Dosage depends heavily on the patient’s condition and response. Begin with a bolus of 0.5 to 1 mg/kg intravenously. Observe the patient closely for response. This initial dose often provides a rapid diuresis.
Maintenance Dosage: Subsequent doses vary widely. For continued diuresis, administer 20-80 mg every 2-6 hours, depending on the patient’s fluid status and clinical needs. Always prioritize close monitoring.
Maximum Daily Dose: Generally, do not exceed 100-120mg daily. However, significantly higher doses might be needed in specific cases such as pulmonary edema. Such decisions require careful consideration and close medical supervision.
Elderly Patients: Start with lower doses (e. g., 0.5 mg/kg) to minimize risk of hypotension. Close monitoring is paramount.
Patients with Renal Impairment: Reduce the dose significantly, potentially using a longer interval between doses, given the reduced clearance. Careful titration is crucial to avoid severe electrolyte imbalances.
Important Note: This guide offers general information; individual patient needs dictate specific dosing regimens. Always refer to official prescribing information and consult with a healthcare professional for personalized guidance. Never self-medicate. This information does not replace professional medical advice.
