{"id":22357,"date":"2022-06-25T06:27:12","date_gmt":"2022-06-25T06:27:12","guid":{"rendered":"https:\/\/zeepedia.com\/?p=22357"},"modified":"2022-06-25T09:35:14","modified_gmt":"2022-06-25T09:35:14","slug":"rocuronium-b-braun","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/rocuronium-b-braun\/","title":{"rendered":"Rocuronium B. Braun &#8211; Rocuronium bromide uses, dose and side effects"},"content":{"rendered":"\n<p>10 mg \/ ml&nbsp;solution for injection \/ infusion<br>rocuronium bromide<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Rocuronium B. Braun is and what it is used for<\/h2>\n\n\n\n<p>Rocuronium B. Braun belongs to a group of medicines called muscle relaxants.&nbsp;In normal cases, the nerves send messages to the muscles in the form of impulses.&nbsp;Rocuronium B. Braun works by blocking these impulses so that the muscles become relaxed.<\/p>\n\n\n\n<p>When you have surgery, your muscles must be completely relaxed.\u00a0This makes it easier for the\u00a0surgeon\u00a0to operate.<\/p>\n\n\n\n<p>In general\u00a0anesthesia\u00a0in\u00a0<em>adults and children<\/em>, Rocuronium B. Braun can be used to facilitate the insertion of a tube into your trachea to facilitate breathing (mechanically assisted breathing) and to ensure that your muscles are relaxed during surgery.<\/p>\n\n\n\n<p>In\u00a0<em>adults<\/em>, the doctor may also use this medicine as a short-term adjunctive medication in the intensive care unit (eg to make it easier to insert a tube into the trachea).\u00a0In addition, you can get this medicine in emergencies if a tube needs to be quickly inserted into the trachea before surgery.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you use Rocuronium B. Braun<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Rocuronium B. Braun<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are&nbsp;<strong>allergic<\/strong>&nbsp;to rocuronium bromide or any of the other ingredients of this medicine (listed in section 6).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor, pharmacist, or nurse before using Rocuronium B. Braun<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are\u00a0<strong>allergic<\/strong>\u00a0to any muscle relaxant<\/li><li>if you have any\u00a0<strong>kidney, liver,<\/strong> or biliary tract disease<\/li><li>if you have any\u00a0heart disease\u00a0or disease that affects your\u00a0blood circulation<\/li><li>if you have\u00a0swelling\u00a0due to\u00a0fluid accumulation in the body (\u00a0edema\u00a0) (eg in the area around the ankles)<\/li><li>if you have a\u00a0disease that affects nerves and muscles\u00a0(neuromuscular diseases, eg polio (poliomyelitis),\u00a0myasthenia gravis, Eaton-Lambert syndrome)<\/li><li>if you have ever had\u00a0too low a body temperature under anesthesia\u00a0(\u00a0hypothermia\u00a0)<\/li><li>if you have\u00a0low calcium\u00a0in your blood (hypocalcemia, caused eg by large\u00a0blood transfusions\u00a0)<\/li><li>if you have\u00a0low potassium\u00a0in your blood (\u00a0hypokalaemia, caused eg by severe vomiting, diarrhea, or treatment with diuretics)<\/li><li>if you have\u00a0high levels of magnesium\u00a0in your blood (hypermagnesemia)<\/li><li>if you have\u00a0low protein\u00a0levels in the blood (hypoproteinemia)<\/li><li>if you suffer from\u00a0fluid loss<\/li><li>if you have\u00a0an increased amount of acids\u00a0in your blood (\u00a0acidosis\u00a0)<\/li><li>if you have\u00a0increased levels of\u00a0carbon dioxide\u00a0in your blood (\u00a0hypercapnia\u00a0)<\/li><li>if you suffer from\u00a0excessive weight loss\u00a0(\u00a0cachexia\u00a0)<\/li><li>if you are\u00a0overweight\u00a0or\u00a0elderly<\/li><li>if you have\u00a0burned.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Other drugs and Rocuronium B. Braun<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>antibiotics<\/strong><\/li><li><strong>antidepressants<\/strong>\u00a0containing lithium<\/li><li>medicines to treat\u00a0<strong>heart disease<\/strong>\u00a0or\u00a0<strong>high\u00a0blood pressure\u00a0<\/strong>(eg\u00a0quinidine, calcium channel blockers, adrenergic blockers, eg\u00a0beta-blockers\u00a0,\u00a0alpha-blockers )<\/li><li>diuretics\u00a0or\u00a0diuretics\u00a0(medicines that increase the amount of urine)<\/li><li>certain laxatives such as\u00a0magnesium salts<\/li><li>quinine (used to treat pain and\u00a0infection\u00a0)<\/li><li>drugs for the\u00a0treatment of\u00a0epilepsy\u00a0(eg\u00a0phenytoin, carbamazepine)<\/li><li>long-term use of\u00a0corticosteroids\u00a0in the intensive care unit<\/li><li>drugs for the treatment of\u00a0myasthenia gravis\u00a0(neostigmine, pyridostigmine, edrophonium, aminopyridine)<\/li><li><strong>theophylline<\/strong>\u00a0(used to treat\u00a0asthma\u00a0)<\/li><li>medicines for the treatment or prevention of viral infections (\u00a0protease inhibitors\u00a0).<\/li><\/ul>\n\n\n\n<p><strong>Note:<\/strong><\/p>\n\n\n\n<p>You may be given other medicines during the procedure that may affect the effect of rocuronium.\u00a0These include certain anesthetics (eg local anesthetics and\u00a0inhaled anesthetics\u00a0), other muscle relaxants, and protamine which counteracts the\u00a0anticoagulant\u00a0effect (prevention of blood clots) in\u00a0heparin.\u00a0Your doctor will take this into account when deciding which\u00a0dose\u00a0is right for you.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/h2>\n\n\n\n<p>If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<\/p>\n\n\n\n<p>There are very limited data on the use of Rocuronium B. Braun in pregnant women and no data are available for use in breastfeeding women.\u00a0Rocuronium B. Braun should only be given to pregnant and lactating women as the doctor considers that the benefits outweigh the risks.\u00a0Rocuronium B. Braun can be given by cesarean section.<\/p>\n\n\n\n<p>No data are available on the effect of this drug on\u00a0fertility.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Rocuronium B. Braun has a significant effect on the ability to drive and use machines.&nbsp;Therefore, it is recommended not to drive or use potentially hazardous machinery for the first 24 hours after complete recovery from the effect of the drug.<\/p>\n\n\n\n<p>Your doctor should tell you when you can start driving and using machines again.&nbsp;Anyone treated with Rocuronium B. Braun should always be followed home by an adult.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires increased vigilance.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0Descriptions of these effects and\u00a0side effects\u00a0can be found in other sections.\u00a0Read all the information in this leaflet for guidance.\u00a0If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Rocuronium B. Braun contains sodium<\/h2>\n\n\n\n<p>This medicine contains less than 1 mmol\u00a0sodium\u00a0(23 mg) per\u00a0dose, ie essentially &#8216;sodium-free&#8217;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Rocuronium B. Braun<\/h2>\n\n\n\n<p>Rocuronium B. Braun is given to you by your anesthetist.\u00a0It is given\u00a0intravenously\u00a0either as a single\u00a0injection\u00a0or as a\u00a0continuous\u00a0infusion\u00a0(over a long period) into a vein.<\/p>\n\n\n\n<p><em>Adults<\/em><\/p>\n\n\n\n<p>The usual\u00a0dose\u00a0is 0.6 mg per kg body weight and the effect lasts 30 &#8211; 40 minutes.\u00a0During the operation, the effect of Rocuronium B. Braun is monitored continuously.\u00a0Your doctor may therefore give you additional\u00a0doses\u00a0of the medicine depending on your situation.<\/p>\n\n\n\n<p>If necessary, you can get extra\u00a0doses.\u00a0Dose\u00a0one is adjusted by the anesthesiologist according to your needs.\u00a0Dose\u00a0one depends on many factors, such as concomitant use of other drugs (their interaction), taking into account the estimated duration of surgery as well as your age and your clinical condition.<\/p>\n\n\n\n<p>This medicine is for single use only.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Use in children and adolescents<\/h2>\n\n\n\n<p>This medicine can be given to newborns (0-27 days), infants and toddlers (28 days to 23 months), children (2-11 years), and adolescents (12 to 17 years).\u00a0The anesthetist adjusts the\u00a0dose\u00a0according to your child&#8217;s needs.\u00a0The doctor takes into account that higher infusion rates may be necessary for children.<\/p>\n\n\n\n<p>Experience with rocuronium bromide in a specific type of\u00a0anesthesia, so-called rapid induction, is limited in children and adolescents.\u00a0Rocuronium bromide is therefore not recommended for this purpose in children and adolescents.<\/p>\n\n\n\n<p><em>Elderly patients, obese patients,<\/em> and patients with liver and\/or biliary tract disease and\/or<em> renal failure:<\/em><\/p>\n\n\n\n<p>The doctor can, if necessary, adjust the\u00a0dose\u00a0depending on your situation.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Rocuronium B. Braun than you should<\/h2>\n\n\n\n<p>Your anesthetist will monitor you closely while you are being treated with Rocuronium B. Braun, so it is unlikely that you will be given too much Rocuronium B. Braun.&nbsp;If this happens, muscle relaxation may increase.&nbsp;In such cases, your anesthetist may give you medicines to relieve this effect and ensure that the anesthesia and mechanically assisted breathing continue until you breathe again by yourself.<\/p>\n\n\n\n<p><strong>Additional questions<\/strong><\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor, pharmacist, or nurse<strong>.<\/strong><\/p>\n\n\n\n<p>For information intended for healthcare professionals, see the section below.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p><strong>The following&nbsp;side effects&nbsp;can be serious.&nbsp;Tell a doctor or nurse immediately if any of the following&nbsp;side effects&nbsp;occur:<\/strong><\/p>\n\n\n\n<p>Very rare (may affect up to 1 in 10,000 people):&nbsp;<\/p>\n\n\n\n<p>Hypersensitivity reactions\u00a0(allergic reactions) and associated symptoms.\u00a0A hypersensitivity reaction may include rash,\u00a0itching, difficulty breathing, low\u00a0blood pressure, rapid heart rate, circulatory collapse,\u00a0shock\u00a0or swelling of the face, lips, throat, or tongue, hives, swelling of the skin, and mucous membranes, reddening of the skin.\u00a0In addition, other\u00a0side effects\u00a0associated with the airways may also occur during anesthesia (complications of the airways caused by anesthesia).<\/p>\n\n\n\n<p>Has been reported (occurs in an unknown number of users)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>respiratory arrest<\/li><li>respiratory failure<\/li><li>severe&nbsp;allergic reaction&nbsp;with convulsions in the coronary arteries of the heart (Kounis syndrome) leading to chest pain (angina) or heart attack<\/li><\/ul>\n\n\n\n<p><strong>Other possible side effects:<\/strong><\/p>\n\n\n\n<p><strong>Uncommon \/ rare (may affect 1-10 out of 1000 people):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>increased heart rate (&nbsp;tachycardia&nbsp;) *<\/li><li>slow recovery from anesthesia<\/li><li>low&nbsp;blood pressure&nbsp;(&nbsp;hypotension&nbsp;)<\/li><li>lack of effect<\/li><li>increased or decreased effect of the drug<\/li><li>the body&#8217;s response to the drug may increase or decrease<\/li><li>injection site pain<\/li><li>prolonged duration of muscle relaxation (prolonged neuromuscular blockade)<\/li><\/ul>\n\n\n\n<p><strong>Very rare (may affect up to 1 in 10,000 people):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>increased histamine levels in the blood<\/li><li>wheezing (&nbsp;bronchospasm&nbsp;)<\/li><li>inability to move (paralysis)<\/li><li>muscle weakness (after long-term use in the intensive care unit, especially in combination with&nbsp;cortisone&nbsp;).<\/li><\/ul>\n\n\n\n<p>* Clinical studies suggest that an increased heart rate is common in&nbsp;<em>pediatric patients<\/em>&nbsp;and may occur in up to 1 in 10 people.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Rocuronium B. Braun<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the label and carton after EXP.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Do not store above 25 \u00b0 C.<\/p>\n\n\n\n<p>After first opening: The product should be used immediately after opening the\u00a0ampoule.<\/p>\n\n\n\n<p><strong>After dilution<\/strong>&nbsp;: Chemical and physical in-use stability using 5.0 mg \/ ml and 0.1 mg \/ ml solution (diluted with sodium chloride 9 mg \/ ml (0.9%) and&nbsp;glucose&nbsp;50 mg \/ ml (5%)&nbsp;solution for infusion&nbsp;, solution) has been shown for 24 hours at room temperature and when exposed to daylight in glass and place packs.<\/p>\n\n\n\n<p>From a\u00a0microbiological\u00a0point of view, the product should be used immediately.\u00a0If not used immediately, in-use storage times and conditions before\u00a0administration\u00a0are the responsibility of the user and would normally not be longer than 24 hours at 2-8 \u00b0 C, unless dilution has taken place under controlled and validated aseptic conditions.<\/p>\n\n\n\n<p>Do not use this medicine if you notice that the solution is not clear or free of particles.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the pack and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<p>The&nbsp;<strong>active substance<\/strong>&nbsp;is rocuronium bromide.<\/p>\n\n\n\n<p>1 ml contains 10 mg of rocuronium bromide.<\/p>\n\n\n\n<p>Each 5 ml&nbsp;ampoule&nbsp;contains a total of 50 mg of rocuronium bromide.<\/p>\n\n\n\n<p><strong>The other ingredients<\/strong>\u00a0are gluconolactone, sodium acetate trihydrate, sodium citrate dihydrate, and water for injections.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>Rocuronium B. Braun is a clear, colorless to light brownish-yellow solution for injection or infusion.<\/p>\n\n\n\n<p>Pack sizes:<\/p>\n\n\n\n<p>Rocuronium B. Braun is available in packs of 20 plastic ampoules containing 5 ml of solution.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p>B. Braun Melsungen AG<\/p>\n\n\n\n<p>Carl-Braun-Strasse 1<\/p>\n\n\n\n<p>34212 Melsungen<\/p>\n\n\n\n<p>Germany<\/p>\n\n\n\n<p>Postal address:<\/p>\n\n\n\n<p>34209 Melsungen<\/p>\n\n\n\n<p>Germany<\/p>\n\n\n\n<p><strong>Information is provided by<\/strong><\/p>\n\n\n\n<p>B. Braun Medical AB<\/p>\n\n\n\n<p>Box 110<\/p>\n\n\n\n<p>18212 Danderyd<\/p>\n\n\n\n<p>This medicinal product is authorized under the European Economic Area under the names:<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Belgium<\/td><td>Rocuronium B. Braun 10 mg \/ ml solution for injection \/ infusion<\/td><\/tr><tr><td>Finland<\/td><td>Rocuronium B. Braun 10 mg \/ ml<\/td><\/tr><tr><td>Greece<\/td><td>Rocuronium B. Braun 10 mg \/ ml<\/td><\/tr><tr><td>Ireland<\/td><td>Rocuronium 10 mg \/ ml<\/td><\/tr><tr><td>Italy<\/td><td>Rocuronio B. Braun 10 mg \/ ml<\/td><\/tr><tr><td>Luxembourg<\/td><td>Rocuronium bromide B. Brown 10 mg \/ ml<\/td><\/tr><tr><td>Netherlands<\/td><td>Rocuronium bromide B. Brown 10 mg \/ ml<\/td><\/tr><tr><td>Poland<\/td><td>Rocuronium B. Braun<\/td><\/tr><tr><td>Portugal<\/td><td>Brometo de Rocur\u00f3nio B. Braun<\/td><\/tr><tr><td>Slovakia<\/td><td>Rocuronium B. Braun 10 mg \/ ml<\/td><\/tr><tr><td>Spain<\/td><td>Rocuronio B. Braun 10 mg \/ ml<\/td><\/tr><tr><td>UK<\/td><td>Rocuronium 10 mg \/ ml<\/td><\/tr><tr><td>Sweden<\/td><td>Rocuronium B. Braun 10 mg \/ ml<\/td><\/tr><tr><td>Czech Republic<\/td><td>Rocuronium B. Braun 10 mg \/ ml<\/td><\/tr><tr><td>Germany<\/td><td>Rocuronium bromide B. Brown 10 mg \/ ml<\/td><\/tr><tr><td>Austria<\/td><td>Rocuronium bromide B. Brown 10 mg \/ ml<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Rocuronium B. Braun belongs to a group of medicines called muscle relaxants. In normal cases, the nerves send messages to the muscles in the form of impulses. Rocuronium B. Braun works by blocking these impulses so that the muscles become relaxed.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,18529],"tags":[23252,23247,23248,23251,3648,3651,23249,23245,23250,23246],"class_list":["post-22357","post","type-post","status-publish","format-standard","hentry","category-medicines","category-r","tag-benefits-of-rocuronium-b-braun","tag-benefits-of-rocuronium-bromide","tag-rocuronium-b-braun","tag-rocuronium-b-braun-side-effects","tag-rocuronium-bromide","tag-rocuronium-bromide-side-effects","tag-what-is-rocuronium-b-braun","tag-what-is-rocuronium-bromide","tag-what-rocuronium-b-braun-is-used-for","tag-what-rocuronium-bromide-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/22357","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=22357"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/22357\/revisions"}],"predecessor-version":[{"id":22380,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/22357\/revisions\/22380"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=22357"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=22357"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=22357"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}