Dosing & Administration
Adult Dose
0.2 mg IV over 15 seconds. May repeat 0.2-0.5 mg every minute (Max 3 mg).
Pediatric Dose
0.01 mg/kg IV (max 0.2 mg/dose).
Renal Adjustment
No adjustment necessary.
Hepatic Adjustment
No adjustment necessary.
Safety & Special Populations
Pregnancy Category
C
Lactation Safety
Unknown.
Contraindications & Adverse Effects
Contraindications
- TCA overdose
- Patients given benzos for status epilepticus
- Signs of increased ICP
Common Adverse Effects
- Seizures (especially in chronic benzo users)
- Agitation
- Arrhythmias