Adenosine
Slows conduction time through the AV node. It has a very short half-life (seconds) and must be given as a rapid IV bolus followed by a flush.
Dosage by Body Weight
Initial pediatric dose: 0.1 mg/kg (max 6 mg). If unsuccessful, 0.2 mg/kg (max 12 mg). Requires continuous ECG monitoring.
- Body Weight
- 5-10 kg
- Dose
- 0.5 mg to 1 mg
- Frequency
- Single rapid bolus
- Tracking Notes
- Expect a brief period of asystole (heart pause) on the monitor.
| Body Weight | Dose | Frequency | Tracking Notes |
|---|---|---|---|
| 5-10 kg | 0.5 mg to 1 mg | Single rapid bolus | Expect a brief period of asystole (heart pause) on the monitor. |
Formulation
Purpose
Rapid conversion of Supraventricular Tachycardia (SVT) to normal sinus rhythm.
Generic Name
AdenosineBranded Drug Names
Adenosine is listed as a generic drug name. Common branded medicines that may contain the same active ingredient include:
Scheduled Drug
Yes. This medicine should be supplied or used only according to applicable prescription and regulatory requirements.
Alternatives
Safety Advice
Alcohol
CAUTIONAdenosine: Alcohol can increase dizziness, low blood pressure, dehydration, or heart rhythm symptoms. Avoid or limit alcohol.
Pregnancy
CAUTIONAdenosine: Use in pregnancy only when prescribed; some heart or blood pressure medicines are not suitable during pregnancy.
Breast Feeding
SAFE IF PRESCRIBEDAdenosine: Use while breastfeeding only with healthcare provider guidance, as infant monitoring may be needed.
Driving
CAUTIONAdenosine: May cause dizziness, faintness, tiredness, or blurred vision, especially when starting or changing dose. Avoid driving if affected.
Liver
CAUTIONAdenosine: Liver disease may alter medicine handling and increase side effects. Use with medical supervision.
Kidney
CAUTIONAdenosine: Kidney function and electrolytes may need monitoring, especially with diuretics, ACE inhibitors, ARBs, or digoxin.