‫أدوية األطفال‬

2022

Dr. Mohamed Tamer Ibrahem

rd
3 edition
Notes:
 These tables are used in case of no reliable drug index is available.
 These tables are mostly not for neonates (revise their doses according to age and weight).
 These tables are based on Medscape drug reference, BNF and drugs’ own pamphlets.
 Most doses are intended for < 12 years or < 30 kg, if higher age or weight, it is preferable to re-check the dose as may be higher than mentioned here.
 Some concentrations are left out intentionally as not commonly used in pediatrics.
 Please always re-check the concentration of given drugs to make sure it matches the one you used for calculation.
 Antipyretics
Trade name Concentration Scientific name Doses Notes
Drops
(100 mg/ml)
Cetal Paracetamol 10-15 mg/kg/4 hrs 2-3 drops/kg/4 hrs
(5 mg/drop)
Syrup
Cetal 250 mg/5 ml 10-15 mg/kg/4 hrs 1-1.5 ml/5 kg/4 hrs
Paramol 120 mg/5 ml Paracetamol
2-2.5 ml/5 kg/4 hrs
Abimol 150 mg/5 ml
Congestal 160 mg/5 ml Paracetamol 160 mg + 6-12 y:
Chlorpheniramine maleate 1 mg 10 ml/6-8 hrs
+ Pseudoephedrine HCl 15 mg +
Dextromethorphan 4.5 mg
One two three 160 mg/5 ml Paracetamol 160 mg + <1 y: 2.5 ml
Chlorpheniramine maleate 1 mg 1-3 y: 5 ml
/6-8 hrs
+ Pseudoephedrine HCl 15 mg 4-8 y: 7.5-10
>8 y: 10-15 ml
Brufen 100 mg/5 ml Ibuprofen 10-15 mg/kg/6 hrs 1-1.5 ml/2 kg/6 hrs
Catafly 2 mg/ml Diclofenac K+ 0.5-1 mg/kg/8 hrs 0.5 ml/kg/8 hrs
Suppository
Cetal / Paramol 120 mg/ 125 mg 1 supp./10 kg/4 hrs
Paracetamol 10-15 mg/kg/4 hrs
Abimol 300 mg 1 supp./20 kg/4 hrs
Coughsed paracetamol 100 mg Paracetamol 100 mg + < 2 y:
infant Grindelia extract 10 mg + 1 supp./12-24 hrs
Gelsemium extract 5 mg
Coughsed paracetamol 250 mg Paracetamol 250 mg + > 2 y:
children Grindelia extract 20 mg + 1 supp./12-24 hrs
Gelsemium extract 10 mg
12.5 mg Used if > 1 year and < 16 kg
Dolphin ped. Diclofenac Na+ 0.5-1 mg/kg/12 hrs
25 mg Used if > 16 kg
Tab
Cetal 500 mg Paracetamol 10-15 mg/kg/4 hrs Max. 4 gm (8 tab/day)
One two three 500 mg Paracetamol 500 mg > 12 y: Max. 4 gm (8 tab/day)
Pseudoephedrine HCL 30 mg 2 tab/6 hrs
Chlorpheniramine maleate 2 mg
Aspocid/Rivo 75 mg Antipyretic: 10-15 mg/kg/4-6 hrs Not used in viral infection for fear
Anti-inflammatory: 80-100 mg/kg/day of Reye’s
Acetyl salicylic acid
Alkasprine/Alexoprine forte 300 mg divided/8 hrs Not used in children < 5 years
Anti-platelet: 3-7 mg/kg/day/once after meals
I.V.
Perfelgan 10 mg/1 ml Paracetamol 10-15 mg/kg/4 hrs 1.5 cm/kg Given direct i.v. slowly or infusion
Epicotil 20 mg/2 cm Tenoxicam 10 mg/dose (max. /12 hr) 1 cm/12-24 hr
In hyperthermia > 41
1-1.5 ml/10 kg/4-6
Aspegic 500 mg/5 ml Lysine acetyl salicylate 10-15 mg/kg/4-6 hrs Not used in viral infection (Reye)
hrs
or in children < 5 years
Voltaren 75 mg/3 ml Diclofenac Na+ 1 ml/20 kg Given after 1.5 y

Anti-histaminics
Trade name Concentration Scientific name Doses Notes
rd
Telfast susp. 30 mg/5 ml Fexofenadine (3 generation) 6 m-2 y: 2.5 cm/12 hrs
2-12 y: 5 cm/12 hrs
>12 y: 10 cm/12 hrs
Levohistam syrup 2.5 mg/5 ml Levocetirizine (3rd generation) 6 m-5 y: 2.5 cm/day Given at night
6-12 y: 5 cm/day
>12 y: 10 cm/day
Levohistam drops 5 mg/1 ml 6 m-5 y: 5 drops/day
(1 ml:20 drops)
Zyrtec syrup 5 mg/5 ml Cetirizine HCL (2nd generation) 2-6 y: 5 cm Given once/day or divided every 12 hrs.
6-12 y: 10 cm
Zyrtec oral drops 10 mg/1 ml 2-6 y: ½ ml ‫نص قطارة‬
(1 ml:20 drops) 6-12 y: 1 ml ‫قطارة‬
Allergyl syrup 2 mg/5 ml Chlorpheniramine (1st generation) 2-6 y: 2.5 cm/6 hrs Better avoid for its side effects, mainly sedation.
6-12 y: 5 cm/6 hrs
> 12 y: 10 cm/6 hrs
Avil amp 45.5 mg/2 ml Pheniramine maleate (1st generation) 2-3 y: ½ ml Should be given I.M. only (or slow i.v. injection!!)
4-5 y: 1 ml
6-11 y: 1-1.5 ml
 Antibiotics
Trade name Concentration Scientific name Doses Notes
Penicillin G/aqua-pen 1 Mil U/50 ml Penicillin G Na+ Severe infections or meningitis Given I.V or I.M.
(Benzyl penicillin) 3 Mil U/50 ml 250,000-400,000 U/kg/day divided/4 hr Less skin allergy so not a must to do a
5 Mil U/50 ml (max. 24 Mil U/Day) sensitivity test (like any I.V. drug).
Durapen LA/Lastipen LA 1,200,000 units/2 ml Benzathine penicillin If < 27 Kg: 600,000 U I.M. only, taken every 4 weeks (3
If > 27 kg and Rh.F Prophylaxis: 1.2 Mil U/D weeks if high risk)
Causes allergy so must do sensitivity
test
Ospen susp. 400,000 U/5 ml Phenoxymethyl 25,000-50,000 U/kg/day (25-50 mg/kg/day) Oral, taken every 6-8 hours if for
(400 mg/5 ml) penicillin streptococcal pharyngitis, taken every
12 hours if Rheumatic fever
prophylaxis
Unasyn/Unictam (750 mg/5 ml) 1st conc. Ampicillin Mild/Mod. Infection: Wt/2 every 12 hrs if home IV or IM, Divided every 6 hrs.
(500 mg + 250 mg) 2nd conc. sulbactam < 1 y: 100-150 mg ttt (dose of 100 mg/kg)
ampicillin/kg/day
(1.5 gm/10 ml) > 1 y: 100-200 mg Wt/4 every 6 hrs if
(1 gm + 0.5 gm) ampicillin/kg/day hospital ttt (dose of 100
Severe infection/ mg/kg)
meningitis:
< 1 y: 200-300 mg Wt/2 every 6 hrs
ampicillin/kg/day (dose of 200 mg/kg)
> 1 y: 200-400 mg
ampicillin/kg/day
Emox susp. 125, 250 mg/5 ml Amoxicillin URTI: Every 12 hrs, not to exceed 4 gm/day
< 3 months: 30 mg/kg/day Used in otitis media and URTI
> 3 months: 30 mg (if mild)-45 mg (if severe)/kg/day
Acute otitis media:
> 3 months: 90 mg/kg/day
Hibiotic N susp. 228.5 mg/5 ml 1st conc. Amoxicillin Based on amoxicillin, same as above Every 12 hrs
(200 mg + 28.5) 2nd conc. clavulanic
457 mg/5 ml acid The 600 mg conc. has lower clavulanic
(400 mg + 57) acid than other Hibiotic Conc.
600 mg/5 ml
(557 mg + 43)
Augmantin/Curam susp. 156 mg/5 ml 1st conc. Amoxicillin Based on amoxicillin, same as above Every 8 or 12 hrs
(125 mg + 31.25) 2nd conc. clavulanic May cause diarrhea
228.5 mg/5 ml acid
(200 mg + 28.5)
312 mg/5 ml
(250 mg + 62.5)
457 mg/5 ml
(400 mg + 57)
Tazocin/Piperataz vial 2.25 gm/5 ml 1st conc. piperacillin < 40 Kg: 300 mg/kg/day Every 8 hrs, I.V.
(2 gm +250 mg) 2nd conc. tazobactam > 40 Kg: 4.5 gm/8 hrs
4.5 gm/10 ml
(4 gm +500 mg)

Flumox susp. 250 mg/5 ml Amoxicillin + 50-100 mg/kg/day Every 8 hrs, Bad taste
Flumox vial 500 mg/5 ml flucloxacillin 50-100 mg/kg/day Every 12 hrs, Very painful I.M.
1 gm/10 ml
Ibidroxil /Curisafe susp. 125, 250 mg/5 ml Cefadroxil 30-50 mg/kg/day Every 12 hrs, 1st generation
cephalosporins
Ceclor /Bacticlor susp. 125, 250 mg/5 ml Cefaclor 20-40 mg/kg/day Wt/4 every 8hrs if 250 mg good for otitis media, sinusitis, UTI (for
atypical organisms)
Claforan/Cefotax 500 mg/5 ml Cefotaxime 150-200 mg/kg/day Wt/3 every 8 hrs Not preferable for neonates or renal
1 gm/10 ml Wt/4 every 6 hrs patients.
If for outpatient, you may use every 12
hrs (100 mg/kg/day).
Cefobid 500 mg/5 ml Cefoperazone 100-200 mg/kg/day Wt/3 every 8 hrs Dose not mentioned in pediatrics, we
1 gm/10 ml Wt/4 every 6 hrs use it empirically as half-adult dose.
Preferable in renal patients
Sulperazone 1.5 gm/4 ml Cefoperazone + 30-60 mg/kg/12 hrs Increase dose to 80 mg/kg/8 hrs if
sulbactam febrile neutropenia
Fortum 500 mg/5 ml Ceftazidime 100-150 mg/kg/day Every 8 hrs.
1 gm/10 ml Good as anti-pseudomonas
Ceftriaxone/Rociphen 500 mg/5 ml Ceftriaxone 50-100 mg/kg/day Wt/2 every 24 hrs Once daily, I.V. in water, I.M with
1 gm/10 ml lidocaine
Suprax /Ximacef 100 mg/5 ml Susp. Cefixime < 12 y or < 45 kg: Wt/2 every 24 hrs Oral 3rd generation cephalosporins
200, 400 mg Caps. 8-14 mg/kg/day
> 12 y or > 45 kg:
400 mg/day
Cefathird 125 mg/5 ml Cefdinir 6 m-12 y: 14 mg/kg/day or divided/12 hrs
Maxipem/Wincef 500 mg/5 ml Cefepime 50 mg/kg/12 hrs Wt/2 every 12 hrs Not to exceed 2 gm/12 hrs
1 gm/10 ml
Gentamicin 40 mg/1 ml Gentamicin 2.5 mg/kg/8 hrs Dilute dose at least in 50 ml (up to 200
80 mg/2 ml ml)
Amikin 100, 250, 500 mg/2 ml Amikacin 15-20 mg/kg/day Once a day or every 12 hrs.
Usually I.M. if outpatient.
If given I.V. dilute in amount of NaCl to
make each 5 mg in 1 ml i.e. (if 100 mg
vial, dilute in 20 ml)
Klacid susp. 125, 250 mg/5 ml Clarithromycin 15 mg/kg/day Not to exceed 500 mg/dose, Every 12
hrs
Not shaken before use, not kept in
refrigerator, ‫تقلبها مرتين قبل االستخدام‬
Zithrodose/Zithrocin/ 100 mg/5 ml Azithromycin 10 mg/kg/day/3 days or Wt/2 every 24 hrs
Zithrokan susp. 30 mg/kg/once
Zithromax/Xithron susp. 200 mg/5 ml
Meronem 500 mg/5 ml Meropenem In susceptible infections: ‫ سم ملح و تعطي علي مدار‬100 ‫ او‬50 ‫تحلها في‬
1000 mg/10 ml 20 mg/kg/8 hrs (Max. 1 gm/8 hrs) ‫ ساعات‬8 ‫ساعه كل‬
In bacterial meningitis:
40 mg/kg/8 hrs (Max. 2 gm/8 hrs)
Tienam 500 mg/20 ml Cilastatin + imipenem > 3 months: 15-25 mg/kg/6 hrs (Max. 2 gm/day) Not preferred in cases with CNS
> 12 y: 10-15 mg/kg/6 hrs disorders for fear of seizures.
Septrin/Septazole 40 TMP+200 SMX/5 ml 1st conc. Acute otitis media: 3-5 mg TMP/kg/12 hrs Dose here is for the oral form.
Trimethoprim Serious infections:
2nd conc. 15-20 mg TMP/kg/day divided every 6 hrs
Sulphamethoxazole Prophylaxis:
2 mg TMP/kg/day or 5 mg TMP/kg twice weekly
Rimactane 2% syrup 100 mg/5 ml Rifampicin 10-20 mg/kg/day (max. 600 mg/day) Once daily
Rimactane caps 300 mg 1 hour before or 2 hours after a meal.
Flagyl drip 500 mg/100 ml Metronidazole Anaerobic infections: Different doses are present for other
7.5 mg/kg/6 hrs (1.5 cm/kg/6 hrs) (Max. 4 gm/day) indications like amebiasis, giardiasis
Dalacin C 300 mg/2 ml Clindamycin 10 mg/kg/8 hrs
600 mg/4 ml
vancomycin 500 mg/5 ml Vancomycin Sepsis: 10 mg/kg/6 hrs ‫ سم ملح و تعطي علي مدار‬100-50 ‫تحل في‬
Bacterial meningitis: 20 mg/kg/6 hrs ‫ساعه وتاخد بالك ممكن تحصل منه حساسيه لو‬
‫( فهتدي‬red baby syndrome) ‫اتاخد بسرعه‬
‫ساعتها افيل و ديكادرون‬
Averozolid susp. 100 mg/5 ml Linezolid 10 mg/kg/8 hrs
Zyvox 300 mg/100 ml
600 mg/300 ml
Ciprocin 200 mg/20 ml Ciprofloxacin 6-10 mg/kg/8 hrs (Max. 400 mg/dose) I.V.
250, 500, 750 tab 10-20 mg/kg/12 hrs (Max. 750 mg/dose) Oral
Levofloxacin 250 mg/50 ml Levofloxacin 6 months-5 years: 7.5-10 mg/kg/12 hrs
500 mg/100 ml > 5 years: 5 mg/kg/12 hrs
Targocid 200 mg/3 ml Teicoplanin 10 mg/kg/12 hrs for 1st 3 doses, then 10 mg/kg/day
400 mg/3 ml
Tygacil 50 mg/5 ml Tigecycline 1.2 mg/kg/12 hrs (not exceed 50 mg/12 hrs) Off-label, dose mentioned is half-adult
dose.
Add calculated dose to 100 ml after.
Colomycin 1 million I.U./10 ml colistin 250,000 M.I.U./kg/8 hrs Off-label
2 million I.U./20 ml

Anti-Viral
Trade name Concentration Scientific name Scientific dose Notes
Zovirax amp 250 mg/5 ml Acyclovir Encephalitis or herpes zoster: Infusion over 1 hour (rapid infusion may cause renal
500 mg/10 ml 20 mg/kg/8 hrs damage).
Zovirax susp. 200 mg/5 ml mucocutaneous herpes simplex:
Zovirax D.S. susp. 400 mg/5 ml 10 mg/kg/8 hrs
Zovirax/lovair tab 400 mg Varicella zoster:
20 mg/kg/6 hrs (max. 800 mg/dose)
Tamiflu susp. 12 mg/1 ml Oseltamivir Influenza A, B
Tamiflu caps 75 mg 2 w-< 1 y: 3 mg/kg/12 hr/5 d
1-12 y:
< 15 kg: 30 mg/12 hr/5 d
< 23 kg: 45 mg/12 hr/5 d
< 40 kg: 60 mg/12 hr/5 d
> 40 kg: 75 mg/12 hr/5 d

Anti-Fungal
Trade name Concentration Scientific name Scientific dose
Diflucan vial 100 mg/50 ml Fluconazole Oropharyngeal/esophageal candidiasis:
200 mg/100 ml Loading: 6 mg/kg/day for 1st day then maintenance on 3 mg/kg/day (max. 600 mg/day)
Cap. 50, 150 mg Systemic candidiasis/cryptococcal meningitis:
Syrup 5 mg/1 ml Loading: 12 mg/kg/day for 1st day then maintenance on 6 mg/kg/day (max. 600 mg/day)
Vfend vial 200 mg/20 ml Voriconazole Susceptible fungal infections:
tab 50 mg (> 500 ‫)جنيه‬ < 12 y (off-label): Loading: 9 mg/kg/12 hrs for 1st day (not to exceed 350 mg/dose)
200 mg (> 1900 ‫)جنيه‬ Candidemia or serious fungal infections:
> 12 y: Loading: 6 mg/kg/12 hrs for 1st day, then maintenance on 4 mg/kg/12 hrs  I.V. dose (oral
dose: 200 mg/12 hrs)
Mycostatin ‫قطاره‬ 100,000 I.U./ml Nystatin Infants: 100,000 units In each side of mouth/6 hrs/1 week
Children: 400,000 units in mouth, gurgle for a few minutes, swallow.
Daktarin/Miconaz Miconazole 4 m-2 y: ½ 5 ml spoon/12 hrs/after meals
oral gel 2% ‫األطفال الصغيرة بيدهن ليهم علي المكان اللي ظاهر منه الفطريات و لو مش واضح يبقي ال يتجاوز النص األول من الفم عشان‬
‫لزوجته مش تتعبه في البلع‬
2-6 y: 5 ml spoon/12 hrs
> 6 y: 5 ml spoon/6 hrs
Daktacort cream Miconazole + ‫ مرات‬3-2 ‫دهان علي المنطقة المصابة من‬
hydrocortisone
 Respiratory system drugs
Trade name Concentration Scientific name Doses Notes
Farcolin respirator 2.5 mg /0.5 ml salbutamol < 12 y: 2.5-5 mg/nebulization B2 agonist, bronchodilator
0.5% (10-20 drops/nebulization) /4-6 hrs in mild-moderate cases
(no less than 7 drops in the least age) /20 min for 1 hour in acute cases
May be used to  K in cases with hyperkalemia
Ventolin/Salbovent 2 mg/5 ml salbutamol 2-6 y: 1-2 mg/6-8 hrs (2.5-5 cm/6-8 hrs) B2 agonist, bronchodilator
syrup 6-12 y: 2 mg/6-8 hrs (5 cm/6-8 hrs) Not preferred to use < 1.5y
> 12 y: 2-4 mg/6-8 hrs (5-10 cm/6-8 hrs)
Atrovent 250 Mic/2 ml Ipratropium bromide < 5 y: 125-250 Mic/6 hrs Good synergism with Farcolin nebulizations , weak on
500 Mic/2 ml 6-12 y: 250 Mic/6 hrs its own
Adrenaline 1 mg/ml Adrenaline 3-5 ml/nebulization This is dose of 1/1000 adrenaline not the dose of
amp.(1/1000) racemic adrenaline which is not available in Egypt.
Check heart rate in the child while calm before and
after nebulization and don’t repeat if significant 

Pulmicort 250 Mic/ml Budesonide Asthma: < 12 y: 500 Mic-1 mg/12 hrs Inhaled cortisone
500 Mic/ml Croup: 2 mg/once or (1 mg-30 min-1 mg)
N-acetyl cysteine 10% N-acetyl cysteine < 1 y: Mainly for pulmonary disease with viscid secretions
nebulization 20% 1-2 ml of 20%/6-8 hrs like cystic fibrosis
2-4 ml of 10%/6-8 hrs
Fluimucil 100 mg/1 ml 1-11 y: Start with lower dose first, increase if tolerable and
3-5 mL of 20% /6-8 hrs when needed.
6-10 mL of 10%/6-8 hrs
> 12 y:
5-10 mL of 10% or 20%/6-8 hrs
Otrivin baby NaCl 1-2 drops in each nostril Used if < 3 months old
saline/lyse nasal drops About 4 times a day, 10 minutes before feeds
Apply on side of nose, let it 1-2 minutes to clear the
nose.
Otrivin children drops Xylometazoline 1-2 drop/each nostril/8 hrs For 4-5 days only, 10 min be4 feeding, from 6m-6y
Otrivin adult drops 1-2 drop/each nostril/8 hrs For 4-5 days only, 10 min be4 feeding, if > 6y
Physiomer baby mist Isotonic seawater 1st day -2 y:
If for daily cleaning  1-2 times/day
If for cold or sinusitis  4-6 times/day
Physiomer hypertonic Hypertonic seawater > 2 y or adults
If for cold or sinusitis 1-2 sprays 2-3
times/day
Physiomer kids Isotonic seawater 2-6 y: If for cold or sinusitis  4-6 times/day
Physiomer normal jet Isotonic seawater > 6 y or adults:
If for cold or sinusitis  4-6 times/day
Sine up syrup 5 mg phenylephrine hydrochloride/5 ml 2-6 y : 2.5 cm/8 hrs Systemic decongestant not more than 5-7 days
2.5 mg chlorpheniramine maleate/5 ml 6-12 y: 5 cm/8 hrs not before 1 year, has anti-histaminic effect
> 12 y: 10 cm/8 hrs
Ivypront syrup Ivy leaves <1 y: 2.5 cm/12 hrs Cough suppressant
1-5 y: 2.5 cm/8 hrs For 7 days
6-10 y: 5 cm/8 hrs
> 10 y: 7.5 cm/8 hrs
Guava syrup Guava leaves > 3 y: 2.5-5 cm/8 hrs High doses may cause diarrhea (as it contains
sorbitol).
Not for diabetic patients.
Bronchicum elixir Primula and thyme > 4 y: 2.5-5 cm/8 hrs For cough, 5-7 days
syrup extract
Ambroxol/Mucopect 15 mg/5 ml Ambroxol <2 y: 2.5 cm/12 hrs For URTI
syrup hydrochloride 2-6 y: 2.5 cm/8 hrs (1 ml in drops form : 25 drops)
> 6 y: 5 cm/8-12 hrs
Ambroxol/Broncho 7.5 mg/ml <2 y: 1 ml/12 hrs
pro drops 2-6 y: 1 ml/8 hrs
> 6 y: 2 ml/8-12 hrs
Farcosolvin syrup 15 mg Ambroxol/5 ml 1-3 y: 2.5 cm/8 hrs
30 mg Guaifenesin/5 ml 3-12 y: 5 cm/8 hrs
50 mg Theophylline/5 ml > 12 y: 10 cm/8 hrs
Fenistil drops 1 mg/ml Dimetindene Once at night or divided/8hrs
(1 ml: 20 drops) maleate 2 m-2 y: 10 drops/day
2-3 y: 10-15 drops/day
4-12 y: 15-20 drops/day
Sinecod syrup 7.5 mg/5 ml Butamirate citrate 3-6 y: 5 cm/8 hrs Antitussive for dry, irritative cough
6-12 y: 10 cm/8 hrs Not before 3 years
> 12 y: 15 cm/8 hrs
Sinecod drops 5 mg/1 ml 2 m-1 y: 10 drops/6 hrs
(1 ml: 22 drops) 1-3 y: 15 drops/6 hrs
>3 y: 25 drops/6 hrs
Ultrasolv syrup Carbocysteine 125 mg/5 ml 2-5 y: 5 cm/8 hrs
Guaiphenesin 100mg/5 ml 6-12 y: 10 cm/8 hrs
Oxomemazine 2mg/5 ml >12 y: 15 cm/8 hrs
Bronchovent syrup 2 mg/5 ml Albuterol 2-6 y: 2.5-5 cm/8 hrs Not given < 2 y
Ventolin syrup Salbutamol 6-12 y: 5 cm/6-8 hrs
> 12y: 5-10 cm/6-8 hrs
Ventolin evohaler 100 mcg Salbutamol To relieve asthma: 1-2 puffs Maximum dose: 8 puffs/day
To prevent asthma: 1-2 puff 10-15 minutes Contain 200 puffs.
before exercise or exposure to a “trigger.” Better to use spacer with young children
For regular treatment: 2 puffs/6-8 hrs
Flixotide evohaler 50/125/250 mcg Fluticasone 50-100 mcg/12 hrs Corticosteroid
propionate (Use under supervision of ped. 50, 250 mcg contains 120 puffs
Pulmonologist) 125 mcg contains 60 puffs
Seretide evohaler 50: (25 + 50 mcg) Salmeterol/ 2 puffs (25/50)/12 hrs Note that all preparations contain fixed amount of
125: (25 + 125 mcg) fluticasone (Use under supervision of ped. salmeterol (25 mcg) while corticosteroids increase
250: (25 + 250 mcg) propionate Pulmonologist) with increase concentration.
Vapozol solution Benzoin tincture + camphor + peppermint ‫ سم ماء مغلي مع استنشاق البخار‬500 ‫ سم علي‬5 Mucolytic and Expectorant (for laryngitis and
oil + eucalyptus oil ‫ ساعات‬8/ bronchitis)
Clear air/kokast 4 mg Montelukast Asthma prophylaxis:
chewable tab 2-6 y: 1 tab/day at night
Clear air/asmakast 5 mg 6-15 y: 1 tab/day at night
chewable tab
Lelipel sachets 4 mg Asthma prophylaxis:
1-6 y: 1 sachet/day at night ‫كيس علي معلقة زبادي‬
‫ سم لبن مثال‬5 ‫او علي‬

Corticosteroids
Trade name Concentration Scientific name Doses Notes
Xilone/predsol syrup 5 mg/5 ml Prednisolone 1-2 mg/kg/day Used for asthma or nephrotic $ or ITP.
Xilone/predsol forte 15 mg/5 ml Once/day or divided/12 hrs in asthma.
syrup Divided/8 hrs in nephrotic $ and ITP.
Solupred tab 5,20 mg
Orazone syrup 0.5 mg/5 ml Dexamethasone Anti-inflammatory: I.V. or I.M., ‫ سم األول لو وريد‬8 ‫حله في‬
Dexamethasone amp 8 mg/2 ml 0.08-0.3 mg/kg/day divided/6 or 12 hrs
Croup:
0.6 mg/kg once (Max. 16 mg)
Meningitis:
0.6 mg/kg/day divided/6 hrs for 1st 2 days
Cerebral edema: Should start 15 minutes before 1st antibiotic dose
1-2 mg/kg once then 1-1.5 mg/kg/day or with it.
divided/4-6 hrs
Phenadone/dexaphene/ 0.5 mg dexamethasone/5 ml 2-6 y: 2.5 cm/12 hrs
apidone syrup 2 mg chlorpheniramine/5 ml 6-12 y: 2.5 cm/8 hrs
>12 y: 5 cm/8 hrs
Solu-cortef vial 100 mg/2 ml Hydrocortisone Inflammation: ‫ سم األول لو وريد‬10 ‫حله في‬
sodium succinate <12 y: 2.5-10 mg/kg/day divided/6-8 hrs
>12 y: 100-500 mg/dose every 2 or 4 or 6 hrs
Status asthmaticus:
1st day: 1-2 mg/kg/6 hrs (Max. 250 mg)
Maintenance: 2 mg/kg/day divided/6 hrs
Acute adrenal crisis:
1 m-1 y: 25 mg bolus then 50 mg/m2/day 1m-11y: Initially 2–4 mg/kg, then 2–4 mg/kg
(continuous I.V. or divided/6-8 hrs) Medscape every 6 hours BNF
1-12 y: 50-100 mg bolus then 50 mg/m2/day 12-17 y: 100 mg every 6–8 hours BNF
(continuous I.V. or divided/6-8 hrs) Medscape
Solumedrol 0.5 gm/8 ml Methylprednisolone Lupus nephritis: How many doses are decided by the consultant.
1 gm/16 ml 30 mg/kg/day every other day for 3-6 doses Doses < 250 mg can be given in about 15
(Max. 1 gm/day) minutes.
Nephrotic syndrome: Higher doses are given at least over 30 minutes.
30 mg/kg/day every day for 3-6 doses (Max. 1 Be careful with blood pressure.
gm/day) ‫ حسب الكمية عشان‬%5 ‫ سم جلوكوز‬100-50 ‫يفضل حله علي‬
Status asthmaticus: ‫الضغط‬
<12 y: 1-2 mg/kg/12 hrs (Max. 60 mg/day)

Gastro-Intestinal drugs
Trade name Concentration Scientific name Doses Notes
Zofran/Danset/Emerest 4 mg/2 ml Ondansetron Nausea or vomiting:
8 mg/4 ml 0.1 mg/kg/day (½ cm/10 kg/day)
Before chemotherapy:
0.15 mg/kg/8 hrs (1 cm/13 kg/8 hrs)
Ondalenz 4, 8 mg/film Ondansetron 4-12 y: 4 mg film/8 hrs ‫مربعات صغيرة تتحط تحت اللسان فتدوب و تشتغل‬
> 12 y: 8 mg film/12 hrs
Farcotilium/Motinorm 5 mg/5 ml Domperidone ¼-½ cm/kg/8 hrs
susp.
Granitryl 1 mg/1 ml Granisetron 40 mcg/kg/day (½ cm/10 kg/day)
Losec 40 mg/10 ml Omeprazole 1-2 mg/kg/day 24 ‫ سم ملح و يعطي علي مدار ساعه كل‬100-50 ‫يحل علي‬
‫ساعه‬
Antodine amp 20 mg/2 ml Famotidine 0.25-0.5 mg/kg/12 hrs Max. 40 mg/day
Tab 20 mg
Susp. 40 mg/5 ml
Nexium sachets 10 mg Esomeprazole Simple GERD: Expensive
Tab 20, 40 mg <1 y: 0.5 mg/kg/day
1-12 y: 10-20 mg/day
>12 y: 20-40 mg/day
Maalox plus Aluminum hydroxide 230 mg/5 ml < 5 y: 2.5-5 ml/8 hrs Side effects:
Mg hydroxide 200 mg/5 ml > 5 y: 5-10 ml/8 hrs Constipation and hypermagnesemia
Simethicone 25 mg/5 ml
Mucogel Aluminium hydroxide 220 mg/5 ml < 5 y: 2.5-5 ml/8 hrs Side effects:
Mg hydroxide 100 mg/5 ml > 5 y: 5-10 ml/8 hrs Constipation and hypermagnesemia
Oxethazine 10 mg/5 ml
Zinc origin/zincorhea 10 mg/5 ml Zinc <6 m: 2.5 cm/12 hrs 10-14 days
>6 m: 5 cm/12 hrs
Nitazode/ Antidiazox 100 mg/5 ml Nitazoxanide <1 y: 2.5 cm/12 hrs For 3 days
1-3 y: 5 cm/12 hrs
4-11 y: 10 cm/12 hrs
Kapect susp. Kaolin + pectin <1 y: 2.5 cm/8 hrs Kapect compound has sulpha added to it, so not
>1 y: 5 cm/6-8 hrs for favism patients
Smecta susp. Dioctahedral <2 y: 5 cm/8 hrs
smectite >2 y: 10 cm/8 hrs
Antinal susp. 220 mg/5 ml Nifuroxazide <4 y: 5 cm/8 hrs
>4 y: 10 cm/8 hrs
Lacteal forte sachets 10 billion LB/sachet Lactobacillus Sachet/12 hrs
Gast-reg/Tritone susp. 24 mg/5 ml Trimebutine 1 mg/kg/day divided/8 hrs GI tract motility regulator
Can be added to milk or water
Lactulose/Duphalac 3.3 gm/5 ml Lactulose 0.7-2 gm/kg/day (1-3 cm/kg/day) Not exceed 40 gm/day : 60 ml/day
syrup 65%
Picolax 0.75% drops 7.5 mg/ml: 0.3 Na picosulphate 10-15 drops/day  or  according to individual requirements
mg/drop
Glycerine infantile 736 mg Glycerine 2-6 y: 1-1.7 gm/day If passed out before 15 minutes, it is not
supp. > 6 y: 2-8 gm/day effective.
Simethicone/baby rest 20 mg/0.3 ml Simethicone < 2 y: 20 mg/6 hrs Anti-flatulent, anti-spasmodic
drops/emulsion 40 mg/0.6 ml 2-12 y: 40 mg/6 hrs
> 12 y: 40-360 mg/6 hrs
Dentinox drops Activated 2.5 cm/4-6 hrs
dimethicone
Maxilase 200 units/ml Alpha-amylase <3 y: 5 cm/8 hrs
>3 y: 10 cm/8 hrs
Hepaticum 10 mg/1 ml susp. Silymarin 5-10 mg/kg/day divided/8 hrs
140 mg caps (5-10 cm/8 hrs according to severity)
Ursogall 250 mg/5 ml susp. Ursodeoxycholic 5-10 mg/kg/8 hrs Start low dose first
300 mg caps acid
Ursofalk 250 mg caps
Hepa-merz 5 gm/10 ml amp L ornithine-L Half adult dose: 2.5 gm/hrs/6 hrs (5 cm/6 hrs) Off-table use in children
aspartate Added on 250 cm infusion

Anti-Parasitic
Bendax / Alzental 100 mg/5 ml susp
200 mg/ tab Ascariasis & Ankylostoma: 400 mg once
Albendazole
Albendazole 200 mg/5 ml susp Entrobius: 400 mg once/week for 2 weeks
400 mg/ tab
Vermin / Antiver 100 mg/5 ml susp Mebendazole Ascariasis & Ankylostoma: 100 mg/12 hr/3 days May repeat after 3 wks if no improvement
100 mg/ tab Entrobius: 100 mg once Morning bathing removes a large portion of eggs
Frequent changing of underclothes and bedsheets
Good hand hygiene is a must
Treat all family members
Praziquantel 600 mg/5 ml susp Praziquantel Schistosomiasis: 20 mg/kg/8 hrs
600 mg tab

Cardiac drugs
Trade name Concentration Scientific name Doses Notes
Lasix I.V. 20 mg/2 cm Furosemide 1-2 mg/kg/dose ‫كجم‬/‫شرطتين‬-‫ شرطه‬Up to every 8 hrs (max.6 mg/kg)
Furosemide I.V. 40 mg/4 cm
Genesemide syrup 20 mg/5 ml Max. 10 ml/day
Capoten tab 25 mg Captopril 0.5-6 mg/kg/day Divide every 6-12 hrs
Aldactone tab 25, 100 mg Spironolactone 1-3.3 mg/kg/day Given once or divided/12 hrs
Lanoxin pediatric elixir 50 mcg/1 ml Digitalis 1-24 m: < 10 y:
5-7.5 mcg/kg/12 hrs ‫ ساعة‬12/‫كجم‬/‫شرطة‬
2-5 y: )‫ مايك‬5 : ‫(الشرطة‬
3.5-5 mcg/kg/12 hrs
5-10 y:
2.5-5 mcg/kg/12 hrs
We use maintenance dose, no loading dose any
> 10 y:
more
1-1.5 mcg/kg/12 hrs
Lanoxin tab 250 mcg Same as above
Lanoxin amp 500 mcg/2 ml 1-24 m: 3.5-6 mcg/kg/12 hrs
2-5 y: 3-4.5 mcg/kg/12 hrs
5-10 y: 2-4 mcg/kg/12 hrs
> 10 y: 1-1.5 mcg/kg/12 hrs
Inderal I.V. 1 mg/1 ml Propranolol Arrhythmia: 0.01-0.1 mg/kg over 10 min
(max. 1 mg infant, 3 mg child)
Hypercyanotic spell: 0.01-0.2 mg/kg over 10
min (max. 5 mg)
Inderal tab 10, 40 mg Hypertension: 0.5-4 mg/kg/day Up to every 6-12 hrs
Arrhythmia: 0.5-6 mg/kg/day (max. 60 mg/day) Start low dose and increase gradually
Hypercyanotic spell: 1-10 mg/kg/day Start low dose and increase gradually
Pethidine 50 mg/1 ml Pethidine 1-1.5 mg/kg/dose  ‫المرة‬/‫كجم‬/‫شرطة‬ ‫ مجم و الشرطة‬10 ‫ سم عشان المل يبقي فيه‬5 ‫يتحل األول في‬
(max. 100 mg/dose or 600 mg/day) ‫ مجم‬1 ‫تساوي‬
Dopamine Infusion 200 mg/5 ml Dopamine 5-20 mic/kg/min 5 ‫ في‬24 ‫ في‬60 ‫ الوزن في التركيز في‬:‫بنحسب الجرعه بالمعادله‬
‫ سم‬1 ‫ سم و ندي‬24 ‫ و نكمل الكميه لحد‬200000 ‫ونقسم علي‬
‫بالساعه بالسرنجه االلكترونيه‬
Dobutamine Infusion 250 mg/5 ml Dobutamine 5-20 mic/kg/min ‫ (في‬24 ‫ في‬60 ‫ الوزن في التركيز في‬:‫بنحسب الجرعه بالمعادله‬
250 mg/20 ml ‫ و نكمل‬250000 ‫ حسب نوع االمبول) ونقسم علي‬20 ‫ او في‬5
‫ سم بالساعه بالسرنجه االلكترونيه‬1 ‫ سم و ندي‬24 ‫الكميه لحد‬
Alfaprostin 500 mcg/1 ml Alprostadil Loading: 0.05-0.1 mcg/kg/min For neonates to maintain PDA
Maintenance: 0.01-0.4 mcg/kg/min Wt X dose X 60 X 24 X 25
Dilute in 25 cm then
500
Cordarone tab 200 mg Amiodarone For treatment of SVT:
Amiodarone I.V. 150 mg/3 ml I.V.:
<1 m:
Loading: 5 mg/kg over 30-60 min
Maintenance: 5 mg/kg over 30 min/12-24 hrs
1 m-11 y:
Loading: 5-10 mg/kg over 1 hr
Maintenance: 0.3-1.5 mg/kg/hr continuous
infusion (max. 1.2 gm/day)
Oral:
5-10 mg/kg/12 hrs for 7-10 days
Then 5-10 mg/kg/day

Anti-convulsant
Trade name Concentration Scientific name Doses Notes
Dormicum/Midathetic 5 mg/1 ml Midazolam Sedation:
< 6 m: 50 mcg/kg over 2 ‫ سم ملح ويعطي نص‬5 ‫يكمل ل‬
min ‫شرطة لكل كجم‬
6 m-6 y: 50-600 mcg/kg
over 2 min ‫ شرط لكل‬6 ‫كجم لحد‬/‫من نص شرطة‬
(max. 6 mg/dose) ‫كجم‬
6-12 y: 50-400 mcg/kg
over 2 min ‫ شرط لكل‬4 ‫كجم لحد‬/‫من نص شرطة‬
(max. 10 mg/dose) ‫كجم‬
Anesthesia (non-neonatal):
Loading: 50-150 mcg/kg
over 2 min till achieve
‫من نص شرطة لشرطة ونص لكل‬
effect
‫كجم‬
Maintenance: 1-2
mcg/kg/min i.v. Wt x Dose x 24 x 60
continuous infusion 5000
Epanutin i.v. 250 mg/5 ml Phenytoin Loading: 15-20 mg/kg Must be diluted in at least 25 ml N.S.
Maintenance: 2-4 mg/kg/12 hrs (not given in glucose)
Ipanten syrup 30 mg/5 ml 2-4 mg/kg/12 hrs Based on what the patient is
Ipanten caps 50, 100 mg controlled on.
Neuril (valium) 10 mg/2 ml Diazepam 6 m-5 y: 0.2-0.5 mg/kg/dose Not diluted in any solution
(may repeat/2-5 min max. 5 mg in the 4 hours)
> 5y: 1 mg/2-5 min (max. 10 mg in the 4 hours)
Sominaletta i.v. 40 mg/1 ml Phenobarbitone Seizures:
Neonatal: 1.5-2.5 mg/kg/12 hrs
Post-neonatal: Same as Epanutin
Sominaletta elixir 15 mg/5 ml Hyperbilirubinemia: 5 mg/kg/day or 2.5 mg/kg/12 hrs
Depakine oral solution 200 mg/1 ml Sodium valproate 10-60 mg/kg/day Follow up hepatic functions, better
Convulex oral drops 300 mg/1 ml avoid if suspected metabolic cause of
convulsions
Tiratam i.v. 500 mg/5 ml Levetiracetam 1-6 m: 7.5-20 mg/kg/12 hrs
Tiratam/Keppra/Seizur 100 mg/1 ml 6 m-4 y: 10-25 mg/kg/12 hrs
eless oral solution 4 y-16 y: 10-30 mg/kg/12 hrs
Tiratam/Keppra tab 500, 1000 mg
Tegretol 2% syrup 100 mg/5 ml Carbamazepine <6 y: 2.5-5 mg/kg/6 hrs /6 hrs if immediate release
6-12 y: 50 mg/6 hrs /12 hrs if extended release
Tegretol tab 200 mg <6 y: 5-15 mg/kg/12 hrs
6-12 y: 100-400 mg/12 hrs
Rivotril oral drops 2.5 mg/1 ml Clonazepam <10 y: 0.01-0.2 mg/kg/day divided/8 hrs Start with low dose and increase /3
(0.1/drop) >10 y: 1.5-20 mg/day divided/8 hrs days till control
Amotril/Apetryl tab 0.5, 2 mg
Eslizepine tab 400, 800 mg Eslicarbazepine acetate 11-21 kg: 200-400 mg/day Increase gradually
22-38 kg: 300-600 mg/day Not given with oxcarbazepine
>38 kg: 400-800 mg/day May need to increase dose if given
with enzyme inducers (tegretol,
Epanutin, Sominaletta)
Oxaleptal/Trileptal oral 60 mg/1 ml Oxcarbazepine 4-5 mg/kg/12 hrs (max. 600 mg/day) If need > 600 mg/day, revise the dose
susp. according to weight
Oxaleptal/Trileptal tab 300, 600 mg
Andovimpamide tab 50, 100, 150, 200 Lacosamide 11-29 kg: 1-6 mg/kg/12 hrs Start with low dose and increase/week
mg 30-49 kg: 1-4 mg/kg/12 hrs till max. if not controlled
>50 kg: 50-200 mg/12 hrs
Lamictal tab 25, 50, 100 mg Lamotrigine Revise according to antiepileptic being replaced.
Sabril tab 500 mg Vigabatrin Infantile spasm: 1 m-2 y: 25-75 mg/kg/12 hrs Start with low dose and increase/3
Partial seizures: days till maximum if not controlled
10-15 kg: 175-525 mg/12 hrs Dissolve 500 mg tab into 10 ml water
16-20 kg: 225-650 mg/12 hrs and give according to dose after.Can
21-25 kg: 250-750 mg/12 hrs cause vision loss, so vision assessment
26-60 kg: 250-1000 mg/12 hrs at baseline and every 3 months
Topamax tab 25, 100 mg Topiramate 2-10 y:
12-22 kg: Start with 25 mg at night and increase to 150-
250 mg/day
23-31 kg: Start with 25 mg at night and increase to 200-
300 mg/day
32-38 kg: Start with 25 mg at night and increase to 250-
350 mg/day
>10 y:
Start with 25 mg/12 hrs and increase to 200 mg/12 hrs
Synacthen depot 1 mg/1 ml ACTH 3-5 y: 0.25-0.5 mg/48 hrs Given I.M. only
> 5y: 0.25-1 mg/48 hrs
 Vitamins
Trade name Concentration Scientific name Doses Notes
Vidrop oral 2800 I.U./1 ml Cholecalciferol Prophylactic dose: 4 drops/day 1 drop: 100 IU
drops (1 ml: 28 drops) (inactive vitamin D) 400 IU
Devarol-S amp 200,000 I.U./2 ml Treatment of vitamin D deficiency: Only I.M.
2 cm once, repeat after 1-6 months Take care as hypocalcemia and tetany may
occur with shock therapy in a case of rickets.
One alpha/Bone 0.25 mcg (white) Alfacalcidol < 20 Kg: start with 0.05 mcg/kg (max. 1 mcg/day)
care caps 0.5 mcg (red) (Synthetic Active vit > 20 kg: start with 1 mcg/day (max. 3 mcg/day)
1 mcg (brown) D analogue)
One 2 mcg/1 ml
alpha/alfacareno
oral drops
One alpha amp 2 mcg /1 ml
Konakion amp 10 mg/1 ml Vitamin K Prophylaxis for hemorrhagic disease of newborn: ‫ سم ملح او جلوكوز وتعطي الجرعه‬10 ‫ مل في‬1 ‫يحل ال‬
0.5-1 mg I.M. May be repeated after 4-6 hrs if INR not
Treatment: 5 mg/dose (10 mg in adults) improved by then.
K-viton tab 10 mg
A-viton caps 50,000 I.U. Vitamin A in complete biliary obstruction: 50,000/month ‫كبسوالت دهبي مدورة‬
Vitamin A deficiency:
1-11 m: 5000-15,000 unit/day Given for 10 days
1-17 y: 10,000-35,000 unit/day
E-viton caps 100 mg Vitamin E Vitamin E deficiency: ‫كبسوالت حمراء مدورة‬
1 m-18 y: 2-10 mg/kg/day, up to 20 mg/kg.
in cystic fibrosis:
1 m-1 y: 50 mg once daily
1-12 y: 100 mg once daily
In cholestasis and liver affection:
Neonate: 10 mg/kg/day
1 m-11 y: 100 mg/day up to 200 mg/kg/day
12-17 y: 200 mg/day up to 200 mg/kg/day
Hydroferrin ‫قطاره‬ 50 mg/1 ml Iron polymaltose Treatment: 1 m-1 y: ¼-½ ml/day
complex 3-6 mg/kg/day 2-6 y: ½-1 ml/day
(Divided/12 hrs) 7-12 y: 1-2 ml/day
Hemojet/Ferose 50 mg/5 ml Ferric hydroxide 1 m-1 y: 2.5-5 cm/day During or after meals.
syrup polymaltose Prophylaxis: 2-12 y: 5-10 cm/day Once or divided/12 hrs
1-2 mg/kg/day
(Divided/8 hrs)
Sperience 100 mg lactoferrin + zinc, iron, ca, vit C, vit B1, B6,
sachets B12, 150 mcg Folic acid
<1 y: ½ sachet/day
Pravotin sachets 100 mg lactoferrin only ‫يمكن ذوبانه في الماء او اللبن‬
1-3 y: 1 sachet/day
Ferrotron 10 mg iron + 5 mg zinc + 0.6 mg B1,2,6 + 1.2 mcg ‫يعطي ساعه قبل الطعام‬
>3 y: 1 sachet/12 hrs
sachets B12 + 200 mcg Folic acid + Biotin 12 mcg + 30 mg
Vit C + 0.44 mg copper
Decal B12 syrup 50 mg Ca/5 ml 6 m-1 y: 2.5 cm/day Once daily
1000 U vit D3/5 ml > 1y: 5 cm/day
10 mcg B12/5 ml
Hical syrup 78 mg Elemental ca/5 ml Mild hypocalcemia: <3 y: 5-10 cm/8-24 hrs
45-65 mg elemental >3 y: 15 cm/8-24 hrs
Hical forte syrup 115 mg Elemental ca/5 ml calcium/kg/day <3 y: 5-15 cm/day
divided/6-8 hrs >3 y: 15-30 cm/day
Maxical-D syrup 150 mg elemental Ca + 50 mg elemental Mg + 4-12 y: 5 cm/12 hrs
100 I.U. Vit D3/5 ml
Alvital syrup 1200 IU Vit A + 100 IU Vit D + 1 mg Vit E + 50 mg
Vit C+ 1 mg B1,2+ 0.5 mg B6 + 2 mg Ca
pantothenate + 5 mg Ca glubionate / 5 ml
1-5 y: 10 -15 cm/day
Pharovit syrup 1000 IU Vit A+ 100 IU Vit D + 1.2 mg Vit E+ 5 mg Divide/ 8 hrs
> 5 y: 15-20 ml/day
Vit C+ 1.2 mg B1,2+ 0.75 mg B6+ 4 mg
Nicotinamide + 2.5 mg Ca pantothenate + 7.5 mg
Ca glubionate + 5 mg ferrous gluconate/ 5 ml
Bebe-vit drops 1500 IU Vit A+ 400 IU Vit D + 5 mg Vit E+ 40 mg 1 ml/day
Vit C+ 0.6 mg B1,2,6+ 8 mg Nicotinamide/ 1 ml
L-carnitine ‫قطاره‬ 300 mg/1 ml L-carnitine 50-100 mg/kg/day (max. 3 gm/day) Divide/8-12 hrs
L-carnitine amp 200 mg/1 ml

Miscellaneous
Trade name Concentration Scientific name Doses Notes
Baclofen tab 10, 25 mg Baclofen 1 m-7 y: 0.3-2 mg/kg/day (max. 40 mg/day) Ms relaxant, divided/6-12 hrs
8-17 y: 0.3-2 mg/kg/day (max. 60 mg/day) Start with low dose and  gradually every week
till target response
Not stopped abruptly, but withdrawn gradually
over 1-2 weeks.
Dicynone 250 mg/2 ml Ethamsylate 125-250 mg/4-6 hrs over 10 minutes I.M. or I.V.
Ampoule (1-2 cm/4-6 hrs) ‫ و يعطي علي مدار عشرة دقائق‬%0.9 ‫ سم ملح‬50-25 ‫يحل علي‬
An ampoule may be put on a swap and put locally
on site of bleeding
Dicynone 250, 500 mg tab 250 mg/8-12 hrs in children
500 mg/8-12 hrs in adults
Kapron 100 mg/1 ml Tranexamic acid To inhibit fibrinolysis: Not I.M., only slowly I.V.
10 mg/kg/8-12 hrs (max. 1 gm/dose) over 10 Diluted in G 5% or saline 0.9%
minutes. Avoid in hematuria
‫ ساعه‬12-8/‫شرطة لكل كجم‬
Kapron 500 mg tab To inhibit fibrinolysis:
15-25 mg/kg/8-12 hrs (max. 1.5 gm/dose).
Immuguard sachets Bovine colostrum + 6 m-2 y: 1 sachet/day for 2 weeks On empty stomach, 30 minutes before feeds
vitamins and 2-6 y: 2 sachets/day for 2 weeks Add 25 or 50 ml water (boiled or previously
minerals boiled) to the sachet and mix well
Gelose/agaro/Rony 2 gm/sachet Agar 600 mg/kg/day= (Sachet + 10-15 cm of
agar sachets previously boiled water /day)
Albumin 20% 1 gm/5 ml Albumin 1 gm/kg/dose over 1-2 hrs May repeat/8 hrs
(20 gm in 100 ml) (5 ml/kg/dose)
Liv Gamma 2.5 gm/50 ml I.V.I.G. 400 mg/kg/day/5 day care for hypersensitivity and hypotension
1 gm/kg/day/2 days given by syringe pump over 6-8 hrs
2 gm/kg/day/once

Blood products
Product Dose Notes
Packed RBCs 10-15 ml/kg ‫كجم) الزكس‬/‫(شرطه‬..... ‫كرات دم حمراء طازجه من نفس الفصيله بعد عمل التوافق الالزم و يتبع ب‬.... ‫يتم إعطاء‬
(max. 5 mL/kg/hrs) )‫ مل للكميه المحسوبه عشان خراطيم نقل الدم‬20 ‫(ال تنسي اضافه‬
Each 5 ml/kg Packed RBCs should  Hb by 1 gm/dl
Maximum of 4 hrs after release from blood bank
Plasma 10-20 ml/kg ‫كجم) الزكس‬/‫(شرطه‬..... ‫بالزما طازجه من نفس الفصيله بعد عمل التوافق الالزم و يتبع ب‬... ‫يتم إعطاء‬
)‫ مل للكميه المحسوبه عشان خراطيم نقل البالزما‬20 ‫(ال تنسي اضافه‬
Increase coagulation factors by 15-20%
Maximum of 4 hrs after release from blood bank
Cryoprecipitate 1 unit/5 kg Provide 1st and last factors (1 and 13) + factor 8 and VWF
Maybe given/8-12 hr
Platelets 1 unit/5 kg ‫وحدات صفايح دمويه طازجه‬.....‫يتم إعطاء‬

Electrolytes and base balance

NaCl 0.9% Hypernatremia: 10 ml NaCl 0.9% : 90 mg NaCl : 1.5 mmol Na : 1.5 mEq Na
(0.9 gm in 100 ml) Start with 130% maintenance of 1:1 (NaCl 0.9% : G 5%) over 24 hours 
revise text for further instructions
NaCl 3% Hyponatremia: 10 ml NaCl 3% : 300 mg NaCl : 5 mmol Na: 5 mEq Na
(3 gm in 100 ml) (125-measured Na) × 0.6 × weight in kg : …mEq Na to be given
Cerebral edema:
5 mL/kg over 30 minutes
Ca gluconate 10% Severe hypocalcemia: 100 mg Ca gluconate : 9.3 elemental Ca
(10 gm in 100 ml) 200-500 mg/kg/day Divided/6 hrs
100 mg/1 cm Hypocalcemic tetany:
Ca gluconate 5% 100-200 mg/kg over 10 minutes (repeat after 6 hrs if needed or start Ca I.V. is given diluted in 3 times its amount from G 5% or NaCl over
(5 gm in 100 ml) continuous infusion with maximum 500 mg/kg/day) ½ hrs – 1 hrs (no more than 2 cm/min)
50 mg/1 cm
Mg sulphate 10% Hypomagnesemia: In hypomagnesemia, I.V. is diluted in NaCl 0.9% (10 cm/kg) over 2
(10 gm in 100 ml) I.V.: 25-500 mg/kg/6-8 hrs hours
100 mg/1 cm Oral: 100-200 mg MgSo4/kg/6 hrs
Bronchospasm: 100 mg MgSo4 : 10 mg elemental Mg
25-50 mg/kg I.V. over 10-20 minutes
Glucose 10% < 6 m: 0.25-0.5 gm/kg/dose (2.5-5 cm/kg/dose) Maximum bolus dose: 25 gm (250 cm)
(10 gm in 100 ml) > 6 m: 0.5-1 gm/kg/dose (5-10 cm/kg/dose)
Potassium I.V. If severe hypokalemia: 0.25-0.5 cm/kg + 50 times 1 cm KCl 15% : 150 mg KCl : 2 mEq K : 2 mmol K
KCl 15% 0.5-1 mEq/kg/dose (max. 40 mEq/dose) its volume saline or G 5%
(15 gm/100 cm) over 2-3 hrs Re-evaluate level after 2 hours from end of infusion
Potassium M syrup If mild or moderate hypokalemia: 5 cm/8 hrs maximum
165 mg KCl/5 ml 2-5 mEq/kg/day
22 mEq KCl/5 ml
Glycophos If Ph level < 0.5: 0.5 mmol/kg over 4 hrs Contains sodium, so if there is hypernatremia, try to use potassium
1 mmol/1 ml If Ph level 0.5-1: 0.25 mmol/kg over 4 hrs phosphate not the usual sodium phosphate.
Prevention of hypo Ph: 0.5-2 mmol/kg/day
NaHCo3 8.4% 1-2 mEq/kg over 2 hrs 84 mg NaHCo3 : 1 mEq : 1 ml : 1 mmol
(8.4 gm in 100 ml) In peripheral lines: dilute in 10 times its volume G5 or 10% (may use
1 mEq/1 ml saline 0.9% but fear of hypernatremia)
In central lines: dilute in 5 times its volume G5 or 10%
Mannitol 10% Cerebral edema:
(10 gm/100 ml) Initial: 0.25-1 gm/kg over 30-60 min
0.5 gm/5 ml Maintenance: 0.25-0.5 gm/kg/4-6 hrs, each dose over 30-60 min.
Mannitol 20% Papilledema:
(20 gm/100 ml) 1.5-2 gm/kg of 20% mannitol single dose over 30-60 min
1 gm/5 ml