Amoxicillin Pediatric Dosage Calculator

Calculate safe amoxicillin doses for children with our free tool. Learn how proper dosing treats infections and prevents antibiotic resistance. Get instant results!

person holding black and white labeled bottle
person holding black and white labeled bottle

Free Amoxicillin Pediatric Dosage Calculator - Accurate Antibiotic Dosing for Children


Amoxicillin remains the most prescribed antibiotic for pediatric bacterial infections, with over 50 million prescriptions annually in the US alone. Correct dosing is critical - underdosing leads to treatment failure while overdosing causes toxicity. This guide explores the science behind pediatric amoxicillin dosing and introduces our clinical calculator for precise, personalized recommendations.

Understanding Amoxicillin: A Vital Pediatric Antibiotic

What is Amoxicillin?
Amoxicillin is a penicillin-type antibiotic that stops bacterial growth by disrupting cell wall synthesis. It's effective against:

  • Streptococci

  • E. coli

  • H. influenzae

  • Salmonella

  • Certain staphylococci

Common Pediatric Uses
Pediatricians prescribe amoxicillin for:

  • Otitis media (ear infections)

  • Streptococcal pharyngitis (strep throat)

  • Sinusitis

  • Community-acquired pneumonia

  • Urinary tract infections

  • Skin and soft tissue infections

Symptoms Requiring Antibiotic Treatment

Recognizing bacterial infections prevents unnecessary antibiotic use. Key symptoms include:

Infection TypeCommon SymptomsEar InfectionEar pain, fever >102°F, fluid drainageStrep ThroatSudden sore throat, fever, red tonsilsPneumoniaFast breathing, chest pain, high feverSinusitisFacial pain, nasal discharge >10 daysUTIPainful urination, abdominal discomfort

Diagnosis Procedures

Accurate diagnosis precedes antibiotic therapy:

  1. Physical Examination: Otoscopy for ear infections, throat inspection

  2. Rapid Strep Test: For pharyngitis diagnosis

  3. Culture/Sensitivity: Urine culture for UTIs, sputum for pneumonia

  4. Imaging: X-rays for pneumonia confirmation

  5. Laboratory Tests: CBC, CRP levels for infection severity

Treatment Protocols and Dosing Principles

Standard Dosing Guidelines
Amoxicillin dosing follows weight-based calculations:

  • Mild infections: 25-45 mg/kg/day divided BID

  • Severe infections: 80-90 mg/kg/day divided TID

  • Maximum daily dose: 2000 mg (children >40kg)

Critical Factors Affecting Dosing

  • Renal function (eGFR adjustments)

  • Hepatic impairment

  • Infection severity

  • Concurrent medical conditions

  • Medication formulation

Common Formulations

  • Suspensions: 125mg/5mL, 200mg/5mL, 250mg/5mL

  • Chewable tablets: 125mg, 250mg

  • Regular tablets: 500mg, 875mg

Precautions and Safety Measures

Allergy Considerations
Penicillin allergies affect 5-10% of children. Cross-reactivity with:

  • Cephalosporins (3-5% risk)

  • Carbapenems

Administration Best Practices

  • Complete full course even if symptoms improve

  • Administer with food to reduce GI upset

  • Refrigerate suspensions (discard after 14 days)

  • Shake suspensions vigorously before use

Drug Interactions

  • Methotrexate (increased toxicity)

  • Oral contraceptives (reduced efficacy)

  • Probenecid (delayed amoxicillin excretion)

How Our Dosage Calculator Works

Input Parameters
Our algorithm processes:

  1. Patient demographics (age, weight)

  2. Infection characteristics (type, severity)

  3. Medical history (allergies, renal function)

  4. Formulation preferences

Calculation Methodology
Dosing follows American Academy of Pediatrics guidelines:

Daily Dose = Weight (kg) × Dose Factor (mg/kg) Dose Factor = 25 (mild infections) 45 (moderate) 90 (severe/recurrent)

Output Interpretation
Results display:

  • Color-coded dosing safety ranges

  • Formulation-specific instructions

  • Administration frequency

  • Duration recommendations

  • Allergy contraindication alerts

People Also Ask: Key Questions

Q: Can I use adult amoxicillin tablets for children?
A: Never split adult tablets without medical supervision. Pediatric formulations ensure accurate dosing.

Q: What if my child vomits after dosing?
A: If vomiting occurs within 30 minutes, repeat dose. After 60 minutes, no redosing needed.

Q: How long until symptoms improve?
A: Most infections show improvement within 48-72 hours. Contact your pediatrician if no improvement after 3 days.

Q: Are diarrhea and rash normal side effects?
A: Mild diarrhea is common. Stop medication immediately for rash, swelling, or breathing difficulties (signs of allergy).

Conclusion: Safe Antibiotic Practices

Precise amoxicillin dosing requires careful consideration of weight, infection severity, and individual health factors. Our calculator provides instant clinical recommendations based on current guidelines, but always consult your pediatrician before administering antibiotics. Proper antibiotic use prevents resistance development - a growing global health threat where 35% of childhood ear infections now show antibiotic resistance.

Disclaimer: This calculator provides estimates only. Always consult a healthcare provider for medical decisions. Results do not constitute professional medical advice.