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Bacitracin (Systemic) and Cisatracurium Besylate

Determining the interaction of Bacitracin (Systemic) and Cisatracurium Besylate and the possibility of their joint administration.

Check result:
Bacitracin (Systemic) <> Cisatracurium Besylate
Relevance: 10.01.2023 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Using cisatracurium together with bacitracin can prolong the effects of cisatracurium. You should be closely monitored for prolong breathing cessation and respiratory paralysis after use of bacitracin. You may need a dose adjustment or special test if you use both medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Professional:

MONITOR: Like other polypeptide antibiotics, systemically administered bacitracin may prolong apnea and respiratory paralysis associated with the use of nondepolarizing neuromuscular blocking agents. The mechanism may involve decreased intracellular potassium or decreased ionized serum calcium, as intravenous calcium administration has been reported to be helpful in reversing paralysis caused by polymyxin B in some cases.

MANAGEMENT: Patients should be closely monitored for prolonged or excessive neuromuscular blockade.

References
  • Huang KC, Heise A, Shrader AK, Tsueda K "Vancomycin enhances the neuromuscular blockade of vecuronium." Anesth Analg 71 (1990): 194-6
  • Kronenfeld MA, Thomas SJ, Turndorf H "Recurrence of neuromuscular blockade after reversal of vecuronium in a patient receiving polymyxin/amikacin sternal irrigation." Anesthesiology 65 (1986): 93-4
Bacitracin (Systemic)

Generic Name: bacitracin

Brand name: Baci-IM, Baci-Rx

Synonyms: Bacitracin (injection)

Cisatracurium Besylate

Generic Name: cisatracurium

Brand name: Nimbex

Synonyms: Cisatracurium

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

Interaction with food and lifestyle