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Amoxicillin Dosage Calculator

Calculate amoxicillin dosage for children by weight in kg or lbs. This pediatric amoxicillin dose calculator covers standard dosing (25-45 mg/kg/day), high-dose protocols (80-90 mg/kg/day for otitis media and resistant infections), and converts daily doses to liquid suspension volumes for common concentrations (125 mg/5 mL, 250 mg/5 mL, and 400 mg/5 mL). Essential for parents, pediatricians, pharmacists, and nursing professionals managing childhood infections.

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Formula

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Core Formula
Per Dose=Weight×RateDoses/Day  Volume (mL)=Per DoseConcentration×5\text{Per Dose} = \frac{\text{Weight} \times \text{Rate}}{\text{Doses/Day}} \\[6pt] \; \text{Volume (mL)} = \frac{\text{Per Dose}}{\text{Concentration}} \times 5

How it works: The calculator multiplies the child's weight by the prescribed mg/kg/day rate to get the total daily dose in mg. It then divides by the dosing frequency (2 or 3 times daily) to find each individual dose. Finally, it converts mg to mL of liquid suspension by dividing by the concentration (mg per 5 mL) and multiplying by 5.

Worked Example

A 15 kg child with an ear infection prescribed 80 mg/kg/day of amoxicillin 250 mg/5 mL suspension:
1Step 1: Daily dose = 15 kg x 80 mg/kg = 1,200 mg/day
2Step 2: Per dose (twice daily) = 1,200 / 2 = 600 mg per dose
3Step 3: Liquid volume = (600 / 250) x 5 = 12 mL per dose
4Step 4: Give 12 mL twice daily (every 12 hours) for 10 days
With 250 mg/5 mL concentration, each 5 mL contains 250 mg of amoxicillin.

Amoxicillin Dosage Calculator - Pediatric mg/kg

Amoxicillin is the most commonly prescribed antibiotic for children. Dosing is always based on the child's weight, not age, and varies by the type and severity of infection.

  • Standard dose (25-45 mg/kg/day): Used for mild infections including skin infections, urinary tract infections, and strep throat
  • High dose (80-90 mg/kg/day): Recommended for acute otitis media (ear infections), sinusitis, and community-acquired pneumonia, especially where antibiotic resistance is a concern
  • Available as liquid suspension in three concentrations: 125 mg/5 mL (infant), 250 mg/5 mL (standard), and 400 mg/5 mL (concentrated for older children)
  • Typical treatment duration is 7 to 10 days for ear infections and 10 days for streptococcal pharyngitis (strep throat)
  • Maximum single dose generally should not exceed 500 mg for standard dosing or 1,000 mg for high-dose protocols in children

Always verify dosing with the prescribing physician or pharmacist. This calculator provides educational reference values and does not replace professional medical advice.

You can also calculate changes using our Medication Dosage by Weight Calculator, Dosage Calculator or Paediatric Dosage Calculator.

Amoxicillin Pediatric Dosage Chart by Weight

Quick reference dosage chart for amoxicillin liquid suspension in children. Doses shown for standard (40 mg/kg/day) and high-dose (80 mg/kg/day) protocols, split into twice-daily dosing. All volumes are for 250 mg/5 mL concentration.

Weight (kg)Weight (lbs)Standard Dose (40 mg/kg/day)Standard: mL per dose (BID)High Dose (80 mg/kg/day)High Dose: mL per dose (BID)
5 kg11 lbs200 mg/day2 mL400 mg/day4 mL
7 kg15 lbs280 mg/day2.8 mL560 mg/day5.6 mL
10 kg22 lbs400 mg/day4 mL800 mg/day8 mL
12 kg26 lbs480 mg/day4.8 mL960 mg/day9.6 mL
15 kg33 lbs600 mg/day6 mL1,200 mg/day12 mL
18 kg40 lbs720 mg/day7.2 mL1,440 mg/day14.4 mL
20 kg44 lbs800 mg/day8 mL1,600 mg/day16 mL
25 kg55 lbs1,000 mg/day10 mL2,000 mg/day20 mL
30 kg66 lbs1,200 mg/day12 mL2,400 mg/day24 mL
35 kg77 lbs1,400 mg/day14 mL2,800 mg/daySwitch to tablets
40+ kg88+ lbsUse adult dosing: 500 mg every 8 hours or 875 mg every 12 hours

Note: BID = twice daily (every 12 hours). Volumes shown for 250 mg/5 mL suspension. For 125 mg/5 mL concentration, double the volume. For 400 mg/5 mL concentration, multiply volume by 0.625. Always confirm dosing with prescribing physician. This chart is for educational reference only.

Frequently Asked Questions

What is the typical dose of amoxicillin for a child?

The standard pediatric dose is 25 to 45 mg/kg/day divided into 2 or 3 doses for mild infections. For ear infections (otitis media), sinusitis, and pneumonia, the AAP recommends high-dose amoxicillin at 80 to 90 mg/kg/day divided into 2 doses. For example, a 10 kg child at the standard 40 mg/kg/day rate receives 400 mg daily, or 200 mg every 12 hours.

How much amoxicillin 250mg/5ml do I give my child?

Divide the per-dose amount in mg by 250, then multiply by 5 to get the volume in mL. For a 15 kg child on 80 mg/kg/day (600 mg per dose twice daily): 600 / 250 x 5 = 12 mL per dose. For a 10 kg child on 40 mg/kg/day (200 mg per dose twice daily): 200 / 250 x 5 = 4 mL per dose. Always use the measuring syringe provided with the medication.

What is the amoxicillin dose for an ear infection?

The American Academy of Pediatrics recommends high-dose amoxicillin at 80 to 90 mg/kg/day divided into 2 doses for acute otitis media. This higher dose is needed because ear infections are often caused by bacteria that require higher antibiotic concentrations to be effective. Treatment typically lasts 7 to 10 days for children under 2 years and 5 to 7 days for older children.

Is amoxicillin given twice or three times a day?

Both regimens are used depending on the infection and prescriber preference. High-dose amoxicillin for ear infections is typically given twice daily (every 12 hours) for better compliance. Standard-dose amoxicillin for strep throat or mild infections may be prescribed three times daily (every 8 hours). Your doctor will specify the frequency based on the infection being treated.

What are common side effects of amoxicillin in children?

The most common side effects are diarrhea (affects 10 to 20% of children), diaper rash (from diarrhea), mild nausea or vomiting, and skin rash (3 to 5%). A non-allergic amoxicillin rash (flat, pink, non-itchy) is common and not dangerous. However, hives, facial swelling, or difficulty breathing indicate a true allergic reaction requiring immediate medical attention.

Can I use this calculator for adults?

This calculator is designed for pediatric weight-based dosing. Adult amoxicillin doses are typically fixed: 500 mg every 8 hours or 875 mg every 12 hours for most infections, regardless of weight. For adults, the standard dose is 1,500 mg/day for mild infections and 2,625 mg/day for more severe infections.

How can I put this Amoxicillin Dosage Calculator on my blog or website?

Yes, the Amoxicillin Dosage Calculator is fully embeddable. Tap "Embed" above to configure appearance and copy the code. It is free to use, works on any platform (HTML, WordPress, CMS), and adjusts to any screen size automatically. Visit calculory.com/services/embed-calculators for the complete guide.

Medical Disclaimer

This calculator is provided for informational and educational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making any decisions based on these results. Do not disregard or delay seeking medical advice because of information obtained from this tool.

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