Hydrocortisone (adrenal crisis) — paediatric dose
Weight-based dosing for Hydrocortisone (adrenal crisis) in children. Category: Endocrine.
| Dose | 2 mg/kg IV stat (max 100 mg), then 6H; higher in shock |
|---|---|
| Per kg | 2 mg/kg |
| Maximum | 100 mg |
| Route | IV |
| Frequency | 6H |
Clinical notes
Give promptly in suspected adrenal crisis alongside fluids and glucose.
Common questions
What is the dose of Hydrocortisone (adrenal crisis) in children?
2 mg/kg IV stat (max 100 mg), then 6H; higher in shock. That is 2 mg/kg per dose.
What is the maximum Hydrocortisone (adrenal crisis) dose for a child?
The maximum single dose is 100 mg. Weight-based calculation should never exceed this ceiling.
How is Hydrocortisone (adrenal crisis) given?
Hydrocortisone (adrenal crisis) is given by IV, 6H.
About this page
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.