Printable reference
Dexamethasone seasonal dosing
Quick-reference dosing notes for pediatrics with safety checks. Use local protocols and the full calculator for edge cases.
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Verify before giving
- Confirm indication and local steroid regimen (dose, frequency, total days).
- Confirm weight (kg) and maximum dose policy (varies by protocol).
- Confirm formulation and concentration. Recalculate: mL = mg ÷ (mg/mL).
- Use an oral syringe; avoid household teaspoons.
- If severe illness, immunocompromise, or you are unsure: consult clinician/pharmacy.
Common dosing patterns (verify protocol)
Dexamethasone dosing varies by indication. This sheet is a reference for calculation and safe dispensing—not a prescription.
| Scenario | Typical pattern | Notes |
|---|---|---|
| Croup | 0.6 mg/kg once (max per protocol) | Many pathways use a max single dose (commonly 10–16 mg). Confirm local max. |
| Asthma / wheeze (protocol-dependent) | Varies by pathway | Use your local regimen (some use 1–2 doses). Don’t substitute without protocol guidance. |
mL conversion (liquid)
Always confirm the bottle concentration. Convert with: mL = mg ÷ (mg/mL).
| Label / concentration | mg/mL | Example: 10 mg dose |
|---|---|---|
| 1 mg/mL | 1 mg/mL | 10.0 mL |
| 0.5 mg/mL | 0.5 mg/mL | 20.0 mL |
Use your local rounding policy and dosing device.
Red flags
Seek urgent evaluation (examples)
- Trouble breathing, severe stridor at rest, or cyanosis
- Dehydration with inability to keep fluids down
- Severe lethargy, confusion, or worsening symptoms
Call your clinician/pharmacy (examples)
- Questions about the regimen, max dose, or repeat dosing
- Unclear concentration / formulation mismatch
- Immunocompromise or significant comorbidities
Full calculator and medication page
For indication-specific dosing options and max doses, use: