Common Therapeutics for Frequent Pediatric Diagnoses

Page by: E.J. Mayeaux, Jr., M.D.
Louisiana State University Medical Center Shreveport, Louisiana

Allergic Rhinitis (Antihistamines)

• Rondec and Rondec-DM (drops in 30 cc with dropper)
• • Age 1-3 Mo. -- Rondec drops -- 1/4 dropper full Qid
  • Age 3-6 Mo. -- Rondec drops -- 1/2 dropper full Qid
  • Age 6-9 Mo. -- Rondec drops -- 3/4 dropper full Qid
  • Age 9-18 Mo. -- Rondec drops -- 1 dropper full Qid
  • Age 18 Mo to 6 yr -- Rondec Syrup -- 2.5 cc Qid
  • Age 6 yr to Adult -- Rondec Syrup -- 5 cc Qid or one tab Qid.
• Dimetapp, Triaminic, and Actifed OTC...Only for 6mo and older.

Otitis Media and other respiratory infections

• Ampicillin - 100mg/kg/d Qid (2gm max) X10 days (125mg-250mg/5cc)
• Amoxicillin - 40mg/kg/d Tid (1.5gm max) X10 days (125mg-250mg/5cc)
• Augmentin - 40mg/kg/d Tid (1.5gm max) X10 days (125mg-250mg/5cc)
• Bactrim1 - 1cc/kg/day Bid for <40kg;>40kg use DS tab Bid
• Ceclor - 40mg/kg/d Tid (1gm max) X10 days (125mg-250mg/5cc)
• E.E.S. - For Mycoplasma or Bullous muringitis-See Staph below)
• Pediazole1 - 50mg/kg/day Emycin Qid X10 days (200mg/5cc)
• Rocephin - 50mg/kg IM now (blood levels for 24 hrs)

1 Do not use in children under 2 months old.

Strep Infections - Pharengitis & Impetigo

• Under 30lb - Bicillin CR 300,000 units (.5cc) IM now
• 30 to 45lb - Bicillin CR 450,000 units (.75cc) IM now
• 45 to 60lb - Bicillin CR 600,000 units (1.0cc) IM now
• 60 to 90lb - Bicillin CR 900,000 units (1.5cc) IM now
• Over 90lb - Bicillin CR 1.2 million units (2cc) IM now
• If PCN allergic, use E.E.S. 25 - 30mg/kg/d Qid X10 days.

External Otitis

• Cortisporin Otic Susp.- 3ggt Qid X10days (10cc bottle w/ dropper)

Staph Skin Infections

• Dicloxicillin - 25-75mg/kg/day Qid (62.5mg/5cc)
• Erythromycin 40mg/kg/d Qid (1gm max) X10 days (200mg/5cc 250 tab)

Fungal Infections

• T. Corporis - Lotrimin 1% cream Tid X7days p resolution (30g tube)
• T. Capitus - Griseofulvin microcrystalline 10mg/kg Qd X 4wks or Griseofulvin ultramicrosize 7mg/kg Qd X 4wks
• Monilia - Micatin (OTC) or Nystatin cream Tid - Qid (30gm tube)
• Thrush - Nystatin Oral Suspension 1cc to each cheek Qid X 7days or Gentian Violet OTC on Qtip Tid X3 days.

Pruritis

• Benedryl - OTC or 5mg/kg/day div Q4-6 hr (12.5mg/5cc)
• Atarax - 2mg/kg/day div Qid (10mg/5cc 1pt bottles)

Scabies

• Lindane (Kwell) - Apply from neck down, leave on 8 - 12 hrs, then wash off completely. Do not use in pregnant women.

Pinworms

• Vermox - 100mg tab once for all family members, may repeat in 2wks
• &LT 2yrs use Antiminth Syrup - 1cc/10lb once. Not in Pregnancy!

Conjunctivitis

• Garamycin Opthal Sol - 2ggt Q4hrs X 7-10 days (5ml bottle)

Asthma Medications

• Ventolin Syrup (2mg/5cc) 0.1mg/Kg/dose Q 8 hours.
• Alupent Syrup (10mg/5cc) 1.3mg/kg/dose Q 8 hours.
• Slo-Phyllin Gyrocaps: 60, 125, 250mg.
• Slo-bid Gyrocaps: 50, 100, 200, 300mg.
• Theo-Dur Tabs: 100, 200, 300mg
• Solumedrol 1-2mg/Kg loading then 1.6mg/Kg/day / Q6 hours.
• Solucortef 4-8mg/Kg loading (250mg max.) then 8mg/Kg/day / Q6hrs.

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