Pseudoephedrine Pediatric Dosing
Oral decongestant dosing for nasal congestion in children (use limited due to safety concerns).
Age in years
Weight in kilograms
⚠️ Warnings & Contraindications
- FDA does NOT recommend OTC cough/cold products (including pseudoephedrine) for children <2 years
- Many manufacturers voluntarily do not recommend for children <4-6 years
- Side effects: insomnia, irritability, tachycardia, hypertension
- Contraindicated in hypertension, heart disease, hyperthyroidism, MAO inhibitor use
- Can be used to manufacture methamphetamine - purchase restrictions apply in many countries
- Not effective for viral URI congestion in young children
ℹ️ Clinical Notes
Liquid: 15 mg/5 mL, 30 mg/5 mL. Tablets: 30 mg, 60 mg. ER tablets: 120 mg, 240 mg. Limited evidence for efficacy in children under 6 years. Saline nasal spray/drops, humidifier, and nasal suction are preferred first-line for infants and young children.
References
- Pseudoephedrine pediatric dosing - Drugs.com (2026)
- FDA Advisory on OTC Cough/Cold Products in Children - FDA (2008)
Medical Disclaimer
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