Amoxicillin Dose Calculator for Children

SETELDOC • MALAYSIAN PRIMARY CARE

Amoxicillin Dose Calculator
for Children

Calculate practical paediatric oral amoxicillin doses by indication using Malaysia’s National Antimicrobial Guideline.

✓ Indication-based ✓ 125 & 250 mg/5 mL ✓ Malaysian NAG
DOSE CALCULATOR

Oral amoxicillin

Paediatric
QUICK REFERENCE

Common paediatric amoxicillin regimens

Malaysia National Antimicrobial Guideline 2024.

Indication Dose Frequency Duration
GAS tonsillitis / pharyngitis 50 mg/kg/day
Max 1 g/day
OD or BD 10 days
Acute bacterial rhinosinusitis 80–90 mg/kg/day
Max 2 g/day
BD 5 days
Acute otitis media 80–90 mg/kg/day
Max 1 g/dose, 3 g/day
BD–TDS <2 y: 7–10 days
≥2 y: 5–7 days
Outpatient CAP ≥3 months 80–90 mg/kg/day
Max 1 g/dose, 3 g/day
BD–TDS 5 days

For the calculator, SetelDoc uses 90 mg/kg/day for high-dose regimens and displays them as BD for a concise practical prescription. Tonsillitis/pharyngitis uses 50 mg/kg/day displayed as BD.

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Sample preview only. Full access includes the complete medicine list, drug-specific age limits and clinical notes.
CLINICAL NOTES

Important prescribing points

Antibiotic indication Confirm a bacterial indication before prescribing. Viral illness remains common in respiratory and ENT presentations.
Acute otitis media NAG notes that most uncomplicated AOM does not require antibiotics. Antibiotics are particularly considered in children under 2 years, severe disease or immunosuppression.
Rhinosinusitis NAG suggests bacterial sinusitis when symptoms persist for at least 10 days without improvement, worsen after initial improvement, or have severe onset with fever and purulent discharge.
Recent amoxicillin In AOM with clinical failure of amoxicillin within 30 days, NAG recommends considering amoxicillin/clavulanate.
Penicillin allergy Check the nature and severity of any previous penicillin reaction before prescribing.
Renal impairment This calculator does not provide renal-adjusted amoxicillin dosing. Use an appropriate renal dosing reference when impairment is present.
COMMON QUESTIONS

Amoxicillin paediatric-dose FAQ

What is the amoxicillin dose for acute otitis media?

Malaysia’s NAG recommends 80–90 mg/kg/day orally in 2–3 divided doses, with a maximum of 1 g per dose. Duration is 7–10 days below age 2 years and 5–7 days above age 2 years.

What is the amoxicillin dose for acute bacterial sinusitis?

NAG recommends 80–90 mg/kg/day orally in 2 divided doses for 5 days, with a maximum of 2 g/day.

What is the amoxicillin dose for Group A streptococcal pharyngitis?

NAG recommends 50 mg/kg/day orally in 1 or 2 divided doses, maximum 1 g/day, for a total of 10 days.

What is the outpatient amoxicillin dose for paediatric pneumonia?

For infants aged 3 months and older and children with outpatient community-acquired pneumonia where bacterial treatment is indicated, NAG recommends high-dose amoxicillin 80–90 mg/kg/day in 2–3 divided doses for 5 days, with maximum 1 g/dose and 3 g/day.

Which amoxicillin liquid concentrations are included?

This calculator includes 125 mg/5 mL and 250 mg/5 mL, both of which are listed in the current Ministry of Health Drug Formulary.

Clinical references

  1. Ministry of Health Malaysia — National Antimicrobial Guideline 2024: Paediatric Otorhinolaryngology Infections — tonsillitis/pharyngitis, rhinosinusitis and acute otitis media.
  2. Ministry of Health Malaysia — National Antimicrobial Guideline 2024: Paediatric Respiratory Infections — outpatient community-acquired pneumonia.
  3. Ministry of Health Malaysia — FUKKM: Amoxicillin — current amoxicillin formulations and general formulary dosing.

For healthcare professionals. This calculator supports but does not replace clinical judgement. Confirm bacterial indication, age, weight, allergy history, renal function, formulation and current antimicrobial guidance before prescribing.

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