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. 2021 Mar 3;116(3):516–658. [Article in Portuguese] doi: 10.36660/abc.20201238

Chart 12.8. – Antihypertensive medications prescribed to children and adolescents in Brazil.

Medication Age Initial dose Maximum dose Interval
Clonidine > 12 to 0.2 mg/day 2.4 mg/day 12 h
Atenolol   0.5-1 mg/kg/dose 2 mg/kg/day (max. 100 mg/day) 12-24 h
Propranolol   1-2 mg/kg/dose 4 mg/kg/day (max. 640 mg/day) 8-12 h
Amlodipine 1-5 years 0.1 mg/kg/dose 0.6 mg/kg/day (max. 5 mg/day) 24 h
  > 6 years 2.5 mg/day 10 mg/day 24 h
Isradipine Toddler 0.05-0.1 mg/kg/dose 0.6 mg/kg/day (max. 10 mg/day) 8-12 h
Felodipine > 6 years 2.5 mg/day 10 mg/day 24 h
Nifedipine XL   0.25-0.5 mg/kg/dose 3 mg/kg/day (max. 120 mg/day) 12-24 h
Candesartan 1-5 years 0.02 mg/kg/dose (max. 4 mg/day) 0.4 mg/kg/day (max. 16 mg/day) 12-24 h
         
Olmesartan > 6 years < 35 kg: 10 mg/day < 35 kg: 20 mg/day 24 h
    > 35 kg: 20 mg/day > 35 kg: 40 mg/day 24 h
Losartan > 6 years 0.7 mg/kg/day (max. 50 mg/day) 1.4 mg/kg/day (max. 100 mg/day) 24 h
Valsartan > 6 years 1.3 mg/kg/day 2.7 mg/kg/day (max. 160 mg/day) 24 h
Prazosine > 12 years 0.05-0.1 mg/kg/dose 0.5 mg/kg/day 8 h
Furosemide   0.5-2 mg/kg/dose 6 mg/kg/day 4-12 h
Spironolactone   1 mg/kg/dose 3.3 mg/kg/day (100 mg/day) 6-12 h
Chlorthalidone > 40 kg 0.3 (max. 50 mg/day) 2 mg/kg/day 24 h
Hydrochlorothiazide   1 mg/kg/dose 2 mg/kg/day (max. 37.5 mg/day)  
Benazepril > 6 years 0.2 (max. 10 mg/day) 0.6 mg/kg/day (max. 40 mg/day) 24 h
Captopril Infant 0.05 mg/kg/dose 6 mg/kg/day 6-24 h
  Toddler 0.5 mg/kg/dose 6 mg/kg/day 8 h
Enalapril > 1 month 0.08 mg/kg/dose 0.6 mg/kg/day (max. 40 mg/day) 12-24 h
Fosinopril > 6 years 0.2 mg/kg/dose (max. 10 mg/day) 0.6 mg/kg/day (max. 40 mg/day) 24 h
Lisinopril > 6 years 0.07 mg/kg/dose (max. 5 mg/day) 0.6 mg/kg/day (max. 40 mg/day) 24 h
Ramipril   1.6 mg/m2/day 6 mg/m2/day 24 h
Hydralazine   0.75 mg/kg/dose 7.5 mg/kg/day (max. 200 mg/day) 6 h
Minoxidil < 12 years 0.2 mg/kg/dose 50 mg/day 6-8 h
  > 12 years 5 mg/day 100 mg/day  

h: hours; Max.: maximum.