Doses of drugs used in CNS infections

Drug

Adult dose

Paediatric dose

Artesunate 2.4 mg/kg 0,12 and 24 hours and then q 24 hourly < 20 kg 3 mg/kg at 0,12 and 24 hours and then q 24 hourly
Acyclovir 10 mg/kg 8 hourly 10 mg/kg 8 hourly and in children below 12 20 mg/kg 8 hourly
Ceftriaxone 2 gm 12 hourly 50 mg/kg 12 hourly
Ceftazidime 2 gm q 6-8 hourly 50 mg/kg 8 hourly
Cefepime 2 gm 8-12 hourly 50 mg/ kg 12 hourly
Cefotaxime 2 gm 6 hourly 50 mg/kg 6 hourly
Meropenem 2 gm 8 hourly 40 mg/kg 8 hourly
Colistin 9 million unit loading and then 4.5 million units 12 hourly 150,000 units/ kg loading and then 75000 units/kg 12 hourly
Polymyxin B 20000- 25000 units/kg loading and then 12500 to 15000 units/kg 12 hourly, single dose not to exceed 20,00,000 units 15-25,000 units/ kg loading and then 5000-7500 units/ kg 8 hourly
Fosfomycin 4 gm 6 hourly 75-100 mg/kg/dose 6 hourly
Cotrimoxazole 3-6 mg/kg of TMP thrice daily
Vancomycin 15 mg/kg (max 2 gm)eight hourly 15 mg/kg 6 hourly
Cloxacillin 2 gm 4 hourly 50 mg/kg 6 hourly
Doxycycline 100 mg 12 hourly 1.5-2 mg/kg 12 hourly
Chloramphenicol 1-2 gm 6 hourly 25 mg/kg 6 hourly
Rifampicin 600 mg once daily 10-20 mg/kg once daily
Metronidazole 400 mg 8 hourly 10 mg/kg 8 hourly
Amphotericin B deoxycholate 1 mg/kg/day
Liposomal amphotericin B 3-5 mg/kg/day
Fluconazole 800 mg loading and then 400 mg once daily 12 mg/kg loading and then 6 mg/ kg daily
25 mg/kg loading in neonates and then 12 mg/kg daily