Pediatric Dosing Calculator
Calculate source-specific pediatric reference-dose arithmetic for selected amoxicillin, ibuprofen and intravenous acetaminophen regimens using current measured weight and explicit dose limits.
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QuickMedCalc is developed and maintained by an independent developer. Medical content is not independently reviewed by a physician.
Formula and medical content are based on the references listed on this page. See sources, About, and Sources and Review Process.
About
Formula
Interpretation
Exact source-regimen scope
This page contains three fixed regimens only. Selecting one does not prove that the medicine is appropriate and does not select an indication, route, treatment duration or alternative medicine.
Age and measured-weight requirements
Enter completed years and additional completed months, including zero in both fields when applicable. A current measured kilogram weight is required. An age estimate, parent estimate, ideal body weight, lean body weight or adjusted body weight cannot be substituted automatically, and this page cannot determine whether the weight is plausible for age.
Per-dose, schedule-total and daily-limit semantics
mg/kg/dose is not interchangeable with mg/kg/day. An absolute single-dose maximum, a fixed-schedule total and a 24-hour limit are separate constraints. A variable interval does not produce a fixed planned total. The acetaminophen limit includes every route and every acetaminophen-containing product.
Amoxicillin acute-otitis-media boundaries
Acute otitis media diagnosis and observation versus antibiotic treatment belong to the applicable clinical pathway. Recent amoxicillin exposure, purulent conjunctivitis, recurrent AOM unresponsive to amoxicillin and treatment failure can change medicine selection. Penicillin allergy requires separate review. Duration depends on age, symptom severity and local guidance; this page calculates neither duration nor an alternative antibiotic.
Ibuprofen and acetaminophen boundaries
Ibuprofen requires separate review for NSAID hypersensitivity or aspirin-sensitive asthma, dehydration and kidney risk, gastrointestinal bleeding or ulcer risk, concomitant NSAIDs, and the lowest effective dose for the shortest duration. This page screens none of those factors. Acetaminophen injection requires separate review for severe hepatic impairment or active liver disease and duplicate acetaminophen products. The 24-hour total includes all routes and products. The selected route is a 15-minute IV infusion, but an entire commercial bag is not automatically the pediatric dose; this page calculates neither infusion volume nor operating steps.
Formulation and medication-error prevention
Oral-liquid milliliters depend on the mg/mL concentration printed on the actual product. Do not use teaspoons or tablespoons; AAP guidance favors milliliters and an appropriate metric dosing device. Route and frequency must be explicit, and medication reconciliation must identify duplicate ingredients. This page does not produce home-administration instructions for a patient or caregiver.
References
- UCSF Infectious Diseases Management Program. Acute Otitis Media.
- UCSF Infectious Diseases Management Program. Maximum Dosing for Amoxicillin and Amoxicillin-Clavulanate.
- Lieberthal AS, et al. The Diagnosis and Management of Acute Otitis Media. Pediatrics. 2013;131(3):e964–e999. PMID 23439909. DOI 10.1542/peds.2012-3488.
- DailyMed. Ibuprofen Oral Suspension USP, prescribing information. Set ID 758eeb45-e599-4c1a-969d-8fa33f27bf14.
- DailyMed. Acetaminophen Injection, prescribing information. Set ID 88c29438-3648-4b09-bd43-70ad7a35bcb5.
- American Academy of Pediatrics Committee on Drugs. Metric Units and the Preferred Dosing of Orally Administered Liquid Medications. Pediatrics. 2015;135(4):e20150072. DOI 10.1542/peds.2015-0072. Reaffirmed with reference and data updates May 2025.
- Yin HS, et al. Preventing Home Medication Administration Errors. Pediatrics. 2021;148(6):e2021054666. DOI 10.1542/peds.2021-054666.
- U.S. Food and Drug Administration. Acetaminophen.
FAQ
It performs source-specific milligram arithmetic for three exact reference regimens after the medicine, indication, route, completed age, and current measured kilogram weight have already been established. It does not prescribe a medicine or decide whether any regimen is appropriate.
The page contains only an amoxicillin acute-otitis-media high-dose twice-daily reference for completed ages 6–155 months, an ibuprofen oral-suspension mild-to-moderate-pain label branch for 6–23 months, and the acetaminophen injection 15 mg/kg q6h label branch for 24–155 months.
Those are clinical decisions that require diagnosis, contraindication, allergy, interaction, organ-function, duplicate-ingredient, and local-pathway review. Selecting an option here only identifies the exact cited arithmetic branch; it does not recommend treatment.
Each source branch has a completed-age range and uses weight-based arithmetic. Enter both completed-age fields, including zero, and confirm a current measured kilogram weight. The page does not import the Pediatric Weight estimate, use a parent estimate, or decide whether the weight is plausible or which special dosing-weight method applies.
mg/kg/dose describes one dose calculation. mg/kg/day describes a total or limit across 24 hours. They cannot be interchanged, and an absolute single-dose maximum can constrain the same regimen separately from its 24-hour limit.
After antibiotic treatment and this exact branch have been selected independently, the arithmetic uses 45 mg/kg/dose twice daily, usually no more than 1,000 mg for one dose and no more than the lower of 90 mg/kg/day or 2,000 mg/day. It does not select observation versus antibiotics, an alternative antibiotic, or treatment duration.
For completed ages 6–23 months, the selected label branch uses 10 mg/kg/dose every 6–8 hours, no more than four doses or 40 mg/kg in 24 hours. Because the interval is variable, the page does not invent a fixed planned daily total. It does not screen dehydration, kidney risk, gastrointestinal risk, NSAID hypersensitivity, interactions, or concomitant NSAIDs.
For completed ages 2–12 years, this page calculates only the 15 mg/kg q6h branch, with a 750 mg single-dose maximum and an all-route, all-product maximum of the lower of 75 mg/kg or 3,750 mg in 24 hours. It does not calculate the alternative q4h branch, infusion volume, or detect other acetaminophen exposure.
They represent different constraints. The raw weight-based single-dose arithmetic may be limited by an absolute single-dose maximum. A fixed schedule can then produce a schedule total, while the patient-specific 24-hour limit is calculated independently. A variable interval such as ibuprofen every 6–8 hours has no fixed schedule total.
No. Milliliters depend on the exact dispensed product concentration in mg/mL and an independently verified prescription or protocol. This page does not select a formulation or concentration and does not generate a household or clinical administration volume.
Allergy, contraindications, kidney or liver function, dehydration, gastrointestinal bleeding risk, interactions, duplicate ingredients, obesity, low weight, unusual body composition, special dosing-weight methods, formulation concentration, route, duration, and monitoring can all require independent review. Neonatal and unlisted regimens are not provided.
No. It is source-specific arithmetic only after a clinician has selected an exact medicine, indication, route, and regimen. It does not diagnose, prescribe, say to give or administer a medicine, determine duration, create dosing times, or replace the current label, prescription, pharmacist, or local protocol.
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Disclaimer
Educational and informational reference only. Not intended to replace professional medical advice, diagnosis, treatment, or independent verification.