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PediatricsPeds Dosing

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.

Content updated: View sources

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.

This page reproduces fixed reference arithmetic after the exact medicine, indication, route and regimen have already been selected. It does not decide whether a medication should be used, select a dose, or replace a current label, prescription or protocol.

Input

Select only after a clinician has established the indication, medicine, route and exact source regimen. The calculator does not make those decisions.

Enter completed years at the last birthday. Enter 0 when the child is younger than 1 year.

Enter additional completed months from 0 through 11. Both age fields are required, including zero.

This page requires a current measured weight recorded in kilograms. Do not substitute the age-based estimate from another calculator.

kg

Enter the current measured kilogram weight. This calculator cannot determine whether the value is plausible for age or whether another drug-specific dosing-weight method is required.

About

This page contains only three fixed, source-specific pediatric reference regimens. It performs arithmetic only after a professional has established the indication, medicine, route and exact regimen. Completed age and a current measured kilogram weight must be entered explicitly; an age-based estimate is never imported. Milligrams per kilogram per dose and milligrams per kilogram per day are different semantics, and single-dose limits, fixed-schedule totals and 24-hour limits are shown separately. The amoxicillin branch cannot decide whether an antibiotic is indicated or select treatment duration. The ibuprofen branch cannot screen NSAID contraindications, dehydration, kidney function or bleeding risk. The acetaminophen branch requires all routes and all acetaminophen-containing products to be counted together. Allergy, organ dysfunction, interactions, obesity and other special dosing-weight questions require independent review. This page does not calculate milliliters, choose a product concentration, prescribe a medicine or provide administration instructions.

Formula

Single-dose arithmetic = current measured weight (kg) × selected mg/kg/dose.
Patient-specific 24-hour limit = the lower applicable value of the selected mg/kg/24-hour limit and the selected absolute 24-hour limit.
For fixed schedules, fixed-schedule total = limited single-dose arithmetic × fixed doses per 24 hours.
mg/kg/dose and mg/kg/day are different dose semantics and must not be interchanged.
Milligrams cannot be converted to milliliters without the exact product concentration.

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

  1. UCSF Infectious Diseases Management Program. Acute Otitis Media.
  2. UCSF Infectious Diseases Management Program. Maximum Dosing for Amoxicillin and Amoxicillin-Clavulanate.
  3. 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.
  4. DailyMed. Ibuprofen Oral Suspension USP, prescribing information. Set ID 758eeb45-e599-4c1a-969d-8fa33f27bf14.
  5. DailyMed. Acetaminophen Injection, prescribing information. Set ID 88c29438-3648-4b09-bd43-70ad7a35bcb5.
  6. 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.
  7. Yin HS, et al. Preventing Home Medication Administration Errors. Pediatrics. 2021;148(6):e2021054666. DOI 10.1542/peds.2021-054666.
  8. U.S. Food and Drug Administration. Acetaminophen.

FAQ

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Disclaimer

Educational and informational reference only. Not intended to replace professional medical advice, diagnosis, treatment, or independent verification.