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Rocuronium Bromide Injection 50mg/5mL
Composition:
Each 5mL vial contains:
- Rocuronium Bromide - 50 mg (10 mg/mL)
- Excipients: Sodium acetate, Sodium chloride, Acetic acid (for pH adjustment), Water for injection
Description:
Rocuronium Bromide is a non-depolarizing neuromuscular blocking agent that competitively inhibits acetylcholine at the neuromuscular junction, resulting in skeletal muscle relaxation and paralysis. It has a rapid onset and intermediate duration of action and is used during surgical procedures and mechanical ventilation.
Indications:
Rocuronium Bromide Injection is indicated for:
- Facilitation of tracheal intubation during general anesthesia
- Maintenance of neuromuscular blockade during surgery
- Use in intensive care units (ICU) for mechanical ventilation
Dosage & Administration:
Adults & Pediatrics (>1 month old)
The dose depends on the desired level of neuromuscular blockade:
Use |
Dose |
Onset Time |
Duration |
Intubation (standard dose) |
0.6 mg/kg IV |
1-2 min |
30-40 min |
Rapid Sequence Intubation (RSI) |
1.0-1.2 mg/kg IV |
45-60 sec |
50-70 min |
Maintenance dose |
0.1-0.2 mg/kg IV |
- |
15-25 min |
Continuous infusion |
5-10 mcg/kg/min |
- |
- |
Pediatric Considerations:
- Neonates (<1 month): Limited data; use with caution
- Children (1 month-12 years): Require slightly higher doses due to faster metabolism
Administration:
- Administer as an IV bolus or continuous infusion
- Flush IV line with saline after administration
- Use neuromuscular monitoring to determine the optimal dose
Contraindications:
- Hypersensitivity to Rocuronium or bromide compounds
- Severe anaphylactic reactions to other neuromuscular blockers
Precautions:
- Prolonged paralysis may occur in patients with liver or kidney dysfunction
- Use with caution in patients with myasthenia gravis or neuromuscular diseases
- Ensure airway support is available before administration
- May cause histamine release (use caution in asthmatic patients)
Adverse Reactions:
- Common: Injection site pain, transient hypotension or hypertension, tachycardia
- Serious: Anaphylaxis, bronchospasm, prolonged neuromuscular blockade
Drug Interactions:
- Inhaled anesthetics (e.g., Sevoflurane, Isoflurane): Potentiate neuromuscular blockade
- Aminoglycosides & Polymyxins: Enhance paralysis
- Sugammadex Sodium: Effectively reverses Rocuronium-induced blockade
- Corticosteroids: May prolong neuromuscular blockade
Overdose & Management:
- Symptoms: Prolonged paralysis, respiratory depression
- Treatment:
- Mechanical ventilation support
- Reversal with Sugammadex (2-16 mg/kg) or Neostigmine + Atropine
Storage Conditions:
- Store between 2°C - 8°C (Refrigerated)
- Do not freeze
- Once opened, use immediately
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