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Vecuronium dosing

Paralytics · 1 mg/mL · IV Push

Calculated, not generated

Weight-based dose

DosePer kgFor 70 kg
low0.08 mg/kg5.6 mg
standard0.1 mg/kg7 mg
high0.15 mg/kg10.5 mg

Renal & hepatic adjustment

  • Severe (eGFR <30 / dialysis)Active metabolite (3-desacetylvecuronium) accumulates in renal failure → markedly prolonged block. Avoid repeat dosing; cisatracurium is preferred.
  • Severe (Child-Pugh C)Hepatic and renal elimination — prolonged block in hepatic dysfunction; prefer cisatracurium.

Source: Stoelting's Pharmacology & Physiology

Onset, duration & pearls

Onset2-3 min
Duration25-40 min

Side effects: Minimal hemodynamic effects.

  • No histamine release
  • Active metabolite accumulates in renal failure

More paralytics

Get the exact dose for your patient

Vigil computes Vecuronium 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.