Premedication before anaesthesia
By IM or IV injection,
-
Adult and child over 12 years: 200–400
micrograms or 4–5 micrograms/kg (max 400 micrograms) before
induction of anaesthesia
-
Child 1 month–12 years: 4–8 micrograms/kg
(max 200 micrograms) before induction of anaesthesia
- Neonate: 5 micrograms/kg
Bowel colic and excessive respiratory secretions
By SC infusion
-
Adult and child over 12 years: 600–1200
micrograms per 24 hours given every 4 hours as is required
(hourly administration may be required in excessive
respiratory secretions)
-
Child 1 month–12 years: 12–40
micrograms/kg/24 hours (max 1200 micrograms)
By mouth (injection solution can be used)
-
Child 1 month–18 years: 40–100
micrograms/kg (max 2000 micrograms) 3–4 times daily,
adjusted according to response
By SC injection or IM injection or intravenous injection,
-
Child 12–18 years: 200 micrograms every 4
hours when required
-
Child 1 month–12 years: 4–10 micrograms/kg
(max 200 micrograms) 4 times a day when required
Intraoperative bradycardia
By IV injection,
-
Adult: 200–400 micrograms or 4–5
micrograms/kg (max 400 micrograms) repeated if necessary
-
Child 1 month–18 years: 4–8 micrograms/kg
(max 200 micrograms) repeated if necessary
-
Neonate: 10 micrograms/kg repeated if
necessary
Reversal of non-depolarising neuromuscular blocking drugs (with
neostigmine)
By IV injection,
-
Adult and child over 12 years: 200
micrograms per 1 mg of neostigmine, or 10–15 micrograms/kg
with 0.05 mg/kg of neostigmine
-
Child 1 month–12 years: 10 micrograms/kg
(max 500 micrograms) with 0.05 mg/kg of neostigmine
- Neonate: 10 micrograms/kg