Nimbex

Nimbex

cisatracurium

Manufacturer:

Aspen

Distributor:

Zuellig Pharma
Concise Prescribing Info
Contents
Cisatracurium besilate
Indications/Uses
Adjunct to general anaesth or sedation in ICU to relax skeletal muscles & facilitate tracheal intubation & mechanical ventilation.
Dosage/Direction for Use
IV bolus inj Tracheal intubation Adult 0.15 mg/kg over 5-10 sec. Maintenance: 0.03 mg/kg. 2 mg/mL Childn 2-12 yr 0.1 mg/kg over 5-10 sec. Maintenance: 0.02 mg/kg. 5 mg/mL Childn 1 mth-12 yr 0.15 mg/kg over 5-10 sec. Maintenance: 0.02 mg/kg. IV infusion Adult & childn 1mth-12 yr Initial infusion rate: 3 mcg/kg/min. Maintenance: 1-2 mcg/kg/min. ICU patient Initial infusion rate: 3 mcg/kg/min (range: 0.5-10.2 mcg/kg/min).
Contraindications
Hypersensitivity to cisatracurium, atracurium or benzenesulfonic acid.
Special Precautions
Hypersensitivity to other neuromuscular blockers. Myasthenia gravis & other forms of neuromuscular disease; severe acid-base &/or serum electrolyte abnormalities; malignant hyperthermia-susceptible & burn patients; conditions predisposing to seizures eg, cranial trauma, hypoxic encephalopathy, cerebral oedema, viral encephalitis, uremia. High doses. Not to be administered into blood transfusion infusion line. Renal & hepatic impairment. May affect ability to drive & use machines. Pregnancy & lactation.
Adverse Reactions
Drug Interactions
Increased effect w/ enflurane, isoflurane, halothane, ketamine, other non-depolarising neuromuscular blockers, aminoglycosides, polymyxins, spectinomycin, tetracyclines, lincomycin, clindamycin, anti-arrhythmics, diuretics, Mg & lithium salts, ganglion-blocking drugs. Increased sensitivity w/ β-blockers, antirheumatic drugs, trimetaphan, chlorpromazine, steroids, phenytoin. Prolonged effect w/ suxamethonium. Decreased effect by phenytoin or carbamazepine. Shortened duration & diminished magnitude w/ anticholinesterases.
MIMS Class
Neuromuscular Blocking Agents
ATC Classification
M03AC11 - cisatracurium ; Belongs to the class of other quaternary ammonium-containing agents used as peripherally-acting muscle relaxants.
Presentation/Packing
Form
Nimbex soln for inj 2 mg/mL
Packing/Price
5 mL x 5 × 1's
Form
Nimbex soln for inj 5 mg/mL
Packing/Price
30 mL x 1's
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