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.
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Formula and medical content are based on the references listed on this page. See sources, About, and Sources and Review Process.
About
Formula
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
- 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.
- Remick K, et al. Optimizing Pediatric Patient Safety in the Emergency Care Setting. Pediatrics. 2022;150(5):e2022059674. DOI 10.1542/peds.2022-059674.
- Vallerand AHA, Sanoski CAC. Pediatric Dosage Calculations. Davis’s Drug Guide. 20th ed. F.A. Davis Company; 2026. Accessed September 4, 2026.
FAQ
After an exact regimen has been obtained from a current prescription, label, formulary, protocol, guideline, or other authoritative source, multiply current measured weight in kilograms by the submitted mg/kg value. If the source gives mg/kg/day, that result is the 24-hour total and is divided by the submitted doses per 24 hours; if it gives mg/kg/dose, the result is one dose and is multiplied by frequency for the 24-hour total. QuickMedCalc does not choose the regimen.
mg/kg/dose applies to each administration; multiplying the resulting dose by the submitted number of doses gives the 24-hour arithmetic. mg/kg/day applies to the whole 24-hour period; dividing by the submitted number of doses gives the per-administration arithmetic. Interchanging the two meanings can produce a major medication error.
Sources: [9]
Enter the exact product concentration as mg per its printed mL volume. The mathematical conversion is limited mg/dose multiplied by concentration mL and divided by concentration mg. The output is a mathematical mL/dose value before medication- and device-specific administration rounding, not an instruction to give that volume.
The same medicine may be supplied in different concentrations, so milligrams alone do not identify a liquid volume. Enter both concentration fields from the actual product or leave both blank. The calculator never assumes 5 mL, selects a formulation, or derives concentration from a medicine name.
Kilogram-only pediatric medication workflows reduce pounds-versus-kilograms errors. This page requires confirmation of a current measured kg value and does not import an age-estimated weight, accept pounds, or automatically substitute ideal, adjusted, or lean body weight. Drug-specific dosing-weight decisions remain external.
No. Known-regimen mode only applies values supplied from an external authoritative regimen. Reference mode exposes three fixed cited branches without deciding whether the medicine, indication, route, schedule, or duration is appropriate. Neither mode diagnoses, prescribes, screens all contraindications, or replaces pharmacist and institutional checks.
Sources: [8]
Young’s and Clark’s rules proportionally derive a child dose from an adult dose; this calculator does not use those rules and does not perform BSA dosing. Current pediatric regimens can depend on the specific medicine, indication, route, age, organ function, formulation, and protocol, so the page requires an already established mg/kg regimen instead of selecting one from an adult-dose rule.
Sources: [8]
Reference mode retains three branches only: amoxicillin for the cited AOM twice-daily branch at completed ages 6–155 months; ibuprofen oral suspension for the cited mild-to-moderate-pain branch at 6–23 months; and acetaminophen injection 15 mg/kg q6h at 24–155 months. Each keeps its cited route, schedule, and maximum semantics.
Yes, but only after the applicable regimen has been selected independently and 400 mg/5 mL is confirmed on the actual product. Enter those concentration values with either known-regimen arithmetic or the cited amoxicillin branch. The output is a mathematical volume before final administration rounding, not a prescription or caregiver instruction.
No. Prednisolone, domperidone, mefenamic acid, cephalexin, omeprazole, oral acetaminophen/paracetamol, and other unlisted medicines are not source-backed options here. Known-regimen mode can perform arithmetic on a user-supplied mg/kg regimen without knowing the medicine, but it does not validate or recommend that regimen.
Only maximums entered from the applicable external regimen are used. The limited per-administration arithmetic is the lowest of the raw dose, submitted maximum single dose, and submitted maximum 24-hour dose divided by the submitted number of doses. The audit retains the raw values and states whether either submitted cap changed the arithmetic.
Appropriate rounding can depend on the medicine, therapeutic margin, calculated volume, calibrated device, product, prescription, and local protocol. The calculator can show the underlying mathematical mL/dose without turning a rounded display into a Sig or administration instruction. Use mL and an appropriate metric dosing device; do not use household spoons.
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Disclaimer
Educational and informational reference only. Not intended to replace professional medical advice, diagnosis, treatment, or independent verification.