Table 1

Recommended initial doses for morphine in opioid-naïve neonates and infants

Age groupRoute of administrationRecommended starting dose
NeonatesIntravenous injection*25–50 μg/kg every 6 h
Subcutaneous injection
Intravenous infusionInitial intravenous dose* 25–50 μg/kg, then 5–10 μg/kg/h
Infants (1 month to 1 year)Oral (immediate release)80–200 μg/kg every 4 h
Intravenous injection*1–6 months: 100 μg/kg every 6 h
6–12 months: 100 μg/kg every 4 h (max 2.5 mg/dose)
Subcutaneous injection
Intravenous infusion*1–6 months: initial intravenous dose: 50 μg/kg, then: 10–30 μg/kg/h
6–12 months: initial intravenous dose: 100–200 μg/kg, then: 20–30 μg/kg/h
Subcutaneous infusion1–3 months: 10 μg/kg/h
3–12 months: 20 μg/kg/h
  • *Administer intravenous morphine slowly over at least 5 min.