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Bridion Generic Name & Formulations
Legal Class
Rx
General Description
Sugammadex 100mg/mL; soln for IV inj.
Pharmacological Class
Modified gamma cyclodextrin.
How Supplied
Single-dose vials (2mL, 5mL)—10
Manufacturer
Generic Availability
NO
Bridion Indications
Indications
To reverse neuromuscular blockade induced by rocuronium bromide and vecuronium bromide in adults undergoing surgery.
Bridion Dosage and Administration
Adult
Give as single bolus inj over 10secs. Rocuronium and vecuronium: 4mg/kg if spontaneous recovery of the twitch response has reached 1–2 post-tetanic counts (PTC) with no twitch responses to train-of-four (TOF) stimulation. 2mg/kg if spontaneous recovery has reached the reappearance of the second twitch in response to TOF stimulation. Rocuronium only: 16mg/kg if reversal needed soon (approx. 3mins) after given a single rocuronium 1.2mg/kg dose. Re-administration of neuromuscular blockers post-reversal: see full labeling.
Children
≤17yrs: not established.
Bridion Contraindications
Not Applicable
Bridion Boxed Warnings
Not Applicable
Bridion Warnings/Precautions
Warnings/Precautions
Do not use to reverse blockade induced by agents other than rocuronium or vecuronium. Should be administered by trained healthcare providers. Have treatment for anaphylaxis readily available. Maintain ventilation and patent airway; monitor until recovery. Monitor for hemodynamic changes and administer anticholinergic agents (eg, atropine) if significant bradycardia observed. Risk of neuromuscular blockade recurrence; see full labeling. Coagulopathies. Signs of light anesthesia. Severe renal impairment (CrCl <30mL/min), dialysis: not recommended. Hepatic impairment (w. coagulopathy or severe edema). Elderly. Pregnancy. Nursing mothers.
Bridion Pharmacokinetics
See Literature
Bridion Interactions
Interactions
Recovery could be delayed with concomitant toremifene. May antagonize progestogen; if hormonal contraceptive taken on the same day as Bridion, must use additional non-hormonal contraceptive or back-up method (eg, condom, spermicide) for next 7 days. Increased bleeding risk with anticoagulation therapy, thromboprophylaxis drugs other than heparin and LMWH. May interfere with progesterone assay. Physically incompatible with verapamil, ondansetron, ranitidine.
Bridion Adverse Reactions
Adverse Reactions
Vomiting, pain, nausea, hypotension, headache; hypersensitivity, marked bradycardia, increases in aPTT and PT/INR.
Bridion Clinical Trials
See Literature
Bridion Note
Not Applicable
Bridion Patient Counseling
See Literature
