| Weight | Dose | Infant Oral Suspension** 160mg/5ml | Children's Syrup 160mg/5ml | 80mg Chewables | 160mg Chewables |
| 6-12 lbs | 40 mg | 1.25 ml | |||
| 12-17 lbs | 80 mg | 2.5 ml | 2.5 ml | ||
| 18-23 lbs | 120 mg | 3.75 ml | 4 ml | ||
| 24-35 lbs | 160 mg | 5 ml | 5 ml | 2 | 1 |
| 36-47 lbs | 240 mg | 7.5 ml | 3 | 1 ½ | |
| 48-59 lbs | 320 mg | 10 ml | 4 | 2 | |
| 60-71 lbs | 400 mg | 12.5 ml | 5 | 2 ½ | |
| 72-95 lbs | 480 mg | 15 ml | 6 | 3 | |
| 95+ lbs | 640 mg | 20 ml | 8 | 4 |
| Weight | Dose | Infant Oral Drops (50 mg/1.25 ml) | Children's Oral Suspension (100 mg/5 ml) | Chewables 50 mg | Chewables 100 mg | Caplets 100 mg |
| 12-17 lbs | 50 mg | 1.25 ml | 2.5 ml | |||
| 18-21 lbs | 75 mg | 1.875 ml | 4 ml | |||
| 22-32 lbs | 100 mg | 2.5 ml | 5 ml | |||
| 33-43 lbs | 150 mg | 3.75 ml | 7.5 ml | 3 | 1 ½ | |
| 44-54 lbs | 200 mg | 5 ml | 10 ml | 4 | 2 | 2 |
| 55-65 lbs | 250 mg | 12.5 ml | 5 | 2 ½ | 2 ½ | |
| 66-76 lbs | 300 mg | 15 ml | 6 | 3 | 3 | |
| 77-87 lbs | 350 mg | 17.5 ml | 7 | 3 ½ | 3 ½ | |
| 88-98 lbs | 400 mg | 20 ml | 8 | 4 | 4 |
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Each year, over 2 million people are injured and over 2,000 children die from automobile accidents in the U.S.
Rear Facing Car Seats: Ages 0-2 years
The American Academy of Pediatrics recommends using a rear-facing seat until your child reaches age 2, or until they reach the maximum height AND weight for their seat.
Forward Facing Car Seats:
The American Academy of Pediatrics recommends continuing to use your car seat with a 5-point harness for as long as possible. Always read the car seat and vehicle manuals for weight limits.
Some younger children may outgrow the weight or height limit of the forward-facing car seat with a harness but may not be ready to stay seated properly in a booster seat using the lap and shoulder belt. If this is the case, look for a car seat with a higher weight or height limit.
Booster Seats:
Although state law in Massachusetts states that children should be in a booster seat until age 8 or be over 4 feet 9 inches (57 inches) tall, the American Academy of Pediatrics recommends that children ride in a booster seat until they have reached 4 feet 9 inches tall. Most children will not properly fit in vehicle seat belts without a booster until they are 10-12 years of age. Backless booster seats may be used in vehicles with head-rests and high back seats. Otherwise, boosters with backs are preferred.
Seatbelts:
The American Academy of Pediatrics recommends that children should ride in the rear of a vehicle until they are 13 years old. The shoulder belt should lie across the middle of the chest and shoulder, not near the neck or face. The lap belt should fit low and snug on the hips and upper thighs, not across the belly. Products that “make the seat belt fit better” are not covered by federal safety standards and should not be used - they can be dangerous.
More Information
Do not continue to use your car seat if there are visible cracks, it has missing parts or was recalled, or if it has been involved in a moderate to severe crash. In these situations, it’s time for a new car seat! Never leave your child alone in a car. Children can die from heat stroke because temperatures can reach deadly levels within minutes.
If you need installation help: Find a certified CPS technician. Certified CPS technicians and child seat fitting stations are available on the following sites:
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National Domestic Violence/Abuse Hotline
1-800-799-SAFE, 1-800-787-3224 TDD.
Fever is a body temperature that is higher than 98.6-100°F. Temperatures below normal are usually not worrisome unless they occur in very young babies.
Fever itself is not an illness, but usually indicates that the body is fighting an infection. Fever is the body’s natural response to infection. In general, an elevated temperature is NOT dangerous. The infection that is causing the fever may or may not be concerning. Fever alone never causes brain damage unless the fever is very high (over 106-107°F).
See proper medication dosing at the top of this page.
Healthychildren.org - Medical website for parents, created by the American Academy of Pediatrics. Includes general information related to child health, parenting issues, etc.
Kidsdoc Symptom Checker - This tool helps parents make smart decisions on what level of care is needed for your child, and how to provide speedy symptom relief for minor illnesses or injuries you can manage on your own.
The repellents that are proven most effective are DEET and picaridin. Sunscreen/insect repellent combinations are not advised. Repellents should be applied more sparingly and less often than sunscreen. Apply sunscreen before insect repellent so that the sunscreen can bind to the skin.
DEET
Picaridin
Lemon eucalyptus (also known as PMD)
Citronella
Learn more at United States Environmental Protection Agency (EPA)
Head lice are tan to grayish-white, 2-3mm long (about the size of a sesame seed), and can be seen moving on the scalp.
Transmission
Treatment
A visit to the doctor’s office is usually not necessary First choice of treatment is over-the-counter Nix (permethrin), Rid is another product but Nix is preferable.
"Natural products"
Some evidence of effectiveness but evidence not as robust as other approved treatments
Household decontamination
Lyme disease is a tick-borne illness caused by the bacteria Borrelia burgdorferi. There are many types of ticks in the United States. However, only deer ticks can transmit Lyme disease. Deer ticks are very tiny, approximately the size of a poppy seed.
Transmission
Signs of Lyme disease may include
Prevention
Tick removal
Treatment
Additional Resources:
Lyme disease is a tick-borne illness caused by the bacteria Borrelia burgdorferi. There are many types of ticks in the United States. However, only deer ticks can transmit Lyme disease. Deer ticks are very tiny, approximately the size of a poppy seed.
Transmission
Signs of Lyme disease may include
Prevention
Tick removal
Treatment
Additional Resources:
If you are planning to travel internationally (to anywhere other than Canada or Western Europe), please call our office AT LEAST 4 WEEKS PRIOR TO YOUR TRIP to discuss the need for vaccines or medications.
When calling the office please leave a message with the country (including the province) you are traveling to, your departure date, and the number of days you will be away. The sooner you call before your departure, the better we will be able to meet your travel needs.
Also, you may visit www.cdc.gov/travel for recommendations on international travel.