinus infections, please see the Colds, Coughs, Allergies, and Sinus Infections Protocol. We do not recommend that children receive cough and cold medicine if they are less than 4 years of age unless we specifically tell you it is fine to try.

A=antihistamine D=decongestant C=cough suppressant E=expectorant

1 teaspoon (tsp.)=5 milliliters (ml.)
1 tablespoon (Tbsp.)=15 milliliters (ml.)
1 ounce (oz.)=30 ml.
lbs=pounds

OVER-THE-COUNTER MEDICINES:

Allegra® Children's Liquid [A] 2-11 years: 1 tsp. 12 years and above: 2 tsp. Every 12 hours.
Allegra
® Meltable Tablets [A] 6-11 years: 1 tablet. 12 years and above: 2 tablets. Every 12 hours.
Benadryl® Allergy Liquid
[A] Less than 25 lbs: ½ tsp. 25-50 lbs: 1 tsp. Greater than 50 lbs: 2 tsp. Every 6 hours.
Benadryl® Allergy Fastmelt [A] 2-5 years: 1 tablet. 6-11 years: 1-2 tablets. 12 years and above: 2-4 tablets. Every 6 hours.
Children's Vicks® NyQuil [A+C] 4-5 years: 7.5 ml. 6-11 years: 15 ml. Every 6 hours.
Claritin® Children's Allergy Suspension [A] 2-5 years: 1 tsp. 6 years and above: 2 tsp. Every 24 hours.
Claritin® 24 Hour Allergy Tablets or RediTabs 6 years and above: 1 tablet. Every 24 hours.
Delsym® Cough Formula [C] 4-5 years: 1/2 tsp. 6-11 years: 1 tsp. 12 years and above: 2 tsp. Every 12 hours.
Delsym® Children's Night Time Cough & Cold [D+A] 2-5 years: 1/2 tsp. 6-11 years: 1 tsp. 12 years and above: 2 tsp. Every 4 hours.
Dimetapp® Cold and Allergy Chewable or Quick Dissolve Tablets [D+A] 4-5 years: 1 tablet. 6-12 years: 2 tablets. Every 4 hours.
Dimetapp® Cold and Allergy Elixir [D+A] 4-5 years: 1 tsp. 6-11 years: 2 tsp. 12 years and above: 4 tsp. Every 4 hours.
Dimetapp® Cold and Cough DM [D+A+C] Same as Dimetapp Cold and Allergy Elixir above. Every 4 hours.
Dimetapp® ND Non-Drowsy Allergy Tablets or Syrup [A] 4-5 years: 1 tsp. 6 and above: 1 tablet or 2 tsp. Every 24 hours.
Mucinex® (Children's Cough Liquid) [E] 4-5 years: 1/2 - 1 tsp. every 4 hours 6-11 years: 1-2 tsp. every 4 hours.
Mucinex® (Children's Mini-Melts) [E] 4-5 years: 1-2 packets every 4 hours. 6-11 years: 2 to 4 packets every 4 hours.
Mucinex® (Children's Congestion & Cough) [E+D +C] 4-5 years: 1/2 - 1 tsp. every 4 hours. 6-11 years: 1-2 tsp. every 4 hours.
PediaCare® Nighttime Cold Liquid [D + A] or PediaCare Daytime Cold [D+C] or PediaCare Cough & Congestion [E + C] 4-5 years: 1 tsp. 6-11 years: 2 tsp. Every 4 hours.
Robitussin® Cough Long Acting [C] 4-5 years: 1 tsp. 6-11 years: 2 tsp. 12 years and above: 4 tsp. Every 6-8 hours.
Robitussin® Cough & Cold Long Acting [A+C] 4-5 years: 1 tsp. 6-11 years: 2 tsp. 12 years and above: 4 tsp. Every 6 hours.
Triaminic® Long-Acting Cough [C] or Triaminic® Night Time Cough & Cold [D + A] or Triaminic® Cold & Allergy [D + A] or Triaminic Daytime Cold & Cough [D+C] 4-5 years: 1 tsp. 6-11 years: 2 tsp. Every 4 hours (except the Long-Acting Cough, which is every 6 hours)
24-47 lbs: 1 tsp. 48-95 lbs: 2 tsp. Every 4-6 hours (except the Night Time, which is every 6 hours).
Zyrtec® Tablets 10mg 1 once a day or Chewables 5 mg (4-5 years: 1 once a day), 10 mg (6 years and above) or Allergy Syrup (4-5 years: 1/2 tsp. once daily. 6 and above: 1 tsp. daily.

 

Dr. Tim Teller, M.D. - Hilliard Pediatrics, Inc. - 6/13

 
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