CKS is no longer commissioned by the National Institute for Health and Clinical Excellence (NICE). NICE remains committed to providing a replacement service for CKS and is currently reviewing its options. In the meantime, although CKS content is now not being maintained, it still remains relevant and will continue to be made available. CKS content was generated under a programme of topic creation and update. To check if the topic you are viewing is current or out of date, please refer to the topic publication details by clicking on the 'How up-to-date is this topic?' link in the left hand menu on individual topic pages.
Lyme disease - Management
Erythema migrans: children
Age from 1 month to 3 years
Child weighs 10kg or less: amoxicillin 125mg/5ml s/f susp
Amoxicillin 125mg/5ml oral suspension sugar free
*WEIGHT REQUIRED* Give 16.7mg per kg bodyweight (maximum of 500mg per dose) THREE times a day for 14 days.
Supply 100 ml.
Age from 3 months to 11 years 11 months
If amoxicillin and doxycycline contraindicated: cefuroxime
Cefuroxime 125mg/5ml oral suspension
*WEIGHT REQUIRED* Give 15mg per kg bodyweight (maximum 500mg per dose) TWICE a day for 14 days.
Supply 70 ml.
Age from 1 year to 11 years 11 months
Child weighs over 10kg: amoxicillin 250mg/5ml s/f susp
Amoxicillin 250mg/5ml oral suspension sugar free
*WEIGHT REQUIRED* Give 16.7mg per kg bodyweight (maximum of 500mg per dose) THREE times a day for 14 days.
Supply 100 ml.
Age from 12 years to 15 years 11 months
Doxycycline capsules: 100mg twice a day for 14 days
Doxycycline 100mg capsules
Take one capsule twice a day for 14 days.
Supply 28 capsules.
Amoxicillin capsules: 500mg three times a day
Amoxicillin 500mg capsules
Take one capsule three times a day for 14 days.
Supply 42 capsules.
If amoxicillin and doxycycline contraindicated: cefuroxime
Cefuroxime 250mg tablets
Take two tablets twice a day for 14 days.
Supply 56 tablets.
© NHS Institute for Innovation and Improvement