AAP Red Book 2024–2027 · FDA labels · IDSA

Pediatric Antibiotic, Antiviral and Antifungal Doses: mg/kg Lookup

Pick a drug class and group to see every drug's per-dose mg/kg, interval, maximum and key cautions.

Tap one answer per step. The plan appears when the last step is answered.
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kg Optional — enter kg to see doses in mg.

About this tool

This tool is a quick bedside reference for the anti-infective medicines most often used in children. Choose a class (penicillins, cephalosporins, other antibacterials, antivirals, or antifungals and antiparasitics), then a group, and every drug in that group is listed with its dose.

Each row gives the dose per dose in mg/kg, how often to give it, and the maximum per dose, with the daily total in the rule text. Where the dose depends on the indication, such as high-dose amoxicillin for otitis or ceftriaxone for meningitis, there is a separate row. Common liquid strengths are shown so the dose can be turned into milliliters, and the page calculates the dose when a weight is entered.

Every group ends with practical cautions: kidney dose adjustment, QT prolongation, age limits such as fluoroquinolone restrictions, doxycycline use at any age for short courses, ceftriaxone with calcium in neonates, nitrofurantoin not for febrile UTI, and linezolid duration. Neonatal dosing is noted where it differs. Always confirm doses with your pharmacy.

Common questions

What is the high-dose amoxicillin dose for otitis media in children?

45 mg/kg per dose every 12 hours (90 mg/kg/day), maximum 2 g per dose. For amoxicillin-clavulanate use the 14:1 ES-600 suspension so the clavulanate dose stays low.

Can doxycycline be used in children under 8 years?

Yes, for courses of 21 days or less at any age, for example for Rocky Mountain spotted fever. Short courses have not been shown to stain teeth. The dose is 2.2 mg/kg every 12 hours, maximum 100 mg per dose.

Why avoid ceftriaxone in newborns?

Ceftriaxone displaces bilirubin and can precipitate with calcium. In the first 28 days of life it must never be given with IV calcium-containing fluids, and it is avoided in jaundiced neonates. Cefotaxime, or cefepime or ceftazidime, is used instead.

Is nitrofurantoin used for febrile UTI?

No. It does not reach useful levels in the kidney or blood, so it is only for afebrile cystitis or prophylaxis.

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