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Rocuronium

Rocuronium bromide (brand names Zemuron, Esmeron) is an aminosteroid non-depolarizing neuromuscular blocker or muscle relaxant used in modern anaesthesia to facilitate tracheal intubation by providing skeletal muscle relaxation, most commonly required for surgery or mechanical ventilation. More

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Description

Rocuronium bromide (brand names Zemuron, Esmeron) is an aminosteroid non-depolarizing neuromuscular blocker or muscle relaxant used in modern anaesthesia to facilitate tracheal intubation by providing skeletal muscle relaxation, most commonly required for surgery or mechanical ventilation.

Generic Name

Rocuronium

Chemical names

Rocuronium; 143558-00-3; UNII-WRE554RFEZ; CHEBI:8884; WRE554RFEZ

Brand names

Zemuron (International)

IUPAC name

1-[(1S,2S,4S,5S,7S,10R,11S,13S,14R,15S)-14-(acetyloxy)-5-hydroxy-2,15-dimethyl-4-(morpholin-4-yl)tetracyclo[8.7.0.0²,?.0¹¹,¹?]heptadecan-13-yl]-1-(prop-2-en-1-yl)pyrrolidin-1-ium

Pharmacokinetics

NA

Actions

NA

Dosage/Dosage form

IV- The recommended initial dose regardless of anesthetic technique is 0.6 mg/kg. Maintenance: 0.1, 0.15, and 0.2 mg/kg.

Therapeutic uses

A muscle-relaxant is used as a general anaesthesia prior to a surgical procedure. 

Adverse effects/Side effects

Abnormal heart rhythm, abnormal electrocardiogram and fast heart rate. Rash, injection site swelling and itching.

Interaction

Interacted with amikacin, anti-convulsant drugs, polymyxin-B, antacids and mineral supplements containing magnesium salts, lithium, procainamide, tetracycline, corticosteroids, kanamycin, neomycin, vancomycin and streptomycin and tobramycin.

Contraindications

Rocuronium is contraindicated in patients with myasthenia gravis, renal disorders, heart problems, prolonged QT waves, renal diseases, cirrhosis, circulatory problems and allergy to anaesthetics.

Storage

Store at 20-25°C.

Information

Molecular weight

529.7742

Molecular formula

C32H53N2O4

CAS number

143558-00-3

Precautions

Avoid excess dosage.