Dosing & Administration
Adult Dose
Tartrate: 25-100 mg PO BID. Succinate: 25-200 mg PO daily. IV: 5 mg every 5 mins x3.
Pediatric Dose
1-2 mg/kg/day PO divided BID (Tartrate).
Renal Adjustment
No adjustment necessary.
Hepatic Adjustment
Consider dose reduction in severe impairment.
Safety & Special Populations
Pregnancy Category
C - Can cause fetal bradycardia.
Lactation Safety
Compatible; monitor infant for bradycardia.
Contraindications & Adverse Effects
Contraindications
- Severe bradycardia
- 2nd/3rd degree AV block
- Decompensated heart failure
Common Adverse Effects
- Bradycardia
- Fatigue
- Hypotension
- Bronchospasm