Cefotaxime Pediatric Dose Calculator

Weight-based cefotaxime dosing for children, with maximum doses, age limits and sources. Enter age and weight for the dose in mg and injection volume.

Category: AntibioticAges: Birth – adult (hospital use)Updated: 2026-09-27For: cliniciansHospital use

Pediatric dosing

Serious infection / sepsis Hospital

<7 days: 50 mg/kg/dose · every 12 hours
Duration: Per clinical response and cultures
7 days to 28 days: 50 mg/kg/dose · every 8 hours
Duration: Per clinical response and cultures
>28 days: 50 mg/kg/dose · every 8 hours (every 6 hours in severe infection) · max 2 g/dose
Duration: Per clinical response and cultures

Bacterial meningitis (>28 days) Hospital

50 mg/kg/dose · every 6 hours · max 2 g/dose
Duration: 10–14 days (pathogen-dependent) · Neonatal meningitis needs specialist dosing.
Eligibility: >28 days

Cefotaxime dose chart by age and weight

Serious infection / sepsis. Weights are WHO/IAP reference medians for age — always dose on the measured weight.

AgeWeightDose (mg)1 g vial + 10 mL water for injection (≈100 mg/mL)Frequency
15 days3.8 kg190 mg1.9 mLEvery 8 hours
1 month4.3 kg215 mg2.2 mLEvery 8 hours (every 6 hours in severe infection)
3 months6.1 kg305 mg3.1 mLEvery 8 hours (every 6 hours in severe infection)
6 months7.6 kg380 mg3.8 mLEvery 8 hours (every 6 hours in severe infection)
9 months8.6 kg430 mg4.3 mLEvery 8 hours (every 6 hours in severe infection)
1 year9.3 kg465 mg4.7 mLEvery 8 hours (every 6 hours in severe infection)
18 months10.6 kg530 mg5.3 mLEvery 8 hours (every 6 hours in severe infection)
2 years11.8 kg590 mg5.9 mLEvery 8 hours (every 6 hours in severe infection)
3 years14.1 kg705 mg7.1 mLEvery 8 hours (every 6 hours in severe infection)
4 years16.2 kg810 mg8.1 mLEvery 8 hours (every 6 hours in severe infection)
5 years17.5 kg875 mg8.8 mLEvery 8 hours (every 6 hours in severe infection)
6 years19 kg950 mg9.5 mLEvery 8 hours (every 6 hours in severe infection)
8 years24.4 kg1220 mg12 mLEvery 8 hours (every 6 hours in severe infection)
10 years31.1 kg1555 mg15.5 mLEvery 8 hours (every 6 hours in severe infection)
12 years39.4 kg1970 mg19.5 mLEvery 8 hours (every 6 hours in severe infection)
Computed with the PediaRx dose engine from the regimen above; caps and age limits applied.

Strengths in the calculator

  • 1 g vial + 10 mL water for injection (≈100 mg/mL) (Intravenous / Intramuscular) — Displacement volume ignored; follow the product insert.

Different strength on your bottle? Use “Different strength on the bottle?” under the result.

Safety

Contraindications and cautions

  • History of anaphylaxis to penicillins or cephalosporins.

Pregnancy and breastfeeding

Legacy FDA category B. No evidence of harm; use when clearly indicated.

Compatible with breastfeeding.

Clinical notes

Preferred third-generation cephalosporin in neonates (no bilirubin displacement and no calcium precipitation issue).

Adult and adolescent (≥40 kg) dose

1–2 g — Every 8 hours (severe: 2 g every 6 hours) (max 2 g per dose, 12 g per day).

Other names and brands

  • India: Taxim
  • UK: Claforan

Brand examples only — products and strengths vary by country. Always check the label.

Frequently asked questions

What is the cefotaxime dose for children?

Serious infection / sepsis: <7 days: 50 mg/kg/dose · every 12 hours; 7 days to 28 days: 50 mg/kg/dose · every 8 hours; >28 days: 50 mg/kg/dose · every 8 hours (every 6 hours in severe infection) · max 2 g/dose. Usual duration: Per clinical response and cultures. Always use the child's measured weight and check the strength on the bottle.

How many mL of 1 g vial + 10 mL water for injection (≈100 mg/mL) for an 11.8 kg child?

For serious infection / sepsis, an 11.8 kg child (about 2 years) needs 590 mg per dose — 5.9 mL of 1 g vial + 10 mL water for injection (≈100 mg/mL), every 8 hours (every 6 hours in severe infection). Recalculate with the child's actual weight.

From what age can cefotaxime be given?

Age range in PediaRx: Birth – adult (hospital use). Each indication can have its own age and weight limits, shown with its regimen.

Is cefotaxime safe in pregnancy?

Legacy FDA category B. No evidence of harm; use when clearly indicated.

Sources and editorial process

  1. BNF for Children — Cefotaxime — NICE / BMJ Group / Royal Pharmaceutical Society
  2. Pocket Book of Hospital Care for Children, 2nd edition (2013) — World Health Organization

Dosing data last updated 2026-09-27. PediaRx is built and maintained by (Medical Officer, Government of West Bengal, India — founder and developer of PediaRx). Every regimen is encoded with explicit units, maximum doses and age/weight limits and is checked by automated tests before publication. Report an error: hello@pediarx.com.

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Clinical disclaimer: reference tool for qualified health professionals. Verify every dose against current guidance and the product label before prescribing.

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