Dosing & Administration
Adult Dose
1-1.5 mg/kg IV.
Pediatric Dose
1-2 mg/kg IV (requires atropine premedication in infants).
Renal Adjustment
No adjustment (metabolized by plasma pseudocholinesterase).
Hepatic Adjustment
Decreased pseudocholinesterase in severe liver disease may prolong effect.
Safety & Special Populations
Pregnancy Category
C
Lactation Safety
Unknown.
Contraindications & Adverse Effects
Contraindications
- Hyperkalemia
- Malignant hyperthermia history
- Major burns/crush injuries >48h old
Common Adverse Effects
- Hyperkalemia
- Fasciculations
- Malignant hyperthermia
- Bradycardia