Bromfed DM Dosage for Children
Bromfed DM should be dosed according to age: children 6-12 years should receive 5 mL (1 teaspoonful) every 4 hours, children 2-6 years should receive 2.5 mL (½ teaspoonful) every 4 hours, and infants 6 months to 2 years require physician-established dosing, not exceeding 6 doses in 24 hours. 1
Age-Specific Dosing Guidelines
Bromfed DM contains brompheniramine (an antihistamine) and dextromethorphan (a cough suppressant). The FDA-approved dosing is as follows:
- Children 6 to under 12 years of age: 5 mL (1 teaspoonful) every 4 hours
- Children 2 to under 6 years of age: 2.5 mL (½ teaspoonful) every 4 hours
- Infants 6 months to under 2 years of age: Dosage must be established by a physician
- Maximum dosing: Do not exceed 6 doses during a 24-hour period
Safety Considerations
When administering Bromfed DM to children, several important safety factors should be considered:
- Accurate measurement: Always use a calibrated medication syringe or measuring cup, not household spoons, to ensure accurate dosing
- Duration of treatment: Limit treatment to 7 days unless otherwise directed by a healthcare provider 2
- Monitoring: Watch for side effects including drowsiness, dizziness, dry mouth, or gastrointestinal upset
Special Considerations for Young Children
The use of cough and cold medications in very young children requires special attention:
- Studies show that cough and cold medication use is highest among children 2-5 years old, followed by children under 2 years 3
- The pharmacokinetics of dextromethorphan (one component of Bromfed DM) varies with age, with different exposure levels observed across age groups 4
- Brompheniramine has a long half-life in children (approximately 12.4 hours), which supports less frequent dosing but also increases the risk of accumulation with repeated doses 5
Precautions and Contraindications
- Avoid overdosing: Accidental ingestions can lead to serious adverse effects, particularly in children under 5 years 6
- Combination products: Be aware that Bromfed DM contains multiple active ingredients, increasing the risk of adverse effects or drug interactions
- Consultation requirement: For infants 6 months to 2 years, physician evaluation is mandatory before administration
When to Seek Medical Attention
Contact a healthcare provider immediately if:
- Symptoms worsen despite treatment
- Fever develops or persists
- Cough lasts more than 7 days
- Any unusual or severe side effects occur
Remember that the FDA and American Academy of Pediatrics have expressed concerns about the safety and efficacy of cough and cold medications in young children, particularly those under 2 years of age.