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Cisatracurium and Quinidex Extentabs

Determining the interaction of Cisatracurium and Quinidex Extentabs and the possibility of their joint administration.

Check result:
Cisatracurium <> Quinidex Extentabs
Relevance: 03.05.2022 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:

Ask your doctor before using quiNIDine together with cisatracurium. This can increase the effects cisatracurium and cause fainting or lightheadedness, fever, pounding heartbeat, shortness of breath, wheezing, unusual muscle weakness, or tiredness. If your doctor prescribes these medications together, you may need a dose adjustment or special tests to safely 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:

GENERALLY AVOID: The pharmacologic effects of nondepolarizing muscle relaxants and quinidine may be additive. The mechanism may be related to depression of the action potential in skeletal muscles and curare-like effects on the neuromuscular junction by quinidine. This combination could result in increased neuromuscular blockade and respiratory depression.

MANAGEMENT: Quinidine should not be administered immediately after surgery. If it is necessary, the patient's vital signs should be closely monitored. Mechanical ventilatory support may be required during coadministration.

References
  • Sher MH, Mathews PA "Recurarization with quinine administration after reversal from anaesthesia." Anaesth Intensive Care 11 (1983): 241-3
  • Way WL, Katzung BG, Larson CP "Recurarization with quinidine." JAMA 200 (1967): 163-4
Cisatracurium

Generic Name: cisatracurium

Brand name: Nimbex

Synonyms: n.a.

Quinidex Extentabs

Generic Name: quinidine

Brand name: Quin-G, Cardioquin, Quinora, Quinidex Extentabs, Quinaglute Dura-Tabs, Quin-Release

Synonyms: n.a.

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.

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