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Nimbex® Injection

Consumer Medicine Information

What is in this leaflet If you have any questions about 5. You are allergic to any other why NIMBEX is used ask your medicine. This leaflet answers some common doctor. 6. You are taking any other questions about NIMBEX. It does medication, including: How does NIMBEX work? not contain all of the available • Antibiotics information. Cisatracurium besilate (the active • Anti-arrhythmics, which are Reading this leaflet does not take ingredient in NIMBEX) belongs to used to control irregular heart or the place of talking to your doctor a group of medicines called rapid heart beat. or pharmacist. “neuromuscular blockers”. • Diuretics, used to increase your Taking any medicine involves some NIMBEX works by blocking the volume of urine. risk. It is possible that all risks effects of one of the body’s • Magnesium or lithium salts. associated with this medicine might chemical messengers called • Phenytoin or carbamazepine (for not have been detected, despite . Acetylcholine is fits). involved in muscle contraction. proper testing. Only your doctor or • Any other medicine that you pharmacist is able to weigh up all of By relaxing your body’s muscles buy without a prescription from the relevant facts, and you should NIMBEX makes it easier for you to a pharmacy, supermarket or consult them if you have any be kept asleep (under anaesthesia) health food shop. queries. or sedation. Your doctor will have a complete If you have any concerns about Your doctor will be able to provide list of the medicines that may cause the use of NIMBEX ask your you with more information. problems when taken with doctor or pharmacist. NIMBEX. Keep this information. You may want to read it again. When NIMBEX must not be This leaflet provides information Before you use used about NIMBEX. The statements NIMBEX NIMBEX should not be used after that are made in this leaflet cannot the expiry date printed on the pack. be applied to any other medicine, NIMBEX is not suitable for everyone. even those that are similar or appear to contain the same ingredients. Before NIMBEX is used make sure that your doctor knows if: Using NIMBEX 1. You are allergic to: • cisatracurium besilate, NIMBEX is a medicine that is What NIMBEX is used atracurium or benzenesulfonic given by injection. NIMBEX will for acid. be administered by an anaesthetist • any other muscle relaxants. or other highly trained doctor, NIMBEX is used to relax the 2. You are pregnant or usually during or other body’s muscles. NIMBEX will breastfeeding. medical procedures. The dosage normally be given to you when you will vary according to many factors are in surgery, or during other 3. You suffer from myasthenia gravis, or any other form of such as body weight and the medical procedures. NIMBEX is duration of the procedure. only used in conjunction with an neuromuscular disease. anaesthetic, so you will be asleep 4. You, or a relative have had If you have any questions about the during the procedure. previous difficulties with dose that you will receive ask your anaesthetics. doctor.

Nimbex® Injection Published by MIMS/myDr November 2017 1 In case of overdose Storage • NIMBEX cisatracurium (as besilate) 150mg/30mL injection Overdoses of NIMBEX lead to NIMBEX should be stored by the vial – AUSTR 55934 prolonged relaxation of the body’s hospital’s pharmacy between 2° muscles. This can be readily treated, This leaflet was revised in and 8°C and protected from light. September 2017. however, this situation is unlikely to occur because NIMBEX is only NIMBEX does not contain any ®Nimbex is a registered trade mark administered by an anaesthetist or antimicrobial preservative. When of Aspen Global Incorporated. diluted, the preparation should be other highly trained doctor who will ©2003 Aspen Global Incorporated. closely monitor your progress. used immediately and any remaining solution must be Nimbex CMI All marketed After being treated with discarded within 24 hours following presentations NIMBEX dilution. Your doctor will be able to tell you whether there are any special instructions after you have been Product description treated with NIMBEX. What NIMBEX looks like NIMBEX is a pale yellow or Side effects greenish yellow solution. NIMBEX Injection 2 mg/mL (all All medicines can have side effects. sizes) are presented in glass Sometimes they are serious. Most ampoules. of the time they are not. NIMBEX Injection 5 mg/mL is Tell your doctor or pharmacist as presented in glass vials. soon as possible if you do not feel well after you have received Ingredients NIMBEX. It is possible that NIMBEX may NIMBEX Injection 2 mg/mL cause the following side effects: contains 2 mg cisatracurium besilate in every mL. • Flushing of the face and upper body. NIMBEX Injection 5 mg/mL • Skin rashes. contains 5 mg cisatracurium besilate in every mL. • Slow heart beat. • Low blood pressure. NIMBEX also contains: • Difficulty breathing. • benzenesulfonic acid During studies using NIMBEX less • water for Injections. than one patient in every 200 treated experienced these side Sponsor: effects. Aspen Pharmacare Australia Pty Ask your doctor or pharmacist to Ltd answer any questions you may 34-36 Chandos Street have. St Leonards NSW 2065 Other side effects not listed above Australia. may also occur in some people. Australian Registration Numbers: There is no evidence that NIMBEX • NIMBEX cisatracurium (as is addictive. besylate) 5mg/2.5mL injection ampoule - AUST R 55913 • NIMBEX cisatracurium (as besylate) 10mg/5mL injection ampoule - AUST R 55931

Nimbex® Injection Published by MIMS/myDr November 2017 2