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Drug Interactions between metocurine and Ultane

This report displays the potential drug interactions for the following 2 drugs:

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Interactions between your drugs

Moderate

metocurine sevoflurane

Applies to: metocurine and Ultane (sevoflurane)

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

  1. Kronenfeld MA, Thomas SJ, Turndorf H "Recurrence of neuromuscular blockade after reversal of vecuronium in a patient receiving polymyxin/amikacin sternal irrigation." Anesthesiology 65 (1986): 93-4
  2. Miller RD, Eger EI, Way WL, Stevens WC, Dolan WM "Comparative neuromuscular effects of forane and halothane alone and in combination with d-tubocurarine in man." Anesthesiology 35 (1971): 38-42
  3. Duncalf D, Nagashima H, Hollinger I, Badola RP, Kaplan R, Foldes FF "Relaxation with ORG-NC45 during enflurane anesthesia." Anesthesiology 55 (1981): a203
  4. Ramsey FM, White PA, Stullken EH, Allen LL, Roy RC "Enflurane potentiation of neuromuscular blockade by atracurium." Anesthesiology 57 (1982): a255
  5. Swen J, Rashkovsky OM, Ket JM, Koot HW, Hermans J, Agoston S "Interaction between nondepolarizing neuromuscular blocking agents and inhalational anesthetics." Anesth Analg 69 (1989): 752-5
  6. Withington DE, Donati F, Bevan DR, Varin F "Potentiation of atracurium neuromuscular blockade by enflurane: time-course of effect." Anesth Analg 72 (1991): 469-73
  7. "Product Information. Ultane (sevoflurane)." Abbott Pharmaceutical PROD (2001):
  8. Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0
  9. Cerner Multum, Inc. "Australian Product Information." O 0
View all 9 references

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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.

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Drug Interaction Classification

These classifications are only a guideline. The relevance of a particular drug interaction to a specific individual is difficult to determine. Always consult your healthcare provider before starting or stopping any medication.
Major Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit.
Moderate Moderately clinically significant. Usually avoid combinations; use it only under special circumstances.
Minor 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.
Unknown 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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