PediRounds

Protamine — paediatric dose

Weight-based dosing for Protamine in children. Category: Anticoagulant.

Dose1 mg per 100 U of heparin in the last dose (max 50 mg); reduce for elapsed time
Maximum50 mg
Routeslow IV

Clinical notes

Hypotension / anaphylactoid reaction if given rapidly.

Common questions

What is the dose of Protamine in children?

1 mg per 100 U of heparin in the last dose (max 50 mg); reduce for elapsed time.

What is the maximum Protamine dose for a child?

The maximum single dose is 50 mg. Weight-based calculation should never exceed this ceiling.

How is Protamine given?

Protamine is given by slow IV.

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.