Formulary
Cisatracurium: Indications, Dosing, Side Effects and Interactions
Cisatracurium clinical drug profile including indications, dosing, side effects, cautions and interactions.
MedNext Academy | 3 min read
Cisatracurium: Indications, Dosing, Side Effects and Interactions
Cisatracurium clinical drug profile including indications, dosing, side effects, cautions and interactions.
Indications and dose
**Neuromuscular blockade (intermediate duration) during surgery for cisatracurium**
- **Child 1 month-1 year** (Initially by intravenous injection): Initially 150 micrograms/kg, then (by intravenous injection) 30 micrograms/kg every 20 minutes as required.
- **Child 2-11 years** (Initially by intravenous injection): Initially 150 micrograms/kg, 80-100 micrograms/kg if not for intubation, then (by intravenous injection) 20 micrograms/kg every 10 minutes as required, alternatively (by intravenous injection) initially 150 micrograms/kg, followed by (by intravenous infusion) 180 micrograms/kg/hour, (by intravenous infusion) reduced to 60-120 micrograms/kg/hour, adjusted according to response.
- **Child 12-17 years** (Initially by intravenous injection): Initially 150 micrograms/kg, then (by intravenous injection) 30 micrograms/kg every 20 minutes as required, alternatively (by intravenous injection) initially 150 micrograms/kg, followed by (by intravenous infusion) 180 micrograms/kg/hour, (by intravenous infusion) reduced to 60-120 micrograms/kg/hour, adjusted according to response.
Cautions
For all non-depolarising neuromuscular blocking drugs Burns (resistance can develop, increased doses may be required); cardiovascular disease (reduce rate of administration); electrolyte disturbances (response unpredictable); fluid disturbances (response unpredictable); hypothermia (activity prolonged, lower doses required); myasthenia gravis (activity prolonged, lower doses required); neuromuscular disorders (response unpredictable)
Side effects
For all non-depolarising neuromuscular blocking drugs Common or very common Flushing; hypotension Uncommon Bronchospasm; hypersensitivity; skin reactions; tachycardia Rare or very rare Circulatory collapse; muscle weakness (after prolonged use in intensive care); myopathy (after prolonged use in intensive care); shock Side-effects For cisatracurium Common or very common Bradycardia
Interactions
**Other interactions (2):**
- Teniposide) Atorvastatin Carbamezepine Ciclosporin Disopyramide Efavirenz Erythromycin Fosamprenavir Indinavir Lopinavir/ritonavir Methadone Nelfinavir Neuromuscular blocking agents (pancuronium,...
- Table 4 Drugs whose serum levels and/or effects may be altered by phenytoin Drug Classes Drugs in each Class (such as*) Antibacterial agents doxycycline rifampicin tetracycline Anticoagulants...
Pregnancy
For all non-depolarising neuromuscular blocking drugs Non-depolarising neuromuscular blocking drugs are highly ionised at physiological pH and are therefore unlikely to cross the placenta in significant amounts.
Breast feeding
For all non-depolarising neuromuscular blocking drugs Non-depolarising neuromuscular blocking drugs are ionised at physiological pH and are unlikely to be present in milk in significant amounts. Breast-feeding may be resumed once the mother has recovered from neuromuscular block.
Medicinal forms
Clinical governance
**Author:** MedNext Clinical Team. **Clinical reviewer:** Dr Shameer Deen, MBBS, MS, MRCS. **Sources:** BNF, Indian Pharmacopoeia, CIMS India. **Correction:** Report errors at support@mednext.academy.
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