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About

Administering liquid antibiotics to children creates a "math anxiety" moment for many parents and caregivers. The process involves converting a weight-based medical order (e.g., 40 mg/kg/day) into a volumetric measurement (mL), determined by the concentration of the suspension provided by the pharmacy (e.g., 250mg/5mL). Errors here are common and result in under-dosing.

Furthermore, standard bottle sizes (100mL, 200mL) often do not align perfectly with the prescribed course duration (e.g., 10 days). This tool solves both problems: it calculates the precise mL per dose based on weight and severity, and then checks if the dispensed bottle volume is sufficient to complete the full course of treatment, alerting parents if a refill will be needed mid-course.

pediatrics liquid meds antibiotic suspension dosage calc parenting tools

Formulas

Volume Calculation:

Voldose = Weight × RatedailyConcmg/mL × Freqdaily

Supply Check:

Dayssupply = VolbottleVoldose × Freqdaily

If Dayssupply < Dayscourse, the supply is insufficient.

Reference Data

AntibioticConcentrationMild DoseSevere Dose
Amoxicillin250 mg / 5 mL25 mg/kg45 mg/kg
Amox-Clav (Augmentin)400 mg / 5 mL25 mg/kg45 mg/kg
Cephalexin250 mg / 5 mL25 mg/kg50 mg/kg
Azithromycin200 mg / 5 mL10 mg/kg12 mg/kg
Cefdinir125 mg / 5 mL14 mg/kg14 mg/kg

Frequently Asked Questions

Concentration (e.g., 250mg/5mL) tells you how much medicine is in every teaspoon (5mL). You must select the exact match from your bottle label, or the calculation will be wrong.
Certain bacteria (like resistant Streptococcus pneumoniae in ear infections) require higher concentrations of antibiotics to be killed. A "high-dose" regimen is often prescribed for recurrent ear infections.
Yes, critical. Suspensions settle over time. If you don't shake it, the first few doses will be too weak (mostly water) and the last few doses will be dangerously strong (sediment).