Commonly
Prescribed Medications in Pediatric Primary Practice
Loren Miller, MSIII
|
|
Medication |
Dose |
Route |
Max Dose |
Dosage Forms |
|
Oral Antibiotics |
Amoxicillin |
AOM: 80-90 mg/kg/day div q12h Infections: 25-45 mg/kg/day div q12h |
Oral |
875 mg/dose |
125, 250, 400, 500, 775 mg; 125mg/5ml, 250mg/5ml |
|
Augmentin
(amoxicillin/clavulanate) |
AOM: 90 mg/kg/day div q12h |
Oral |
|
250/125, 500/125, 875/125 mg; 125/31.25/5ml,
200/28.5/5ml, 250/62.5/5ml, 400/57/5ml |
|
|
Penicillin V |
50 mg/kg/day div q6-8h |
Oral |
3 g/day |
|
|
|
Cephalexin (Keflex) |
100 mg/kg/day div q6h |
Oral |
4 g/day |
|
|
|
Cefdinir (Omnicef) |
14 mg/kg/day div q12-24h |
Oral |
600 mg/day |
|
|
|
Azithromycin (Zithromax) |
10 mg/kg/day 1, then 5 mg/kg/day2-5 |
Oral |
500 mg/day |
|
|
|
|
8 mg/kg/day div q12h |
Oral |
|
80-400 mg, 160-800 mg; 50-200 mg/5ml |
|
|
Clindamycin |
10-30 mg/kg/day div q8-12h |
Oral |
1.8 g/day |
|
|
|
Clarythromycin (Biaxin) |
15 mg/kg/day div q 12h |
Oral |
1 g/day |
|
|
|
Other Antibiotics |
Bacitracin |
Apply 1-5x/day x 7days |
Topical |
|
500 U/g |
|
Neosporin |
Apply 1-3x/day |
Topical |
|
3.5 g/tube |
|
|
Bactroban |
Apply 3x/day x 10 days |
Topical |
|
2% cream 15g, 30g; 2% ointment 22g |
|
|
Altabax |
Apply 2x/day x 5 days |
Topical |
|
1% ointment 5g, 10g, 15 g |
|
|
Ocuflox |
1 drop q2-4h x 2 days 1 drop QID x 5 days |
Opthalmic |
|
0.3% soln 5ml, 10ml |
|
|
Erythromycin |
Apply 1-6x/day x 7-10 days |
Opthalmic |
|
0.5% ointment 3.5g |
|
|
Neosporin Solution |
|
Opthalmic |
|
10 ml |
|
|
Gentamicin |
|
Opthalmic |
|
0.3% soln/ointment |
|
|
Anti-Inflam |
Hydrocortisone |
|
Topical |
|
0.2%, 0.5%, 1%, 2.5% ointment 30g |
|
Fluocinolone |
|
Topical |
|
0.1%, 0.025% cream 15g, 60g |
|
|
Triamcinolone |
|
Topical |
|
0.025%, 0.1%, 0.5% cream/ointment 15g, 30g,
80g, 454g |
|
|
Pain |
Acetaminophen |
40-60 mg/kg/day div q6h |
Oral |
5 doses/24h |
625mg; 160mg/5ml |
|
Ibuprofen |
5-10 mg/kg/dose q6-8h |
Oral |
40 mg/kg/24h |
50, 100, 200, 300, 400, 600, 800 mg;
50mg/1.25ml, 100mg/5ml |
|
|
Antifungals |
Nystatin |
Apply q8-12h |
Topical |
|
Cream 30g, ointment 15g, powder |
|
Clotrimazole (Lotrimin) |
Apply q12h |
Topical |
|
1% cream, soln |
|
|
Ketoconazole (Nizoral) |
Apply q12h |
Topical |
|
2% cream 15g, 30g, 60g; 1%, 2% shampoo 120ml |
|
|
Terbinafine (Lamisil) |
Apply QD- |
Topical |
|
1% cream 30ml |
|
|
Nystatin |
Infant: 1-2 ml swish q6h Child: 4-6 ml swish/swallow q6h |
Oral |
|
100KU/ml |
|
|
Ketoconazole (Nizoral) |
5 mg/kg/day |
Oral |
400 mg/day |
200mg |
|
|
Fluconazole (Diflucan) |
6 mg/kg/day x 1 day 3 mg/kg/day x 7-14 days |
Oral |
|
50, 100, 150, 200 mg; 50mg/5ml, 200mg/5ml |
|
|
Griseofulvin |
10-20 mg/kg/day x 13 days |
Oral |
1 g/day |
125, 250, 500 mg; 125mg/5ml |
|
|
Terbinafine (Lamisil) |
< 20kg: 62.5 mg QD x 6 wks 20-40kg: 125 mg QD x 12 wks > 40kg: 250 mg QD x 12 wks |
Oral |
|
250mg; 125mg, 187.5mg (oral granules) |
|
|
Acne |
Adapalene (Differin) |
qAM |
Topical |
|
0.1% gel 15g, 45g; 0.3% gel 45g |
|
Clindamycin/benzoyl
peroxide (Duac) |
qHS |
Topical |
|
1-5% gel 45g |
|
|
MVIs |
Polyvisol |
1 ml QD |
|
|
|
|
Trivisol |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Medication |
Dose |
Route |
Max Dose |
Dosage Forms |
|
Antihistamines |
Loratidine (Claritin) |
6mo-2yo: 2.5mg 2-6yo: 5mg >6yo: 10 mg |
Oral |
|
10mg; 5mg/ml |
|
Fexofenadine (Allegra) |
6mo-2yo: 15mg 2-11yo: 30mg >12yo: 60mg |
Oral |
|
30, 60, 180 mg; 30mg/5ml; 30 mg (chewable tab) |
|
|
Cetirizine (Zyrtec) |
<6yo: 2.5-5 mg >6yo: 5-10 mg |
Oral |
|
5, 10 mg; 5mg/ml |
|
|
Hydroxyzine (Atarax) |
2 mg/kg/day div q8h |
Oral |
|
10, 25, 50, 100 mg; 10mg/5ml |
|
|
Diphenhydramine (Benadryl) |
0.5-1 mg/kg/dose 2-6yo: 6.25 mg q4-6h 6-12yo: 12.5-25 mg q4-6h |
Oral |
|
12.5, 25, 50 mg; 12.5mg/5ml |
|
|
Nebs |
Albuterol |
<2yo: 0.05-0.15mg/kg q4-6h 2-5yo: 0.1-0.15mg/kg q4-6h >6yo: 2.5mg q4-6h |
Nebs |
1.25mg/dose 10mg/dose |
0.083%, 0.21%, 0.42%, 0.5% |
|
Levalbuterol (Xopenex) |
6-11yo: 0.31mg TID >11yo: 0.63mg TID |
Nebs |
0.63mg TID 1.25mg TID |
0.31mg/3ml, 0.63mg/3ml, 1.25mg/3ml |
|
|
Budesonide (Pulmicort) |
0.25-0.5mg/day QD- |
Nebs |
0.5mg/day |
0.25mg/2ml, 0.5mg/2ml, 1mg/2ml |
|
|
BDs |
Albuterol |
2 puffs q4-6h |
Inhaled |
|
90mcg/puff, 108mcg/puff |
|
Levalbuterol (Xopenex) |
2 puffs q4-6h |
Inhaled |
|
45mcg/inh |
|
|
Steroids |
Fluticasone (Flovent) |
4-11yo: 88mcg q12h >11yo: 440mcg Q12h |
Inhaled |
|
44mcg/inh, 110mcg/inh, 220mcg/inh |
|
Fluticasone/Salmeterol (Advair
Diskus) |
4-11yo: 100/50 1 puff q12h >11yo: 100-500/50 1 puff q12h |
Inhaled |
|
100/50, 250/50, 500/50 mcg/inh |
|
|
Budesonide (Pulmicort) |
>6yo: 180-360 mcg q12h |
Inhaled |
|
|
|
|
Prednisolone (Orapred) |
2mg/kg/day QD x 5 days |
Oral |
80mg/day |
5mg; 5mg/5ml, 15mg/5ml 60ml, 100ml |
|
|
Misc. |
Montelukast (Singulair) |
2-5yo: 4mg QHS 6-14yo: 5mg QHS >15yo: 10mg QD |
Oral |
|
10mg; 4mg, 5mg (chewable tabs); 4mg/packet
(oral granules) |
|
Fluticasone (Flonase) |
>4yo: 1 spray each nostril QD, increase |
Nasal Spray |
|
27.5mcg/spray, 50mcg/spray |
|
|
Mometasone (Nasonex) |
|
Nasal Spray |
|
50mcg/spray 17g |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|