Child's weight (pounds) 16-31 32-47 48-63 64-79 80-95 96-129 130+ lbs
Liquid 5 mg/5 ml (tsp) ½ 1 2 3 -- tsp
Liquid 7.5 mg/5 ml (tsp) -- -- 1 1 2 3 tsp
Liquid 10 mg/5 ml (tsp) -- -- -- 1 1 2 tsp

Indication:

Cough suppressant. Dextromethorphan (DM) is present in most cough syrups.

Table Notes:

  • AGE LIMIT: Don’t use under 4 years of age. Over 4 years of age: NOT recommended as primary treatment of cough. Use honey instead. Avoid multi-ingredient products in children under 6 years of age. (Reason: FDA recommendations 10/2008).
  • DOSAGE: Determine by finding child's weight in the top row of the dosage table.
  • ADULT DOSE: 20 mg
  • FREQUENCY: Repeat every 6-8 hours as needed
  • MEASURING the DOSAGE: Syringes and droppers are more accurate than teaspoons. If possible, use the syringe or dropper that comes with the medication. If you use a teaspoon, it should be a measuring spoon. Regular spoons are not reliable. Also, remember that 1 level teaspoon equals 5 ml and that ½ teaspoon equals 2.5 ml.

Author and Senior Reviewer: Barton D. Schmitt, M.D.

Content Set: Pediatric HouseCalls Symptom Checker

Pediatric HouseCalls Symptom Checker