The initial recommended dosage of intralipid therapy in toxicology typically starts with a bolus of 1.5 mL/kg of a 20% lipid emulsion, administered intravenously over 1 minute. This is followed by an infusion of 0.25 mL/kg/min for 30-60 minutes. If the patient does not respond, additional boluses and a higher infusion rate may be considered. It is crucial to monitor the patient continuously and adjust the dosage based on clinical response.