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Paracetamol - what is the recomended dose for child 13 kg?

Responses (1)

masso 29 Dec 2013

Hello,

Usual Pediatric Dose for Fever

Preterm neonates 28 to 32 weeks:
IV loading dose: 20 mg/kg followed by 10 mg/kg/dose every 12 hours
Oral: 10 to 12 mg/kg/dose every 6 to 8 hours
Maximum oral daily dose: 40 mg/kg/day
Rectal: 20 mg/kg/dose every 12 hours
Maximum rectal daily dose: 40 mg/kg/day

Preterm neonates 32 to 37 weeks and term neonates less than 10 days:
IV loading dose: 20 mg/kg followed by 10 mg/kg/dose every 6 hours
Oral: 10 to 15 mg/kg/dose every 6 hours
Maximum daily dose: 60 mg/kg/day
Rectal: Loading dose: 30 mg/kg; then 15 mg/kg/dose every 8 hours
Maximum daily dose: 60 mg/kg/day

Term neonates greater than or equal to 10 days:
IV loading dose: 20 mg/kg followed by 10 mg/kg/dose every 6 hours
Oral: 10 to 15 mg/kg/dose every 4 to 6 hours
Maximum daily dose: 90 mg/kg/day
Rectal: Loading dose: 30 mg/kg; then 20 mg/kg/dose every 6 to 8 hours
Maximum daily dose: 90 mg/kg/day

Infants and Children:
IV: Less than 2 years: 7.5 to 15 mg/kg/dose every 6 hours
Maximum daily dose: 60 mg/kg/day
IV: 2 to 12 years: 15 mg/kg every 6 hours or 12.5 mg/kg every 4 hours
Maximum single dose 15 mg/kg
Maximum total daily dose: 75 mg/kg/day not to exceed 3750 mg/day
Oral: 10 to 15 mg/kg/dose every 4 to 6 hours as needed; do not exceed 5 doses in 24 hours
Alternatively, the manufacturer lists the following recommended doses:
2.7 to 5.3 kg or 6 to 11 pounds: 0 to 3 months: 40 mg
5.4 to 8.1 kg or 12 to 17 pounds: 4 to 11 months: 80 mg
8.2 to 10.8 kg or 18 to 23 pounds: 1 to 2 years: 120 mg
10.9 to 16.3 kg or 24 to 35 pounds: 2 to 3 years: 160 mg
16.4 to 21.7 kg or 36 to 47 pounds: 4 to 5 years: 240 mg
21.8 to 27.2 kg or 48 to 59 pounds: 6 to 8 years: 320 mg
27.3 to 32.6 kg or 60 to 71 pounds: 9 to 10 years: 400 mg
32.7 to 43.2 kg or 72 to 95 pounds: 11 years: 480 mg
The manufacturer recommends the use of weight to select the dose as the preferred method. If weight is not available, then age may be used.
Rectal: 10 to 20 mg/kg/dose every 4 to 6 hours as needed (Although the perioperative use of high dose rectal acetaminophen (e.g., 25 to 45 mg/kg/dose) has been investigated in several studies, its routine use remains controversial; optimal doses and dosing frequency to ensure efficacy and safety have not yet been established; further studies are needed).

Children greater than or equal to 12 years:
IV: Less than 50 kg: 15 mg/kg every 6 hours or 12.5 mg/kg every 4 hours
Maximum single dose: 750 mg/dose
Maximum total daily dose: 75 mg/kg/day (less than or equal to 3750 mg/day)
IV: Greater than or equal to 50 kg: 650 mg every 4 hours or 1000 mg every 6 hours
Maximum single dose: 1000 mg/dose
Maximum total daily dose: 4000 mg/day
Oral or Rectal: 325 to 650 mg every 4 to 6 hours or 1,000 mg 3 to 4 times daily
Maximum daily dose: 4000 mg/day

Usual Pediatric Dose for Pain

Preterm neonates 28 to 32 weeks:
IV loading dose: 20 mg/kg followed by 10 mg/kg/dose every 12 hours
Oral: 10 to 12 mg/kg/dose every 6 to 8 hours
Maximum oral daily dose: 40 mg/kg/day
Rectal: 20 mg/kg/dose every 12 hours
Maximum rectal daily dose: 40 mg/kg/day

Preterm neonates 32 to 37 weeks and term neonates less than 10 days:
IV loading dose: 20 mg/kg followed by 10 mg/kg/dose every 6 hours
Oral: 10 to 15 mg/kg/dose every 6 hours
Maximum daily dose: 60 mg/kg/day
Rectal: Loading dose: 30 mg/kg; then 15 mg/kg/dose every 8 hours
Maximum daily dose: 60 mg/kg/day

Term neonates greater than or equal to 10 days:
IV loading dose: 20 mg/kg followed by 10 mg/kg/dose every 6 hours
Oral: 10 to 15 mg/kg/dose every 4 to 6 hours
Maximum daily dose: 90 mg/kg/day
Rectal: Loading dose: 30 mg/kg; then 20 mg/kg/dose every 6 to 8 hours
Maximum daily dose: 90 mg/kg/day

Infants and Children:
IV: Less than 2 years: 7.5 to 15 mg/kg/dose every 6 hours
Maximum daily dose: 60 mg/kg/day
IV: 2 to 12 years: 15 mg/kg every 6 hours or 12.5 mg/kg every 4 hours
Maximum single dose 15 mg/kg
Maximum total daily dose: 75 mg/kg/day not to exceed 3750 mg/day
Oral: 10 to 15 mg/kg/dose every 4 to 6 hours as needed; do not exceed 5 doses in 24 hours
Alternatively, the manufacturer lists the following recommended doses:
2.7 to 5.3 kg or 6 to 11 pounds: 0 to 3 months: 40 mg
5.4 to 8.1 kg or 12 to 17 pounds: 4 to 11 months: 80 mg
8.2 to 10.8 kg or 18 to 23 pounds: 1 to 2 years: 120 mg
10.9 to 16.3 kg or 24 to 35 pounds: 2 to 3 years: 160 mg
16.4 to 21.7 kg or 36 to 47 pounds: 4 to 5 years: 240 mg
21.8 to 27.2 kg or 48 to 59 pounds: 6 to 8 years: 320 mg
27.3 to 32.6 kg or 60 to 71 pounds: 9 to 10 years: 400 mg
32.7 to 43.2 kg or 72 to 95 pounds: 11 years: 480 mg
The manufacturer recommends the use of weight to select the dose as the preferred method. If weight is not available, then age may be used.
Rectal: 10 to 20 mg/kg/dose every 4 to 6 hours as needed (Although the perioperative use of high dose rectal acetaminophen (e.g., 25 to 45 mg/kg/dose) has been investigated in several studies, its routine use remains controversial; optimal doses and dosing frequency to ensure efficacy and safety have not yet been established; further studies are needed).

Children greater than or equal to 12 years:
IV: Less than 50 kg: 15 mg/kg every 6 hours or 12.5 mg/kg every 4 hours
Maximum single dose: 750 mg/dose
Maximum total daily dose: 75 mg/kg/day (less than or equal to 3750 mg/day)
IV: Greater than or equal to 50 kg: 650 mg every 4 hours or 1000 mg every 6 hours
Maximum single dose: 1000 mg/dose
Maximum total daily dose: 4000 mg/day
Oral or Rectal: 325 to 650 mg every 4 to 6 hours or 1,000 mg 3 to 4 times daily
Maximum daily dose: 4000 mg/day

Source: https://www.drugs.com/dosage/acetaminophen.html

Take care,

masso.-

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