First line:
1. Epinephrine 0.01 mg/kg (use 1:1000 sol) q5-15min IM (max dose 0.3 mg in kids or 0.5 mg in adults)
1. Methylprednisolone (Solumedrol) 1-2mg/kg/day IV (all ages) (usual dose is 125mg IV for most adults)
1. Benadryl 50 mg IV/IM/po q6h (kids: 5 mg/kg/day, q6-8h, max 300 mg/day)
Alternatives/Adjuncts:
- Prednisone 0.5-1mg/kg/day
- Ranitidine (Zantac) 50 mg IV q6h (if <16 yo use 4mg/kg/day divided q8h)
Content on this page has not been checked for accuracy. The author's credentials have not been confirmed. Always use multiple peer-reviewed scholarly sources and good clinical judgement in your decision making.
The Compendium platform was created by David Kwinter, MD, CCFP(EM).
Dr. Kwinter is a Cayman Family Doctor. He runs a Family Medicine Clinic at Cayman Medical in George Town, Grand Cayman, Cayman Islands.
Dr. Kwinter is a Cayman Family Doctor. He runs a Family Medicine Clinic at Cayman Medical in George Town, Grand Cayman, Cayman Islands.