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Please see full prescribing and safety information, including boxed warning, for SUCCINYLCHOLINE vials.

Available in:

  • 200 mg per 10 mL multi-dose vials

Benefits:

  • AP Rated
  • Not made with natural rubber latex

SUCCINYLCHOLINE Chloride Injection, USP*

Brand Name Equivalent: QUELICIN® (QUELICIN is a registered trademark of Hospira, Inc.)
Therapeutic Category: Neuromuscular Blocking Agent

PreventIV Measures® Features:

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  • Bar codes included on the vial and carton for ease of scanning
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  • Enhanced packaging and labeling designed to promote safety and help reduce the risk of medication errors
NDC
#25021
Description Strength Fill
Volume
Concentration Container
Size
Closure Unit
of Sales
677-10 Glass Vial 200 mg 10 mL 20 mg per mL 10 mL 20 mm 25
WARNING
RISK OF CARDIAC ARREST FROM HYPERKALEMIC RHABDOMYOLYSIS
There have been rare reports of acute rhabdomyolysis with hyperkalemia followed by ventricular dysrhythmias, cardiac arrest and death after the administration of succinylcholine to apparently healthy pediatric patients who were subsequently found to have undiagnosed skeletal muscle myopathy, most frequently Duchenne’s muscular dystrophy.
This syndrome often presents as peaked T-waves and sudden cardiac arrest within minutes after the administration of the drug in healthy appearing pediatric patients (usually, but not exclusively, males, and most frequently 8 years of age or younger). There have also been reports in adolescents.
Therefore, when a healthy appearing infant or child develops cardiac arrest soon after administration of succinylcholine, not felt to be due to inadequate ventilation, oxygenation or anesthetic overdose, immediate treatment for hyperkalemia should be instituted. This should include administration of intravenous calcium, bicarbonate, and glucose with insulin, with hyperventilation. Due to the abrupt onset of this syndrome, routine resuscitative measures are likely to be unsuccessful. However, extraordinary and prolonged resuscitative efforts have resulted in successful resuscitation in some reported cases. In addition, in the presence of signs of malignant hyperthermia, appropriate treatment should be instituted concurrently.
Since there may be no signs or symptoms to alert the practitioner to which patients are at risk, it is recommended that the use of succinylcholine in pediatric patients should be reserved for emergency intubation or instances where immediate securing of the airway is necessary, e.g., laryngospasm, difficult airway, full stomach, or for intramuscular use when a suitable vein is inaccessible (see PRECAUTIONS: Pediatric Use and DOSAGE AND ADMINISTRATION).