Cosyntropin Dosage Calculator

Cosyntropin Dosage for Dogs, Cats, Horses, Foals By Weight
Trade Names: Cortrosyn, synthetic corticotropin, tetracosactrin, tetracosactide
Functional classification: Hormone

Cosyntropin Dosing for Dogs, Cats, Horses, Foals By Weight

Important Information

Maximum dose for dogs should be 250 mcg (1 vial).

ACTH stimulation test is not recommended as a reliable test in horses.

Reference Source

Saunders Handbook of VETERINARY DRUGS, Page 215-216

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Standard Dosage Guidelines

Small Animal Dosage

Species Route Dosage Protocol
Dogs IV, IM 5 mcg/kg (max 250 mcg)
Weight brackets:
<5 kg: 25 mcg
5-10 kg: 50 mcg
10-15 kg: 75 mcg
15-20 kg: 100 mcg
20-25 kg: 125 mcg
25-30 kg: 150 mcg
30-40 kg: 200 mcg
40-50 kg: 225 mcg
>50 kg: 250 mcg
Response test: Collect pre-cosyntropin sample and inject dose IV or IM, collect post-sample at 30 and 60 minutes or one sample at 60 minutes
Cats IV, IM 125 mcg per cat Response test: Collect pre-cosyntropin sample and inject 125 mcg per cat IV or IM, collect post-sample at 60 and 90 minutes after IV administration or at 30 and 60 minutes after IM administration

Large Animal Dosage

Species Route Dosage Protocol
Horses IV 0.1 mcg/kg Produces maximum adrenal stimulation, with peak cortisol concentration in 30-90 minutes. Not recommended as a reliable test in horses
Foals IV 0.25 mcg/kg ACTH Stimulation test: Peak cortisol occurs at 20-30 minutes