If a medication is dosed as 10mg/5ml, would 10mg be equivalent to 5ml?

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Medication Dosage Calculation

Yes, if a medication is dosed as 10mg/5ml and you want the patient to take 10mg, they would drink 5ml. This is the correct calculation for liquid medication dosing 1.

Understanding Medication Concentration

  • Medication concentration refers to the amount of active ingredient per unit volume 2
  • When a medication is labeled as 10mg/5ml, this means:
    • 10mg of medication is contained in 5ml of liquid
    • Each ml contains 2mg of medication (10mg ÷ 5ml = 2mg/ml) 3
  • To calculate the volume needed for a specific dose:
    • Divide the desired dose by the concentration per ml
    • For 10mg dose: 10mg ÷ (10mg/5ml) = 5ml 2

Importance of Accurate Measurement

  • Dosing errors are common with liquid medications, particularly when inappropriate measuring devices are used 4, 5
  • Using household spoons (teaspoons or tablespoons) can lead to significant dosing errors and should be avoided 3, 2
  • The American Academy of Pediatrics and FDA recommend using standardized measuring instruments such as oral syringes, calibrated dosing spoons, or medicine cups 6

Recommended Measuring Devices (in order of accuracy)

  • Oral syringes have the lowest error rates (4% error rate) and are the most precise for measuring liquid medications 6
  • Calibrated dosing spoons also have low error rates (4.5%) 6
  • Medicine cups with printed calibrations have higher error rates (37-43%) and should be used with caution 4, 6
  • Household teaspoons or tablespoons should never be used due to high variability 3, 5

Common Pitfalls to Avoid

  • Confusing teaspoons (tsp) with tablespoons (tbsp) on measuring devices 3
  • Misreading calibration marks on dosing cups, especially when not viewed at eye level 4
  • Using household utensils instead of calibrated measuring devices 5
  • Failing to check that the measuring device matches the concentration of the medication 2

Remember that accurate medication dosing is critical for therapeutic effectiveness and patient safety, especially for medications with narrow therapeutic windows 5.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

NCPDP recommendations for standardizing dosing in metric units (mL) on prescription container labels of oral liquid medications, version 2.0.

American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2021

Research

Liquid medication dosing errors.

The Journal of family practice, 2000

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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