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sugammadex.md

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Sugammadex

Bridion inj 200mg/2mL

TAH Drug Code IBRID
Indications Reversal of rocuronium or vecuronium: Reversal of neuromuscular blockade induced by rocuronium or vecuronium in adults undergoing surgery
Dosing Routine reversal of rocuronium- or vecuronium-induced blockade: IV: Deep block (at least 1 to 2 post-tetanic counts but prior to appearance of T2): 4 mg/kg as a single dose Moderate block (after appearance of T2): 2 mg/kg as a single dose Readministration of rocuronium or vecuronium: Following sugammadex use for routine reversal, waiting times for readministration of rocuronium or vecuronium vary greatly (5 minutes to 24 hours) depending on agent, dose, and renal function; if immediate neuromuscular blockade is needed, a nonsteroidal neuromuscular-blocking agent may be required. Immediate reversal of rocuronium-induced blockade: IV: 16 mg/kg as a single dose administered soon (~3 minutes) after administration of a single dose of rocuronium 1.2 mg/kg. Note: This dose of sugammadex has not been evaluated following administration of vecuronium.
Hepatic Impairment Dose adjustment not necessary
Renal Impairment Dose adjustment not necessary
Contraindications Hypersensitivity to sugammadex or any component of the formulation
Adverse Effects >10%: Cardiovascular: Hypotension (5% to 13%) Central nervous system: Headache (10%) Gastrointestinal: Nausea (26%), vomiting (11% to 15%) Local: Pain at injection site (48% to 52%) 1% to 10%: Cardiovascular: Hypertension (9%), prolonged QT interval on ECG (6%), bradycardia (5%), tachycardia (2% to 5%) Central nervous system: Anesthesia complication (1% to 9%), chills (7%), incisional pain (4% to 6%), dizziness (3% to 6%), insomnia (5%), hypoesthesia (3%), anxiety (1% to 3%), restlessness (1% to 2%), depression (2%) Dermatologic: Pruritus (3%), erythema (2%) Endocrine & metabolic: Hypocalcemia (2%) Gastrointestinal: Abdominal pain (4% to 6%), flatulence (3%), xerostomia (2%) Hematologic & oncologic: Wound hemorrhage (2%), decreased red blood cells (1% to 2%) Neuromuscular & skeletal: Limb pain (6%), musculoskeletal pain (2%), myalgia (2%), increased creatine phosphokinase (1% to 2%), neuromuscular blockade (<=2%; reoccurrence) Respiratory: Cough (3% to 8%) Miscellaneous: Fever (5% to 9%), procedural complications (8%), hysterectomy (2%) <1%, postmarketing, and/or case reports: Anaphylactic shock, anaphylactoid reaction, anaphylaxis, atrial fibrillation, atrioventricular block, bronchospasm, dyspnea, extrasystoles, hypersensitivity reaction, laryngospasm, pulmonary edema, ST segment changes on ECG, supraventricular extrasystole, supraventricular tachycardia, urticaria, ventricular fibrillation, ventricular tachycardia, wheezing
Pregnancy Unknown
Lactation Unknown
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