Dosing & Administration
Adult Dose
6 mg rapid IV push, followed by 12 mg if needed.
Pediatric Dose
0.1 mg/kg rapid IV push (max 6 mg), then 0.2 mg/kg if needed.
Renal Adjustment
No adjustment necessary (half-life is < 10 seconds).
Hepatic Adjustment
No adjustment necessary.
Safety & Special Populations
Pregnancy Category
C
Lactation Safety
Compatible (extremely short half-life).
Contraindications & Adverse Effects
Contraindications
- 2nd or 3rd degree AV block
- Sick sinus syndrome
- Asthma (relative - can cause bronchospasm)
Common Adverse Effects
- Transient asystole
- Flushing
- Chest pain
- Dyspnea