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Piperacillin and Zemuron

Determining the interaction of Piperacillin and Zemuron and the possibility of their joint administration.

Check result:
Piperacillin <> Zemuron
Relevance: 06.06.2022 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:

Using rocuronium together with piperacillin can prolong the effects of rocuronium. You should be closely monitored for prolong breathing cessation and respiratory paralysis after use of piperacillin. 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: Piperacillin may prolong the effects of nondepolarizing muscle relaxants. The mechanism is unknown, but small trials and case reports have provided data in support of an interaction between piperacillin and vecuronium. In contrast, a randomized controlled trial involving thirty patients undergoing abdominal operations reported no clinically important prolongation of vecuronium-induced muscle relaxation when piperacillin or cefoxitin was administered pre- or intra-operatively. The clinical significance and the extent to which other nondepolarizing muscle relaxants may interact remains unclear.

MANAGEMENT: Close observation for profound and prolonged respiratory depression and muscle weakness is recommended if these drugs must be used together.

References
  • Cerner Multum, Inc "ANVISA Bulário Eletrônico. Available from: URL: http://www.anvisa.gov.br/datavisa/fila_bula/index.asp." O 0 (2015):
  • Cerner Multum, Inc. "Australian Product Information." O 0
  • Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0
  • Cerner Multum, Inc. "Canadian Product Information." O 0 (2015):
  • "Product Information. Zosyn (piperacillin-tazobactam)." Lederle Laboratories, Wayne, NJ.
  • Agencia Española de Medicamentos y Productos Sanitarios Healthcare "Centro de información online de medicamentos de la AEMPS - CIMA. Available from: URL: https://cima.aemps.es/cima/publico/home.html." ([2018]):
  • Condon RE, Munshi CA, Arfman RC "Interaction of vecuronium with piperacillin or cefoxitin evaluated in a prospective, randomized, double-blind clinical trial." Am Surg 61 (1995): 403-6
  • Mackie K, Pavlin EG "Recurrent paralysis following piperacillin administration." Anesthesiology 72 (1990): 561-3
Piperacillin

Generic Name: piperacillin

Brand name:

Synonyms: n.a.

Zemuron

Generic Name: rocuronium

Brand name: Zemuron

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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