Tablet Dosage Calculation: How Many Tablets to Give
Divide the dose ordered by the strength of one tablet: desired ÷ have × 1 tablet. If the order is in grams and the tablets in milligrams, convert first so both are in the same unit.
The Formula
D ÷ H × Q, where Q is one tablet.
How to work it out
- 1 Check the units. Order in grams, tablets in milligrams? Convert the order to milligrams first.
- 2 Divide the ordered dose by the strength of one tablet.
- 3 Answers should come out as whole tablets or halves. A quarter tablet, or 2.7 tablets, means something is wrong: recheck the conversion.
- 4 Capsules cannot be split. If the answer is not a whole number of capsules, the order needs to be queried.
Worked Examples
Ordered: 750 mg by mouth. On hand: 250 mg tablets. How many tablets?
- Same units, so divide straight away.
- 750 mg ÷ 250 mg per tablet = 3 tablets.
Answer: 3 tablets
Ordered: digoxin 0.125 mg by mouth. On hand: 0.25 mg scored tablets. How many tablets?
- 0.125 mg ÷ 0.25 mg per tablet = 0.5.
- The tablet is scored, so half a tablet can be given.
Answer: 0.5 tablet
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Common Mistakes
- Skipping the gram to milligram conversion
Ordered 0.5 g, tablets 250 mg: dividing 0.5 by 250 gives nonsense. Convert 0.5 g to 500 mg first, then divide to get 2 tablets.
- Dividing the wrong way
Desired goes on top. If the answer is less than one when the order is clearly bigger than one tablet's strength, the division is upside down.
- Splitting what cannot be split
Capsules and enteric-coated or extended-release tablets are not split. An answer of 1.5 capsules is a signal to question the order, not to give it.
Questions Students Ask
What is the formula method?
Desired over have, times quantity: the dose ordered divided by the dose on hand, multiplied by the form it comes in. For tablets the quantity is 1 tablet.
What if the answer is 2.5 tablets?
If the tablet is scored, two and a half tablets is a valid answer. If not, or if the number is odd like 2.3, recheck your units and consider that the order needs clarification.
Keep practicing in lesson 4: Tablets and Capsules
Fresh numbers every time. Ten correct answers finish the lesson. The practice round and the first five problems of lesson 1 are free.
Open lesson 4