Medicines
albendazole
Dosage
200 mg (half tablet) 12-24 months
Form
Dose according to body weight (calculate if weight is below or over)
3-6 kg
6-10 kg
10-15 kg
15-20 kg
20-29 kg
chewable tablet, 400mg
400 mg (one tablet) over 24 months
amodiaquine
10 mg base/kg/3 days (total dose 30 mg base/kg)
tablet, 200mg
-
-
1
1
1
amoxicillin
15 mg/kg/dose for 7 days
tablet/capsule 250 mg
¼
½
¾
1
1½
oral suspension, 125mg/5ml
2.5 ml
5 ml
7.5 ml
10 ml
-
tablet/capsule 250 mg
½
1
1½
2
2½
oral suspension, 125mg/5ml
5 ml
10 ml
15 ml
-
-
Vial of 500 mg mixed with 2.1 ml
1 ml
2 ml
3 ml
5 ml
6 ml
non-severe pneumonia: 25 mg/kg 2 times per day for 3 days
ampicillin
IM 50 mg/kg/6 hours
artemether
IM 3.2 mg/kg once on day 1
injection, 40mg/ml in 1ml ampoule
then
injection, 80mg/ml in 1ml ampoule
sterile water to give 500 mg/2.5 ml
see Chapter 5, management of the child with malaria
IM 1.6 mg/kg daily
until oral therapy is possible, total therapy one week
artemether +
fixed dose treatment (20+120 mg) twice daily for 3 days
tablet 10+120 mg
severe malaria: IV or IM 2.4 mg/kg over 3 minutes at 0, 12 and 24
vial of 60 mg in 0.6 ml with 3.4 ml
hours on day 1.
water or saline to give 60 mg/4 ml
then continue with 2.4 mg/kg over 3 minutes on day 2 until oral
vial of 60 mg in 0.6 ml with 3.4 ml
therapy is possible
water or saline to give 60 mg/4 ml
If/when possible change to oral 2 mg/kg total treatment one week.
tablet, 50mg
uncomplicated malaria falciparum: oral 4 mg/kg/day for 3 days
tablet, 50mg
see Chapter 5, management of the child with malaria
lumefantrine
artesunate
see Chapter 5, management of the child with malaria
combined with mefloquine, sulfadoxine-pyrimethamine or
amodiaquine.
benzathine
IM 1.2million units over 5 years, 0.6 million units below 5 years
vial of 1.2 million units in 4 ml
IM 60 mg/kg/6 hours
vial of 600 mg mixed with 9.6 ml
benzylpenicillin
benzylpenicillin
4 ml
8 ml
12 ml
18 ml
25 ml
4 ml
8 ml
12 ml
18 ml
25 ml
sterile water to give 600 mg /10 ml
ceftriaxone
IM IV 50-100 mg/kg for 2 to 5 days
vial of 1 g mixed with 9.6 ml sterile
water to give 1 g/10 ml
ANNEX 4: DRUG DOSAGES FOR CHILDREN (FORMULARY)
95
96
MANUAL FOR THE HEALTH CARE OF CHILDREN IN EMERGENCIES
Medicines
Dosage
Form
Dose according to body weight (calculate if weight is below or over)
3-6 kg
6-10 kg
10-15 kg
15-20 kg
20-29 kg
charcoal, activated
under 1 year 1 g/kg, over 1 year, 25-50 g/kg
tablets
chloramphenicol
IM 25 mg/kg/6 hours maximum dose 1 g
vial 1 g/ 10 ml
oral 50 mg/kg every 8 hours
capsule, 250 mg
-
-
1
1½
2
oral suspension, 150 mg/5 ml
3-5 ml
6-9 ml
10-14 ml
15-19 ml
-
Day 1 and 2
½
1
1½
2
2½
Day 3
½
½
½
1
1
Day 1 and 2
-
½
1
1½
1½
Day 3
-
½
½
1
1
Day 1 and 2
5 ml
7.5 ml
15 ml
-
-
Day 3
2.5 ml
5 ml
10 ml
-
-
chlorhexidine cetrimide 20 ml made up to 1 ll with clean water
Calculate exact quantity required: 0.25 ml contains 25 mg
solution, 5% for dilution
solution
chloroquine
10 mg base once daily for 2 days then 5 mg base/kg on day 3 (in
tablet, 100mg,
chloroquine-sensitive areas)
tablet, 150mg
syrup, 50mg/5ml
ciprofloxacin
oral 15 mg/kg twice daily for 5 days
tablet 100 mg
½
1
½
2
3
clindamycin
oral 5mg/kg 3 times daily for 7 days
capsule, 150 mg
-
-
-
-
1
dexamethasone
IM 0.6 mg/kg single dose
vial 5 mg/ 1 ml
0.5 ml
0.9 ml
1.4 ml
2 ml
3 ml
diazepam
convulsions:rectal 0.5 mg/kg
vial 10 mg/ 2 ml
0.4 ml
0.75 ml
1.2 ml
1.7 ml
2.5 ml
vial 10 mg/ 2 ml
0.25 ml
0.4 ml
0.6 ml
0.75 ml
1.25 ml
vial 10 mg/ 2 ml
0.1 ml
0.2 ml
0.3 ml
0.4 ml
0.6 ml
NOT TO BE USED for neonates give phenobarbital!
convulsions:IV 0.2-0.3 mg/kg
NOT TO BE USED for neonates give phenobarbital!
sedation before procedures: IV 0.1-0.2 mg/kg
dihydro artemisinin +
fixed dose treatment, 3 or 4 doses over 3 days
piperaquin (artekin)*
doxycycline
oral, not below 8 years
capsule or tablet, 100mg
erythromycin
oral, 12.5 mg/kg 4 times daily for 3 days
capsule or tablet, 250mg
¼
½
1
1
1½
ferrous sulphate +
oral 3 mg Fe/kg/day
oral solution 20 mg/ml iron
1 ml
1.25 ml
2 ml
2.5 ml
4 ml
furazolidone*
oral, 1.25 mg/kg 4 times daily for 3 days
tablet, 100 mg
-
-
¼
¼
¼
furosemide
IV 1-2 mg/kg every 12 hours
vial, 10 mg/ml
0.8 ml
1.6 ml
2.4 ml
3.4 ml
5 ml
gentamicin
IM 7.5 mg/kg once daily
vial 10 mg/ml
folic acid
Calculate exact quantity required: 0.1 ml contains 7.5 mg
Medicines
Dosage
Form
Dose according to body weight (calculate if weight is below or over)
3-6 kg
gentian violet
1 teaspoon in 1 litre of clean water
aqueous solution 0.5%
5 ml/kg of 10%, or 1 ml/kg of 50% by slow push
injectable solution 10% isotonic
6-10 kg
10-15 kg
15-20 kg
20-29 kg
(methylrosanilinium
chloride)
glucose (dextrose)
injectable solution 50% hypertonic
Ipecacunaha, pediatric 6-24 months 10 ml, over 24 months 15 ml in case of poisoning for
oral solution
inducing vomiting
mebendazole
NB over 12 months ONLY and if not treated in previous 6
chewable tablet, 100mg
months
100 mg 2 times per day for 3 days, or: 500 mg once only
mefloquine
25 mg/kg once(or as 15 mg/kg then 12-24 hours later 10 mg/kg)
tablet, 250mg (as hydrochloride)
NB not under 5 months!
morphine
NB dosage must be calculated exactly!
oral solution 10 mg/5 ml; injection 10
oral 0.2-0.4 mg/kg 4-6 hourly, increase if necessary for severe
mg in 5 ml ampoule
Calculate exact quantity required
painIM 0.1-0.2 mg/kg 4-6 hourlyIV 0.05-0.1 mg/kg 4-6 hourlyIV
infusion 0.005-0.01 mg/kg/hour
oral rehydration salts
plan A: after each loose stool: up to two years 50-100 ml after each ORS solution
(ORS)
loose stool, over two years 100-200 ml
plan B: first 4 hours
ORS solution
200-400 ml
400-700 ml
700-1000 ml
1000-1400 ml
10-15 mg/kg, up to 4 times per day
tablet 100 mg
-
1
1
3
tablet 500 mg
-
¼
¼
½
IM 0.2 mg/kg max 10 mg
vial 5 ml
0.8 ml
1.5 ml
2.4 ml
5 ml
rectally 0.4 ml/kg (with blunt syringe)
vial 5 ml
1.6 ml
3 ml
4.8 ml
10 ml
convulsions: IV or IM 20 mg/kg
vial 200 mg/ml
Calculate exact quantity required: 0.1 ml contains 20 mg
if convulsions continue: 10 mg/kg after 30 minutes
vial 200 mg/ml
Calculate exact quantity required: 0.05 ml contains 10 mg
pivmecillinam*
oral, 20 mg/kg (max 300 mg) 4 times daily for 5 days
tablet, 200 mg
½
¾
1
2
procaine penicillin
burns: IM 100.000 IU/kg/dayfor 7 days
vial 3 million units in 4 ml water
0.5 ml
1 ml
1.6 ml
3.5 ml
benzylpenicillin
stridor: IM 50.000 IU/kg/day for 7 days
vial 3 million units in 4 ml water
0.35 ml
0.5 ml
0.8 ml
1.7 ml
oxygen
paracetamol
paraldehyde*
phenobarbital
ANNEX 4: DRUG DOSAGES FOR CHILDREN (FORMULARY)
97
98
MANUAL FOR THE HEALTH CARE OF CHILDREN IN EMERGENCIES
Medicines
Dosage
Form
Dose according to body weight (calculate if weight is below or over)
3-6 kg
quinine
6-10 kg
10-15 kg
15-20 kg
20-29 kg
0.6 ml
1.2 ml
2 ml
2.4 ml
4 ml
0.3 ml
0.6 ml
1 ml
21.2 ml
2 ml
-
-
½
½
1
total max one week, oral preferred, minimal 3 IV doses before
changing to oral medication
loading dose: IV 20 mg salt/kg over 4 hours once in 5-10 %
vial 150 mg/ml
dextrose or 0.9% saline to 10 ml/kg
maintenance doses: IV 10 mg salt/kg over 4 hours three times daily
for 4 days in 5-10 % dextrose or 0.9% saline to 10 ml/kg
maintenance dose: oral 10 mg salt/kg three times daily
tablet 300 mg
Ringer’s lactated
20 ml/kg, maximum two times 20 ml bolus severe dehydration :
injectable solution
solution
under 1 year 100 ml of which 30 ml in first hour, rest over 5 hours,
over 1 year up to 5 years total 100 ml of which 30 ml in 30 minutes
then rest on 2.5 hours
salbutamol
silver sulfadiazine
if child wheezes or coughs at night 1 puff (demonstrate proper use to
inhalation (aerosol), 100micrograms (as
caregiver)
sulfate) per dose
topical preparation for burns
cream 1% in 500 g container
sodium chloride (saline)
injectable solution, 0.9% isotonic (equivalent
to Na+ 154mmol/l, Cl- 154mmol/l)
sulfamethoxazole +
oral
trimethoprim
PCP prophylaxis
(cotrimoxazole)
tetracycline
eye ointment
eye ointment, 1% (hydrochloride)
vitamin A (retinol)
50.000 IU under 6 months, 100.000 IU over 6 months 200.000 IU
tablet 50.000, 100.000 or 200.000 units
over 2 years and adults measles two doses, on day 1 and 2
malnutrition one dose on day 1
vitamin K (menadion)*
according to national guidelines
vial 1 or 2 mg/ml
zinc sulfate
10 mg/day under 6 months 20 mg/day over 6 months
tablets, 20 mg