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The starting dose is usually 0. ketesse 25 mg harga 07 mg per kilogram (kg) of body weight per day Your doctor may adjust your dose as needed However, the dose is usually not more than 0 61 mg per kg of body weight or 40 mg per day Children younger than 6 years of age—Use is not recommended For heart failure: Adults—At first, 5 milligrams (mg) once a day