Negara: Amerika Serikat
Bahasa: Inggris
Sumber: NLM (National Library of Medicine)
CISATRACURIUM BESYLATE (UNII: 80YS8O1MBS) (CISATRACURIUM - UNII:QX62KLI41N)
Sandoz Inc
INTRAVENOUS
PRESCRIPTION DRUG
Cisatracurium besylate injection is indicated: Limitations of Use Cisatracurium besylate injection is not recommended for rapid sequence endotracheal intubation due to the time required for its onset of action. Cisatracurium besylate injection is contraindicated in patients with known hypersensitivity to cisatracurium. Severe anaphylactic reactions to cisatracurium besylate injection have been reported [see Warnings and Precautions (5.4)] . The use of 10 mL cisatracurium besylate injection multiple-dose vials is contraindicated for use in pediatric patients less than 1 month of age and low birth-weight infants because the formulation contains benzyl alcohol [see Warnings and Precautions (5.2) and Use in Specific Populations (8.4)] . Risk Summary There are no adequate and well-controlled studies of cisatracurium besylate in pregnant women. Animal studies conducted in rats administered cisatracurium besylate during organogenesis found no evidence of fetal harm at 0.8 times (ventilated rats) the exposure from a
Cisatracurium besylate injection, 2 mg cisatracurium per mL, is supplied as under: 0781-9038-95 10 mL Multiple-dose Vial Pack of 10’s Contains 0.9% w/v benzyl alcohol [see Warnings and Precautions (5.2)] Storage Cisatracurium besylate injection should be refrigerated at 2° to 8°C (36° to 46°F) in the carton to preserve potency. Protect from light. DO NOT FREEZE. Upon removal from refrigeration to room temperature storage conditions (25°C/77°F), use cisatracurium besylate injection within 21 days, even if re-refrigerated.
Abbreviated New Drug Application
CISATRACURIUM BESYLATE- CISATRACURIUM BESYLATE INJECTION SANDOZ INC ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE CISATRACURIUM BESYLATE INJECTION SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR CISATRACURIUM BESYLATE INJECTION. CISATRACURIUM BESYLATE INJECTION, FOR INTRAVENOUS USE INITIAL U.S. APPROVAL: 1995 RECENT MAJOR CHANGES Dosage and Administration (2.1) 7/2018 Warnings and Precautions, Residual Paralysis (5.1) 7/2018 Warnings and Precautions, Risk of Death Due to Medication Errors (5.5) 7/2018 INDICATIONS AND USAGE Cisatracurium besylate is a nondepolarizing neuromuscular blocker indicated: • • • Limitations of Use Cisatracurium besylate is not recommended for rapid sequence endotracheal intubation due to the time required for its onset of action (1) DOSAGE AND ADMINISTRATION • • • • o o o o DOSAGE FORMS AND STRENGTHS Inje ction: • CONTRAINDICATIONS • • WARNINGS AND PRECAUTIONS • • • • • • ADVERSE REACTIONS The most common adverse reactions (0.1% to 0.4%) were bradycardia, hypotension, flushing, bronchospasm, and rash. as an adjunct to general anesthesia to facilitate tracheal intubation in adults and in pediatric patients 1 month to 12 years of age (1) to provide skeletal muscle relaxation during surgery in adults and in pediatric patients 2 to 12 years of age as a bolus or infusion maintenance (1) for mechanical ventilation in the ICU in adults (1) Administer intravenously only by or under the supervision of experienced clinicians familiar with drug’s actions and possible complications (2.1) Use only if personnel and facilities for resuscitation and life support, and a cisatracurium besylate antagonist are immediately available (2.1) Use a peripheral nerve stimulator to determine adequacy of blockade (e.g., need for additional doses), minimize risk of overdosage or underdosage, assess extent of recovery from blockade, potentially limit exposure to toxic metabolites through dose titration, Baca dokumen lengkapnya