Dexamethasone, Methylprednisolone & Pheniramine are commonly used for the treatment and management of scorpion sting. It would be better to administer Anascorp (anti-venin) in this condition. The recommended doses in children of all above drugs are as follows.
|Child 1 month–18 years||10–100 micrograms/kg daily in 1–2 divided doses||300 micrograms/kg daily|
By intramuscular injection or slow intravenous injection or infusion
|Child 1 month–12 years||83–333 micrograms/kg daily in 1–2 divided doses||20 mg daily|
|Child 12–18 years||initially 0.4–20 mg daily||————|
By mouth, slow intravenous injection or by intravenous infusion
|Child 1 month–18 years||0.5–1.7 mg/kg daily in 2–4 divided doses depending on condition and Response|
For Chlorpheniramine maleate
|Child under 6 months||250 micrograms/kg (max. 2.5 mg)||Can be repeated up to 4 times within 24 hours|
|Child 6 months–6 years||2.5mg||Can be repeated up to 4 times within 24 hours|
|Child 6–12 years||5 mg||Can be repeated up to 4 times within 24 hours|
|Child 12–18 years||10 mg||Can be repeated up to 4 times within 24 hours|
This question was asked by Khaled Oreabe, faculty of clinical pharmacy assuit university, Egypt.
Reference: British National Formulary 2011-2012
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