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Drug ReportsCisatracurium
Cisatracurium
Cisatracurium Besylate (cisatracurium) is a small molecule pharmaceutical. Cisatracurium was first approved as Nimbex on 1995-12-15.
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New Drug Application (NDA)
New Drug Application (NDA)
Abbreviated New Drug Application (ANDA)
Abbreviated New Drug Application (ANDA)
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Brand Name
Status
Last Update
cisatracuriumANDA2021-06-09
cisatracurium besylateANDA2024-08-29
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Agency Specific
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ATC Codes
M: Musculo-skeletal system drugs
M03: Muscle relaxants
M03A: Muscle relaxants, peripherally acting agents
M03AC: Other quaternary ammonium compounds in atc, muscle relaxants, peripherally acting
M03AC11: Cisatracurium
HCPCS
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Clinical
Clinical Trials
146 clinical trials
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Indications Phases 4
Indication
MeSH
Ontology
ICD-10
Ph 1
Ph 2
Ph 3
Ph 4
Other
Total
Neuromuscular blockadeD01914817917
Acute lung injuryD055371EFO_00046101223614
AnesthesiaD0007586814
Respiratory distress syndromeD012128EFO_1000637J801223513
Newborn respiratory distress syndromeD012127P221223513
General anesthesiaD00076812811
Postoperative painD010149G89.18347
Emergence deliriumD0000712571247
DeliriumD003693R41.01146
Delayed emergence from anesthesiaD055191426
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Indications Phases 3
Indication
MeSH
Ontology
ICD-10
Ph 1
Ph 2
Ph 3
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FasciculationD005207R25.3213
HemorrhageD006470MP_0001914R58112
MeningiomaD008579EFO_0003098D32.911
MyalgiaD063806HP_0003326M79.111
Indications Phases 1
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HypoxiaD000860HP_0012418R09.02112
Femur head necrosisD00527111
NecrosisD00933611
Respiratory tract diseasesD01214011
Respiration disordersD012120J00-J9911
Indications Without Phase
Indication
MeSH
Ontology
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Intravenous anesthesiaD00077166
Intratracheal intubationD00744233
Epidural anesthesiaD00076722
Aortic dissectionD000784I71.022
Conduction anesthesiaD00076522
Thoracic surgical proceduresD01961622
Hip fracturesD006620EFO_0003964S72.0022
Bone fracturesD050723EFO_0003931T14.822
Breast neoplasmsD001943EFO_0003869C5022
DiseaseD004194EFO_0000408R6922
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Epidemiology
Epidemiological information for investigational and approved indications
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Drug
General
Drug common nameCisatracurium
INNcisatracurium besilate
Description
Cisatracurium besylate is the (1R,1'R,2R,2'R)-diastereoisomer of atracurium besylate. Commercial preparations of atracurium are mixtures of 10 stereoisomers, of which cisatracurium generally constitutes about 15%. Cisatracurium besylate is about 3 times more potent than the mixture of atracurium isomers as a neuromuscular blocking agent, and is used as a muscle relaxant for endotracheal intubation, to aid controlled ventilation, and in general anaesthesia. It has a role as a muscle relaxant and a nicotinic antagonist. It is a quaternary ammonium salt, an atracurium besylate and an organosulfonate salt. It contains a cisatracurium.
Classification
Small molecule
Drug classquaternary ammonium derivatives: neuromuscular blocking agents
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Structure (InChI/SMILES or Protein Sequence)
COc1ccc(C[C@@H]2c3cc(OC)c(OC)cc3CC[N@+]2(C)CCC(=O)OCCCCCOC(=O)CC[N@@+]2(C)CCc3cc(OC)c(OC)cc3[C@H]2Cc2ccc(OC)c(OC)c2)cc1OC
Identifiers
PDB
CAS-ID96946-41-7
RxCUI
ChEMBL IDCHEMBL1201248
ChEBI ID
PubChem CID62886
DrugBankDB00565
UNII ID80YS8O1MBS (ChemIDplus, GSRS)
Target
No data
Variants
No data
Financial
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Trends
PubMed Central
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Safety
Black-box Warning
No Black-box warning
Adverse Events
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2,028 adverse events reported
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