Drug Interactions between halothane and Nimbex
This report displays the potential drug interactions for the following 2 drugs:
- halothane
- Nimbex (cisatracurium)
Interactions between your drugs
halothane cisatracurium
Applies to: halothane and Nimbex (cisatracurium)
ADJUST DOSE: Inhalation anesthetics may potentiate the effects of nondepolarizing muscle relaxants. Long-acting muscle relaxants such as pancuronium and d-tubocurarine are more affected than other agents.
MANAGEMENT: The muscle relaxant dosage may need to be reduced when inhalation anesthetics are used, especially during longer procedures. In general, inhalation anesthetics should be administered only by health care providers specially trained in the use of these agents and in the care of anesthetized patients.
References (9)
- Kronenfeld MA, Thomas SJ, Turndorf H (1986) "Recurrence of neuromuscular blockade after reversal of vecuronium in a patient receiving polymyxin/amikacin sternal irrigation." Anesthesiology, 65, p. 93-4
- Miller RD, Eger EI, Way WL, Stevens WC, Dolan WM (1971) "Comparative neuromuscular effects of forane and halothane alone and in combination with d-tubocurarine in man." Anesthesiology, 35, p. 38-42
- Duncalf D, Nagashima H, Hollinger I, Badola RP, Kaplan R, Foldes FF (1981) "Relaxation with ORG-NC45 during enflurane anesthesia." Anesthesiology, 55, a203
- Ramsey FM, White PA, Stullken EH, Allen LL, Roy RC (1982) "Enflurane potentiation of neuromuscular blockade by atracurium." Anesthesiology, 57, a255
- Swen J, Rashkovsky OM, Ket JM, Koot HW, Hermans J, Agoston S (1989) "Interaction between nondepolarizing neuromuscular blocking agents and inhalational anesthetics." Anesth Analg, 69, p. 752-5
- Withington DE, Donati F, Bevan DR, Varin F (1991) "Potentiation of atracurium neuromuscular blockade by enflurane: time-course of effect." Anesth Analg, 72, p. 469-73
- (2001) "Product Information. Ultane (sevoflurane)." Abbott Pharmaceutical
- Cerner Multum, Inc. "UK Summary of Product Characteristics."
- Cerner Multum, Inc. "Australian Product Information."
Drug and food interactions
No alcohol/food interactions were found. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.
Therapeutic duplication warnings
No warnings were found for your selected drugs.
Therapeutic duplication warnings are only returned when drugs within the same group exceed the recommended therapeutic duplication maximum.
See also
Drug Interaction Classification
Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. | |
Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. | |
Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. | |
No interaction information available. |
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
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