User:Mr. Ibrahem/Pancuronium

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Pancuronium
Clinical data
Other namesPancuronium bromide
AHFS/Drugs.comMonograph
Pregnancy
category
  • AU: B2
Routes of
administration
Intravenous
Drug classNeuromuscular blocking agent[1]
Legal status
Legal status
  • AU: S4 (Prescription only)
  • UK: POM (Prescription only)
  • US: ℞-only
Pharmacokinetic data
BioavailabilityNA
Protein binding77 to 91%
MetabolismLiver
Onset of action2 to 3 min[2]
Elimination half-life1.5 to 2.7 hours
Duration of actionUp to 100 min[2]
ExcretionKidney and biliary
Identifiers
  • [(2S,3S,5S,8R,9S,10S,13S,14S,16S,17R)-17-Acetyloxy-10,13-dimethyl-2,16-bis(pyridin-1-yl)-tetradecahydro-1H-cyclopenta[a]phenanthren-3-yl] acetate
Chemical and physical data
FormulaC35H60N2O4
Molar mass572.875 g·mol−1
  • InChI=1S/C35H60N2O4.2BrH/c1-24(38)40-32-21-26-13-14-27-28(35(26,4)23-31(32)37(6)19-11-8-12-20-37)15-16-34(3)29(27)22-30(33(34)41-25(2)39)36(5)17-9-7-10-18-36;;/h26-33H,7-23H2,1-6H3;2*1H/q+2;;/p-2/t26-,27+,28-,29-,30-,31-,32-,33-,34-,35-;;/m0../s1 ☒N
  • Key:NPIJXCQZLFKBMV-YTGGZNJNSA-L ☒N
 ☒NcheckY (what is this?)  (verify)

Pancuronium, sold under the brand name Pavulon, is a medication used to relax muscles during general anesthesia, when a person is being ventilated, and to help with endotracheal intubation.[2] It is given by injection into a vein.[2] Onset is relatively slow at 2 to 3 minutes while effects can last for up to 100 minutes.[2]

Common side effects include muscle weakness.[2] Other side effects may include anaphylaxis and increased heart rate.[2] Use in pregnancy appears to be safe, but is not well studied.[3] Neostigmine or pyridostigmine may be used to reverse its affects.[1] It is a neuromuscular blocking agent.[1]

Pancuronium was first made in 1964 and approved for medical use in the United States in 1972.[2][1] It is available as a generic medication.[4] In the United Kingdom it costs the NHS about £5 per 4 mg as of 2021.[4] This amount is about 3 USD in the United States.[5] It has been used in euthanasia and during lethal injection.[6][7]

References[edit]

  1. ^ a b c d Das GN, Sharma P, Maani CV (January 2021). "Pancuronium". StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. PMID 30855929. Archived from the original on 2021-01-04. Retrieved 2021-08-22.
  2. ^ a b c d e f g h i j k "Pancuronium Monograph for Professionals". Drugs.com. Archived from the original on 5 October 2021. Retrieved 26 October 2021.
  3. ^ "Pancuronium (Pavulon) Use During Pregnancy". Drugs.com. Archived from the original on 30 November 2020. Retrieved 26 October 2021.
  4. ^ a b BNF 81: March-September 2021. BMJ Group and the Pharmaceutical Press. 2021. p. 1391. ISBN 978-0857114105.
  5. ^ "Pancuronium Prices, Coupons & Patient Assistance Programs". Drugs.com. Archived from the original on 10 May 2019. Retrieved 26 October 2021.
  6. ^ "US court backs lethal injection". BBC News. 16 April 2008. Archived from the original on 20 April 2008. Retrieved 22 August 2021.
  7. ^ "Administration and Compounding Of Euthanasic Agents". The Hague: Royal Dutch Society for the Advancement of Pharmacy. Archived from the original on 7 June 2008. Retrieved 15 July 2008 – via ERGO!.