Prescribing Medication for Children: Why Accuracy Matters

Prescribing medication may sound as simple as giving the right dose, but in reality, it is an integrated process involving patient assessment, medication choice, prescription writing, providing information, and ongoing monitoring.

For children, the process requires even greater care. Since they cannot provide consent, they are particularly vulnerable to medication errors—most commonly from incorrect dosages.

Research shows that prescribing errors affect about 13% of pediatric prescriptions, leading not only to a loss of trust in healthcare providers but also psychological distress for patients and families. In light of tragic cases of child deaths linked to contaminated syrups in Indonesia, practicing medicine safety has never been more vital.

Children are especially prone to common illnesses such as coughs and fevers, making accurate dosing a matter of life and death.

Correct Dosing Saves Lives

One of the most widely used medicines for children is Paracetamol—a painkiller for headaches, stomachaches, and fever. It is available without a prescription in tablets or syrup of varying strengths, tailored to different age groups.

Because its effect depends on concentration, accurate dosing is crucial. Parents must carefully read instructions before giving Paracetamol, as children under five are particularly at risk of toxicity. Overdosing or giving it too frequently may cause liver damage.

The safest way to calculate a dose is by considering body weight rather than age, since children’s weights vary widely. However, doses should never exceed the adult maximum. Both adults and children should not take more than four doses within 24 hours.

For syrup formulations, always use the measuring spoon provided—never a kitchen spoon—to avoid dosing errors.

Some children may require lower doses, particularly those who are premature, underweight, or have liver problems. Paracetamol should also not be combined with other pain medications without medical advice. Consulting a doctor before administration is strongly recommended.

Safe Use and Storage of Medicines

Medicine safety extends beyond correct dosing. Storage also matters:

  • Keep medicines in a cool, dry place at the recommended temperature.
  • Always check expiration dates before use.

Final Note

There is no such thing as being too careful when it comes to children’s health. Whether over-the-counter or prescribed, medicines require caution, precision, and vigilance. By taking extra steps, we can protect children from preventable harm and ensure safer treatment outcomes.