Young's Rule is an equation used to calculate pediatric medication dosage based on the age of the patient, as well as the known recommended adult dose. The definition of Young's Rule is the age of the patient, divided by the age added to twelve, all multiplied by the recommended adult dose. This formula appears below:
[Age / (Age + 12)] x Recommended Adult Dose = Pediatric Dose
Young's Rule can be applied to quickly approach a situation in which the patient's weight is unknown. Other approaches to pediatric dosing that also use age include Webster's Rule and Fried's Rule.
If the weight of the patient is known, Clark's Rule or the Body Surface Area rule can be implemented.[1]
In situations where the pediatric patient's weight is unknown, for instance, at the point of injury, then Young's Rule can be safely implemented if their age and the recommended adult dosing are known. Additionally, certain classes of medications require weight-based dosing, such as antibiotics and antiepileptics. Ultimately, age-based dosing has demonstrated to be a safe and effective approach. However, caution should be used depending on the class of the drug.[4][5]
[1] | Delgado BJ,Bajaj T, Clark's Rule 2020 Jan; [PubMed PMID: 31082148] |
[2] | Ogden CL,Carroll MD,Lawman HG,Fryar CD,Kruszon-Moran D,Kit BK,Flegal KM, Trends in Obesity Prevalence Among Children and Adolescents in the United States, 1988-1994 Through 2013-2014. JAMA. 2016 Jun 7; [PubMed PMID: 27272581] |
[3] | Kendrick JG,Carr RR,Ensom MH, Pharmacokinetics and drug dosing in obese children. The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG. 2010 Apr; [PubMed PMID: 22477800] |
[4] | Elias GP,Antoniali C,Mariano RC, Comparative study of rules employed for calculation of pediatric drug dosage. Journal of applied oral science : revista FOB. 2005 Jun; [PubMed PMID: 20924533] |
[5] | Kendrick JG,Carr RR,Ensom MH, Pediatric Obesity: Pharmacokinetics and Implications for Drug Dosing. Clinical therapeutics. 2015 Sep 1; [PubMed PMID: 26361823] |