Medicine Overview
Adult Dose
| Clinical Information | Administration Information |
|---|---|
|
Indication: Muscle relaxant in general anaesthesia; Facilitate endotracheal intubation; Facilitate mechanical ventilation in intensive care Age: Adult |
Dose: Injection – Initially, 80-100 mcg/kg Note: administered by injection |
|
Indication: Muscle relaxant in general anaesthesia; Facilitate endotracheal intubation; Facilitate mechanical ventilation in intensive care Age: Adult |
Dose: Injection – Maintenance: 20-30 mcg/kg Note: administered by injection |
Child Dose
| Clinical Information | Administration Information |
|---|---|
|
Indication: Muscle relaxant in general anaesthesia; Facilitate endotracheal intubation; Facilitate mechanical ventilation in intensive care Age: Child less than 4 months |
Dose: Intravenous – 10-20 mcg/kg Note: Initial test dose, with increments according to response |
|
Indication: Muscle relaxant in general anaesthesia; Facilitate endotracheal intubation; Facilitate mechanical ventilation in intensive care Age: Child greater than 4 months |
Dose: Intravenous – 80-100 mcg/kg Note: by injection |
Administration
- For hospital use only
- Must be administered by healthcare professionals
Side Effect
- Skeletal muscle weakness or paralysis
- resp insufficiency or apnoea
- bronchospasm
- hypotension
- tachycardia
- acute urticaria
- erythema
- minimal induration
- redness
- itching
- CV effects (eg changes in heart rate, cardiac index)
- myopathy
- Anaphylaxis
Drug Interaction
Drug Interaction
| Drug Name | Risk Factors |
|---|---|
|
Volatile anaesthetic agents (halothane, ether, enflurane, isoflurane, methoxyflurane, propofol, cyclopropane), fentanyl, other non-depolarising Muscle Relaxants (Baclofen, Cyclobenzaprine, Tizanidine, Dantrolene), succinylcholine, tetracyclines, polymyxins, diuretics, thiamine, MAOIs (Phenelzine, Tranylcypromine, Selegiline, Moclobemide), bacitracin, colistin, sodium colistimethate, acylaminopenicillins, Aminoglycoside Antibiotics (Gentamicin, Amikacin, Tobramycin, Neomycin, Streptomycin, Paromomycin), high dose metronidazole, protamine, beta-adrenergic blocking agents, calcium antagonists (e.g. verapamil), magnesium
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Increases neuromuscular blockade
|
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Anticholinesterases, prior chronic admin of Corticosteroids (Prednisone, Prednisolone, Methylprednisolone, Dexamethasone, Hydrocortisone), phenytoin, carbamazepine, noradrenaline, azathioprine, theophylline, calcium chloride
|
Decreased neuromuscular blockade
|
Disease Interaction
Disease Interaction
| Disease Name | Risk Factors |
|---|---|
|
No specific contraindications listed
|
Monitor for general drug reactions
|
Pregnancy
Pregnancy
Lactation
Special Use
Precaution
Overdose
Pharmacology
Storage
Store between 20-25° C. Protect from light.
Data Sources
Clinical & regulatory information on this page is compiled from the following government sources:
DISCLAIMER: This drug information content is provided for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Patients should always consult their physician with any questions regarding a medical condition and to obtain medical advice and treatment.