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PediatricsPediatric Dose

Pediatric Dose Calculator – Weight-Based mg/kg & Liquid Volume

Calculate a known pediatric mg/kg regimen from current measured weight, frequency, optional maxima, and entered concentration, or use one of three cited reference regimens.

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.

Use a known-regimen source first. QuickMedCalc performs arithmetic; it does not choose the medicine, indication, route, dose basis, mg/kg value, frequency, maximum, concentration, duration, or final administration rounding.
Choose the arithmetic task

Known regimen inputs

Use current measured kg. Do not enter lb as kg or substitute the Pediatric Weight estimate.

kg

This calculator does not select an ideal, adjusted, lean, or other drug-specific dosing weight.

Copy the exact basis from the applicable prescription, label, formulary, protocol, or guideline.

mg/kg/dose

User-supplied value from the external regimen; QuickMedCalc does not select it.

doses

Enter a whole number from 1 through 24; q-hour text is not inferred.

mg

Leave blank unless the external regimen supplies this maximum.

mg/24 h

Leave blank unless the external regimen supplies this maximum.

Optional actual product concentration
mg

Enter both concentration fields or leave both blank.

mL

Use the paired printed volume; it need not be 5 mL.

About

This pediatric dose calculator performs two distinct arithmetic tasks. The primary mode calculates a known external mg/kg regimen using a current measured weight in kilograms, an explicit mg/kg/dose or mg/kg/day basis, frequency, optional user-supplied maxima, and an optional entered concentration. The reference mode preserves three fixed cited regimens. QuickMedCalc does not choose a medicine, indication, route, dose, frequency, maximum, concentration, duration, or final administration rounding. Mathematical milligrams and liquid volume are not a prescription or an instruction to give a medicine.

Formula

Known mg/kg/dose: raw dose per administration = measured weight (kg) × submitted mg/kg/dose; raw 24-hour total = raw dose × submitted doses per 24 hours.
Known mg/kg/day: raw 24-hour total = measured weight (kg) × submitted mg/kg/day; raw dose per administration = raw total ÷ submitted doses per 24 hours.
Optional limits: limited dose = the lowest of raw dose, submitted maximum single dose, and submitted maximum 24-hour dose ÷ submitted doses per 24 hours.
Entered concentration: mathematical mL/dose = limited mg/dose × entered concentration mL ÷ entered concentration mg.
The three source-backed branches retain their cited mg/kg/dose, schedule, age, route, and maximum-limit semantics.

Interpretation

Known regimen arithmetic

Use this mode only when the exact dose basis, value, frequency, and any applicable maximum already come from a current prescription, product label, formulary, protocol, guideline, or other authoritative source. mg/kg/dose and mg/kg/day are not interchangeable. [9]

Measured kilogram weight

Both modes require a current measured weight in kilograms. Do not enter pounds as kilograms, import an age-based estimate, or automatically substitute ideal, adjusted, or lean body weight. Emergency weight-estimation protocols and drug-specific dosing weights are separate tasks. [8]

Liquid volume and rounding

The optional concentration must match the actual product and be entered as mg per mL. Output is a mathematical volume before medication-, device-, prescription-, and protocol-specific administration rounding. AAP guidance supports mL-only liquid instructions, explicit concentration, and an appropriate metric dosing device; it does not justify one universal rounding rule. [6, 7]

Three cited reference regimens

The separate reference mode retains only the amoxicillin AOM twice-daily branch, ibuprofen oral-suspension pain branch, and acetaminophen injection q6h branch described on this page. It does not diagnose, select treatment, screen contraindications, or supply unlisted medicines. [1, 4, 5]

Amoxicillin AOM branch boundary

The cited branch reproduces 45 mg/kg/dose enterally twice daily, with its stated maximums, only after acute otitis media and the treatment branch have been established. It does not decide observation versus antibiotic treatment, allergy, recent amoxicillin exposure, purulent conjunctivitis, recurrent AOM, treatment failure, or duration. [1, 2, 3]

Ibuprofen and IV acetaminophen boundaries

The ibuprofen option is the cited oral-suspension mild-to-moderate-pain branch for ages 6–23 completed months; it does not screen NSAID hypersensitivity, dehydration, kidney function, bleeding, interactions, or suitability. The acetaminophen option is the cited 15 mg/kg q6h injection branch for ages 2–12 years, not the separate q4h branch. Its daily limit includes every route and acetaminophen-containing product; hepatic disease, duplicate products, and infusion procedures require independent review. [4, 5]

Why Young’s and Clark’s rules are not used

This page does not derive a child dose from an adult dose and does not calculate BSA dosing. Medication regimens can vary by medicine, indication, route, age, organ function, and protocol.

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. Remick K, et al. Optimizing Pediatric Patient Safety in the Emergency Care Setting. Pediatrics. 2022;150(5):e2022059674. DOI 10.1542/peds.2022-059674.
  9. Vallerand AHA, Sanoski CAC. Pediatric Dosage Calculations. Davis’s Drug Guide. 20th ed. F.A. Davis Company; 2026. Accessed September 4, 2026.

FAQ

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Disclaimer

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