Bromfed Dosage for a 4-Year-Old Child
For a 4-year-old child, the recommended dose of Bromfed (brompheniramine and pseudoephedrine) is 2.5 mL (½ teaspoonful) every 4 hours, not to exceed 6 doses in a 24-hour period. 1
Dosage Information
The FDA-approved dosing for brompheniramine-containing products follows age-based guidelines:
- Children 2 to under 6 years of age: 2.5 mL (½ teaspoonful) every 4 hours
- Children 6 to under 12 years of age: 5 mL (1 teaspoonful) every 4 hours
- Adults and children 12 years and older: 10 mL (2 teaspoonfuls) every 4 hours
Important Administration Notes:
- Do not exceed 6 doses during a 24-hour period
- Measure doses accurately using a medication syringe or dosing cup
- Liquid formulations are more readily absorbed than tablets and are preferred for children
Safety Considerations
Cautions and Contraindications
- Antihistamines should be used with caution in children with asthma, as some studies have shown that brompheniramine may adversely affect pulmonary function in certain asthmatic children 2
- Avoid concurrent use with other antihistamine-containing products to prevent overdosage
- Monitor for excessive sedation, which is a common side effect of first-generation antihistamines like brompheniramine
Potential Side Effects
- Drowsiness/sedation
- Dry mouth
- Constipation
- Urinary retention
- Paradoxical excitation (especially in young children)
Monitoring Recommendations
- Observe for symptom relief within 30-60 minutes after administration
- Monitor for excessive sedation or paradoxical excitation
- If symptoms persist or worsen despite appropriate dosing, consult healthcare provider
Alternative Considerations
For children with asthma or at risk for adverse reactions to brompheniramine, consider newer second-generation antihistamines that have fewer central nervous system effects and are less likely to cause respiratory complications.
Remember that while Bromfed may provide symptomatic relief for allergic rhinitis and related conditions, it should be used at the lowest effective dose for the shortest duration necessary to control symptoms in pediatric patients.