Pharmacology & Dosage
Basic

Weight-Based Dosing

Calculate the total dose from a per-kilogram dosing rate — common in paediatrics.

Formula

D=d×WD = d \times W

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Variables

DTotal dose
dDose per kg
WPatient weight (kg)

Example

d = 10 mg/kg, W = 25 kg → D = 250 mg

How it works

This formula is used when a medicine dose is prescribed relative to body weight, so larger patients receive proportionally more and smaller patients receive less. You multiply the dose per kilogram by the patient’s weight to convert a standard rate into the total amount needed for that individual. It is especially useful in children, where size varies a lot and fixed doses may not be appropriate.

When to use it

Use this when a prescription or guideline gives a dose in units like mg/kg, mcg/kg, or mL/kg. It is common in paediatrics, emergency medicine, and for drugs where safety depends on matching the dose to body size.

Worked example, step by step

Step 1: Identify the dose rate and weight. d = 5 mg/kg W = 18 kg Step 2: Substitute into the formula D = d × W. D = 5 × 18 Step 3: Calculate the total dose. D = 90 mg Final answer: The patient needs 90 mg in total.

Common mistakes to avoid

  • Using the patient’s weight in pounds instead of kilograms
  • Forgetting to include the units after calculating the dose
  • Multiplying by weight when the prescription already gives a fixed total dose

Did You Know?

Children are not 'small adults' — weight-based dosing is critical because their organs metabolise drugs at different rates.

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Reviewed & maintained by the FormulaWon editorial teamLast reviewed September 2026