Esmolol (Brevibloc)

Cardiology (Beta Blocker - Ultra Short Acting)

Dosing & Administration

Adult Dose

500 mcg/kg loading dose over 1 min, then 50 mcg/kg/min infusion.

Pediatric Dose

100-500 mcg/kg loading dose, then 25-100 mcg/kg/min.

Renal Adjustment

No adjustment necessary (metabolized by RBC esterases).

Hepatic Adjustment

No adjustment necessary.

Safety & Special Populations

Pregnancy Category

C

Lactation Safety

Compatible.

Contraindications & Adverse Effects

Contraindications

  • Heart block
  • Decompensated HF

Common Adverse Effects

  • Hypotension (common)
  • Bradycardia