Classes
DEA Class; Rx
Common Brand Names; Tracrium
- Neuromuscular Blockers, Nondepolarizing
Description
Atracurium besylate is a non-depolarizing neuromuscular blocker used to facilitate endotracheal intubation and relax skeletal muscles during surgery.
Indications
Endotracheal Intubation, Mechanical Ventilation
Skeletal Muscle Relaxation During Surgery
Contraindications
Hypersensitivity to drug or components; lack of ventilatory support, neuromuscular disease
Adverse Effects
Skin flush (5%)
Erythema (0.6%)
Wheezing (0.2%)
Increased bronchial secretions (0.2%)
Pruritus (0.2%)
Urticaria (0.1%)
Wheals
Erythema at injection site
Bronchospasm (0.01%)
Cyanosis (0.001%)
Changes in heart rate (0.6-2.1%)
Mean arterial pressure (1.9%)
Warnings
Additive/synergistic effects if administered with or following an opioid, sedative or anesthetic agent
Closely monitor patients with bronchogenic carcinoma, dehydration, electrolyte imbalance, hypotension, hypothermia, myasthenia gravis, pulmonary disease
Adequate ventilatory support mandatory, may experience resistance with >25% TBSA burns, may experience increased sensitivity with electrolyte disorders (hyperMg, hypoK, hypoCa)
Pregnancy and Lactation
Pregnancy Category: C
Lactation: excretion in milk unknown; use with caution
Maximum Dosage
Specific maximum dosage information is not available. Dosage must be individualized based on clinical response.
How supplied
Atracurium Besylate
Injectable solution
- 10mg/mL