Pediatric Pharmacology
Example of a high-potency steroid - Clobetasol
Example of combination therapy for acne - Retinoid + benzoyl peroxide + topical abx (e.g.,
Benzaclin)
Examples of low-potency topical steroids - Hydrocortisone 1-2.5%, Desonide
First line for purulent skin infection: - clindamycin or bactrim (MRSA concern if purulent).
First-line antibiotic for AOM - Amoxicillin
First-line for acne - Topical retinoid
First-line treatment for ADHD - Stimulants
First-line treatment for chlamydia in adolescents - Doxycycline
First-line treatment for pediatric UTI - Cephalexin
First-line treatment for preseptal cellulitis with sinusitis features - Augmentin
First-line treatments for pediatric constipation - MiraLAX, hydration, diet changes, senna,
behavioral interventions
How ibuprofen should be taken - With food, not more than every 6-8 hours
, Impetigo; cephalexin - What is this? (bonus: how do we treat it?)
ABX class for AOM with penicillin allergy - 3rd gen cephalosporin
Alternatives if amoxicillin fails or is contraindicated - Augmentin → 3rd-gen cephalosporins
(cefpodoxime, cefdinir) → clindamycin (if penicillin allergy)
Antibiotic duration for acute otitis media (AOM) in children under 2 years old - 10 days
Antibiotic good for skin infections and impetigo - Cephalexin
Antibiotic of choice for animal bites - Augmentin
Azithromycin use in children - Atypical pneumonia, pertussis, strep (if PCN allergy), chlamydia (if
doxy not appropriate)
Bactrim cautions - avoid <2 months due to hyperbilirubinemia; risk of Stevens-Johnson
syndrome (SJS)
Benefit of second-generation antihistamines - Less sedating than first-generation
Cautions when using ibuprofen in children - GERD, ulcers, kidney problems, platelet issues (e.g.,
leukemia)
Dosing of elemental iron for iron-deficiency anemia (IDA) in children - 3-6 mg/kg/day
Example of a high-potency steroid - Clobetasol
Example of combination therapy for acne - Retinoid + benzoyl peroxide + topical abx (e.g.,
Benzaclin)
Examples of low-potency topical steroids - Hydrocortisone 1-2.5%, Desonide
First line for purulent skin infection: - clindamycin or bactrim (MRSA concern if purulent).
First-line antibiotic for AOM - Amoxicillin
First-line for acne - Topical retinoid
First-line treatment for ADHD - Stimulants
First-line treatment for chlamydia in adolescents - Doxycycline
First-line treatment for pediatric UTI - Cephalexin
First-line treatment for preseptal cellulitis with sinusitis features - Augmentin
First-line treatments for pediatric constipation - MiraLAX, hydration, diet changes, senna,
behavioral interventions
How ibuprofen should be taken - With food, not more than every 6-8 hours
, Impetigo; cephalexin - What is this? (bonus: how do we treat it?)
ABX class for AOM with penicillin allergy - 3rd gen cephalosporin
Alternatives if amoxicillin fails or is contraindicated - Augmentin → 3rd-gen cephalosporins
(cefpodoxime, cefdinir) → clindamycin (if penicillin allergy)
Antibiotic duration for acute otitis media (AOM) in children under 2 years old - 10 days
Antibiotic good for skin infections and impetigo - Cephalexin
Antibiotic of choice for animal bites - Augmentin
Azithromycin use in children - Atypical pneumonia, pertussis, strep (if PCN allergy), chlamydia (if
doxy not appropriate)
Bactrim cautions - avoid <2 months due to hyperbilirubinemia; risk of Stevens-Johnson
syndrome (SJS)
Benefit of second-generation antihistamines - Less sedating than first-generation
Cautions when using ibuprofen in children - GERD, ulcers, kidney problems, platelet issues (e.g.,
leukemia)
Dosing of elemental iron for iron-deficiency anemia (IDA) in children - 3-6 mg/kg/day
