SUGA
SUGAMMADEX · by BROOKES
Composition
Inj: Sugammadex 100 mg/ml solution for injection
Indications & Dosage
Reversal of moderate neuromuscular blockade when 2 twitches reappear on TOF after Rocuronium or Vecuronium in adults undergoing surgery : BY IV INJ: Adult: 4mg/kg administer as a single bolus injection. Reversal of deep neuromuscular blockade when no twitches or only post-tetanic counts are present in adults undergoing surgery: BY IV INJ: Adult: 2mg/kg administer as a single bolus injection. Immediate reversal (emergency / high-dose rocuronium): BY IV INJ: Adult: 16mg/kg administer as a single bolus injection, after administration of a single dose of 1.2 mg/kg of rouronium.
Administration
Administered as a single bolus injection
Compatibility
0.9% sodium chloride, 5% dextrose, 0.45% sodium chloride and 2.5% dextrose, 2 5% dextrose in 0.9% sodium chloride, isolyte P with 5% dextrose, Ringer’s lactate solution, Ringer’s solution
Contraindications
Severe renal impairment
Precautions
Respiratory function monitoring during recovery, risk of prolonged neuromuscular blockade; monitor ventilation until recovery occurs. Risk of coagulopathy and bleeding, caution for hepatic impairment accompanied by coagulopathy or severe edema.
Interactions
Toremifene, Hormonal Contraceptives.
Side Effects
Hypotension, headache, muscle weakness, pain, nausea, vomiting, bradycardia, tachycardia, heart arrest, anaphylaxis, hypersensitivity, pain, Bronchospasm.