Esmolol — paediatric dose

Weight-based dosing for Esmolol in children. Category: Cardiac.

Dose	500 mcg/kg load over 1 min, then 50-200 mcg/kg/min
Per kg	500 mcg/kg
Route	IV
Frequency	load

Clinical notes

Ultra-short-acting beta-blocker; useful for tachyarrhythmia / hypertension.

500 mcg/kg load over 1 min, then 50-200 mcg/kg/min. That is 500 mcg/kg per dose.

Esmolol is given by IV, load.

Reviewed by Dr Santanu Ghosh — MBBS, MD Paediatrics (Army), IDPCCM (IAP, ICH Kolkata). Paediatrician and paediatric critical care specialist.

Compiled from standard paediatric references. Verify against a current formulary and your local protocol.

Spotted something wrong? Report an error on this page — corrections from clinicians are welcome and are reviewed before any change is published.

Last reviewed 2026-08-12.