What is the recommended dosage of Xyzal (levocetirizine) for pediatric patients?

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From the FDA Drug Label

DIRECTIONS ... children 6 to 11 years of age take ½ tablet (2.5 mg) once daily in the evening do not take more than ½ tablet (2.5 mg) in 24 hours DIRECTIONS ... children 12 to 64 years of age take 1 tablet (5 mg) once daily in the evening DIRECTIONS ... children under 6 years of age do not use

The recommended dosage of Xyzal (levocetirizine) for pediatric patients is:

  • 6 to 11 years of age: ½ tablet (2.5 mg) once daily in the evening, do not take more than ½ tablet (2.5 mg) in 24 hours
  • 12 years of age and older: 1 tablet (5 mg) once daily in the evening, do not take more than 1 tablet (5 mg) in 24 hours
  • Under 6 years of age: do not use 1

From the Research

The recommended dosage of Xyzal (levocetirizine) for pediatric patients varies by age, with children 6 months to 5 years old taking 1.25 mg (2.5 mL of oral solution) once daily in the evening, children 6-11 years old taking 2.5 mg (5 mL of oral solution or one 2.5 mg tablet) once daily in the evening, and adolescents 12 years and older following the adult dosage of 5 mg (10 mL of oral solution or one 5 mg tablet) once daily in the evening 2.

Key Considerations

  • Dosage adjustments are necessary for children with impaired kidney function.
  • Xyzal is an antihistamine that works by blocking histamine receptors, reducing allergy symptoms like sneezing, itching, and runny nose.
  • The evening administration is recommended because the medication may cause drowsiness.
  • Parents should measure liquid doses carefully using the provided measuring device, and the medication can be taken with or without food.
  • Treatment should continue only as long as exposure to the allergen persists, and parents should consult a healthcare provider before use in very young children.

Age-Specific Dosage

  • Children 6 months to 5 years old: 1.25 mg (2.5 mL of oral solution) once daily in the evening
  • Children 6-11 years old: 2.5 mg (5 mL of oral solution or one 2.5 mg tablet) once daily in the evening
  • Adolescents 12 years and older: 5 mg (10 mL of oral solution or one 5 mg tablet) once daily in the evening

Important Notes

  • The study by 2 provides the most relevant information on the pharmacokinetic and pharmacodynamic profile of levocetirizine in pediatric patients.
  • Other studies, such as 3 and 4, provide additional information on the efficacy and safety of levocetirizine in pediatric patients, but are not directly relevant to the dosage recommendation.

References

Research

Levocetirizine in 1-2 year old children: pharmacokinetic and pharmacodynamic profile.

International journal of clinical pharmacology and therapeutics, 2005

Research

The comparison of cetirizine, levocetirizine and placebo for the treatment of childhood perennial allergic rhinitis.

Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology, 2009

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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