Guest guest Posted July 3, 2008 Report Share Posted July 3, 2008 Given 1 Tablespoon is equal to 3 teaspoons, I think that is too much to give. We started with 2 teaspoons for a 32 pound child, and eventually dropped it many times and found that a 3 ml (slightly over 1/2 teaspoon) worked for a 35 pound child fairly well. Information on dosage from one of my recent posts: The standard dose range is 1-2 mg/kg..... A dose of 3 Tablespoons for a 30 pound child is over 3 mg/kg (if the Orapred is 15 mg/5mls).... A pound is roughly .45 kg. So... for those that hate math... a 33 pound child is roughly 15 kg. Bear with me... I chose 33 pounds for a reason. A 1 mg/kg dose for a 33 pound child is equal to 15 mg/15kg --- i.e., 1 teaspoon of liquid Orapred (15mg/5ml dose). So a 2 mg/kg dose for a 33 pound child is equal to 30 mg/15kg ---- i.e., 2 teaspoons of liquid Orapred (15mg/5ml dose). ----------------------------------------- ==================================================== This message contains PRIVILEGED and CONFIDENTIAL information that is intended only for use by the named recipient. If you are not the named recipient, any disclosure, dissemination, or action based on the contents of this message is prohibited. In such case please notify us and destroy and delete all copies of this transmission. Thank you. ==================================================== Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 3, 2008 Report Share Posted July 3, 2008 Given 1 Tablespoon is equal to 3 teaspoons, I think that is too much to give. We started with 2 teaspoons for a 32 pound child, and eventually dropped it many times and found that a 3 ml (slightly over 1/2 teaspoon) worked for a 35 pound child fairly well. Information on dosage from one of my recent posts: The standard dose range is 1-2 mg/kg..... A dose of 3 Tablespoons for a 30 pound child is over 3 mg/kg (if the Orapred is 15 mg/5mls).... A pound is roughly .45 kg. So... for those that hate math... a 33 pound child is roughly 15 kg. Bear with me... I chose 33 pounds for a reason. A 1 mg/kg dose for a 33 pound child is equal to 15 mg/15kg --- i.e., 1 teaspoon of liquid Orapred (15mg/5ml dose). So a 2 mg/kg dose for a 33 pound child is equal to 30 mg/15kg ---- i.e., 2 teaspoons of liquid Orapred (15mg/5ml dose). ----------------------------------------- ==================================================== This message contains PRIVILEGED and CONFIDENTIAL information that is intended only for use by the named recipient. If you are not the named recipient, any disclosure, dissemination, or action based on the contents of this message is prohibited. In such case please notify us and destroy and delete all copies of this transmission. Thank you. ==================================================== Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 3, 2008 Report Share Posted July 3, 2008 Ginger, Thanks for your post. My husband just picked up the prescription so we'd have it over the long weekend just in case she gets a fever (due any day now) and if we decide to give the steroids. This is what the doctor gave us: " Generic for Orapred 5mg/5cc: Prednisolone 5mg/5ml " and instructions to give 1 tablespoon at onset of fever. That seems like a different dose of the Orapred you listed in your example. Perhaps I am challenged in this area? Your input is much appreciated. Thanks! Cassandra Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 3, 2008 Report Share Posted July 3, 2008 Ginger, Thanks for your post. My husband just picked up the prescription so we'd have it over the long weekend just in case she gets a fever (due any day now) and if we decide to give the steroids. This is what the doctor gave us: " Generic for Orapred 5mg/5cc: Prednisolone 5mg/5ml " and instructions to give 1 tablespoon at onset of fever. That seems like a different dose of the Orapred you listed in your example. Perhaps I am challenged in this area? Your input is much appreciated. Thanks! Cassandra Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 3, 2008 Report Share Posted July 3, 2008 Cassandra, Based off of the type of Orapred you have - 5mg/5cc (which is basically 5mg/5mls) - you are correct that it is a different strength. So, 1 Tablespoon would be approximately equal to the 1mg/kg dosage for your 30 pound child. This is a very common dosage, and a good one to start with, in my opinion. We started at double that amount - which was TOO much for our daughter. I think you should be fine using 1 Tablespoon (which is 3 teaspoons, or 15 mls) of your 5mg/5ml strength orapred. This is a lot of liquid, however, so if you find that your child has a hard time taking it, you might ask for the stronger liquid next time. Our daughter had no difficulties with it, but I've heard some parents comment on the taste. I'd recommend you have a juice " chaser " for just after you give it to her. We also fed her a little something each time to ensure there was something on her stomach. After a few times, we learned it wasn't necessary - but I'm always cautious giving medicine on an empty stomach unless it is recommended. Last advice is to wait until she is well into the fever (101-102) - not just at the first sign of a fever. We found it helped ensure that the fever didn't return. Best of luck to you --- I hope that her fevers drop immediately and that she does well. Ginger ----------------------------------------- ==================================================== This message contains PRIVILEGED and CONFIDENTIAL information that is intended only for use by the named recipient. If you are not the named recipient, any disclosure, dissemination, or action based on the contents of this message is prohibited. In such case please notify us and destroy and delete all copies of this transmission. Thank you. ==================================================== Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 3, 2008 Report Share Posted July 3, 2008 Cassandra, Based off of the type of Orapred you have - 5mg/5cc (which is basically 5mg/5mls) - you are correct that it is a different strength. So, 1 Tablespoon would be approximately equal to the 1mg/kg dosage for your 30 pound child. This is a very common dosage, and a good one to start with, in my opinion. We started at double that amount - which was TOO much for our daughter. I think you should be fine using 1 Tablespoon (which is 3 teaspoons, or 15 mls) of your 5mg/5ml strength orapred. This is a lot of liquid, however, so if you find that your child has a hard time taking it, you might ask for the stronger liquid next time. Our daughter had no difficulties with it, but I've heard some parents comment on the taste. I'd recommend you have a juice " chaser " for just after you give it to her. We also fed her a little something each time to ensure there was something on her stomach. After a few times, we learned it wasn't necessary - but I'm always cautious giving medicine on an empty stomach unless it is recommended. Last advice is to wait until she is well into the fever (101-102) - not just at the first sign of a fever. We found it helped ensure that the fever didn't return. Best of luck to you --- I hope that her fevers drop immediately and that she does well. Ginger ----------------------------------------- ==================================================== This message contains PRIVILEGED and CONFIDENTIAL information that is intended only for use by the named recipient. If you are not the named recipient, any disclosure, dissemination, or action based on the contents of this message is prohibited. In such case please notify us and destroy and delete all copies of this transmission. Thank you. ==================================================== Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 8, 2008 Report Share Posted July 8, 2008 Ginger, Thank you so much for the dosage information. Jayden's fever came on at 11:00 p.m. last night. She was well into the fever this morning. We went for bloodwork and then a check-in with her doctor. We gave her the prednisone at 101 fever. This is our first time doing it and for personal reasons, will probably be our last. Our ID wants us to try it at least once for " diagnostic " purposes. We are really pushing for the T & A. Jayden will have 3 more weekly blood draws and then we'll go from there. Her fever is down now. NOt sure if thats from the Motrin or the Prednisone. We'll just wait and see. Thanks again for your help! Take care, Cassandra Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 16, 2008 Report Share Posted September 16, 2008 This is nothing related to , I know you all are well educated and wanted your opinion. My older son who weighs 89 lbs. has had a persistant cough. Took him to the ped. today to find out he is wheezing and had a breathing treatment in the office. The doc perscribed prednisone, got it home to find out 3 20mg pills a day, 60 mg of prednisone in a day. Does this sound right to anyone? Maybe I was so used to Landon's 10 mg a day, granted he is smaller but 60mg sounds like a ton to me. He is supposed to take it for 5 days. I did call the pharmacist and he said it is fine. Just wondering if anyone has any thoughts. Thank you!! Today is the first day Landon is feeling good since his T & A and now this! YUCK!!!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 17, 2008 Report Share Posted September 17, 2008 It is likely correct for a short period of time. If this is daily for a long time - I'd research it again. When Dani was 30 pounds she was originally prescribed 30 mg --- so you're at 3 times the weight and 3 times the dosage --- sounds likely to be right. Ginger M. Hackett, PMP, ABCP Office: (770) 828-1397 New Working Hours: Mon., Tues., and Thurs.: 8:30-5:30 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 17, 2008 Report Share Posted September 17, 2008 It is likely correct for a short period of time. If this is daily for a long time - I'd research it again. When Dani was 30 pounds she was originally prescribed 30 mg --- so you're at 3 times the weight and 3 times the dosage --- sounds likely to be right. Ginger M. Hackett, PMP, ABCP Office: (770) 828-1397 New Working Hours: Mon., Tues., and Thurs.: 8:30-5:30 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 17, 2008 Report Share Posted September 17, 2008 Jackie and all, Several of our six children have asthma, including Sophia (3.5 y.o. with ). The steroid dosage for is considerably less than dosing for respiratory symptoms. Plus for wheezing, steroids are usually a 5-day duration. Sophia's asthma steroid dose is at least double that of her dose, and she often has inhaled steroids at the same time. Shirley Daughters--na (20), Isabelle (10), and Sophia (fevering for 3 years) Sons-- (18), Elijah (14), and Abram (7) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 17, 2008 Report Share Posted September 17, 2008 Thank you Ginger. I did research it and it seems right, it is only for 5 days. is my calm child but the prednisone makes him very hyper. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 18, 2008 Report Share Posted September 18, 2008 Thank you Shirley! After further investigating I realized that the dosage was " normal " . Thanks for your input. Quote Link to comment Share on other sites More sharing options...
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