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Body measures for medication dosing

Which body measure do you need?

Use the body measure explicitly named by the medicine reference, protocol or equation. BSA, ideal body weight and adjusted body weight are different calculation tools and are not interchangeable.

BSA → m²Devine IBW → kg0.4 AdjBW → kg

Calculate now

What does your clinical source ask for?

Choose the calculator that returns the exact body measure named by the medicine reference, protocol or equation you are following.

Height + weight

→ BSA (m²)

Calculate body surface area in m² from height and weight using the formula named by the relevant protocol or reference.

Use when: Your source asks for BSA or an m² value.

Calculate BSA

Height + Devine equation

→ IBW (kg)

Calculate adult Devine ideal body weight when the clinical source specifically requires IBW as its reference weight.

Use when: Your source explicitly asks for Devine IBW.

Calculate IBW

Actual weight + IBW

→ AdjBW (kg)

Calculate the 0.4 adjusted-body-weight method from actual weight and Devine IBW when a clinical source explicitly requires it.

Use when: Your source explicitly asks for the 0.4 AdjBW method.

Calculate AdjBW

The source chooses the body measure

Do not substitute actual weight, BSA, ideal body weight or adjusted body weight for one another. Use the measure and equation explicitly required by the governing medicine reference, protocol or calculation method.

Need more than the calculator?

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Understand

Body measure Guides

Compare BSA, IBW and adjusted body weight and understand when each method is used.

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Learn

Specialised Dosing Calculations

Learn BSA dosing and other specialised medication-calculation systems.

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Practise

Body-measure dosing practice

Practise BSA dosing, then use the wider Practice library for related skills.

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Safety & checking

Do not let similar-looking body measures become interchangeable

Keep the named measure, equation and units attached to the result, and verify that the governing source actually requires that method.

1.Choosing the measure yourself

The medicine reference, protocol or equation should tell you whether to use actual weight, IBW, AdjBW, BSA or another descriptor.

2.Treating IBW as a healthy-weight target

Clinical IBW equations are calculation tools. They are not a general recommendation for what a person should weigh.

3.Assuming AdjBW is universal

The 0.4 adjusted-weight method is not a universal dosing rule. Use it only when the applicable source specifies that method.

4.Mixing BSA with other weight methods

BSA is reported in m² and is not interchangeable with BMI, mg/kg dosing or a body weight reported in kilograms.

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Body measure calculator FAQs

Answers about choosing BSA, IBW, or adjusted body weight without duplicating the individual calculator formulas.

Which body measure calculator should I use?

Use the calculator that matches the body measure explicitly named by the medicine reference, protocol, equation, prescriber, pharmacist, or local policy.

  • Choose BSA when the source asks for body surface area in m².
  • Choose IBW when the source specifically asks for adult Devine ideal body weight.
  • Choose AdjBW when the source specifically asks for the 0.4 adjusted-body-weight method.
What is the difference between BSA, IBW, and adjusted body weight?

They are different body-size descriptors used for different calculation jobs; they should not be treated as interchangeable.

  • BSA is an area estimate reported in m² and is calculated from height and weight.
  • Devine IBW is an adult reference-weight equation based mainly on height and the selected sex equation.
  • The AdjBW calculator on MedMaths starts with Devine IBW and adds 40% of the difference between actual weight and IBW when the method applies.
Does MedMaths decide which dosing weight or body measure a medicine should use?

No. MedMaths calculates the body measure you select; it does not decide which measure is clinically appropriate for a medicine or patient.

  • The correct body measure is source- and medicine-specific.
  • If the required measure is unclear, verify it with the applicable reference or clinical team before calculating or administering a medicine.
Where can I compare the different BSA formulas?

Use the MedMaths BSA Formula Guide for the Mosteller, Du Bois, Haycock, and Gehan & George comparison; use the BSA Calculator when you need the number itself.

  • The calculator performs the arithmetic for the selected equation.
  • The Guide explains why the formulas differ and how to follow a protocol-specified formula.

Formula origins in this topic

The equations used in these calculators were developed by published researchers. These researchers are not affiliated with MedMaths and have not reviewed or endorsed this site.

Devine Ideal Body Weight Formula

Equation attributed to: Ben J. Devine

Authorship and review

Clear authorship, review timing, and limits of use.

Topic page authorGeorge Lambroglou, RNReviewed 26 August 2026
MedMaths topic pages explain calculation methods and help users choose a calculator. They support arithmetic checking and education; they do not prescribe, validate, or recommend a medicine dose.
Methodology Editorial policy Medical disclaimer Report an issue

References

Background sources for body surface area, the Mosteller BSA equation and the Devine ideal-body-weight equations.

Body Surface Area

NCBI Bookshelf / StatPearls

Clinical overview of body surface area and its use in physiological and medication calculations.

Simplified Calculation of Body-Surface Area

New England Journal of Medicine

Robert Mosteller's 1987 publication proposing the simplified square-root BSA equation.

The Origin of the ‘Ideal’ Body Weight Equations

Annals of Pharmacotherapy / SAGE

Historical review of the equations commonly described as Devine ideal body weight formulas.

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