MedPath

Cisatracurium

Generic Name
Cisatracurium
Brand Names
Nimbex
Drug Type
Small Molecule
Chemical Formula
C53H72N2O12
CAS Number
96946-41-7
Unique Ingredient Identifier
QX62KLI41N

Overview

Cisatracurium is a non-depolarising neuromuscular blocking agent of the benzylisoquinolinium class, available in its salt form, cisatracurium besylate. Cisatracurium has an intermediate duration of action and is one of the most commonly used neuromuscular blocking agents in intensive care.. Cisatracurium acts on cholinergic receptors, blocking neuromuscular transmission. This action is antagonized by acetylcholinesterase inhibitors such as neostigmine. Cisatracurium is an R-cis-R-cis isomer of atracurium and has approximately 3 times its neuromuscular blocking potency. Compared to atracurium, cisatracurium produces a lower degree of histamine release.

Indication

Cisatracurium is indicated as an adjunct to general anesthesia to facilitate tracheal intubation in adults and pediatric patients 1 month to 12 years of age. Cisatracurium is also indicated to provide skeletal muscle relaxation during surgery in adults and pediatric patients 2 to 12 years of age as a bolus or infusion maintenance and for mechanical ventilation in the ICU in adults.

Associated Conditions

No associated conditions information available.

Clinical Trials

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FDA Drug Approvals

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Approved Product
Manufacturer
NDC Code
Route
Strength
Effective Date
Civica, Inc.
72572-067
INTRAVENOUS
10 mg in 1 mL
4/13/2022
Meitheal Pharmaceuticals Inc.
71288-713
INTRAVENOUS
200 mg in 20 mL
5/31/2019
Caplin Steriles Limited
65145-135
INTRAVENOUS
2 mg in 1 mL
6/13/2023
Hospira, Inc.
0409-1098
INTRAVENOUS
2 mg in 1 mL
12/5/2022
Zydus Pharmaceuticals USA Inc.
70710-1533
INTRAVENOUS
2 mg in 1 mL
11/14/2022
Meitheal Pharmaceuticals Inc.
71288-714
INTRAVENOUS
20 mg in 10 mL
4/20/2023
Zydus Lifesciences Limited
72785-0011
INTRAVENOUS
2 mg in 1 mL
10/17/2022
Hikma Pharmaceuticals USA Inc.
0143-9396
INTRAVENOUS
2 mg in 1 mL
3/15/2023
Sagent Pharmaceuticals
25021-668
INTRAVENOUS
2 mg in 1 mL
9/8/2020
Zydus Lifesciences Limited
72785-0008
INTRAVENOUS
2 mg in 1 mL
11/5/2022

EMA Drug Approvals

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HSA Drug Approvals

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NMPA Drug Approvals

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PPB Drug Approvals

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Health Canada Drug Approvals

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CIMA AEMPS Drug Approvals

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Status
No CIMA AEMPS (Spain) approvals found for this drug.

Philippines FDA Drug Approvals

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Saudi SFDA Drug Approvals

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Approval Date
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Malaysia NPRA Drug Approvals

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UK EMC Drug Information

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