What is the maximum dose of medication (600mg/5ml) that can be given to a child for augmentation, considering their age, weight, and medical condition?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: January 8, 2026View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Maximum Dose for Augmentin 600mg/5mL in Children

I cannot provide a definitive answer because the evidence provided does not contain any information about Augmentin (amoxicillin-clavulanate) dosing, and the "600mg/5mL" formulation you reference does not match standard Augmentin concentrations.

Critical Clarification Needed

The provided evidence discusses:

  • Tuberculosis medications (rifampin, isoniazid) 1
  • Influenza antivirals (oseltamivir, zanamivir, peramivir) 1
  • Asthma medications (inhaled corticosteroids) 1
  • Ondansetron (antiemetic) 2, 3
  • Chlorphenamine (antihistamine) 4

None of these are Augmentin or amoxicillin-clavulanate.

Standard Augmentin Formulations (General Medical Knowledge)

Augmentin ES-600 (the likely intended formulation) contains:

  • 600mg amoxicillin/42.9mg clavulanate per 5mL
  • Maximum dose: 90 mg/kg/day of amoxicillin component divided twice daily
  • Absolute maximum: 4000mg amoxicillin per day (regardless of weight)

Dosing Algorithm (Based on General Medical Knowledge)

For children ≥3 months with acute otitis media or sinusitis:

  1. Calculate weight-based dose: 45 mg/kg/dose twice daily (90 mg/kg/day total)
  2. Check against absolute maximum: Do not exceed 2000mg amoxicillin per dose
  3. Volume calculation: Dose (mg) ÷ 600mg × 5mL = volume per dose

Common pitfall: Confusing the amoxicillin component (600mg) with the total drug content—always dose based on the amoxicillin component only.

Request for Clarification

To provide evidence-based guidance, please clarify:

  • Is this Augmentin ES-600 (600mg amoxicillin/5mL)?
  • What is the child's weight and indication?
  • Are you asking about per-dose maximum or daily maximum?

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Ondansetron Dosing Guidelines for Children

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Ondansetron Sublingual Dosing for Children

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Dosing Guidelines for Chlorphenamine in Children

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

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.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.