Nor Q

Medicine Overview of Nor Q 10mg/ml Injection Introduction Nor Q belongs to a group of medicines called muscle relaxants. It is used along with general anesthesia or sedatives to provide skeletal muscle relaxation during surgical procedures. It is also used to facilitate emergency airway management in patients in intensive care. Nor Q is administered by a healthcare professional. You should not self-administer this medicine at home. The dose and duration will depend on what you are taking it for and how well it helps your symptoms. The most common side effects of this medicine include injection site reactions such as pain, redness, and swelling. Long-term use of this... ... Show more Uses of Nor Q Skeletal mucle relaxation during surgery Side effects of Nor Q Common Skin rash Increased saliva production Injection site reactions (pain, swelling, redness) High blood pressure How to use Nor Q Your doctor or nurse will give you this medicine. Kindly do not self administer. How Nor Q works Nor Q relaxes the muscles by blocking the impulses from the nerves. Quick Tips Nor Q is given as an injection by healthcare professionals only. It may cause dizziness and sleepiness. Do not drive or do anything that requires mental focus until you know how Nor Q affects you. You will be monitored continuously during the treatment to check the effect of the medicine. You will be given artificial ventilation until you are able to breathe on your own. Brief Description Indication General anaesthesia, Skeletal muscle relaxation Adult Dose Intravenous Muscle relaxant in general anaesthesia; Facilitate endotracheal intubation; Facilitate mechanical ventilation in intensive care Adult: Initially, 80-100 mcg/kg by inj. Maintenance: 20-30 mcg/kg by inj or as continuous infusion at 0.8-1.4 mcg/kg/min. Surgical procedures after intubation w/ suxamethonium: 30-50 mcg/kg. Caesarean section: <100 mcg/kg. Surgery under halothane and neurolept anaesth: Initially, 150-300 mcg/kg. ... Show more Child Dose Intravenous Muscle relaxant in general anaesthesia; Facilitate endotracheal intubation; Facilitate mechanical ventilation in intensive care Child: <4 mth Initial test dose: 10-20 mcg/kg, w/ increments according to response; > 4 month: 80-100 mcg/kg by inj. Maintenance: 20-30 mcg/kg by inj or as continuous infusion at 0.8-1.4 mcg/kg/min. Neonatal surgery: <100 mcg/kg. ... Show more Contraindication Hypersensitivity to vecuronium or bromide. Mode of Action Vecuronium bromide inhibits depolarisation by blocking acetylcholine from binding to receptors on motor endplate. Precaution Patient w/ CV disease, oedema, neuromuscular disease, previous poliomyelitis, burn injury, severe electrolyte disturbances, altered blood pH, dehydration; obese patient. Hepatic and renal impairment. Childn. Pregnancy and lactation. Monitoring Parameters Monitor BP, heart rate; peripheral nerve stimulation. Side Effect Skeletal muscle weakness or paralysis, resp insufficiency or apnoea, bronchospasm, hypotension, tachycardia, acute urticaria, erythema, minimal induration, redness, itching, CV effects (e.g. changes in heart rate, cardiac index), myopathy. Potentially Fatal: Anaphylaxis. ... Show more Interaction Increases neuromuscular blockade with volatile anaesthetic agents (halothane, ether, enflurane, isoflurane, methoxyflurane, propofol and cyclopropane), fentanyl, other non-depolarising muscle relaxants, prior admin of succinylcholine, tetracyclines, polymyxins, diuretics, thiamine, MAOIs, bacitracin, colistin, sodium colistimethate, acylaminopenicillins, aminoglycoside antibiotics, high dose metronidazole, protamine, beta-adrenergic blocking agents, calcium antagonists e.g. verapamil, and Mg. Decreased neuromuscular blockade with anticholinesterases, prior chronic admin of corticosteroids, phenytoin, carbamazepine, noradrenaline, azathioprine, theophylline, calcium chloride.

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