Calculation of colistimethate sodium loading dose for low weight patients

Calculation of colistimethate sodium loading dose for low weight patients (under 60kg) 8,9

Loading dose of colistimethate sodium (million international units) = [4 x patient’s weight* (kg)] / 33

*Use ideal body weight or actual body weight - whichever is lower (refer to SAPG Ideal Body Weight Tables)

If loading dose is less than the recommended maintenance dose then use recommended maintenance dose as loading dose