Acute croup (laryngotracheobronchitis)

Not applicable — croup is an exclusively paediatric condition (see paediatric weight-based dosing) - Single dose

0.15-0.6 mg/kg/dose [child max 12 mg]

(0.15 mg/kg single oral dose (or 0.6 mg/kg in severe croup; max 12 mg))

Alternatives. Single-dose oral dexamethasone is the standard of care; the entry keeps nebulised budesonide for the child who refuses or vomits the oral dose. Dexamethasone is also far cheaper (4-36 EGP against 106-529).

Croup - disease-level clinical article (croup-full.txt): "Dexamethasone doses of 0.15, 0.3, or 0.6 mg/kg appear equally effective; 0.6 mg/kg is the most commonly used dose." The Egyptian formulary dexamethasone entry carries no croup indication and no paediatric mg/kg dosing. The 12 mg per-dose ceiling is not stated in this article.

Single-dose oral corticosteroid dramatically reduces airway edema and hospital admission

2 mg single dose via jet nebulizer (alternative to oral dexamethasone) - Dosing can be repeated every 12 hour for a maximum of 36 hours or until clinical improvement.

2 mg (=2000 mcg) single nebulized dose via face mask regardless of age/weight

Budesonide 0.5 mg nebuliser suspension SmPC section 4.2 (eMC product 100358)

Nebulized corticosteroid alternative when oral route is refused or vomited

Croup - disease-level clinical article (croup-clinical.txt)

Carries the referral criteria and warning signs for this condition, which apply whichever treatment is chosen.

Not applicable - croup is a paediatric condition (see paediatric dosing)

Any child whose oxygen saturation has fallen is given supplemental oxygen. The article states no flow rate and no target saturation. It does say how to give it: keep the delivery as undisturbing as it can be made, because agitating a child with croup worsens the obstruction, and holding the source near the face - blow-by - may work better than strapping on a mask or nasal cannula.

Croup - disease-level clinical article (croup-full.txt)

Severe croup is an airway emergency and the article gives oxygen to every child whose saturation has fallen. It states no flow rate and no target saturation, so the article's own wording is printed rather than a number invented for it. No Egyptian product corresponds to it, which the physician ruled acceptable on 2026-08-16.

Not applicable - croup is a paediatric condition (see paediatric dosing)

0.5 mL/kg/dose

(Approximately 0.5 mL/kg of L-epinephrine 1:1000 (the 1 mg/mL ampoule) by nebuliser, for moderate-to-severe croup. The article states no maximum volume and no maximum number of doses, so none is given here; do not invent one.)

Croup - disease-level clinical article (croup-full.txt)

The card carried dexamethasone, budesonide and oxygen but nothing for the child who is actually struggling. The condition's own article names the drug and gives the amount in the same document: a child with moderate or severe croup receives nebulised epinephrine alongside dexamethasone, and the amount is about 0.5 mL/kg by nebuliser, of the L- form at 1:1000 strength. At 2 hours it outperforms racemic epinephrine, because its effect lasts longer. Named Adrenaline because that is the Egyptian register's spelling; the 1 mg/mL ampoule is the 1:1000 solution the article specifies.