Country: Canada
Language: English
Source: Health Canada
ATRACURIUM BESYLATE
SANDOZ CANADA INCORPORATED
M03AC04
ATRACURIUM
10MG
LIQUID
ATRACURIUM BESYLATE 10MG
INTRAVENOUS
10X5ML 10X10ML
Prescription
MISCELLANEOUS SKELETAL MUSCLE RELAXANTS
Active ingredient group (AIG) number: 0116898001; AHFS:
CANCELLED PRE MARKET
2021-03-29
Atracurium Besylate Injection Page 1 of 19 PRODUCT MONOGRAPH PR ATRACURIUM BESYLATE INJECTION 10 MG/ML Skeletal Neuromuscular Blocking Agent Sandoz Canada Inc. Date of Revision: March 25, 2013 145 Jules-Léger Boucherville, QC, Canada J4B 7K8 CONTROL NO.: 161881 Atracurium Besylate Injection Page 2 of 19 PR ATRACURIUM BESYLATE INJECTION 10 MG/ML THERAPEUTIC CLASSIFICATION Skeletal Neuromuscular Blocking Agent ACTIONS AND CLINICAL PHARMACOLOGY Atracurium besylate is a nondepolarizing, intermediate-duration, skeletal neuromuscular blocking agent. Nondepolarizing agents antagonize the neurotransmitter action of acetylcholine by binding competitively to cholinergic receptor sites on the motor end-plate. This antagonism is inhibited, and neuromuscular block reversed, by acetylcholinesterase inhibitors such as neostigmine, edrophonium and pyridostigmine. The duration of neuromuscular blockade produced by atracurium besylate is approximately one-third to one-half the duration seen with d-tubocurarine, metocurine and pancuronium at equipotent doses. As with other nondepolarizing neuromuscular blockers, the time to onset of paralysis decreases and the duration of maximum effect increases with increasing atracurium besylate doses. The pharmacokinetics of atracurium besylate in man are essentially linear within the 0.3 to 0.6 mg/kg dose range. The elimination half-life is approximately 20 minutes. The duration of neuromuscular blockade does not correlate with plasma pseudocholinesterase levels and is not altered by the absence of renal function. INDICATIONS AND CLINICAL USE Atracurium Besylate Injection is indicated, as an adjunct to general anaesthesia, to facilitate endotracheal intubation and to provide skeletal muscle relaxation during surgery or mechanical ventilation. It can be used most advantageously if muscle twitch response to peripheral nerve stimulation is monitored. CONTRAINDICATIONS Atracurium besylate is contraindicated in patients known to have a hypersensitivity to it. WARNINGS ATRACURIUM BESYLATE INJECTION Read the complete document