Neuromuscular Blockade (short Duration) During Surgery And Intubation:
By IV Inj:
Adult: 1-1.5 Mg/kg; Maintenance, Usually 0.5-1 Mg/kg At 5-10 Min Intervals; Max 500 Mg/hr.
By IV Infusion:
Adult: A Solution Containing 1-2 Mg/ml (0.10.2%), 2.5-4 Mg/min; Max 500 Mg/hr.
Children: 2 Mg/kg Produces 5-10 Min Neuromuscular Blockade;
Neonate-1 Yr: 2 Mg/kg;
1-18 Yrs: 1 Mg/kg
IM (Onset In 2-3 Minutes):
Neonate: 4 Mg/kg Produces 10-30 Min Neuromuscular Blockade;
1 Month-1 Yr: Up To 4-5 Mg/kg;
1-12 Yrs: Up To 4 Mg/kg, Max 150 Mg.
Content
Inj 100mg: Per ml: Suxamethonium Chloride 20mg; 5 ml (100mg).
Inj 200mg: Per ml: Suxamethonium Chloride 20mg; 10 ml (200mg).
Inj 500mg: Per ml: Suxamethonium Chloride 50mg; 10 ml (500mg).
Pregnancy
Risk Cannot Be Ruled Out, Caution Advised
Stability
Depolarizing Muscle Relaxant (short-acting)
Contra Indications
Duchenne Muscular Dystrophy, Family History Of Malignant Hyperthermia, Hyperkalaemia, Low Plasma-cholinesterase Activity (including Severe Liver Disease), Major Trauma, Neurological Disease Involving Acute Wasting Of Major Muscle, Personal Or Family History Of Congenital Myotonic Disease, Prolonged Immobilization (risk Of Hyperkalaemia), Severe Burns
Precautions
Duchenne Muscular Dystrophy, Family History Of Malignant Hyperthermia, Hyperkalaemia, Low Plasma-cholinesterase Activity (including Severe Liver Disease), Major Trauma, Neurological Disease Involving Acute Wasting Of Major Muscle, Personal Or Family History Of Congenital Myotonic Disease, Prolonged Immobilization (risk Of Hyperkalaemia), Severe Burns
Lactation
Caution Advised or Effect Undetermined.
Side Effects
Flushing
Hyperkalaemia
Increased Gastric Pressure
Increased Intra-ocular Pressure
Myoglobinaemia
Myoglobinuria
Postoperative Muscle Pain
Rash
Bradycardia (may Occur With Repeated Doses)
Hypertension
Hypotension
Rhabdomyolysis
Tachycardia (occurs With Single Use).
Rare: Apnoea
Arrhythmias
Bronchospasm
Cardiac Arrest
Limited Jaw Mobility
Prolonged Respiratory Depression And Anaphylactic Reactions.