Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/2/2025

Cyproheptadine Dosing for Pediatric Patients

Special Considerations for Specific Indications

  • For treatment of serotonin syndrome in pediatric patients, the American Academy of Pediatrics recommends a dosage of 0.25 mg/kg per day, with cyproheptadine being the preferred agent over other options 1, 2
  • When administering cyproheptadine, it is available as 4 mg tablets that can be divided for smaller doses, and tablets can be crushed and administered via nasogastric tube if needed, as suggested by the Pediatrics guidelines 1, 2