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Paediatric Dosage Calculator

Peds dosing calculator for children's medication doses based on weight (mg/kg) or age. Supports Clark's Rule, Young's Rule, and modern weight-based dosing for common pediatric drugs including amoxicillin (25-45 mg/kg/day), ibuprofen (5-10 mg/kg/dose), and acetaminophen (10-15 mg/kg/dose).

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Formula

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Core Formula
Dose=Child WeightAdult Weight×Adult Dose\text{Dose} = \frac{\text{Child Weight}}{\text{Adult Weight}} \times \text{Adult Dose}

How it works: Calculates safe medication doses for children using established clinical rules.

Worked Example

Child 20kg, Adult 70kg, Adult Dose 500mg -> 143mg.

Pediatric Dosing Rules

Children are not just "small adults"; their metabolism and body composition differ. While weight-based dosing (mg/kg) is standard today, historical rules like Clark's and Young's provide estimates based on adult doses. Common pediatric medications have well-established mg/kg ranges validated through clinical trials.

  • Clark's Rule: Dose = (Weight in kg / 70) x Adult Dose OR (Weight in lbs / 150) x Adult Dose
  • Young's Rule: Dose = [Age / (Age + 12)] x Adult Dose (typically for ages 1-12)
  • Modern practice prefers precise mg/kg dosing: amoxicillin 25-45 mg/kg/day, ibuprofen 5-10 mg/kg/dose, acetaminophen 10-15 mg/kg/dose
  • BSA-based dosing (mg/m2) is the standard for chemotherapy drugs using the Mosteller formula
  • Always verify pediatric doses with a pharmacist or specialist reference (e.g., Harriet Lane Handbook)

This tool provides a mathematical estimate. Pediatric medications must be prescribed by a qualified healthcare professional who considers the child's full clinical picture.

You can also calculate changes using our Corrected Age Calculator or IV Drip Rate Calculator.

Frequently Asked Questions

What is Clark's Rule for pediatric dosing?

Clark's Rule is a medical formula used to estimate a child's dose of medication based on their weight compared to an average adult weight of 70 kg (or 150 lbs). The formula is: Dose = (child weight in kg / 70) x adult dose. For example, a 20 kg child would receive (20/70) x 500 mg = 143 mg.

When is Young's Rule used instead of weight-based dosing?

Young's Rule uses a child's age to estimate medication dosage: Dose = [Age / (Age + 12)] x Adult Dose. It is generally considered less accurate than weight-based methods because children's weights vary significantly at the same age. It may be used when an accurate weight is not available.

What is the standard pediatric dose for amoxicillin?

Amoxicillin is typically dosed at 25 to 45 mg/kg/day divided into doses every 8 to 12 hours for standard infections. High-dose amoxicillin for resistant otitis media may go up to 80-90 mg/kg/day. Always confirm with current prescribing guidelines.

How is BSA-based dosing different from mg/kg dosing?

Body Surface Area (BSA) dosing uses mg/m2 instead of mg/kg. BSA correlates better with metabolic rate and is the standard for chemotherapy drugs. The Mosteller formula calculates BSA: BSA (m2) = sqrt[(height in cm x weight in kg) / 3600]. A typical child of 15 kg and 100 cm has BSA of about 0.65 m2.

What is the correct ibuprofen dose for a child?

Pediatric ibuprofen is dosed at 5-10 mg/kg per dose given every 6 to 8 hours, with a maximum daily dose of 40 mg/kg. For example, a 20 kg child may receive 100-200 mg per dose. Do not exceed the adult maximum of 1200 mg/day for OTC use.

Can I use this calculator for all pediatric medications?

No. Many medications (like antibiotics, anticonvulsants, or chemotherapy agents) have very specific mg/kg or mg/m2 dosing that cannot be estimated by general rules like Clark's or Young's. Always use drug-specific pediatric dosing references for medications with narrow therapeutic windows.

Can I embed this Paediatric Dosage Calculator on my website?

Yes. Click the "Embed" button at the top of this page to customize the size, colors, and theme, then copy the iframe code. Paste it into any HTML page, WordPress site, or CMS. It is completely free, requires no signup, and works on all devices. You can also visit our embed guide at calculory.com/services/embed-calculators for more details.

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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