What is the appropriate dose of Tamiflu (Oseltamivir) 6mg/mL for a 7-year-old child weighing 33.68kg?

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Last updated: February 16, 2025View editorial policy

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From the Guidelines

The recommended dose of Tamiflu (Oseltamivir) 6mg/mL for a 7-year-old child weighing 33.68kg is 45mg twice daily, which can be administered as 7.5mL of the 6mg/mL oral suspension 1.

Key Considerations

  • The dose is based on the child's weight, with a recommended dose of 45mg twice daily for children weighing >15 kg and up to 23 kg, and 60mg twice daily for children weighing >23 kg and up to 40 kg 1.
  • The treatment duration is 5 days, with the first dose initiated within 48 hours of symptom onset for optimal efficacy 1.
  • Oseltamivir is available as a powder for oral suspension that is reconstituted to provide a final concentration of 6 mg/mL, and the dose can be administered with or without food, although administration with meals may improve gastrointestinal tolerability 1.
  • It is essential to note that the dose may need to be adjusted in patients with renal insufficiency, and the treatment should be initiated as soon as possible after symptom onset for optimal efficacy 1.

From the FDA Drug Label

Table 1 Oseltamivir Phosphate for Oral Suspension Dosage Recommendations in Pediatric Patients for Treatment and Prophylaxis of Influenza Weight Treatment Dosage for 5 days Prophylaxis Dosage for 10 days* Volume of OralSuspension(6 mg/mL) for each Dose† Number of Bottles of OralSuspensionto Dispense Patients from 2 Weeks to less than 1 Year of Age Any weight 3 mg/kg twicedaily Not applicable 0. 5 mL/kg§ 1 bottle Patients 1 to 12 Years of Age Based on Body Weight 15 kg or less 30 mg twicedaily 30 mg oncedaily 5 mL 1 bottle 15.1 kg to 23 kg 45 mg twicedaily 45 mg oncedaily 7.5 mL 2 botles 23.1 kg to 40 kg 60 mg twicedaily 60 mg oncedaily 10 mL 2 bottles 40.1 kg or more 75 mg twicedaily 75 mg oncedaily 12. 5 mL 3 bottles

For a 7-year-old child weighing 33.68kg, the appropriate dose of Tamiflu (Oseltamivir) 6mg/mL is 60 mg twice daily for treatment and 60 mg once daily for prophylaxis, as the child's weight falls within the 23.1 kg to 40 kg range. The volume of oral suspension for each dose is 10 mL 2.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 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.

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