Majuro Hospital

Drug Formulary

2007

Ministry of Health
PO Box 16
Republic of the Marshall Islands
Majuro, Marshall Islands 96960

Phone • (692) 625-3355/3399 FAX • (692) 625 4543

E-mail: mimsmohe@ntamar.com
Foreword

A Formulary System has been instituted at Majuro Hospital. A formulary

fosters the principles of good therapeutics, economics and efficiency of drug
utilization.

The Formulary is a continually revised list of pharmaceuticals that represents

the current clinical judgment of the medical, pharmacy and nursing staff.
Recommendations concerning the content of this formulary are made by the
Pharmacy and Therapeutics Committee.

The formulary also follows the principles of the World Health Organization
(WHO) Essential Drug List.

Essential drugs are those drugs that satisfy the health care needs of the
majority of the population; they should therefore be available at all
times in adequate amounts and in the appropriate dosage forms, and at a
price that individuals and the community can afford.
(WHO Expert Committee on Essential Drugs, November 1999)

Aleli C. Lapuz, M.S. Pharm., R.Ph.

Director of Pharmaceutical Services.
 Table of Contents
Prescribing Policy ...........................................................................................4

Formulary:
Analgesics......................................................................................................... 6
Anesthetic Agents ............................................................................................. 6
Antimicrobial Agents........................................................................................ 7
Cardiovascular Agents ...................................................................................... 8
Central Nervous System Agents ..................................................................... 10
Dermatological Agents ................................................................................... 11
Ear, Nose and Throat Preparations ................................................................. 12
Endocrine and Metabolic Agents.................................................................... 12
Eye Preparations ............................................................................................. 13
Gastro-intestinal Agents.................................................................................. 14
Genito-urinary Agents .................................................................................... 15
Hematological Agents..................................................................................... 15
Nutrients and Nutritional Agents .................................................................... 15
Obstetric/Gynecological Agents ..................................................................... 16
Respiratory Agents.......................................................................................... 17
Pharmaceutical Aids ....................................................................................... 17
How to Use the Children’s Dose Tables......................................................... 18

Children’s Dose Tables.................................................................................17

Prescribing Policy

Only licensed Doctors and Medex are authorized to write prescriptions. Prescriptions
should be written on approved prescription forms for Majuro Hospital.

The following guidelines should be used when writing a prescription:

• A full signature is required to make a prescription legal

• A prescription is required to contain the following details on it:
- name of patient
- hospital number of patient
- the date
- “location” of where the patient was prescribed the medications
e.g. OPD, ER, Public Health, etc.
- medication generic name
- strength of medication
- frequency of medication
- duration of medication (if applicable)
• use approved generic names for medications

These guidelines help ensure the safety of medication delivered to the patient.

Thank you.

Majuro Hospital Formulary 4

Analgesics Non-steroids anti-inflammatory drugs
(NSAIDs)
Acetaminophen ibuprofen
325mg tablet 400mg tablet
80mg/0.8ml drop 100mg/5ml suspension
160mg/5ml syrup indomethacin
120mg suppository 25mg capsule
650mg suppository 100mg suppository

Anti-gout drugs Salicylates

allopurinol 300mg tablet aspirin
colchicine 0.6mg tablet 81mg tablet
325mg tablet
Combination
acetaminophen & codeine
500mg/30mg tablet Anesthetic Agents

Synthetic Opioid Analgesic General Anesthetics

tramadol hydrochloride Barbiturates
50mg tablet thiopental 0.5g injection
Inhalants
Disease Modifying Anti-Rheumatoid sevoflurane solution
Drug (DMARD) isoflurane solution
sulfasalazine 500mg tablet halothane solution

Muscle Relaxants
Other intravenous anesthetics
chlorzoxazone 500mg tablet
ketamine 200mg/2ml injection
propofol 10mg/ml injection
Narcotics
fentanyl 0.1mg/2ml injection
Local Anesthetics
pethidine 50mg/ml injection
bupivacaine 0.5% injection
morphine
lidocaine (lignocaine)
10mg SR tablet
2% viscous solution
10mg/ml injection
10% spray
2% jelly
Narcotic partial agonist
1% injection
nalbuphine 10mg/ml injection
2% injection
2% with epinephrine injection
5% with dextrose 7.5% injection

Majuro Hospital Formulary 6

 Combination Anti-fungal agents
lidocaine and prilocaine griseofulvin 500mg tablet
2.5% cream nystatin 100,000 units/ml
suspension
Muscle Relaxants
Benzodiazepines Anthelmintics
diazepam 10mg/2ml injection albendazole 200mg tablet
midazolam 5mg/ml injection pyrantel 50mg/ml suspension
Depolarising
succinylcholine 20mg/ml Anti-tuberculosis agents
injection ethambutol 400mg tablet
Non-depolarising isoniazid
atracurium 10mg/ml injection 300mg tablet
pancuronium 1mg/ml injection 100mg/5ml suspension
rocuronium 10mg/ml injection pyrazinamide 500mg tablet
vecuronium 10mg injection rifampicin
300mg capsule
Narcotics 100mg/5ml suspension
fentanyl 0.1mg/2ml injection combination
pethidine 50mg/ml injection rifampicin 600mg and
morphine isoniazid 300mg tablet
10mg SR tablet
10mg/ml injection Anti-viral agents
acyclovir
200mg capsule
Antimicrobial Agents 800mg tablet
200mg/5ml suspension
Amebicides
iodoquinol 650mg tablet Cephalosporins
metronidazole 1st generation
250mg tablet cephalexin
200mg/5ml suspension 500mg capsule
500mg/100ml injection 250mg/5ml suspension
cefazolin 1g injection
rd
Aminoglycosides 3 generation
gentamicin 80mg/ml injection ceftazidime 1g injection
streptomycin 1g injection ceftriaxone
250mg injection
1g injection

Majuro Hospital Formulary 7

Chloramphenicol benzyl penicillin G 3g injection
chloramphenicol (3g = 5 million units)
250mg capsule benzathine penicillin G
125mg/5ml suspension 1.2 million unit injection
1g injection procaine penicillin G
600,000 unit injection
Fluoroquinolones Aminopenicillins
ciprofloxacin 500mg tablet amoxycillin
250mg capsule
Furantoins 250mg/5ml suspension
nitrofurantoin 50mg capsule ampicillin 1g injection
amoxicillin & clavulanate
Glycopeptides 250mg/62.5mg suspension
vancomycin 1g injection (pediatrician use only)
Penicillinase resistant
Leprostatics dicloxacillin
clofazimine 50mg capsule 250mg capsule
62.5mg/5ml suspension
Lincosamides nafcillin 1g injection
clindamycin
150mg capsule sulfonamides (combination)
600mg injection sulfamethoxazole/trimethoprim
800mg/160mg tablet
Macrolides 200mg/40mg per 5ml
azithromycin 1g sachet suspension
(for STD clinic use only)
clarithromycin 500mg tablet Tetracyclines
(for use by internists only) doxycycline 100mg tablet
erythromycin
250mg tablet
200mg/5ml suspension Cardiovascular Agents

Metronidazole Alpha-1 adrenergic blockers

250mg tablet terazosin
200mg/5ml suspension 1mg capsule
500mg/100ml injection 5mg capsule

Penicillins Alpha & Beta blockers

Natural Penicillins labetolol 5mg/ml injection
penicillin V 250mg tablet
Majuro Hospital Formulary 8
Angiotensin Converting Enzyme propranolol
(ACE) Inhibitors 20mg tablet
enalapril 40mg tablet
10mg tablet
20mg tablet Calcium Channel Blockers
diltiazem
Angiotensin II Receptor blockers 120mg SR tablet
candesartan 16mg tablet 180mg SR tablet

Anti-Arrhythmics nifedipine
adenosine 6mg/2ml injection 30mg SR tablet
digoxin 90mg SR tablet
125 microgram tablet
250 microgram tablet verapamil 240mg SR tablet
50 microgram/ml elixir
250 microgram/ml injection Cardiac Glycosides
lidocaine (lignocaine) digoxin
1% injection 125 microgram tablet
2% injection 250 microgram tablet
propranolol 50 microgram/ml elixir
20mg tablet 250 microgram/ml injection
40mg tablet
verapamil Centrally Acting
240mg SR capsule methyldopa 250mg tablet
5mg/2ml injection
Diuretics
Anti-cholinergics Carbonic anhydrase inhibitors
atropine 0.4mg/ml injection acetazolamide 250mg tablet
glycopyrrolate 0.2mg/ml injection Loop diuretic
furosemide (frusemide)
Anti-platelet agents 40mg tablet
aspirin 500mg tablet
81mg tablet 10mg/ml oral solution
325mg tablet 10mg/ml injection
clopidogrel bisulfate Osmotic diuretic
75mg tablet mannitol 25% injection
dipyridamole 75mg tablet

Beta Blockers
atenolol 50mg tablet
Majuro Hospital Formulary 9
Potassium Sparing Central Nervous System Agents
spironolactone (excluding analgesics)
25mg tablet
100mg tablet Anti-convulsants
Thiazides Carbamazepine
hydrochlorothiazide 200mg tablet
25mg tablet Barbituates
50mg tablet phenobarbitone
30mg tablet
HMG-CoA Reductase Inhibitor 200mg/ml injection
simvastatin 20mg tablet Benzodiazepines
chlordiazepoxide 10mg capsule
diazepam
Nitrates 5mg tablet
isosorbide mononitrate 10mg/2ml injection
60mg SR tablet midazolam 5mg/ml injection
Hydantoins
nitroglycerin phenytoin sodium
0.4mg tablet 100mg capsule
5mg/ml injection 125mg/5ml suspension
2% ointment 50mg/ml injection

Vasodilators Anti-depressants
hydralazine Selective Seritonin Reuptake
25mg tablet Inhibitors (SSRIs)
20mg/ml injection sertraline 50mg tablet
Tricyclic
Vasopressors amitriptyline 25mg tablet
dobutamine 250mg/5ml injection
dopamine 40mg/5ml injection Anti-emetics/vertigo
ephedrine 50mg/ml injection meclizine 25mg tablet
epinephrine diphenhydramine
1:1,000 injection 25mg capsule
1:10,000 injection 12.5mg/5ml syrup
isoproterenol 1mg/5ml injection 50mg/ml injection
metoclopramide
Miscellaneous 10mg tablet
diazoxide 300mg injection 5mg/5ml solution
calcium gluconate 10% injection 10mg/ml injection

Majuro Hospital Formulary 10

 promethazine Smoking Deterrents
25mg tablet nicotine chewing gum 2mg
25mg/ml injection (available for purchase by patients)

Anti-manics
carbamazepine 200mg tablet Dermatological Agents
lithium 300mg capsule
Antibiotic
Anti-migraine (combination) bacitracin 500 units/g ointment
caffeine & ergotamine silver sulfadiazine 1% cream
100mg/1mg tablet
Anti-fungal
Anti-Parkinsons miconazole 2% cream
benztropine selenium sulphide 2.5% shampoo
2mg tablet
2mg/ml injection Anti-hemorrhoidal preparations
levodopa & carbidopa combination (containing astringent and anesthetic)
100/25mg tablet cream
suppositories
Anti-psychotics
Butyrophenones Anti-pruritics
haloperidol calamine lotion
1mg tablet
5mg tablet Anti-psoriatic agents
5mg/ml injection coal tar 5% gel
50mg/ml decanoate injection coal tar 5% shampoo
Phenothiazines salicyclic acid powder
droperidol 5mg/2ml injection
fluphenazine Caustic agent
2.5mg tablet silver nitrate sticks
5mg tablet
2.5mg/ml injection Corticosteroids
25mg/ml decanoate injection Low potency
thioridazine 100mg tablet hydrocortisone 1% cream
Medium potency
Anxiolytics/Hypnotics triamcinolone 0.1% cream
diazepam
5mg tablet Diagnostic agent
10mg/2ml injection tuberculin test 5TU/0.1ml
midazolam 5mg/ml injection
Majuro Hospital Formulary 11
Disinfectants and antiseptics Throat
alcohol (isopropyl) 70% lidocaine 2% viscous
alcohol 95% (diagnostic only) lidocaine 10% spray
hydrogen peroxide 3% solution nystatin 100,000 units/ml
povidone-iodine suspension
7.5% scrub
10% solution
Endocrine and Metabolic Agents
Hydrating agents
glycerine 10% in Anti-diabetic drugs
sorbolene cream Biguanides
glycerine liquid metformin 500mg tablet
Insulin
Parasiticidal agents regular (R) 100 units/ml
lindane 1% lotion isophane (NPH) 100 units/ml
permethrin 1% lotion mixed regular/isophane (30/70)
(for head lice) 100 units/ml
permethrin 5% cream Sulphonylureas
(for scabies) glipizide 5mg tablet
glyburide 5mg tablet
Skin protectant
benzoin tincture Antidotes
activated charcoal
50g/240ml solution
Ear, Nose and Throat Preparations acetylcysteine 20% solution
dextrose 50% injection
Ear naloxone
acetic acid 2% ear drop 0.02mg/ml injection
carbamide 6.5% ear drop 0.4mg/ml injection
gentamicin 0.3% ear drop neostigmine 1mg/ml injection
neomycin/polymyxin/hydrocortisone
ear drop Anti-estrogens
mineral oil clomiphene 50mg tablet
tamoxifen 20mg tablet
Nose
beclomethasone 50 microgram Anti-gout drugs
spray allopurinol 300mg tablet
phenylephrine 0.5% spray colchicine 0.6mg tablet

Majuro Hospital Formulary 12

Anti-prolactin agents Eye Preparations
bromocriptine 2.5mg tablet
Anesthetic
Anti-thyroid agents proparacaine 0.5% eye drop
methimazole 5mg tablet
Antibacterials
Corticosteroids ciprofloxacin 0.3% eye drop
dexamethasone erythromycin 0.5% eye ointment
4mg tablet gentamicin 0.3% eye drop
4mg/ml injection sulfacetamide 10% eye drop
prednisone
5mg tablet Anti-glaucoma agents
20mg tablet betaxolol 0.25% eye drop
triamcinolone 40mg/ml injection pilocarpine 4% eye drop
timolol 0.5% eye drop
Dopamine agonist
bromocriptine 2.5mg tablet Anti-virals
acyclovir 5% eye ointment
Estrogens
estrogen, conjugated 0.625mg tablet Combinations
neomycin/polymyxin/dexamethasone
Estrogen & progestin (combination) eye drop
medroxyprogesterone 2.5mg & eye ointment
estrogen 0.625mg tablet naphazoline & antazoline
eye drop
Immune Serums
tetanus immune globulin 250units Corticosteroids
prednisolone 1% eye drop
Immunosuppressant
methotrexate 2.5mg tablet Irrigating Solution
balanced salt solution eye drop
Progestins
medroxyprogesterone Lubricant
10mg tablet polyvinyl alcohol 1.4% eye drop
150mg/ml injection hydroxypropyl methylcellulose
2.5% eye drop
Thyroid hormones 0.3% eye gel
levothyroxine (thyroxine)
0.1mg tablet
0.2mg tablet
Majuro Hospital Formulary 13
Mydriatics and cyclopegics omeprazole 20mg bid
Antimuscarinics amoxycillin 1g bid
atropine 1% eye drop All for 7 days
tropicamide 1% eye drop
Sympathomimetics Histamine-2 antagonists
phenylephrine 2.5% eye drop ranitidine
Parasympathomimetic 150mg tablet
acetylcholine 1% eye drop 50mg/2ml injection

Miscellaneous Laxatives
fluorescein strip Bulk producing
sodium hyaluronate solution psyllium powder
Enemas
mineral oil
Gastro-intestinal Agents Osmotic
lactulose 10g/15ml syrup
Antacid combination polyethylene glycol (PEG)
aluminum/magnesium/simethicone (gastric lavage for bowel preparation)
suspension Saline laxatives
Milk of Magnesia
Anti-diarrheals Stimulant
loperamide 2mg capsule bisacodyl
ORS (oral rehydration solution) 5mg tablet
10mg suppository
Anti-inflammatory Stool softener
sulfasalazine 500mg tablet docusate 100mg capsule
glycerin
Anti-spasmodics pediatric suppository
dicyclomine adult suppository
20mg tablet
10mg/5ml suspension Prostaglandins
10mg/ml injection misoprostol 200 microgram
metoclopramide tablet
10mg tablet
5mg/5ml solution Proton Pump Inhibitors
10mg/ml injection omeprazole 20mg capsule

Helicobacter Pylori combination

Preferred choice…
clarithromycin 500mg bid
Majuro Hospital Formulary 14
Genito-urinary Agents 15mg/0.6ml drop
44mg/5ml elixir
Phosphodiesterase type 5 inhibitor 50mg elemental iron/ml
tadalafil 20mg tablet injection

Smooth muscle relaxants Phytonadione (Vitamin K)

oxybutynin 5mg tablet 1mg/0.5ml injection
10mg/1ml injection
Urinary Alkaliniser
potassium citrate/citric acid Plasma Expanders
sachets dextran 70 in normal saline

Hematological Agents Nutrients and Nutritional Agents

Anticoagulants Vitamins
warfarin Vitamin A
2mg tablet 100,000 unit capsule
5mg tablet 200,000 unit capsule
heparin Vitamin B Group
100 units/ml injection (Hep-lock) vitamin B1 (thiamine)
10,000 units/ml injection 100mg tablet
100mg/ml injection
Antiplatelet agents vitamin B6 (pyridoxine)
aspirin 50mg tablet
81mg tablet vitamin B12 (cyanocobalamin)
325mg tablet 1mg/1ml injection
clopidogrel bisulfate combination Vitamin B tablet
75mg tablet Vitamin C
dipyridamole 75mg tablet ascorbic acid 500mg tablet
Vitamin K
Cyanocobalamin (Vitamin B12) phytonadione
1mg/1ml injection 1mg/0.5ml injection
10mg/1ml injection
Folic acid 1mg tablet
Combination/Multi Vitamins
Iron multivitamin
ferrous sulfate tablet
325mg tablet drops with fluoride 0.25mg

Majuro Hospital Formulary 15

 chewable tablet 8.4% 50ml auto-injection
preNatal tablet
vitamin B Group tablet
Obstetric/Gynecological Agents
DHA Supplement
expecta lipil softgel capsule Anti-estrogens
clomiphene 50mg tablet
Minerals and Electrolytes tamoxifen 20mg tablet

Calcium Antifungal
calcium carbonate 1250mg clotrimazole 1% vaginal cream
tablet (provides 500mg miconazole 2% cream
elemental calcium) triple sulpha vaginal cream
calcium gluconate 10% injection miconazole vaginal suppository

Ensure milk Anti-prolactin

(for inpatient use only bromocriptine 2.5mg tablet
– or purchase by outpatients)

Estrogens
Folic acid 1mg tablet
estrogen, conjugated 0.625mg
tablet
Fluoride 1mg tablet
Estrogen & progestin
Magnesium
medroxyprogesterone 2.5mg &
50% injection
estrogen 0.625mg tablet
Oral Rehydration Salts (ORS)
Oxytocics
methylergonovine
Potassium
0.2mg tablet
650mg (8mEq) tablet
0.2mg/ml injection
20mEq/15ml solution
oxytocin 10 units/ml injection
2mEq/ml injection
Progestins
Potassium removing agents
medroxyprogresterone
sodium polystyrene sulfonate
10mg tablet
15g/60ml suspension
150mg/ml injection
Sodium bicarbonate
Uterine relaxant
650mg tablet
terbutaline 1mg/ml injection
8.4% 10ml auto-injection
Majuro Hospital Formulary 16
Respiratory Agents dexamethasone
4mg tablet
Antihistamines 4mg/ml injection
diphenhydramine prednisone
25mg capsule 5mg tablet
12.5mg/5ml syrup 20mg tablet
50mg/ml injection
meclizine 25mg tablet Decongestants
promethazine phenylephrine 0.5% nasal spray
25mg tablet pseudoephedrine
5mg/5ml syrup 60mg tablet
25mg suppository 30mg/5ml syrup
25mg/ml injection
fexofenadine 60mg tablet Expectorant
guaifenesin 100mg/5ml syrup
Bronchodilators
Sympathomimetics
albuterol Pharmaceutical Aids
4mg tablet
2mg/5ml syrup Sodium chloride 0.9% injection
100 microgram inhaler Water for injection
0.5% inhaled solution
terbutaline 1mg/ml injection

Anticholinergics
ipratropium 0.02%
inhaled solution
Xanthines
aminophylline 500mg/20ml
injection
theophylline
200mg SR tablet
300mg SR tablet
80mg/15ml elixir

Corticosteroids
beclomethasone 100 microgram
inhaler

Majuro Hospital Formulary 17

How to Use the If a child’s weight is unknown, the
Children’s Dose Tables following table can be used as a
guide.
The following pages are designed as a
practical use for prescribing common Weight Weight
children’s mixtures. Age (kg) (pounds)
Term 3.5 8
These are only a guide and do not 3 months 6 13
represent the dose required for every 6 months 8 17
child and every indication. 1 year 10 22
2 years 12 26
To use the tables: 3 years 14 31
• select the appropriate drug; 5 years 18 40
• select the appropriate weight 7 years 22 48
(in pounds or kilograms); 10 years 32 70
• read across the line to the 12 years 40 88
suggested dose in ml or
teaspoons;
• prescribe dose with correct
frequency mentioned.

Majuro Hospital Formulary 18

acetaminophen: 10-20mg/kg/dose every 4 hours
80mg/0.8ml drop, 160mg/5ml syrup

Dose based on 15mg/kg/dose.

Weight Weight Dose Drops Suggested Syrup Suggested
(pound) (kg) (mg) (ml) amount (ml) amount
q4h of drops of syrup
5 2.3 34 0.3 0.4ml x x
10 4.5 68 0.7 0.8ml 2.1 ½ tsp
15 6.8 102 1.0 x 3.2 ½ tsp
20 9.1 136 x x 4.3 1 tsp
25 11.4 170 x x 5.3 1 tsp
30 13.6 205 x x 6.4 1 tsp
35 15.9 239 x x 7.5 1½ tsp
40 18.2 273 x x 8.5 1½ tsp
45 20.5 307 x x 9.6 2 tsp
50 22.7 341 x x 10.7 2 tsp

albuterol: 0.3mg/kg/24 hours

2mg/5ml syrup

The suggested dose is given three times daily

Weight Weight Dose Syrup Suggested
(pound) (kg) (mg) (ml) amount of
tid tid syrup (tid)
5 2.3 0.2 0.6 0.6ml
10 4.5 0.5 1.1 1ml
15 6.8 0.7 1.7 2ml
20 9.1 0.9 2.3 ½ tsp
25 11.4 1.1 2.8 ½ tsp
30 13.6 1.4 3.4 ½ tsp
35 15.9 1.6 4.0 1 tsp
40 18.2 1.8 4.5 1 tsp
45 20.5 2.0 5.1 1 tsp
50 22.7 2.3 5.7 1 tsp

Majuro Hospital Formulary 19

amoxycillin: 40-50mg/kg/24 hours
250mg/5ml suspension, 250mg capsule

The table gives a dose of 50mg/kg/24 hours (in three divided doses)
The suggested dose is given three times daily
Weight Weight Dose Suspension Suggested
(pound) (kg) (mg) (ml) amount of
tid tid susp. (tid)
5 2.3 38 0.8 0.8ml
10 4.5 76 1.5 1.5ml
15 6.8 114 2.3 ½ tsp
20 9.1 152 3.0 ½ tsp
25 11.4 189 3.8 ½ tsp
30 13.6 227 4.5 1 tsp
35 15.9 265 5.3 1 tsp
40 18.2 303 6.1 1 tsp
45 20.5 341 6.8 1½ tsp
50 22.7 379 7.6 1½ tsp

cephalexin: 40-50mg/kg/24 hours

250mg/5ml suspension

The table gives a dose of 50mg/kg/24 hours (in four divided doses)
The suggested dose is given every 6 hours (q6h)
Weight Weight Dose Suspension Suggested
(pound) (kg) (mg) (ml) amount of
q6h q6h susp. (tid)
5 2.3 28 0.6 0.6ml
10 4.5 57 1.1 1.0ml
15 6.8 85 1.7 1.6ml
20 9.1 114 2.3 ½ tsp
25 11.4 142 2.8 ½ tsp
30 13.6 170 3.4 ½ tsp
35 15.9 199 4.0 1 tsp
40 18.2 227 4.5 1 tsp
45 20.5 256 5.1 1 tsp
50 22.7 284 5.7 1 tsp
Majuro Hospital Formulary 20
diphenhydramine: 1.25mg/kg/dose
12.5mg/5ml syrup

The suggested dose is given three times daily (can be also q6h)
Weight Weight Dose Suspension Suggested
(pound) (kg) (mg) (ml) amount of
tid tid syrup (tid)
5 2.3 3 1.1 1.2ml
10 4.5 6 2.3 ½ tsp
15 6.8 9 3.4 ½ tsp
20 9.1 11 4.5 1 tsp
25 11.4 14 5.7 1 tsp
30 13.6 17 6.8 1 tsp
35 15.9 20 8.0 1½ tsp
40 18.2 23 9.1 1½ tsp
45 20.5 26 10.2 2 tsp
50 22.7 28 11.4 2 tsp

erythromycin: 40-50mg/kg/24 hours

200mg/5ml suspension, 250mg capsule

The table gives a dose of 50mg/kg/24 hours (in divided doses)

The suggested dose is given every 6 hours (q6h)
Weight Weight Dose Suspension Suggested Suggested
(pound) (kg) (mg) (ml) amount of number of
q6h q6h susp. (q6h) tablets
5 2.3 28 0.7 0.8ml x
10 4.5 57 1.4 1.5ml x
15 6.8 85 2.1 ½ tsp x
20 9.1 114 2.8 ½ tsp x
25 11.4 142 3.6 ½ tsp x
30 13.6 170 4.3 1 tsp x
35 15.9 199 5.0 1 tsp x
40 18.2 227 5.7 1 tsp 1 tablet
45 20.5 256 6.4 1 tsp 1 tablet
50 22.7 284 7.1 1½ tsp 1 tablet

Majuro Hospital Formulary 21

metronidazole: 35-50mg/kg/24 hours (for amebiasis)
200mg/5ml suspension, 250mg tablet

The table gives a dose of 50mg/kg/24hours (in three divided doses)

The suggested dose is given every 8 hours (q8h) for 10 days
Weight Weight Dose Suspension Suggested Suggested
(pound) (kg) (mg) (ml) amount of number of
q8h q8h susp. (q8h) tablets
5 2.3 38 1.0 1.0ml x
10 4.5 76 1.8 1.8ml x
15 6.8 114 2.8 ½ tsp x
20 9.1 152 3.8 ½ tsp x
25 11.4 189 4.8 1 tsp x
30 13.6 227 5.7 1 tsp 1 tablet
35 15.9 265 6.6 1 tsp 1 tablet
40 18.2 303 7.6 1½ tsp 1 tablet
45 20.5 341 8.5 1½ tsp 1½ tablet
50 22.7 379 9.5 2 tsp 1½ tablet

promethazine: 0.25-0.5mg/kg/dose (nausea/vomiting)

5mg/5ml suspension

The table gives a dose of 0.25mg/kg/dose

The suggested dose is given three times daily
Weight Weight Dose Suspension Suggested
(pound) (kg) (mg) (ml) amount of
tid tid syrup (tid)
5 2.3 0.6 0.6 0.6ml
10 4.5 1.1 1.1 1.0ml
15 6.8 1.7 1.7 1.8ml
20 9.1 2.3 2.3 ½ tsp
25 11.4 2.8 2.8 ½ tsp
30 13.6 3.4 3.4 ½ tsp
35 15.9 4.0 4.0 1 tsp
40 18.2 4.5 4.5 1 tsp
45 20.5 5.1 5.1 1 tsp
50 22.7 5.7 5.7 1 tsp
Majuro Hospital Formulary 22
pseudoephedrine: 1mg/kg/dose
30mg/5ml syrup

The suggested dose is given three times daily

Weight Weight Dose Suspension Suggested
(pound) (kg) (mg) (ml) amount of
tid tid susp. (tid)
5 2.3 2.3 0.4 0.4ml
10 4.5 4.5 0.8 0.8ml
15 6.8 6.8 1.1 1ml
20 9.1 9.1 1.5 1.5ml
25 11.4 11.4 1.9 ½ tsp
30 13.6 13.6 2.3 ½ tsp
35 15.9 15.9 2.7 ½ tsp
40 18.2 18.2 3.0 ½ tsp
45 20.5 20.5 3.4 1 tsp
50 22.7 22.7 3.8 1 tsp

sulfamethoxazole/trimethoprim: 10mg trimethoprim/kg/24 hours

5ml of suspension contains: sulfamethoxazole 200mg & trimethoprim 40mg
DS tablet contains: sulfamethoxazole 800mg & trimethoprim 160mg

The suggested dose is given every 12 hours (q12h)

Weight Weight Dose Suspension Suggested Suggested
(pound) (kg) (mg) (ml) amount of number of
q12h q12h susp. (q12h) tablets
5 2.3 11 1.4 1.5ml x
10 4.5 23 2.8 ½ tsp x
15 6.8 34 4.3 1 tsp x
20 9.1 45 5.7 1 tsp x
25 11.4 57 7.1 1½ tsp x
30 13.6 68 8.5 1½ tsp x
35 15.9 80 9.9 2 tsp ½ tablet
40 18.2 91 11.4 2 tsp ½ tablet
45 20.5 102 12.8 2½ tsp ½ tablet
50 22.7 114 14.2 3 tsp ½ tablet

Majuro Hospital Formulary 23