Page 88 - Children Bookt.pdf
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              Paediatric drug formulations and doses


                                        Pharma-
                                                  Age (weight), dose and dose
               Name of drug   Formulations   cokinetic data        Other comments
                                                  frequency
                                        available
               Nucleoside analogue reverse transcriptase inhibitors
                                                                   - Large volume of syrup not well
                                                                   tolerated in older children, Syrup
                                                                   needs storage in glass jars and is
                                                                   light sensitive
                                                  < 4 weeks: 4 mg/kg/dose twice
                                                                   - Can give with food
                                                  daily
                          Syrup: 10 mg/ml                           - For children with suspected
                                                                   nervous system involvement, it
                                                   4 weeks to 13 yrs:
                          Capsules 100mg                           	!&??
!!!
                                                          2
               Zidovudine                         180-240 mg/m /dose twice daily
                          ,250 mg       All ages                   the higher end of the range.
               ‡^*ˆ
                                                                   - Capsule can be opened and
                                                  j!+		Š‹'&
Š
                          Tablet: 60mg                             contents dispersed or tablet
                                                  300 mg/dose twice daily
                                    300 mg                         crushed and contents mixed with
                                                                   small amount of water or food
                                                                   and immediately taken (solution is
                                                                   stable at room temperature)
                                                                   - Do not use with d4T
                                                                   (antagonistic antiretroviral effect)
                                                                   - Well tolerated
                                                  < 30 days:
                                                                   - Can give with food
                                                  2 mg/kg/dose twice daily
                                                                    - Store solution at room
                                                                   temperature (use within one
               Lamivudine   Oral solution: 10 mg/ml   '!&Š
                                        All ages                   month of opening)
               (3TC)      Tablet: 150 mg          4 mg/kg/dose twice daily
                                                                   - Tablet can be crushed and
                                                                   contents mixed with small amount
                                                   Maximum dose: > 50 kg:
                                                                   water or food and immediately
                                                  150 mg/dose twice daily
                                                                   taken
                                                                   $!&„!?
?
                          No liquid available                      - Tablet can be crushed and
                                                                   contents mixed with small amount
               Fixed-dose
                          !?Š'	^*  Adolescents and  AZT 180-240mg/m2 twice daily of water or food and immediately
               combination of
                          Plus 150 mg 3TC  adults    3TC 4mg/kg  twice daily  taken
               ^*'
                          Ž	^*                               }'‘„^*!
'
                          Plus 30 mg 3TC                           cannot be dosed accurately in
                                                                   tablet form








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