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Pediatric Weight-Based Drug Dose Calculator (mg ⁄ kg)

Enter the child's weight, the prescribed mg / kg value (choose per-dose or per-day mode), doses per day and the adult maximum total daily dose. The tool returns the per-dose amount, total daily amount and compares against the adult cap — exceeding it raises an amber warning recommending either capping at the adult max or consulting a pharmacist. The foundational paediatric prescription framework used worldwide.

Per-dose amount

mg

Total daily amount

mg

The tool only computes mg / kg × weight. Final dose, frequency and adult cap must be confirmed by a clinician / pharmacist against a paediatric reference (BNF for Children, Lexicomp, AAP Red Book).

Formula

Per-dose mode: per_dose_mg = weight_kg × mgPerKgPerDose; daily_mg = per_dose_mg × dosesPerDay. Per-day mode: daily_mg = weight_kg × mgPerKgPerDay; per_dose_mg = daily_mg / dosesPerDay.

Frequently asked

What's the difference between "mg / kg / dose" and "mg / kg / day"?

Both are standard paediatric notations but mean very different things. (1) mg / kg / dose ("per-dose") is the amount in each single administration — e.g. paracetamol 15 mg / kg / dose q6h: a 20 kg child gets 300 mg per dose, four times a day = 1200 mg total. (2) mg / kg / day ("per-day") is the total daily amount divided across doses — e.g. amoxicillin 50 mg / kg / day ÷ 3: a 25 kg child gets 1250 mg total, ~ 417 mg per dose. Always read the prescription label carefully — confusing the two can result in dosing 3 – 4× the intended amount. The tool supports both modes via the "Prescription mode" dropdown.

Why does the calculated dose sometimes exceed the adult maximum?

When a child's weight is close to or exceeds adult weight, the linear mg / kg formula will project past the adult cap. mg / kg implicitly assumes linear scaling, but the adult cap is an absolute ceiling driven by hepatic / renal handling capacity, toxicity data and commercial-formulation limits. Example: a 12-year-old, 60 kg adolescent on paracetamol 15 mg / kg / dose q4h × 6 = 5400 mg / day — over the 4000 mg / day adult cap. At that point you must dose at the adult max instead (e.g. 4000 / 6 ≈ 667 mg per dose, or fewer doses). The tool surfaces an amber warning and shows the "capped" per-dose figure for direct reference — the prescriber retains clinical judgement but the comparison is done up front.

Can I use this for neonates or pre-term infants?

No. Neonates (< 28 days) and pre-term infants metabolise drugs very differently — hepatic enzymes are immature, glomerular filtration is reduced, body-fat composition is different — and a linear mg / kg calculation diverges substantially from safe dosing. Neonatal prescribing must use a dedicated reference: NeoFax, BNFc neonatal section, Lexicomp Neonatal Lexi-Drugs, or the local NICU formulary — these typically look up dose by postmenstrual age, postnatal age and weight on a multi-dimensional table. The tool is intended for term-born paediatric patients ≥ 1 year old, with clinical oversight.

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