Fomepizole dosing (toxic alcohols)
Loading and maintenance doses for methanol or ethylene glycol poisoning, including during dialysis.
Inputs
0 of 1Actual (total) body weight
When to use
- Suspected methanol or ethylene glycol ingestion.
Pearls and pitfalls
- Continue until the toxic alcohol level is below 20 mg/dL and the patient is asymptomatic with normal pH.
- Dialysis removes fomepizole; dose every 4 hours during hemodialysis.
Why use
Weight-based doses for every phase.
15 mg/kg load; 10 mg/kg every 12 h × 4 doses; then 15 mg/kg every 12 h; every 4 h during hemodialysis