Kids' Health Commonly Prescribed Drugs 30 Most Commonly Prescribed Pediatric Medications Most Prescribed Drugs for Kids and Teens By Vincent Iannelli, MD facebook Vincent Iannelli, MD, is a board-certified pediatrician and fellow of the American Academy of Pediatrics. Dr. Iannelli has cared for children for more than 20 years. Learn about our editorial process Vincent Iannelli, MD Medically reviewed by Medically reviewed by Lyndsey Garbi, MD on December 04, 2019 linkedin Lyndsey Garbi, MD, is a pediatrician who is double board-certified in pediatrics and neonatology. Learn about our Medical Review Board Lyndsey Garbi, MD on December 04, 2019 Print This list of the most prescribed drugs for children and teens can help you understand the medicines your kids might be prescribed by your pediatrician. It comes from analysis of a large prescription database over the course of eight years. Antibiotics top the list, although their use declined during the eight years of the study. Other than the fact that there are no drops for pink eye, such as Polytrim, Vigamox, or Moxeza, this list is about what you would expect from the average pediatrician. Ideally, you would see many fewer scripts for narcotic pain relievers and more scripts for combination inhalers to help control asthma, such as Advair, Dulera, and Symbicort. 1 Amoxicillin PhotoAlto / Antoine Arraou / Getty Images It shouldn't be surprising that this antibiotic is the most commonly prescribed medication for children. Amoxil (amoxicillin) is very inexpensive as a generic drug and is generally well tolerated. It can treat strep throat as well as childhood pneumonia, ear infections, and sinus infections, especially when used at high-dose levels. 2 Azithromycin Another antibiotic, Zithromax (azithromycin) is also available as a generic. It is often prescribed for ear infections. 3 Albuterol The first drug on the list that isn't an antibiotic, albuterol is a bronchodilator that is used to relieve asthma symptoms. It is available in a form for a nebulizer and as a metered dose inhaler (ProAir HFA, Proventil HFA, Ventolin HFA, etc.). The syrup form of albuterol is very rarely used by most pediatricians. Albuterol nebulizer solution is an inexpensive medication. Albuterol asthma inhalers are more expensive. There is a Ventolin HFA inhaler with only 60 actuations (compared with 200 in most other inhalers) that is less expensive. 4 Amoxicillin/Clavulanate Augmentin (amoxicillin/clavulanic acid) combines amoxicillin with the β-lactamase inhibitor potassium clavulanate to help it overcome resistant bacteria. It is commonly used to treat ear infections, sinus infections, pneumonia, infected bites, and oral infections. High-dose Augmentin (Augmentin ES) is also available to help treat resistant Streptococcus pneumononiae infections. 5 Cefdinir Omnicef (cefdinir) is a broad spectrum third-generation cephalosporin that is commonly used to treat sinus infections, ear infections, and pneumonia. Cefdinir is not usually considered to be a first-line treatment. In general, cefdinir is a little more expensive than some other antibiotics. 6 Cephalexin A first-generation cephalosporin, Keflex (cephalexin) is an antibiotic used to treat a range of bacterial infections, including strep throat, pneumonia, skin infections (cellulitis and impetigo), and bone and joint infections. It is available as an inexpensive generic. 7 Fluticasone Fluticasone is a steroid that is the main ingredient in many different medications, including Flonase nasal spray (generic), Flovent MDI, Cutivate cream and ointment (generic), and Veramyst nasal spray. Depending on the formulation, it can be used to treat kids with conditions like eczema, allergies, and asthma. Generic fluticasone propionate nasal spray is now available over-the-counter and is one of the less expensive prescription nasal allergy medications. 8 Prednisolone Sodium Phosphate Available in both a 25 milligram/5 milliliter and 15 milligram/5 milliliter syrup, prednisolone is a liquid steroid that is commonly used to treat asthma flare-ups, poison ivy reactions, croup, and other corticosteroid-responsive disorders. 9 Ibuprofen Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that is commonly used to treat fever, pain, and inflammation in children. Although available over-the-counter (Motrin and Advil), there are also prescription-strength formulations of ibuprofen. 10 Singulair (Montelukast Sodium) Singulair (montelukast sodium) is a leukotriene receptor antagonist and is approved to prevent and treat asthma, prevent exercise-induced asthma, and relieve symptoms of seasonal allergic rhinitis and perennial allergic rhinitis. It is available as a generic. 11 Trimethoprim/Sulfamethoxazole Bactrim or Septra (trimethoprim/sulfamethoxazole) is an older antibiotic that is most commonly used to treat urinary tract infections, except when resistance might be a problem. It is also used to treat community-acquired methicillin-resistant staph aureus infections (MRSA), though clindamycin may be a more effective option for children. 12 Tylenol #3 Tylenol #3 (codeine phosphate/acetaminophen) a narcotic pain reliever with Tylenol (acetaminophen). The FDA warns that codeine should only be used when the benefits will outweigh the risks, which can include unusual sleepiness, confusion, shallow breathing, and other signs of morphine overdose. 13 Vicodin Under the brand names of Vicodin, Lortab, and Norco, hydrocodone bitartrate/acetaminophen is a narcotic pain reliever with Tylenol (acetaminophen). It is more potent than codeine. 14 Mupirocin Bactroban (mupirocin) is a topical antibiotic that is often prescribed to treat bacterial skin infections, such as impetigo. Although both mupirocin cream and ointment are both available as generics, mupirocin ointment is considerably less expensive than the cream. 15 Nystatin Most parents are familiar with Nystatin, an antifungal medication that is used to treat yeast infections, including thrush and candidal diaper rashes. 16 Methylphenidate Methylphenidate is the generic name for a class of stimulants that are used to treat children with attention deficit hyperactivity disorder (ADHD), and which include Ritalin, Concerta, Daytrana, Methylin, and Metadate. Prices for methylphenidate products can vary. 17 Cough and Cold Combination Dextromethorphan/phenylephrine/chlorpheniramine is a combination cough and cold medication, with a cough suppressant, decongestant, and an antihistamine. While this seems like a popular combination cold medicine, it is important to remember that experts warn against using these types of cough and cold medicines in children under age 4 to 6 years. Many also warn against using such combination medicines in general, instead recommending that you use cold medicines that target your child's symptoms in age-appropriate formulations. For example, don't use a combination cough and cold syrup if your child just needs a decongestant. 18 Mometasone Mometasone is the active ingredient in Nasonex nasal spray, Elocon cream and ointment (generic), and the Asmanex Twisthaler. It is a corticosteroid used for allergy symptoms. 19 Triamcinolone Another steroid, triamcinolone is the active ingredient in Nasacort AQ nasal spray and triamcinolone acetonide cream and ointment. Triamcinolone acetonide cream (TAC) is one of the least-expensive medications to treat eczema flares and other skin rashes. Nasacort nasal spray is available as a generic and is now over-the-counter. 20 Prednisone Prednisone is used to treat a number of corticosteroid-responsive disorders in children. It is commonly used in small dosages for short periods of time to treat asthma flares, poison ivy reactions, and croup. 21 Sodium Fluoride For children who don't have access to fluoridated tap water, fluoride supplements can be an important way to keep their teeth healthy and prevent dental caries. 22 Multivitamins With Fluoride In addition to fluoride supplements, when necessary, children can take a multivitamin with fluoride. In addition to fluoride, these usually include vitamin A, D, and C, and sometimes iron. 23 Amphetamine/Dextroamphetamine Adderall and Adderall XR are the brand names for this class of stimulants that are used to treat ADHD. Generic versions of intermediate release Adderall and extended-release Adderall XR are available. 24 Hydrocortisone Hydrocortisone is a low-potency topical steroid that is available as an ointment, cream, lotion, gel, and in other forms. 25 Budesonide Budesonide is a steroid that is available as Pulmicort Respules (generic), Pulmicort Flexhaler, and Rhinocort nasal spray. Rhinocort nasal spray is available over-the-counter. 26 Ciprofloxacin/Dexamethasone Ciprodex is the brand name for this combination of an antibiotic with a steroid that is often used to treat swimmer's ear and middle ear infections in kids with a perforated eardrum or ear tubes. There is no generic version of Ciprodex, but the manufacturer does offer a Ciprodex instant rebate. 27 Promethazine Available as suppositories, tablets, and as a syrup, Phenergan (promethazine) can be used to prevent and control nausea and vomiting. Warnings that Phenergan "may cause breathing to slow or stop, and may cause death in children," should be limiting its use now, especially as more pediatricians prescribe Zofran instead. 28 Prednisolone Prednisolone is a liquid steroid that is commonly used to treat asthma flare-ups, poison ivy reactions, croup, and other corticosteroid-responsive disorders. 29 Antipyrine/Benzocaine Also simply called A/B otic drops, these analgesic ear drops can help relieve the pain and discomfort that can accompany an ear infection. Not FDA-Approved Unfortunately, most A/B otic drops were not FDA approved and the FDA announced enforcement actions against manufacturers in 2015.According to the FDA, "The unapproved prescription ear drops contain active ingredients such as benzocaine and hydrocortisone and have not been evaluated by the FDA for safety, effectiveness, and quality. The labels on these products do not disclose that they lack FDA approval, and health care professionals may not be aware of their unapproved status." 30 Lisdexamfetamine Vyvanse (lisdexamfetamine) is the brand name of this class of stimulant that is used to treat ADHD. It is not available as a generic. You can get a Vyvanse coupon. Was this page helpful? Thanks for your feedback! Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit Article Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Akhavan BJ, Vijhani P. Amoxicillin. StatPearls Publishing. Updated September 26, 2019. Augmentin Efficacy. Gskpro.com. Updated September 2019. Pediatric Treatment Recommendations | Community | Antibiotic Use | CDC. Cdc.gov. Updated February 1, 2017. Cephalexin: MedlinePlus Drug Information. Medlineplus.gov. Updated June 15, 2016. Williams D, Cooper W, Kaltenbach L et al. Comparative Effectiveness of Antibiotic Treatment Strategies for Pediatric Skin and Soft-Tissue Infections. Pediatrics. 2011. doi:10.1542/peds.2010-3681 Lowry J, Leeder J. Over-the-Counter Medications: Update on Cough and Cold Preparations. Pediatr Rev. 2015;36(7):286-298. doi:10.1542/pir.36-7-286 Tubert-Jeannin S, Auclair C, Amsallem E et al. Fluoride supplements (tablets, drops, lozenges or chewing gums) for preventing dental caries in children. Cochrane Database of Systematic Reviews. 2011. doi:10.1002/14651858.cd007592.pub2 Wright D, Safranek S. Treatment of otitis media with perforated tympanic membrane. Am Fam Physician. 2009;79(8):650, 654. Additional Reading Chai G, Governale L, Mcmahon AW, Trinidad JP, Staffa J, Murphy D. Trends of outpatient prescription drug utilization in US children, 2002-2010. Pediatrics. 2012;130(1):23-31. doi:10.1542/peds.2011-2879