Piperacillin Vecuronium

Condon RE, Munshi CA, Arfman RC. Interaction of vecuronium with piperacillin or cefoxitin evaluated in a prospective, randomized, double-bhnd clinical trial. Am Surg 1995 61(5) 403-6. 

Penicillins G and V (119) have been reported to cause neuromuscular block in animal preparations, but only at exceptionally high doses. Calcium is effective in reversal. The acylaminopenicillins augment vecuronium-induced blockade (120). Possible re-curarization with piperacillin was successfully reversed by neostigmine (121). 

Noninterfering alfentanil, aprotinin, atropine, bupivacaine, chlorpromazine, dalteparin, dexamethasone, diazepam, dopamine, droperidol, etomidate, fentanyl, furosemide, gallamine, haloperidol, midazolam, morphine, neostigmine, nitroglycerin, nitroprusside, oxytocin, pancuronium, pentobarbital, phenylephrine, phenytoin, pipecuronium, piperacillin, promethazine, propofol, ranitidine, succinylcholine, sufentanil, terbutaline, thiopental, vecuronium, verapamil... 

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