Stephen J. Schueler, M.D.

Overview Incidence Risk Factors Symptoms cold versus flu Evaluation Treatment questions for doctor specialist Home Care congestion cough diarrhea fever sore throat warning signs wheezing Prevention Complications Underlying Cause Transmission

Upper Respiratory Infections in Children Cough

Home treatment of a cough in children with an upper respiratory infection includes:

  • Avoid respiratory irritants, such as pollution, pollen, mold, dust and chemical fumes
  • Change A/C and furnace filters regularly.
  • Avoid exposure to secondary smoke.
  • Drink warm liquids to relieve coughing spasms.
  • Use throat lozenges, but do not use them in children under 5 years of age.
  • Use a humidifier, nebulizer, or vaporizer in the bedroom at night.

Cough medicines:

Dosing Dextromethorphan
Childs WeightDextromethorphan Dose
22 lb (10 kg)5 mg every 8 hrs
33 lb (15 kg)7.5 mg every 8 hrs
44 lb (20 kg)10 mg every 8 hrs
55 lb (25 kg)12.5 mg every 8 hrs
66 lb (30 kg)15 mg every 8 hrs
88 lb (40 kg)20 mg every 8 hrs
110 lb (50 kg)25 mg every 8 hrs
132 lb-adult (60 kg)30 mg every 8 hrs

Cough medication precautions:

Continue to Upper Respiratory Infections in Children Diarrhea

Last Updated: Jan 6, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
Copyright DSHI Systems, Inc. Powered by: FreeMD - Your Virtual Doctor

PubMed Upper Respiratory Infections in Children References
  1. Autret-Leca E, Giraudeau B, Ployet MJ, Jonville-Bera AP. Amoxicillin/clavulanic acid is ineffective at preventing otitis media in children with presumed viral upper respiratory infection: a randomized, double-blind equivalence, placebo-controlled trial. Br J Clin Pharmacol. 2002 Dec;54(6):652-6. [12492614]
  2. Butler CC, Hood K, Kinnersley P, Robling M, Prout H, Houston H. Predicting the clinical course of suspected acute viral upper respiratory tract infection in children. Fam Pract. 2005 Feb;22(1):92-5. [15640294]
  3. Fahey T, Stocks N, Thomas T. Systematic review of the treatment of upper respiratory tract infection. Arch Dis Child. 1998 Sep;79(3):225-30. [9875017]
  4. Lam TP, Lam KF. Why do family doctors prescribe antibiotics for upper respiratory tract infection? Int J Clin Pract. 2003 Apr;57(3):167-9. [12723716]
FreeMD is provided for information purposes only and should not be used as a substitute for evaluation and treatment by a physician. Please review our terms of use.