Cisatracurium Besylate and Vistaril IM

• Generic Name: cisatracurium
• Dosage Forms: n.a.
• Other Brand Names: Nimbex

Production of skeletal muscle relaxation during surgery after general anesthesia has been induced.

Facilitation of endotracheal intubation; however, a neuromuscular blocking agent with a rapid onset of action (e.g., succinylcholine, rocuronium) generally preferred in emergency situations when rapid intubation is required. Cisatracurium is not recommended for rapid sequence intubation because of its intermediate onset of action.

Also has been used to facilitate mechanical ventilation in the ICU. Has been given as a continuous IV infusion for up to 6 days in this setting. Whenever neuromuscular blocking agents are used in the ICU, consider benefits versus risks of such therapy and assess patients frequently to determine need for continued paralysis. (See Intensive Care Setting under Cautions.)

Compared with other neuromuscular blocking agents, cisatracurium has an intermediate onset and duration of action; exhibits minimal, if any, cardiovascular effects; and causes less histamine release than atracurium. Because elimination is not dependent on renal or hepatic pathways, may be particularly useful in patients with hepatic or renal dysfunction.

• Generic Name: hydroxyzine
• Dosage Forms: capsules and oral suspension
• Other Brand Names: Vistaril, Atarax, ANX, Vistaril IM, Hyzine, Vistaject-50, Rezine

Hydroxyzine injection is used to used to help control anxiety and tension caused by dental, nervous, and emotional conditions. It can also be used to help control anxiety and produce sleep before and after surgery. This medicine is also used to relieve symptoms of an allergic reaction (eg, hives, itching skin) caused by asthma and chronic urticaria.

Hydroxyzine is an antihistamine. It works by preventing the effects of a substance called histamine, which is produced by the body. This medicine is also used to control anxiety withdrawal symptoms in alcoholic patients. It is also used to control nausea and vomiting symptoms, and relieve anxiety in patients with certain heart disease.

This medicine is to be given by or under the supervision of your doctor.