Pain (Pediatric)

Brand/Generic Names Usual Dose with OTC age/ dosing limitations Common Side Effects Drug Interactions
Tylenol
(Acetaminophen)
Infants Tylenol 160 mg/5mL 6 months- 23 months
Weight (Lbs) Age (Yr) Dose (mL)
Under 24 <2 Ask a doctor
24-35 2-3 5
Repeat dose Q4Hr up to 5 doses/day

Childrens acetaminophen 160 mg/5mL 2-11 Years
Weight (Lbs) Age (Yr) Dose (mL)
Under 24 <2 Ask a doctor
24-35 2-3 5
36-47 4-5 7.5
48-59 6-8 10
60-71 9-10 12.5
72-95 11 15
Infants and Children <12 years: every 4-6 hours as needed, NTE: 5 doses in 24 hours

Acetaminophen extra strength 500 mg 12 years
Take 2 caps every 6 hours while symptoms last. NTE:6 caps/ 24 hours unless directed by doctor
May cause severe
hepatotoxicity on
acute overdose
Skin rash, decreased
bicarbonate, anemia
pimoxide
Advil
(Ibuprofen)
Infants Ibuprofen 50 mg/1.25mL 6 months- 23 months
Weight (Lbs) Age (Mo) Dose (mL)
Under 6 Month Ask a doctor
12-17 6-11 1.25
18-23 12-23 1.875
Repeat dose Q6-8Hr up to 4 doses/day

Childrens Ibuprofen 100 mg/5mL 2-11 Years
Weight (Lbs) Age (Yr) Dose (mL)
Under 2 years Ask a doctor
24-35 2-3 5
36-47 4-5 7.5
48-59 6-8 10
60-71 9-10 12.5
72-95 11 15
Children <12 years: every 6-8 hours as needed, NTE: 4 doses in 24 hours

Ibuprofen 200 mg 12 years
Take 2 caplets every 6 hours while symptoms last. NTE:6 caplets/ 24 hours unless
directed by doctor
Serious GI toxicity
(e.g., bleeding,
ulceration,
perforation) can
occur with or without
warning symptoms
Celecoxib,
etoricoxib,
floctafenine,
ketorolac,
omacetaxine,
urokinase
Allergy (Pediatric)
Brand/Generic Names Usual Dose with OTC age/ dosing limitations Common Side Effects Drug Interactions
Claritin
(loratidine)
Childrens Claritin 5mg 2 years
Age (Yr) Dose
<2 Ask a doctor
2-5 1 tab daily
6 2 tabs daily
HA, comulence,
nervousness, fatigue, rash
Aclidinium,
azelastine (nasal),
ipratropium (oral
inhalation),
orphenadrine,
paraldehyde,
KCl, thalidomide,
tiotropium,
umeclidinium
Allegra
(fexofenadine)
Childrens Allegra Allergy 30 mg 6 years
Age (Yr) Dose
<6 Do Not Use
6-12 1 tab every 12 hours. DNE 2 tab/day
12 2 tab every 12 hours. DNE 4 tab/day
Take on an empty stomach
HA, vomiting
Zyrtec
(cetirizine)
Childrens Zyrtec 10 mg 6 years
Age (Yr) Dose
<6 Ask a Doctor
6 1 tab every day
DNE 1 tab/day
Drowziness, HA
Benadryl
(Diphenhydramine)
Childrens Allergy Relief 12.5/ 5mL 2 years
Age (Yr) Dose
<2 Do Not Use
2-5 As Directed by Doctor
6-11 5-10 mL
HA, chills, blurred vision,
nasal stuffiness
Cough (Pediatric)
Brand/Generic
names
Usual Dose with OTC age/ dosing limitations Common Side Effects Drug Interactions

Mucinex
(Dextromethorphan/
Guaifenesin)


Childrens Mucinex 5/100 mg 4 years
Age (Yr) Dose
<4 Do Not Use
4-6 1 packet every 4 hours
6-12 1-2 packets every four hours
>12 2-4 packets every 4 hours
Emesis may result from
doses larger than those
required for expectorant
action
Isocaboxazid,
linezolid,
methylene blue,
moclobemide,
phenelzine,
procarbazine,
rasagiline,
selegiline, syrian
rue, tedizolid,
tranylcypromine
Cough DM
(Dextromethorphan)


Age (Yr) Dose
<4 Do Not Use
4-6 2.5 mL
6-12 5 mL
>12 10 mL
Suspension30 mg/5 mL
Confusion, excitement,
irritability, nervousness,
serotonin syndrome
Ricola Ricola Herb Throat Drops 6 years
Age (Yr) Dose
<6 Ask a Doctor
6 Dissolve 2 drops slowly in mouth
every 2 hours as needed
Throat irritation
baby cough syrup
(agave nectar)
Zarbees naturals 2 month
Age (Mo) Dose
<2 Consult your doctor
2-5 3 mL
6-11 4 mL
12 5 mL

Honey 1 year
Age (Yr) Dose
<1 Consult your doctor
(botulinum toxin risk)
1 spoonful
allergic None well
documented
Diarrhea (Pediatric)
Brand/Generic
Names
Usual Dose with OTC age/ dosing limitations Common Side Efects Drug Interactions
Imodium
(Loperamide)



Anti-Diarrheal 2 mg 6 years
Weight
(Lbs)
Age
(Yr)
Dose
Under 47 <6 Ask A Doctor
48-59 6-8 1 cap after 1
st
loose stool; after each subsequent
loose stool. No more than 2 caplets in 24 hours
60-95 9-11 1 cap after 1
st
loose stool; after each subsequent
loose stool. No more than 3 caplets in 24 hours
12 1 cap after 1
st
loose stool; after each subsequent
loose stool. No more than 4 caplets in 24 hours
Drink plenty of clear fluid to prevent dehydration. Also available as liquid.
Abdominal
pain/distention/discomfort,
constipation, drowsiness,
dizziness, fatigue, dry
mouth, nausea, vomiting,
epigastric pain
Monitor therapy
with some
medications, but
no significant
interactions.
Nausea (Pediatric)
Brand/Generic Names Usual Dose with OTC age/ dosing limitations
Common Side Effects

Drug Interactions
Anti-Nausea Liquid
(Dextrose, Levulose,
Phosphoric Acid)
Anti-Nausea Liquid 2 years
Age (Yr) Dose
2-11 One or two teaspoons
12 One or two tablespoons
Not for diabetic patients
(increase in blood sugar)
no significant
interactions

Constipation (Pediatric)
Brand/Generic
Names
Usual Dose with OTC age/ dosing limitations
Common Side Effects

Drug Interactions
Magnesium
Citrate (saline
laxative
Magnesium Citrate Oral Solution 2 years
Age (Yr) Dose
<2 Ask a Doctor
2-6 2-3 fl Oz max 3/ 24 hour
6-11 3-7 fl Oz max 7/ 24 hour
12 6.5-10 fl Oz max 10/ 24 hour
Abdominal pain, diarrhea,
gas formation, nausea,
vomiting
Calcium
polustyrene
sulfonate,
raltegravir,
sodium
polystyrene
sulfonate
Castor Oil Castor Oil stimulant Laxative 2 years
Age (Yr) Dose
<2 Ask a Doctor
2-12 1-3 teaspoons once a day
12 1-4 Tablespoons once a day

Hypotension, dizziness,
electrolyte disturbance,
abdominal cramps,
diarrhea, nausea, pelvic
congestion
no significant
interactions
Milk of
Magnesia
Milk of Magnesia saline Laxative 6 years
Age (Yr) Dose
<2 Ask a Doctor
6-11 1-2 Tablespoons once a day
12 2-4 Tablespoons once a day
Drink a full glass of liquid with each dose
Calcium
polustyrene
sulfonate,
raltegravir,
sodium
polystyrene
sulfonate, quinine
Pedia Lax
Enema
Pedia Lax enema saline laxative 2 years
Age (Yr) Dose
<2 Do not use
2-5 bottle per day
6-11 1 bottle per day
Hypersensitivity, Pruritus,
Dehydration, Metabolic
acidosis, Nausea,
Abdominal pain,
Abdominal distension,
Gastrointestinal pain
Sodium acid
phosphate
Stool Softener
(docusate
sodium)
Stool Softener Soft Gels 100 mg 2 years
Age (Yr) Dose
<2 Ask a Doctor
2-12 1 softgel daily
12 1-3 softgels daily

Intestinal obstruction,
diarrhea, abdominal
cramping, throat irritation
Mineral Oil
References: UpToDate (2014). Retrieved Sep 12, 2014 from http://www.uptodate.com/contents/
DailyMed (2014). Retrieved Sep 12, 2014 from http://dailymed.nlm.nih.gov/dailymed/