The recommended starting dose of Clonidine Hydrochloride Injection for continuous epidural infusion is 30 mcg/hr. Although dosage may be titrated up or down depending on pain relief and occurrence of adverse events, experience with dosage rates above 40 mcg/hr is limited.
Familiarization with the continuous epidural infusion device is essential. Patients receiving epidural clonidine from a continuous infusion device should be closely monitored for the first few days to assess their response.
The 500 mcg/mL (0.5 mg/mL) strength product must be diluted prior to use in 0.9% Sodium Chloride for Injection, USP, to a final concentration of 100 mcg/mL:
Volume of Clonidine Hydrochloride Injection 500 mcg/mL
Volume of 0.9%Sodium Chloride for Injection, USP
Resulting Final Clonidine Hydrochloride Injection Concentration
(100 mcg/mL)
1 mL
4 mL
500 mcg/5 mL
2 mL
8 mL
1000 mcg/10 mL
3 mL
12 mL
1500 mcg/15 mL
4 mL
16 mL
2000 mcg/20 mL
5 mL
20 mL
2500 mcg/25 mL
6 mL
24 mL
3000 mcg/30 mL
7 mL
28 mL
3500 mcg/35 mL
8 mL
32 mL
4000 mcg/40 mL
9 mL
36 mL
4500 mcg/45 mL
10 mL
40 mL
5000 mcg/50 mL
Renal Impairment: Dosage should be adjusted according to the degree of renal impairment, and patients should be carefully monitored. Since only a minimal amount of clonidine is removed during routine hemodialysis, there is no need to give supplemental clonidine following dialysis.
Clonidine Hydrochloride Injection must not be used with a preservative.
Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permit.