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Description
Curator's Comment: description was created based on several sources, including: http://www.drugbank.ca/drugs/DB01135

Doxacurium chloride (formerly recognized as BW938U80 or BW A938U) is a neuromuscular-blocking drug or skeletal muscle relaxant in the category of non-depolarizing neuromuscular-blocking drugs, used adjunctively in anesthesia for endotracheal intubation or to facilitate mechanical ventilation. Unlike a number of other related skeletal muscle relaxants, it is rarely used adjunctively to facilitate endotracheal intubation. Doxacurium chloride is a mixture of three trans, trans stereoisomers, a dl pair [(1R,1'R ,2S,2'S ) and (1S,1'S ,2R,2'R )] and a meso form (1R,1'S,2S,2'R). NUROMAX binds competitively to cholinergic receptors on the motor end-plate to antagonize the action of acetylcholine, resulting in a block of neuromuscular transmission. This action is antagonized by acetylcholinesterase inhibitors, such as neostigmine.

Originator

Curator's Comment: synthesized by Mary M. Jackson and James C. Wisowaty, PhD (both chemists within the Chemical Development Laboratories at Burroughs Wellcome Co., Research Triangle Park, NC) in collaboration with John J. Savarese MD (who at the time was an anesthesiologist in the Dept. of Anesthesia, Harvard Medical School at the Massachusetts General Hospital, Boston, MA).

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Preventing
NUROMAX

Approved Use

NUROMAX is a long-acting neuromuscular blocking agent, indicated to provide skeletal muscle relaxation as an adjunct to general anesthesia, for endotracheal intubation or to facilitate mechanical ventilation.

Launch Date

1991
Preventing
NUROMAX

Approved Use

NUROMAX is a long-acting neuromuscular blocking agent, indicated to provide skeletal muscle relaxation as an adjunct to general anesthesia, for endotracheal intubation or to facilitate mechanical ventilation.

Launch Date

1991
PubMed

PubMed

TitleDatePubMed
Optimal dosing regimen of biapenem in Chinese patients with lower respiratory tract infections based on population pharmacokinetic/pharmacodynamic modelling and Monte Carlo simulation.
2016 Mar
Patents

Sample Use Guides

adults: An initial NUROMAX dose of 0.08 mg/kg (3 × ED95) should be reserved for instances in which a need for very prolonged neuromuscular block is anticipated. Children: When administered during halothane anesthesia, an initial dose of 0.03 mg/kg (ED95) produces maximum neuromuscular block in about 7 minutes (range: 5 to 11) and clinically effective block for an average of 30 minutes (range: 12 to 54).
Route of Administration: Intravenous
In Vitro Use Guide
Unknown
Name Type Language
DOXACURIUM
VANDF   WHO-DD  
Common Name English
DOXACURIUM ION
Common Name English
DOXACURIUM [VANDF]
Common Name English
Doxacurium [WHO-DD]
Common Name English
DOXACURIUM CATION
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C66886
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WHO-ATC M03AC07
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Code System Code Type Description
NCI_THESAURUS
C81000
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EVMPD
SUB01822MIG
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SMS_ID
100000087526
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MESH
C049429
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DRUG BANK
DB01135
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FDA UNII
P40015Y3WW
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CAS
106791-39-3
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DRUG CENTRAL
2974
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CHEBI
4706
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RXCUI
23651
Created by admin on Fri Dec 15 16:28:30 GMT 2023 , Edited by admin on Fri Dec 15 16:28:30 GMT 2023
PRIMARY RxNorm
WIKIPEDIA
Doxacurium
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All of the following components must be present:
Definition References