Flecainide Toxicity Secondary to Accidental Overdose: A Pediatric Case Report of Two Brothers

Table 1

20% intravenous lipid emulsion dosing recommendations [20–24].

Initial dosing	Infusion	Refractory	Maximum dosing
1.5 mL/kg 20% ILE as IV bolus over 2-3 minutes	0.25 mL/kg/min for 60 min	If continued instability after 3-5 minutes of infusion, repeat initial bolus dose and increase infusion to 0.5 mL/kg/min. Can give additional bolus doses for clinical deterioration.	Continue infusion for 10 minutes after circulatory stability is achieved. 10-12 mL/kg cumulative dosing within first 30 minutes of administration.