Gruenwald and Comandatore, MD
Larry Gruenwald, MD & Ann Marie Comandatore, MD

Infants - Children - Adolescents - Young Adults
90 Millburn Avenue, Suite 101
Millburn, NJ 07041
P: 973-378-7990
F: 973-378-7991

Parents' Corner

Not sure when to schedule your next well visit or when vaccines are due? Click on the links below.

 

Below are links to resources that we have provided to guide, inform and educated our patients.

  • American Academy of Pediatrics

(800)433-9016
www.aap.com
www.healthychildren.org

US Department of Agriculture – Center for Nutrition Policy & Promotion
Please click on the link below for tips on how to help your child eat healthy.
http://www.choosemyplate.gov/children-over-five.html

  • Center for Disease Control

800) 331-3435
www.cdc.gov

  • Poison Control

(800) 222-1222

Urgent Care/Retail-Based Clinics

We understand that innovations are changing healthcare and while urgent care or retail-based clinics may offer convenience, we strongly believe that your PCP offers the optimal standard of care for pediatric patients. These clinics may disrupt the coordination of your child's care and do not offer the personal connection between patients and their doctors. The AAP does not recommend urgent care or retail-based clinics without providers that have expertise caring for children younger than 2 years old. Parents should consider using these clinics only at our recommendation. Please understand that if you choose to use these clinics, then contact us for answers to questions or concerns you may have about the care that was given, you will be required to make an appointment with one of our physicians. Our office is open 12 hours most days, including walk-ins and weekends. We hope you value the expertise of our pediatricians and continue to recognize us as your medical home.

MEDICATION DOSAGES

as recommended by the American Academy of Pediatrics

IBUPROFEN  – Indications: Treatment of fever and pain 

CHILD'S WEIGHT (pounds)

12-17

18-23

24-35

36-47

48-59

60-71

72-95

96+

lbs

Infant Drops

50 mg/1.25 mL

1.25

1.875

2.5

3.75

5

--

--

--

ml

Liquid

100 mg/1 teaspoon

1/2

3/4

1

1 1/2

2

2 1/2

3

4

tsp

Liquid

100 mg/5 milliliters

2.5

4

5

7.5

10

12.5

15

20

ml

Chewable

50 mg tablets

--

--

2

3

4

5

6

8

tabs

Junior-strength 100 mg tablets

--

--

--

--

2

2 1/2

3

4

tabs

Adult

200 mg tablets

--

--

--

--

1

1

1 1/2

2

tabs

 

TABLE NOTES:

  • AGE LIMIT: Don't use under 6 months of age unless directed by the child's doctor. (Reason: safety not established and doesn't have FDA approval). Avoid multi-ingredient products in children under 6 years of age (FDA recommendations 1/2008).
  • DOSAGE: Determine by finding child's weight in the top row of the dosage table.
  • 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.
  • IBUPROFEN DROPS: Ibuprofen infant drops come with a measuring syringe
  • BRAND NAMES: Motrin, Advil, generic ibuprofen
  • ADULT DOSAGE: 400 mg
  • FREQUENCY: Repeat every 6-8 hours as needed

 

ACETAMINOPHEN  – Indications: Treatment of fever and pain

CHILD'S WEIGHT (pounds)

6-11

12-17

18-23

24-35

36-47

48-59

60-71

72-95

96+

lbs

Infant Drops

80 mg/0.8 mL

0.4

0.8

1.2

1.6

2.4

--

--

--

--

ml

Syrup

160 mg/5 mL (1 tsp)

1.25

2.5

3.75

5

7.5

10

12.5

15

20

ml

Syrup

160 mg/1 teaspoon

--

1/2

3/4

1

1 1/2

2

2 1/2

3

4

tsp

Chewable

80 mg tablets

--

--

1 1/2

2

3

4

5

6

8

tabs

Chewable

160 mg tablets

--

--

--

1

1 1/2

2

2 1/2

3

4

tabs

Adult

325 mg tablets

--

--

--

--

--

1

1

1 1/2

2

tabs

Adult

500 mg tablets

--

--

--

--

--

--

--

1

1

tabs

 

TABLE NOTES:

  • CAUTION: In May, 2011, a move to one standard concentration (160 mg/5 ml) of liquid acetaminophen medicine for infants and children was announced. Up until that time, there were mainly 2 concentrations: 80 mg/0.8 ml (Infant Concentrated Drops) and 160 mg/5 ml (Children's Liquid Suspension or Syrup). Old concentrations (80mg/0.8 ml) of infant acetaminophen may still be available in some homes. Therefore, if it is an older product, please have the caller confirm the correct concentration of infant acetaminophen.
  • AGE LIMIT: Don't use under 12 weeks of age (Reason: fever during the first 12 weeks of life needs to be documented in a medical setting and if present, your infant needs a complete evaluation.) EXCEPTION: Fever from immunization if child is 8 weeks of age or older. Avoid multi-ingredient products in children under 6 years of age. (Reason: FDA recommendations 1/2008).
  • DOSAGE: Determine by finding child's weight in the top row of the dosage table
  • MEASURING the DOSAGE: Syringes and droppers are more accurate than teaspoons. If possible, use the syringe or dropper that comes with the medicine. If not, medicine syringes are available at pharmacies. 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.
  • FREQUENCY: Repeat every 4-6 hours as needed. Don't give more than 5 times a day.
  • ADULT DOSAGE: 650 mg MAXIMUM: 3,000 mg in a 24-hour period. 
  • BRAND NAMES: Tylenol, Feverall (suppositories), generic acetaminophen
  • MELTAWAYS: Dissolvable tabs that come in 80 mg and 160 mg (junior strength)
  • SUPPOSITORIES: Acetaminophen also comes in 80, 120, 325 and 650 mg suppositories (the rectal dose is the same as the dosage given by mouth).
  • EXTENDED-RELEASE: Avoid 650 mg oral products in children (Reason: they are every 8 hour extended-release)

 

ANTIHISTAMINE (Diphenhydramine e.g.Benadryl)– Indications: Treatment of allergic reactionsnasal allergieshives and itching

 CHILD'S WEIGHT

(pounds)

20-24

25-37

38-49

50-99

100+

lbs

Liquid

12.5 mg/1 teaspoon

3/4

1

1 1/2

2

--

tsp

Liquid

12.5 mg/5 milliliters

4

5

7.5

10

--

ml

Chewable

12.5 mg

--

1

1 1/2

2

4

tablets

Tablets

25 mg

--

1/2

1/2

1

2

tablets

Capsules

25 mg

--

--

--

1

2

caps

 

TABLE NOTES:
AGE LIMITS: For allergies, don't use under 1 year of age (Reason: it's a sedative. For colds, not recommended at any age (Reason: no proven benefits. Should be avoided if under 4 years old. 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
  • 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.
  • FREQUENCY: Repeat every 6 hours as needed
  • ADULT DOSAGE: 50 mg
  • CHILDREN’S BENADRYL FASTMELTS: Each fastmelt tablet contains the equivalent of 12.5 mg of Diphenhydramine HCL and dosed the same as chewable tablets 

 

For more valuable information visit: www.healthychildren.org.

 


Larry Gruenwald, MD & Ann Marie Comandatore, MD
90 Millburn Avenue, Suite 101
Millburn,  NJ  07041
Phone: (973) 378-7990
Fax:      (973) 378-7991