Last update Aug. 6, 2022

Cisatracurium Besilate

Compatible

Safe substance and/or breastfeeding is the best option.

It is a non-depolarizing muscle relaxant drug with a peripheral action that is used as premedication for endotracheal intubation, general anesthesia and mechanical ventilation. Intravenous administración

Since the last update we have not found published data on its excretion in breastmilk.

Its moderately elevated molecular weight and rapid half-life elimination period (about 22 minutes) make it highly unlikely that significant quantities will pass into breast milk. (Dalal 2014, Spigset 1994)

Also, quaternary ammonium muscle relaxants are poorly absorbed from the gastro-intestinal tract; its low oral bioavailability renders the pass of this agent to the infant's plasma highly unlikely. (Spigset 1994)

Cisatracurium does not prevent a mother from breast feeding her baby shortly after recovering from anesthesia if she is awake and in good condition. (AEMPS 2021)

Experts authors consider the use of this medication to be probably compatible during breastfeeding. (Briggs 2015, Dalal 2014)

Alternatives

We do not have alternatives for Cisatracurium Besilate since it is relatively safe.

Suggestions made at e-lactancia are done by APILAM team of health professionals, and are based on updated scientific publications. It is not intended to replace the relationship you have with your doctor but to compound it. The pharmaceutical industry contraindicates breastfeeding, mistakenly and without scientific reasons, in most of the drug data sheets.

Jose Maria Paricio, Founder & President of APILAM/e-Lactancia

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Other names

Cisatracurium Besilate in other languages or writings:

Group

Cisatracurium Besilate belongs to this group or family:

Tradenames

Main tradenames from several countries containing Cisatracurium Besilate in its composition:

Pharmacokinetics

Variable Value Unit
Oral Bioavail. ≈ 0 %
Molecular weight 1.244 daltons
VD 0.145 l/Kg
pKa 19.02 -
T½ 0.37 hours

References

  1. AEMPS. Cisatracurio. Ficha técnica. 2021 Full text (in our servers)
  2. Briggs GG, Freeman RK, Towers CV, Forinash AB. Drugs in Pregnancy and Lactation: A Reference Guide to Fetal and Neonatal Risk. Wolters Kluwer Health. Tenth edition (acces on line) 2015
  3. Dalal PG, Bosak J, Berlin C. Safety of the breast-feeding infant after maternal anesthesia. Paediatr Anaesth. 2014 Abstract
  4. Spigset O. Anaesthetic agents and excretion in breast milk. Acta Anaesthesiol Scand. 1994 Abstract

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