What is the recommended dosage and formulation of vitamin C (Ascorbic Acid) for a 2-3 year old child weighing 12.5kg?

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Vitamin C (Ascorbic Acid) Dosing for a 12.5kg Child (2-3 Years Old)

For a 2-3 year old child weighing 12.5kg, administer 100 mg of vitamin C once daily via oral or intravenous route, based on FDA-approved dosing guidelines. 1

Recommended Dosage and Formulation

Standard Dosing

  • Children aged 1 year to less than 11 years: 100 mg once daily 1
  • This child at 12.5kg falls into the 1-11 year age category, making 100 mg the appropriate dose 1

Parenteral Nutrition Context

  • If this child requires parenteral nutrition, the guideline recommends 15-25 mg/kg/day for infants up to 12 months and 80 mg/day for older children 2
  • For a 2-3 year old on parenteral nutrition, 80 mg/day would be appropriate, though the FDA-approved dose of 100 mg daily is higher and represents the standard recommendation 2, 1

Formulation Options

Intravenous Administration

  • Must be diluted prior to use - ASCOR contains 25,000 mg per vial and requires dilution to isotonic solution 1
  • For the 100 mg dose: Add 0.2 mL of ASCOR to approximately 3.8 mL of Sterile Water for Injection to create an isotonic solution 1
  • Final concentration should be 1-25 mg/mL of ascorbic acid 1
  • Administer as a slow intravenous infusion 1
  • Solution should appear colorless to pale yellow 1

Oral Administration

  • Oral vitamin C supplements are widely available in chewable tablets, liquid suspensions, or dissolvable powders
  • Standard pediatric formulations typically contain 50-100 mg per dose, making dosing straightforward

Administration Guidelines

Key Safety Parameters

  • Maximum recommended duration: one week for IV formulation 1
  • Minimize exposure to light as ascorbic acid is light-sensitive 1
  • Do not mix with solutions containing elemental compounds that can be reduced (e.g., copper) 1

Clinical Considerations

  • Ascorbic acid is essential for bone formation, wound healing, connective tissue growth, and maintaining healthy gum tissue 3
  • It functions primarily as an antioxidant and supports immune function 3
  • The dose of 100 mg daily is well above the minimum requirement and provides adequate supplementation without risk of toxicity 1

Important Caveats

  • Do not exceed recommended doses - while vitamin C has low toxicity, megadose therapy has not shown proven benefits and may occasionally be injurious 4
  • For children with glucose-6-phosphate dehydrogenase deficiency, doses should not exceed the U.S. Recommended Dietary Allowance (RDA) 1
  • If using IV formulation, each dose must be used immediately after preparation; discard unused portion 1

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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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