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Physostigmine dosing

Reversal · 1 mg/mL · IV Slow Push

Calculated, not generated

Weight-based dose

DosePer kgFor 70 kg
low0.01 mg/kg0.7 mg
standard0.02 mg/kg1.4 mg
high0.03 mg/kg2.1 mg

Typical: 1-2 mg IV slowly over 5 min. Crosses BBB — reverses central anticholinergic syndrome. May cause bradycardia, bronchospasm. Have atropine available.

Renal & hepatic adjustment

No drug-specific organ adjustment in our database — use clinical judgment and verify against the label.

Evidence B · Anticholinergic toxicity treatment literature

More reversal

Get the exact dose for your patient

Vigil computes Physostigmine for your patient's actual weight — and adjusts for renal or hepatic impairment automatically, with the cited rationale. The number is calculated from a verified database, never guessed.

Decision support for licensed clinicians — not a substitute for clinical judgment. Always verify against the package insert and the patient in front of you.